Clinical Dashboards – background information

1. Clinical Dashboards – background information Clinical Dashboard - a “toolset developed to provide clinicians with the relevant and timely information they need to inform daily decisions that improve the quality of patient care”.

2. What are Clinical Dashboards? Good quality information is a driver of performance for clinical teams and helps ensure the best possible care for patients. Clinical Dashboards help to drive this process by: • providing timely, relevant information for clinical teams, presented in easy to understand formats, with high visual impact • utilising multiple sources of existing data, even across organisational boundaries • providing clinical information across multidisciplinary teams • displaying information in ‘real time’ with out delay for data cleansing • allowing local configuration and comparison against national data sets • permitting regular changes to displays, as required by the local teams, to keep the information relevant and up to date

3. Clinical Dashboards and the NHS Next Stage Review Development of three clinical dashboard proof of concept prototypes at Homerton University Hospitals NHS Foundation Trust, Nottingham University Hospital s and NHS Bolton.March-July 2008 “Within organisations, we know that a defining characteristic of high performing teams is their willingness to measure their performance and use the information to make continuous improvements...We will develop Clinical Dashboards which will present selected national and locally developed measures in a simple graphical format as a tool to inform the daily decisions that drive quality improvement.” Next Stage Review Report Summer 2008 Pilot Programme established led by Sir Bruch Keogh 2008-November 2009

4. Pilot Programme • Pilot Programme delivers: • 24 dashboards • Encompassing over 500 metrics • Utilising multiple clinical systems • Across - 12 projects • - 10 strategic health Authorities. - wide range of clinical specialities • - different care settings and organisational boundaries – Primary Care, Mental Health, Ambulance, Acute.

5. Pilot Programme – Pilot sites Northumberland, Tyne & Wear NHS TrustMental Health Bolton PCT & SurgeriesGeneral Practice Salford Royal NHS Foundation Trust Renal Care of the Elderly Bradford & Airedale Teaching PCT& Surgeries General Practice Nottingham University Hospitals NHS Trust Diabetes Norfolk & Norwich University NHS Foundation Trust Obstetrics Oncology Mid Staffordshire NHS Foundation Trust Haematology Gastro-intestinalRespiritory The Homerton University Hospital NHS Foundation Trust Cardiology Anaesthetics Acute Admissions Unit Imperial College Healthcare NHS Trust GI Surgery & Urology Wiltshire PCT (St Mellor Surgery, Amesbury) General PracticeSalisbury NHS Foundation Trust Urology, Stroke, ENT South East Coast Ambulance Service NHS Trust Ambulance Portsmouth Hospitals NHS Trust Elective Orthopaedics Trauma Orthopaedics Medical Admissions Unit

6. Local projects : Key Success Factors

7. What are the benefits so far? • Patients: • provision of greater local information to patients which informs expectations and improves satisfaction • increased openness of information improves confidence in local care, for example, MRSA rates etc. • Clinicians: • immediate, and timely information available to assist decision making • reduced time and effort to access local, relevant information • improved local peer engagement and cooperation, raising the local quality of care. • Managers: • increased staff awareness and engagement with local issues and improvement plans • improved local awareness of data quality issues leading to improved data capture.

8. Further information Further informationhttp://www.cfh.nhs.uk/clindash http://www.cfh.nhs.uk/clindash/toolkit