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Clinical quality indicators: progress update

Clinical quality indicators: progress update . Jim Chalmers & Lindsay Mathie Information Services Division, NHS National Services Scotland. Overview. What is the project about Approach to deriving indicators Suggested indicators Examples . What is it about?.

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Clinical quality indicators: progress update

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  1. Clinical quality indicators: progress update Jim Chalmers & Lindsay Mathie Information Services Division, NHS National Services Scotland

  2. Overview • What is the project about • Approach to deriving indicators • Suggested indicators • Examples

  3. What is it about? • Investment in Children’s Specialist Services • Is it working? • How can we tell? • What does “good” look like • Need to measure relevant outcomes • National Delivery Plan for Children and Young People’s Specialist Services in Scotland: • “71. There is, therefore, a need to be able to identify, gather and analyse a number of key clinical or service outcome measures that would allow an accurate and timely understanding of progress across the spectrum of specialist children’s services.”

  4. Relevant Indicators • Multiple dimensions of health care quality • safe, effective, efficient, patient-centred, timely, equitable • Exploit currently collected data where possible • Develop data collection/analysis without excessive costs

  5. Approach • Following Institute of Healthcare Improvement model and proposed Healthcare Quality Strategy for Scotland • Catalogue existing indicators • Engage with exemplar MCNs and Steering Group for further suggested indicators • Feed back to clinical leads • Compare indicators to dimensions specified by Association of Public Health Observatories • Importance, relevance, validity, possibility, meaningfulness, implications

  6. Examples of Indicators in Practice

  7. EF06 Compliance with Standards & Protocols • Cincinnati Children's Hospital • Use of evidence Based Guidelines • July - September 2009 – 92% compliance. (Percentage of condition specific evidence-based guidelines followed in the emergency department and on inpatient units) • 1996- 2007 Resulted in • Fewer hospital admissions (12-71% decrease) • Shorter average length of stay (12-37% decrease)

  8. EQ02 How far the patient has to travel • As an example the project group looked at Access to General Surgery of Childhood • Looked at • Estimated travel times • Length of stay by travel time

  9. Table 1: Mean Length of Stay by Estimated Travel Time1 Elective Admissions to General Surgery of Childhood, 2008/09

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