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IM&T DES E-audit The process, the queries and the clinical issues

IM&T DES E-audit The process, the queries and the clinical issues. Dougal Darvill PRIMIS+ Clinical Adviser. “The accreditation of practices is required by NHS Connecting for Health before patients electronic summaries are uploaded to the spine” To make sure that data is fit to share.

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IM&T DES E-audit The process, the queries and the clinical issues

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  1. IM&T DES E-auditThe process, the queries and the clinical issues Dougal Darvill PRIMIS+ Clinical Adviser

  2. “The accreditation of practices is required by NHS Connecting for Health before patients electronic summaries are uploaded to the spine” To make sure that data is fit to share The purpose of the IMT DESaccreditation

  3. What links a geologist and a PRIMIS+ facilitator?

  4. Practice list size 7750 Out of 643 with occupation recorded: Paperworkers 67 Health Visitors 28 Occupationrecording

  5. .03FJ Health Visitor contacted me to discuss the extreme stress which this family are suffering. .0D4. Paperworkers Court report prepared-returned to solicitor Occupation recording

  6. Doctor happy with data Patient happy with data BUT it’s wrong –poor data quality Misleading data in remote extraction Only identified by data extraction and comparison with the expected Only preventable through training Occupation recording data quality

  7. The e-audit is only one part of the assessment & accreditation process. It does NOT test all aspects of Data Quality. E-Audit role

  8. Be part of PRIMIS+ facilitated network Demonstrate compliance with Good Practice Guidelines E-audit Submission Practice visit IMT DESassessment and accreditation

  9. IMT DES specifies different aspects of recording to be examined PRIMIS+ tool under testing Pilot Agreement of DH, Joint GP IT Committee, CfH and RCGP on clinical validity Data quality sample

  10. Remote extraction can highlight variation from expected but it can’t explain it Explanation needs context Not a pass/fail test Traffic lights to highlight variation from peers Caution with small numbers Need to examine data in context

  11. 7750 patients >2 million Read codes Can’t check them all Can’t check reason for choice of code remotely Need to look at the processes for coding in the practice Variation from norm to provoke discussion Need to examine data in context

  12. Practice applies for approval First run of e-audit tool, web submission Feedback, reflection, and discussion Comparison with benchmarks Practice examination of individual records Use of e-audit tool in practice 1

  13. Identify areas for improvement Training Subsequent runs of e-audit tool Meeting with assessor Use of e-audit tool in practice 2

  14. Seeing the bigger picture Facilitator involvement Too big a job Some sample areas impossible to ‘cheat’ What’s to stop practices just ‘playing the game’?

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