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Measurement for improvement

Measurement for improvement. 15 February 2011 Donald Morrison. Overview. Surgical profile (+ prototype medical profile) Mortality associated with hospitalisation Quality improvement Hub for NHSScotland HIS-wide approach to measurement. Surgical profile.

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Measurement for improvement

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  1. Measurement for improvement 15 February 2011 Donald Morrison

  2. Overview Surgical profile(+ prototype medical profile) Mortality associated with hospitalisation Quality improvement Hub for NHSScotland HIS-wide approach to measurement

  3. Surgical profile Improve care by making better use of data Audience = NHS Boards/clinical teams Purpose = stimulate reflection and improvement Accountability for reviewing/acting upon data locally Questionnaire survey – encouraging start, but refine methodology…

  4. Improvements to methodology Time lag for data reduced by 5 months Bespoke dialogue with NHS Boards Greater involvement of clinicians Added focus on national trends Renewed bi-collegiate support from surgical colleges

  5. Third version of profile Available 29 March 2011 Surgical mortality; general surgery; vascular surgery; orthopaedics; urology; paediatrics; gynaecology; ENT Action plan within 12 weeks (20 June 2011) Update on actions within 10 months Surgical profiles/HSMR event on 11 April 2011

  6. Prototype medical profile Prototype medical profile developed Spring 2010 Forth Valley and Lothian tested – summer/autumn Progress encouraging, but refine methodology Improve how data are refreshed and presented Strengthen links to improvement locally Initial medical profile March 2012?

  7. Mortality associated with hospitalisation Hospital standardised mortality ratio Differing views on if/how to use Patient safety v profiles Sensibly test usefulness of measure What support is needed to use measure?

  8. Quality improvement Hub Embed measurement for improvement throughout NHSScotland Develop skills, capacity etc Demonstrator projects to improve impact of ‘national audits’

  9. HIS-wide approach to measurement Ad hoc evolution of NHS QIS’ measurement portfolio Coherent and cohesive HIS-wide approach Increase impact of measurement activity Demonstrate value for money Driven by measurement needs of NHSScotland

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