External Analysis and Reporting in Walsall A systematic Approach to improving patient care Phil Kirb

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External Analysis and Reportingin Walsall - A
systematic Approach to improving patient
carePhil Kirby, Health Intelligence Ltd

• Saturday 13th 2007
• iSOFT User Group

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Agenda

• Walsall
• Health Intelligence
• Extraction of Primary Care Data
• Secure Hosting of the Practice Data
• Provision of Reporting Services
• Demonstration the power of this approach
• Summary of Benefits
• Questions

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Walsall Profile

• Walsall Teaching PCT
• Over 250,000 patients
• Pockets of deprivation New Deal for Communities
  area
• Served by 63 GP Practices
• Background in IT innovation
• Primary Care Facilitator Team
• Recognition demands for General Practice data
• Local Delivery Plan Reporting improved
  efficiency of data collation
• Willingness of General Practice to participate

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Health Intelligence Profile

• Established in 1997 Privately owned British
  company, Cheshire, focusing on Healthcare
• Web-Based Cross Sector Managed Services - focus
  on Long Term Conditions, Programmes of Care
• Flagship service CDRIntell serving eight PCTs
  with populations of over 1.2m. Existing services
  cover approximately 300 GP Practices. Over 600
  registered users of the web-based service.
• Swindon PCT and Wiltshire PCT
• Hammersmith and Charing Cross Hospital
• Kensington Chelsea PCT and Westminster PCT
• Walsall Teaching PCT
• Calderdale PCT and Kirklees PCT
• Kingston  PCT

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Challenges

• Overall the NHS faces
• Ageing Population, Rising Costs, Rising
  Expectations
• Reducing Resources, Demand led service
• Our Challenges
• Some Practice reluctant to provide patient
  identifiable data
• Multiple Data Coding Classifications Multiple
  Sources of Data
• Variable Quality of Data
• Real concerns regarding Security of patient data
  patient consent
• Lack of Time
• Complexity of the business of Healthcare

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Our Approach

• Partnership with Walsall and General Practice
• Daily Data Exports
• Data held at a patient record level
• Data Transforms to generate Information
• Intuitive, simple to use standard report
  formats
• Clinically and Managerially relevant
• Clinical Prompts missing and out of range data
• Risk Assessment Tools

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Export of Primary Care Data
CDRIntell - Data Export and Reporting

PCT/ PBC
Data Repository CDRIntell Reporting
Aggregate Only
Data extract using MIQUEST XML process
GP Practice
NHSnet/ N3
GP Practice
Patient Identifiable Data
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Our Approach

• Dashboard style reporting with date, time period,
  provider
• Drill down drill up, graphical, tabular and
  listing
• Profile population base, those in and out of
  category
• Benchmark data
• Built in Consent Register and Patient Consent
  Recording Functionality
• Patient Health Profiles
• Hot Lists and Programme Management capabilities

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The Approach Taken in Walsall

• Initial Drivers were LDP, improved efficiency of
  data collection for national returns
• Formed CDRIntell Project Board with GP membership
  
• Broader Consultation
• Pilot arrangements
• Set of Agreements to ensure rigour
• Data Supply Agreement
• Data Sharing Agreement
• Data Access Agreement
• Sophisticated Reporting not only LDP returns to
  PCT, clinically useful for General Practice

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General Practice Access
What is required for General Practice to access
their patient data on CDRIntell?
- A signed Data Supply Agreement needs to be
completed by a senior representative of the
Practice.
Step 1 Agreement to Extract and Host the Data
on CDRIntell
- This process involves automated data extraction
process that delivers daily updates to CDRIntell.
Step 2 Set-up the Automated Data Extraction
Facilities
- A signed Data Access Agreement. This agreement
applies to each and every Organisation, including
the Practice.
Step 3 Obtain Agreements required to Access
CDRIntell
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PCT, PBC Clusters, other Health Care
Professionals Access
What is required for other healthcare
professionals to access patient data on CDRIntell?
- Overall agreement of the CDRIntell Project
Board followed by Practice specific agreement.
This is in the form of a Data Access Sharing
Agreement.
Step 4 Completed Data Sharing Agreement
- A signed Data Access Agreement, which ensures
each and every NHS Organisation, has committed to
using CDRIntell sourced data appropriately.
Step 5 Obtain Agreement for other NHS
Organisations to access CDRIntell
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Demonstration of CDRIntell
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Business Benefits

• Efficiency in data and information provision
• Improved Security and Management of Consent
• Benchmarking and Performance support
• Transforming Data into Information
• Clinical Governance Reviews
• Time
• Data Consistency
• Pilot GPs encouraging their colleagues
• Identifying hundreds of patients they are keen to
  intervene
• Systematic process Risk Assessment
• Identify those to Target e.g. Diabetes NOS, No
  Ethnic Group

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Walsall Developments

• LDP Reporting
• Diabetes NSF Reporting
• CHD NSF Reporting
• Childhood Immunisation and Vaccination
• Data Quality Reporting
• Population Risk Stratification (NDC)
• Programme Management Smoking Cessation,
  Lifestyle interventions

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Any Questions?
For copies of this presentation or to organise a
demonstration please come along to Stand D6.
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New Opportunities

• Department of Health has overall strategy to
  ensure
• Care is delivered in most appropriate cost
  effective
• setting - Demand Management.

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Demand Management
PCT / PBC
Provider / Acute
Known Demand
Referrals
Utilisation Management
Data Analysis (from GP)
Unknown Demand
Disease Management
Meds Compliance
PCT Reports
Consultancy