AHP Data Project – Counting Matters!

Maximising the Potential of the AHP Workforce in NHSScotland

AHP Data Project –Counting Matters!

June Wylie (Scottish Government)

& Felicity Naughton

(Information Services Division)


“If we cannot name it, we cannot control it, finance it, research it, teach it, or put it into practice”.

Clark J, Lang N (1992) Nursing's next advance: an internal (international) classification for nursing practice. International Nursing Review 39:109..


“The economic crisis was caused by poor management decision making…a lack of knowledge about risk and flawed assumptions were basic to the economic problems”

Dr. John T. Whiting

http://www.prlog.org/10213881-information-technology-as-solution-to-the-economic-crisis.html


• Approximately 40% of the nation's fluid intake today will be tea

• The UK remains the world's No 1 export market for champagne with nearly 36m bottles (35,984,574 to be precise) shipped last year! Cheers!

• The overall cost of the National Programme for IT (England) is £12.4 billion over 10 years. The overall cost of the National Programme for IT is £12.4 billion over 10 years.

• The cost of overweight and obese individuals to the NHS is estimated to be £4.2 billion and is forecasted to more than double by 2050. The cost to the wider economy is £16 billion, and this is predicted to rise to £50 billion per year by 2050 if left unchecked

• Smoking costs NHS Scotland £200 million annually – and the Scottish economy as a whole £837 million a year


INFORMATION is POWER!

Information is evidence…

For changeOf best practiceTo demonstrate a problemTo demonstrate success!!!

Information gives you…

The power to demonstrate your impact!!!What differences are you making now?

What changes could you make for the better? How can you prove that to others?


Data has the potential to save lives!

Swine FluIf information on disease and deaths was not recorded, we would not have become aware of the scale or even the existence of this potential pandemic.

Smoking and Lung Cancer

Coronary Heart DiseaseCHD is a priority area for the Scottish Government and there is a national target of a 60% reduction in premature deaths from coronary heart disease in the 15 years up to 2010. The chart below shows progress against this target, suggesting that the target looks set to be achieved


• ISD(S)1 Data www.isdscotland.org/isd/4452.html?text-size=1• Currently, the only national AHP data • Issues around data quality• Non national statistics• Basic numbers • Anyone use?

Current AHP National Data


Maximising the potential of AHP Data! – the AHP Data Project

Aim: to develop high quality data for and with AHPs in NHSScotland Working with you to develop high quality information for AHPs throughout Scotland

Building on the work of the AHP Census & NCDDP StandardsFor example, ‘Expected Waiting Times’

AHP Census http://www.isdscotland.org/isd/data-development-dev-info.jsp?pContentID=1359&p_applic=CCC&p_service=Content.show&


Phase 1 – National AHP Dataset

A high-level management dataset looking at Referrals – e.g. ‘new referrals’ Activity – e.g. new contacts Discharge – number of patients discharged

Work with services to establish regular high quality Data collection Recording Submission Usage


Clinical Data (the holy grail!)

National clinical datasets developed for some of the professions

But – need good eHealth systems to collect these data

Firstly establish regular collection of accurate and good quality management data (‘Phase 1’)

Provide reliable data that can be used confidently locally and nationally

Clinical data developed in line with national eHealth systems, such as PMS, over time.


National Definitions

Absolutely essential! Developing national definitions for all fields Will require national agreement on all of the

definitionsSo the data will mean the same for AHPs

throughout Scotland Means that data are comparable between

services, NHS Boards and across the country Need your feedback and support!


Uses, benefits and demonstrating your impact!

How you can use your data to illustrate the difference that you make

Accurate, high quality data allows you to Monitor success Monitor interventions and change to your service, and its impact Monitor your impact! How you and your colleagues affect your service

Once you start collecting your data it has the potential to tell you What your service does now

And what it needs to do to Expand capacity Meet demand Reduce waiting times


Apples with Apples!

Information is the evidence of the hard work that you, and your colleagues do - without good quality data you have no reliable evidence of your practice, your resource, or your capacity

Through the national AHP Data Project we can work to ensure that the dataset and its definitions are comparable throughout Scotland – comparing apples with apples

Unleash your energy! Good quality data provides information on how your service

works and its processes. Using data to refine or fix your processes will allow you to concentrate on what you do best!

Take ownership of the data


Impact & Policy

Use information to show managers just how important you are

What you can do to shape change in the health service You can change services for the better and improve the

patient experience – but only data can prove that

18 Weeks RTTShifting the Balance of Care

AHPs can provide massive input and impact


Drivers for Change

Data provides the evidence to demonstrate that you can significantly affect these policy priorities for the better

These, and other, policies are huge drivers for change and improvement Improve your service Improve patient care Understand the problems, the jams and the performance issues

It’s not just a box ticking exercise! Information can really make a difference – from management to patient


AHP Data Project

Developing dataset, data definitions and standards

Feasibility and Usability Pilot in September 2009 One months data collection using dataset and data collection form By area – inpatients, outpatients etc

Plan to begin incremental implementation from April 2010, by profession

The project will offer support and advice throughout the process, from pilot all the way through implementation to ensure that the dataset can be implemented successfully and can be sustained in the long term


National Data Return

Monthly data return to ISD Limited number of fields to return Data will be interpreted and published by ISD on a regular basis. Trend analysis and benchmarking Working to improve data quality and completeness over time More data and better quality than currently available Garbage in, Garbage out!


Project Support

Regular contactBriefingsMeetingsUpdates

Help manualsData collectionRecording Analysis

Advice & support on use of the data – for example, for those who are less familiar with using data on a regular basis

Regular, national reports.


Contact

Felicity Naughton, Project Manager

Email: [email protected]

Tel: 0131 275 7148

Mobile: 07795 452287

Any Questions?

Documents

AHP Data Project – Counting Matters!