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better information --> better decisions --> better health

8 th October 2014 David Baird, Service Manager Andrew Lee, Principal Information Analyst, Health & Social Care Information ISD, Public Health & Intelligence. better information --> better decisions --> better health. Joint Strategic Commissioning. Information to Intelligence

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better information --> better decisions --> better health

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  1. 8th October 2014 David Baird, Service Manager Andrew Lee, Principal Information Analyst, Health & Social Care Information ISD, Public Health & Intelligence better information --> better decisions --> better health

  2. Joint Strategic Commissioning

  3. Information to Intelligence For Improved Outcomes Value What’s coming next and How we Can help The Future What’s available Now Intelligence Knowledge Information Good Data Difficulty

  4. 17% • 25% The Challenge • 50% • 61% • 40% • £4.6bn • 51,145 • 31% • 48% • 20% • 491,000 • £93m • 2012 – Population aged 65+ • 2035 – Population aged 65+ • Aged 65+ rec HC • Total spend aged 65+ • Rec 10+ hours HC • Hospital Spend (£2.3bn) • Days lost to delays • Cost of delays • Emergadm(£1.4bn) • Stay < 2 days • Had multiple admissions

  5. The Future • Strategic Plan established • Co-Productive Approach • Personal Outcomes Approach (at the heart of your decisions) • Evidence Based Decisions

  6. Information: What’s Available Now • CHP Profiles • Hospital Admissions and A & E • Delayed Discharges • SPARRA and ACP Planning • Prescribing & Polypharmacy • Efficiency & Productivity Scorecard • NASA linkage • Workforce and Workload • Care Homes • Social Care Census • Respite survey • Mental Health and Learning Disabilities • Care Inspectorate

  7. Information: What’s Coming Next Health & Social Care Data Integration & Intelligence project (HSCDIIP) • Key Objective • To develop a nationally linked Health and Social care file at an individual service user level (Activity & Costs) • Four Key Work streams • Inputs • Information Governance • IT solution • Outputs

  8. Information: What’s Coming Next

  9. Information: What’s Available Now Population Projections Resource Consumption Paint the current picture Home Care Admission Practice Delayed Discharges

  10. Information: What’s Available Now Paint the current picture Home Care Care Homes Local Data Sets

  11. Information: What’s Coming Next Population Projections Home Care Admission Practice Delayed Discharges

  12. Information: What’s Coming Next Population Projections “Analysis is one of the most important activities in the commissioning cycle. Poor analysis of past or future trends will result in flawed commissioning decisions and wasted resources” Social Work Inspection Agency (SWIA) Guide to Strategic Commissioning Home Care Admission Practice Delayed Discharges

  13. Information – How we Can Help Understand Variation in Spend All Partnerships (All Ages) per weighted capita

  14. Information – How we Can Help Understand Resource Use for Cohorts of Clients

  15. Information – How we Can Help Service User X: female, age 72, lives alone, diabetic since 68 Year 2009 Prescriptions £1,159 Prescriptions (£1,159) No record of Homecare Added to WL OP assessment (ophthalmology; £70) Added to QoF Dementia Register A&E (£103) Treatment (DC; ophthalmology; procedure; £976) Treatment (DC; ophthalmology; procedure; £976) Added to WL Added to WL Year 2010 Prescriptions £1,179 Homecare (364hrs; £6,137) Em admission (gen med; 3 days; £1,323) A&E (£103) Em admission (resp med; procedure; 4 days; £1721) Em admission (gen med; 24 days; £8,042) 73 Days in acute setting at cost of £27,711 Delayed Discharge (Home) HC + ACP Diagnosed CHD Year 2011 42 Days in acute setting at cost of £16,522 IC A&E (£103) Em admission (gen med; 2 days; £882) Transfer Geriatrics (40 days; £15,640) Discharge to Care Home;

  16. Information – How we Can Help Identify areas of high resource use to help first year of planning

  17. Information – How we Can Help Forecast resource impact based on a ‘do nothing’ Scenario See Andrew - example

  18. Example: West Dunbartonshire ACPs Information – How we Can Help

  19. Information – How we Can Help • Predictive Analysis / Scenario Planning • Modelling Impact of Service Redesign • Model various scenario's • Establish potential options • Releasable costs / PBMA • Understand ‘Real’ financial implication of service change • PBMA • Evidence Based Decisions

  20. Evaluation

  21. Information to Intelligence For Improved Outcomes Value Public Health Expertise Guidance Intelligence Knowledge Analytical Support Information Good Data Difficulty

  22. Our Details Our Website: http://www.isdscotland.org/Products-and-Services/Health-and-Social-Care-Integration/ • Email: Andrew.Lee6@nhs.net • Tel: 0131 275 7594 • Email: dbaird@nhs.net • Tel: 0131 275 6040 • Questions • Questions

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