1 / 10

Reviewing National targets The Trauma Audit & Research Network (TARN)

Review of BOAST 4 guidelines for severe open fractures of Tibia. Analysis of compliance with Chest Wall Injuries standards and Best Practice Tariff for Major Trauma Centers by NHS England.

hdavis
Download Presentation

Reviewing National targets The Trauma Audit & Research Network (TARN)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Reviewing National targets The Trauma Audit & ResearchNetwork (TARN)

  2. BOAST 4 Guidelines derived from BOA & BAPRAS Severe Open fractures of Tibia: Gustilo Anderson grade 3b or 3c • Guideline requires: • Early identification of severe open fractures of the tibia • Joint care from orthopaedic & plastic surgeons • Surgical wound debridement & operative fracture stabilisation within 24 hours • Definitive soft-tissue cover within 72 hours of injury • BOAST 4 report shows compliance with standard

  3. Chest Wall Injuries • Patients with chest wall injuries (fracture of rib/s and/or sternum) • Proportion of: • >3 ribs fractured • chest wall fixations • Attendances by pain team • Lists all injuries coded • Shows outcome

  4. Major Trauma Centre: Best Practice Tariff Year (19-20) • Additional payment made to Major Trauma Centres only • Based on Injury Severity • Level 1: Moderate Trauma (ISS>8): £1,500 • Level 2: Major Trauma (ISS>15): £3,000 • Conditional on ‘Best Practice’ targets being met & data correctly entered onto TARN database • BPT worth 51 million per annum • Last year 5 million in missed payments

  5. Major Trauma Centre: Best Practice Tariff (19-20)Developed by NHS England

  6. Major Trauma Centre: Best Practice Tariff (19-20)Developed by NHS England

  7. BPT 19 reportAvailable to Major Trauma Centres : Includes Approved cases only • Showing submissions Approved by TARN with an ISS>8 • Users can cross check fields that may affect BPT payment • REDhighlights information currently resulting in no BPT payment. • Amber alerts a user to information that is affecting BPT payment level.

  8. BPT (Pre April 2019) report Available to Major Trauma Centres : Includes Approved cases only • Showing submissions Approved by TARN with an ISS>8 • Users can cross check fields that may affect BPT payment • RED highlights information currently resulting in no BPT payment. • YELLOW alerts a user to information that is affecting BPT payment level. • BPT Awaiting PM report • Lists submissions where Post mortem is outstanding: potentially eligible for BPT.

  9. Transfers within 48 hours • Time of Repatriations from MTC • National Trauma Peer Review target is 48 hours from referral • Available to Network leads & nominated contacts

  10. ISS>15 not transferred from TU • ISS>15 submission that remained in Trauma Unit • Available to Network leads & nominated contacts • Data shown: • Mechanism • ISS • Dates

More Related