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Immunoglobulin Demand Management Trust Database Training MAY 2008. Objectives of training - aimed at data entry staff. High level understanding of the need for the IVIg programme Identify the key stakeholders in the programme Understand how to use the key functions of the database
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Immunoglobulin Demand Management Trust Database Training MAY 2008
Objectives of training - aimed at data entry staff • High level understanding of the need for the IVIg programme • Identify the key stakeholders in the programme • Understand how to use the key functions of the database • Understand your role in updating the database • Establish who will support you going forward and how to get help • Answer your questions
Agenda • IVIg Introduction and Background • Proposed Process Overview • Database Login and Registration Demo • Database Panel and Infusion Demo • Database Follow Up Demo • End User Support Options • Questions
DEMAND MANAGEMENT OF IMMUNOGLOBULINS Clinical Guidelines for appropriate use of IVIg Demand Management Plan (promotion of alternatives) Development of database Model Commissioning Policy (MCP) Alternatives This programme aims to ensure that critical patients receive product and improve consistency of use of immunoglobulin The DH kicked off the IVIg Demand management programme in 2006 to meet a number of historic challenges Database online MCP document Alternatives document Plan online Guidelines online
The National database will keep us informed on IVIg use The purpose of the National Database is to: • Support the data management and reporting requirements of the Demand Management Plan nationally agreed following extensive consultation with a wide range of stakeholders • Capture immunoglobulin data from trusts nationally • Inform a model of UK immunoglobulin use (along with PASA checking Pharmex) • Enable better forecasting of likely use once the data history and quality builds up • Estimate the requirements for alternatives to immunoglobulin such as plasma exchange • Inform research and enable clinical trials regarding efficacy of immunoglobulin therapy • Enable the formation of better contracts with immunoglobulin manufacturers • Enable batch tracking Data Collection Exercise Pilot Sites Helped Development • Oxford Radcliff (Jenny Dorey) • NLAG (Carrock Sewell) • GKT (Stuart Richardson) • UCLH (Evelyn Frank) • Southend (Kevan Wind) • Short term data collection • Enabled better understanding of what the database should capture and effort • Use Pilot sites to support the exercise • Data in live system • Available to trusts who entered it
Users Developers The IVIg database has a simple technical architecture that requires no end-user software and minimal training Database Overview DH and Trusts • DH commissioned National database for patients undergoing immunoglobulin therapy in the UK • Dendrite developed the solution and will host it: keeping it up and running • Anonymised data is owned by the DH • NHS MDSAS will manage the vendor and end user support • Database security - ID & password controlled entry managed by Trusts • Efforts to align with national CfH standards have been successful • Over the course of the next year, database will improve in terms of usage, data completeness and quality • Increased automation, including bar coding, for the database is being planned • Outputs (To be confirmed by MDSAS): • Monthly reports including compliance will be delivered • Ad hoc data analysis • Annual reports NHS MDSAS Team MS Internet Explorer only Portal/Web Technical Support Dendrite Propriety Solution Reporting & Analysis Data Management Dendrite Propriety Solution Data Validation Data Entry
Agenda • IVIg Introduction and Background • Proposed Process Overview • Database Login and Registration Demo • Database Panel and Infusion Demo • Database Follow Up Demo • End User Support Options • Questions
Database entry is based on a simple process Registration Panel Decision Infusion Details Follow-up • Demographics • Alternatives • Indication • Dose detail • Approval • Efficacy Tracking • Prescriptions • Product detail • Returns • Infusion Summary • Follow-up • Efficacy Tracking • Update Registration • Simple process based on paper-based form to track IVIg usage • Different roles required to fill different parts of the form • Responsibility of Trusts to assign responsibilities and process of getting the data into the database • Some trusts are using data entry teams to manage data entry • Further information on the process by reading the Demand Management Plan, Clinical Guidelines and Model Commissioning Policy, available on the website
Agenda • IVIg Introduction and Background • Proposed Process Overview • Database Login and Registration Demo • Database Panel and Infusion Demo • Database Follow Up Demo • End User Support Options • Questions
Agenda • IVIg Introduction and Background • Proposed Process Overview • Database Login and Registration Demo • Database Panel and Infusion Demo • Database Follow Up Demo • End User Support Options • Questions
Agenda • IVIg Introduction and Background • Proposed Process Overview • Database Login and Registration Demo • Database Panel and Infusion Demo • Database Follow Up Demo • End User Support Options • Questions
Agenda • IVIg Introduction and Background • Proposed Process Overview • Database Login and Registration Demo • Database Panel and Infusion Demo • Database Follow Up Demo • End User Support Options • Questions
There are a number of support options – try website first Lost / Forgotten Passwords? Local Internet Access Issues? Database Users All other queries should be logged with MDSAS first Dendrite Local Trust IT MDSAS • Demand Management Plan and Clinical Guidelines • Frequently Asked Questions for Programme and Database • IVIg Database Detailed Reference Guide • Link to the database and training materials The website will contain:
Agenda • IVIg Introduction and Background • Proposed Process Overview • Database Login and Registration Demo • Database Panel and Infusion Demo • Database Follow Up Demo • End User Support Options • Questions
Did we meet our Objectives? • High level understanding of the need for the IVIg programme: • Address problems with supply of IVIg and Demand Management • Database to inform on IVIg usage and enable tracking and forecasting • Identify the key stakeholders in the programme: • Department of Health sponsor and own the programme • NHS MDSAS will support the end user community • Understand how to use the key functions of the database: • Easy to use database as demonstrated • Training materials available on the internet • Understand your role in updating the database: • Data entry and filling in the required forms • Establish who will support you going forward and how to get help: • NHS MDSAS will support the end user community • Answer your questions