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Insight for better healthcare
It’s all a bed of roses being a consultant – isn’t it?
• Glamour• Travel• Hotels• Hospitality• Working from home
Insight for better healthcare
The power of information
• Is information ready?• Information as a business tool• The impact of inaccurate information• The power of accurate information• The road to success• The challenge
Insight for better healthcare
Is information ready?
• Has information been ready for – Clinical indicators?– Clinical audit/effectiveness?– Performance monitoring? – Purchaser/provider split?
• And now– Market economy?
Insight for better healthcare
The information function – is it ready?
• Where is it?– Which directorate?
• Does everyone know about you and what you do?• Are you out there promoting yourselves?• Why is it invisible in some organisations?
Insight for better healthcare
Is ‘business tool’ the latest phrase?
• A bit of all things to all men – who wants what• Performance, clinical governance, staffing and finance –
who remembers Mrs Korner?• Market economy – where is the work coming from and
where is the potential work going to?• Even as priorities change you can’t afford to take your eye
off any of the balls – Maidstone!
Insight for better healthcare
Is information meeting the business need?Is it ‘fit for purpose’?
• Quantity• Quality• Accessibility• Ownership• Responsibility
Insight for better healthcare
Consultant/speciality information
• Consultant /specialty transfers• Ward transfers• Admissions units• On-call rota and sub specialty
Insight for better healthcare
Length of stay information
• Rogue dates of admission• Incorrect specialty• Multiple transfers – are they for clinical reasons?• Rehabilitation units
Insight for better healthcare
• Getting onto the waiting list correctly• Day case overstays• Clinical performance • ICD10: K40 – OPCS4.4: K40
Day case information
Insight for better healthcare
Clinical Coding
Your organisations future depends on this.
• Clinical coding should be painting a picture of patient care• Clinical involvement• Source documentation• Audit and training
Insight for better healthcare
CHKS Survey for 2006
FCEs per wte Coder
0
2000
4000
6000
8000
10000
12000
14000
16000
14
d
16
d
5d
15
d
13
d
19
d
24
d
29
d
17
d
9d
31
d
32
t
33
u
2d
3d
7d
38
u
36
t
1d
22
d
28
d
23
d
25
d
11
d
27
d
4d
18
d
40
s
30
u
10
d
12
d
35
t
34
t
FC
Es
Insight for better healthcare
• Consultants will always say the information is rubbish – don’t always assume they are wrong
• Basic audit routines• Experts at CHKS who can do:
– Process reviews for information/clinical coding– Case note reviews– Comparisons with other organisations– Reports with recommendations
What can be done about this?
Insight for better healthcare
Need to get off the downward vicious circle
and onto
The upward virtuous spiral
Insight for better healthcare
What can be done with accurate information
• Changing clinical practice– Sub specialisation– On call rotas– Pre operative assessment for transfers in from other hospitals
• Changing business practices- Appointed extra consultants- Increasing angioplasty for reduce LOS-influenced the purchasing intentions after producing the Joint Strategic Needs Assessment to underpin the 3 year PCT Strategic Commissonisng Plans
Insight for better healthcare
The CHKS healthcare performance cycle
Coding & data management
Performance measurement
Benchmarking
Health economics
Predictive modelling
Process review & audit
Accreditation & healthcare standards
Decision, action & change
PRODUCTSCONSULTANCY
TRAININGRESEARCH
Insight for better healthcare
So do you think you are ready?
• Can information meet the changing and rising demands from all stakeholders?
• Is information correctly positioned in your organisation?• Are we prepared for the true healthcare market economy?