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BCIS Audit Returns Adult Interventional Procedures Jan 2005 to Dec 2005

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BCIS Audit Returns Adult Interventional Procedures Jan 2005 to Dec 2005. Peter F Ludman BCIS National Audit Officer On behalf of British Cardiovascular Intervention Society. Manchester 2006. 2005 data: Ludman. Audit Domains: Structure. Diagnostic Angiography 2005.

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  1. BCIS Audit ReturnsAdult Interventional ProceduresJan 2005 to Dec 2005 Peter F Ludman BCIS National Audit Officer On behalf of British Cardiovascular Intervention Society Manchester 2006

  2. 2005 data: Ludman Audit Domains: Structure

  3. Diagnostic Angiography 2005 13 New Angiography Only Centres 2005 2005 data: Ludman

  4. Changes in Centre’s Activity 2005 • Goring Hall • N Staffs Nuffield • Little Aston 3 Stopped 2005 data: Ludman 1 PCI → angio BUPA Bristol 7 Started PCI

  5. 2005 data: Ludman UK Centres - 2005

  6. 2005 PCI centres 83 Angiography only Centres 87

  7. UK Countries PCI Centres in 2005

  8. PCI Data Requested Form A & B OR CCAD Form C

  9. 2005 data: Ludman UK Interventional and Diagnostic centres2005

  10. 2005 data: Ludman Centres Providing No Data • London Independent

  11. 2005 data: Ludman UK Interventional and Diagnostic centres2005 Northern General, Sheffield Royal Brompton Missing angiography data estimated from 2004 figures

  12. 2005 data: Ludman UK Interventional and Diagnostic centres2005 BMI Park, Notts London Independent London Bridge Missing angiography data estimated from 2004 figures

  13. 2005 data: Ludman UK Interventional and Diagnostic centres2005 • Arrowe Park Hospital (Currie) • Chesterfield Royal (Cooke) • Dewsbury (Smyllie) • Great Western Hosp (McCrea) • Neville Hall Hospital (Hutchison) • Woolwich, QE (Shakespeare) Missing angiography data estimated from 2004 figures

  14. 2005 data: Ludman UK Interventional and Diagnostic centres2005 London independent Missing PCI data estimated from 2004 figures

  15. 2005 data: Ludman UK Interventional and Diagnostic centres2005

  16. 2005 data: Ludman UK Interventional and Diagnostic centres2005

  17. 2005 data: Ludman PCI per Angiogram ratio

  18. 2005 data: Ludman PCI per Angiogram ratioESC Survey 2003 Cook S for WG 10 of the ESC. EuroIntervention 2006;1:374

  19. 2005 data: Ludman Population estimates Mid 2005 Total UK: 60.2 m Scotland 5.09 m Northern Ireland 1.72 m England 50.43 m est: Welsh Rx in England 0.8 m Total Rx in England 51.23 m Wales 2.96 m est: Rx in Wales: 2.2 m

  20. 2005 data: Ludman Total UK PCI Procedures

  21. PCI activity to 2005 (UK) 2005 data: Ludman

  22. 2005 data: Ludman Rate of increase in PCI numbers pmp

  23. 2005 data: Ludman Total PCIs in the UK Countriesby Type of Institution Total No.s of PCI

  24. 2005 data: Ludman PCIs/million UK Countries(2000 to 2005)

  25. 2005 data: Ludman PCI vs Isolated CABG Numbers (UK)1991 to 2005 Note: CABG data for financial yr all PCI v NHS CABG

  26. PCI vs Isolated CABG Ratio (UK)2000 to 2005 2005 data: Ludman

  27. 2005 data: Ludman Number of PCIs performed in 2005(per NHS Centre) Mean = 1028 Data from: all 65 NHS centres

  28. 2005 data: Ludman No. of Interventional Consultants(NHS centres) Data from: 64 of 65 centres Note: if work at two NHS centres will be counted twice Includes cardiologists and radiologists

  29. 2005 data: Ludman No. of Interventional Consultants(NHS centres 2005) • Mean • 2000 5.5 • 2001 6.1 • 6.5 • 6.7 • 7.4 • 2005 7.0 Note: if work at two NHS centres will be counted twice

  30. No. of PCIs per Consultant (NHS Centres)2005 data from 64 of 65 centres 2005 data: Ludman • Mean • PCI/consultant • 2000 125 • 2001 126 • 2002 138 • 2003 139 • 143 • 2005 145 Note: data from institutional volume divided by No operators per institution

  31. 2005 data: Ludman Visiting Interventionists(NHS Centres)2005 data from 64 of 65 centres

  32. 2005 data: Ludman Surgical Cover (2005 - all 65 NHS centres)

  33. 2005 data: Ludman Surgical Cover(all 83 NHS and Private Centres)

  34. 2005 data: Ludman Day Case PCI • 29 of 70 Units performing day case PCI • 7 more than 2004 +53% +21% Data from: 70 of 83 centres

  35. 2005 data: Ludman Day Case PCI2005

  36. 2005 data: Ludman Primary PCIRoutine Rx for STEMI Working Hours Only 24/7 Number of centres NHS Centres only

  37. Audit Domains • Structure • Appropriateness • Process • Outcome 2005 data: Ludman

  38. Annual returnsProcedure Specific Data Form A & B OR CCAD Form C Data Quality

  39. CCAD Import Issues field 1 field 2 field 3 …… field 103 Patient 1 Patient 2 Mandatory Fields (6) • 1.01 Hospital Identifier • 1.02 Local Patient Identifier • 3.01 Date and time of operation • 1.06 Birth Date • 2.01 Clinical Syndrome • 2.02 Indication for Intervention ….. Patient n

  40. CCAD Import Issues Mandatory Fields (6) • 1.01 Hospital Identifier • 1.02 Local Patient Identifier • 3.01 Date and time of operation • 1.06 Birth Date • 2.01 Clinical Syndrome • 2.02 Indication for Intervention Must be date AND time

  41. CCAD Import Issues Mandatory Fields (6) • 1.01 Hospital Identifier • 1.02 Local Patient Identifier • 3.01 Date and time of operation • 1.06 Birth Date • 2.01 Clinical Syndrome • 2.02 Indication for Intervention Identifies a Unique record Duplicates occur if re-import with any of these changed

  42. CCAD Import Issues Mandatory Fields (6) • 1.01 Hospital Identifier • 1.02 Local Patient Identifier • 3.01 Date and time of operation • 1.06 Birth Date • 2.01 Clinical Syndrome • 2.02 Indication for Intervention

  43. CCAD Import Issues 2.01 Clinical Syndrome • Stable • Acute coronary syndrome (ACS/AMI) Cannot be