Insight for better healthcare The power of information Janet Witty 9 November 2007 .

Insight for better healthcare

The power of information

Janet Witty9 November 2007

www.chks.co.uk


It’s all a bed of roses being a consultant – isn’t it?

• Glamour• Travel• Hotels• Hospitality• Working from home


The power of information

• Is information ready?• Information as a business tool• The impact of inaccurate information• The power of accurate information• The road to success• The challenge


Is information ready?

• Has information been ready for – Clinical indicators?– Clinical audit/effectiveness?– Performance monitoring? – Purchaser/provider split?

• And now– Market economy?


The information function – is it ready?

• Where is it?– Which directorate?

• Does everyone know about you and what you do?• Are you out there promoting yourselves?• Why is it invisible in some organisations?


Is ‘business tool’ the latest phrase?

• A bit of all things to all men – who wants what• Performance, clinical governance, staffing and finance –

who remembers Mrs Korner?• Market economy – where is the work coming from and

where is the potential work going to?• Even as priorities change you can’t afford to take your eye

off any of the balls – Maidstone!


Is information meeting the business need?Is it ‘fit for purpose’?

• Quantity• Quality• Accessibility• Ownership• Responsibility


Consultant/speciality information

• Consultant /specialty transfers• Ward transfers• Admissions units• On-call rota and sub specialty


Length of stay information

• Rogue dates of admission• Incorrect specialty• Multiple transfers – are they for clinical reasons?• Rehabilitation units


• Getting onto the waiting list correctly• Day case overstays• Clinical performance • ICD10: K40 – OPCS4.4: K40

Day case information


Clinical Coding

Your organisations future depends on this.

• Clinical coding should be painting a picture of patient care• Clinical involvement• Source documentation• Audit and training


CHKS Survey for 2006

FCEs per wte Coder

0

2000

4000

6000

8000

10000

12000

14000

16000

14

d

16

d

5d

15

d

13

d

19

d

24

d

29

d

17

d

9d

31

d

32

t

33

u

2d

3d

7d

38

u

36

t

1d

22

d

28

d

23

d

25

d

11

d

27

d

4d

18

d

40

s

30

u

10

d

12

d

35

t

34

t

FC

Es


• Consultants will always say the information is rubbish – don’t always assume they are wrong

• Basic audit routines• Experts at CHKS who can do:

– Process reviews for information/clinical coding– Case note reviews– Comparisons with other organisations– Reports with recommendations

What can be done about this?


Need to get off the downward vicious circle

and onto

The upward virtuous spiral


What can be done with accurate information

• Changing clinical practice– Sub specialisation– On call rotas– Pre operative assessment for transfers in from other hospitals

• Changing business practices- Appointed extra consultants- Increasing angioplasty for reduce LOS-influenced the purchasing intentions after producing the Joint Strategic Needs Assessment to underpin the 3 year PCT Strategic Commissonisng Plans


What we believe in



The CHKS healthcare performance cycle

Coding & data management

Performance measurement

Benchmarking

Health economics

Predictive modelling

Process review & audit

Accreditation & healthcare standards

Decision, action & change

PRODUCTSCONSULTANCY

TRAININGRESEARCH


So do you think you are ready?

• Can information meet the changing and rising demands from all stakeholders?

• Is information correctly positioned in your organisation?• Are we prepared for the true healthcare market economy?


Thank you

Janet Witty

www.chks.co.uk

Insight for better healthcare The power of information Janet Witty 9 November 2007 .

Documents

better healthcare need

better healthcare length

information ready

better healthcare chks

training slide

home slide

challenge slide

information function