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Practicalities of Data Collection AHP’s Perspective

Practicalities of Data Collection AHP’s Perspective. Lynne Douglas Director AHP’s NHS Lothian. Introduction. Context of project to Step 4 Information available Use of information Impact Learning points from experience. UHB Therapy Burns Project. Key Drivers Key Objectives

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Practicalities of Data Collection AHP’s Perspective

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  1. Practicalities of Data CollectionAHP’s Perspective Lynne Douglas Director AHP’s NHS Lothian

  2. Introduction • Context of project to Step 4 • Information available • Use of information • Impact • Learning points from experience

  3. UHBTherapy Burns Project • Key Drivers • Key Objectives • Small ‘Specialist’ staff group • Resistance to project • 15 months start to finish

  4. Context 1 Activity / Case mix Core Business Workforce Tariff / Income

  5. Current Workforce-Routine

  6. Quality 2004 Review National Burns Care National Burns Standards Service redesign

  7. Analysis of data • What are the therapists currently doing? • Who are they seeing? • How to predict workforce based on recent trends? • Service redesign improve efficiency

  8. Data Systems • Investment sustained in data collection UHB • Lorenzo Administration System • Health Informatics • Data manager infrastructure • Allocated resource to obtain Information

  9. Data Definitions

  10. Therapy Activity 04/06-12/06 Internal Unit=15mins

  11. Drill Down • Detailed analysis of tasks, time utilisation • Identified unique role/tasks across whole skill mix • Evaluated against known activity • Identified many inefficiencies and issues • Took us into comprehensive redesign

  12. Understanding Workforce Activity- Snapshot

  13. Looking at widerpicture • External Stakeholders: • Patient activity • Flow • LOS • Complexity

  14. Patient Admissions- Trends

  15. Burns Unit Admissions 05/06 Burns Unit Admissions 01/02 40 45 40 35 35 30 0-29% 0-29% 30 25 25 Number 30-59% 20 30-59% 20 15 15 >60% >60% 10 10 5 5 0 0 08/2005 09/2005 10/2005 11/2005 12/2005 01/2006 02/2006 03/2006 07/2005 04/2005 05/2005 06/2005 04/2001 06/2001 08/2001 12/2001 02/2002 10/2001

  16. Length of Stay per day of admission 9.00 8.00 7.00 6.00 5.00 4.00 3.00 2.00 1.00 0.00 Friday Sunday Monday Tuesday Saturday Thursday Wednesday

  17. Mortality

  18. Key Recommendations • Continuity of care – 7 day service • Implement workforce development plan • Physiotherapy out -patient service • Multi-therapy assistant role in Unit- improve capacity

  19. Projected Workforce

  20. Impact • Information was timeous and available • Information arrived pre-analysed/validated • Data transformed into meaningful information • Context enabled key individuals to see potential of investment

  21. Result • Bid was prioritised to go forward • Financial package to fund aspects achieved in 2007 • Implementation for therapies in 2008 • Staff and patient satisfaction much greater. • £180K Secured

  22. Conclusion • Live example of a data collection story • One piece of information can and should lead to another • Analyse what you have • Think about drivers relating to what you need • Devise a plan

  23. Bumps on the way • Principles remain the same • Process remains the same • Resourcefulness important • Use creative methods • End result potentially the same

  24. Workshop • In groups consider the following: • Methods by which you would collect data in your host boards • What tools might you use • What do you think created biggest impact to facilitate change? • ? Quality ?Activity? External Data information • Report back in groups

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