Clinical Dashboards
Transcript of Clinical Dashboards
Clinical Dashboards
Development & Implementation
Ian Fenton, Director of eHealth Jenni Woods, Operational Information Manager
• Aim of the project• Development Approach• Metrics currently available• Implementation• Development Roadmap
Improve standard of care and experience for patients by aiding service planning and decision making.
Achieve this by:Providing service improvement information real time.
Presenting this information as instinctively understandable and as visually stimulating as possible.
Aim – Patient Centred
NHS Tayside’s Development Approach
• Proof of concept• Operational and strategic dashboards• Comprehensive metric library• Exploit existing information sources e.g. PMS, Labs, Radiology• Real time delivery of information• Plug information gaps where necessary
− streamline ward based data collection− reduce the reliance on paper , spreadsheets etc
• Intuitive user interface• Evaluation
Healthcare Domain Model
Patient
Referral
Clinician
Wait
Appointment
Diagnostics
Clinic/hospital
Ward admission
Patient Centred Healthcare Domain
Plug Information Gaps
Clinical Dashboard Metrics I
Live 15 minute updates from TOPAS into current patient flow dashboard, including:- current % occupancy, - available beds, - occupied beds, - planned admissions, - patients on pass
Real-time bed management / Patient Flow
- Safer Patient Programme metrics – 31 metrics in total- Hand Hygiene
Patient safety / Infection control
Metric ExamplesGroup
Clinical Dashboard Metrics II
- Inpatient / Daycase waiting times- New Outpatient waiting times - Endoscopy procedure waiting times- Dental waiting timesWill be available September/October 2010.
Access / Waiting Times
Historical patient flow metrics, including:- % occupancy throughout the day, bed complement, available beds, occupied beds, average length of stay-admission / discharge volumes, by elective / emergency split, - turnover interval, throughput, boardersOutpatient activity, including:- volume of referrals- new / review attendances, DNA rates, new : review ratio- covering consultant-led, nurse-led and AHP-led services
Efficiency measures / inpatient activity / outpatient activity
Metric ExamplesGroup
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10
Click to view trend
line
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Hover over data point for
detail
Click for more details
Data Table
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Current Patient flow - PRI Tay ward
• 7 pilot sites using the Clinical Dashboard toolset and Data Collection Tool.
• Implementation team delivered training to 50+ staff.• Develop spread plan to roll out across NHS Tayside.• Benefits realisation process with Scottish Government. • Evaluation of existing functionality. • Developing the toolset to enable the dashboard to be self
sustaining within NHS Tayside
Implementation
Clinical Quality IndicatorsSpecification developed to capture Clinical Quality Indicators within the data collection tool for subsequent display via the ClinicalDashboard.
Clinical Outcomes / Patient Reported Outcome MeasuresA Clinical Reference Group has been established led by AssociateMedical Director – Access Directorate. Role of this group is to discuss, agree and prioritise clinical metrics for inclusion within the clinical dashboard.
Population Health MeasuresGovernance dashboard is being developed for the use of NHS Boardand Standing Committees as appropriate. This will align the operational and strategic metrics and is being managed within the Organisational Effectiveness work.
Further Metric Development
Clinical Dashboards
Ian Fenton, Director of eHealthJenni Woods, Operational Information Manager