Quality Indicators Martin Orton – NHS IC & Arun Bhoopal DH Medical Directorate

1. Quality Indicators Martin Orton – NHS IC & Arun Bhoopal DH Medical Directorate

2. Agenda • Intro to Quality Framework Programme & MQI/IQI • Indicators for Quality Improvement (IQI) • What is it? • Demo/Screen shots • How it is expected to grow • Wider IC library intentions & vision for use with IQI • PROMs (very brief overview) • Q&A • Your chance to give input • What would make IQI more useful/usable  locally • Please suggest one key thing we should do in developing IQI

3. Indicators for Quality Improvement (IQI) • What • Details of over 200 quality of care indicators • Purpose • a resource for local clinical teams providing a set of robust indicators from which they can select to support local quality improvement • a source of indicators which can be used for benchmarking and comparison • Also • Selected indicators to support patient choice through NHSChoices • Possible use in Quality accounts and CQUIN

4. Indicator Framework Safety Safety Effectiveness Effectiveness Experience Experience Maternity and Maternity and Appropriate indicators Appropriate indicators Newborn Newborn Children’s Children’s Appropriate indicators Appropriate indicators Health Health Staying Staying Appropriate indicators Appropriate indicators Healthy Healthy Long Term Long Term Appropriate indicators Appropriate indicators Conditions Conditions Acute Care Acute Care Appropriate indicators Appropriate indicators Planned Care Planned Care Appropriate indicators Appropriate indicators Appropriate indicators Appropriate indicators Mental Health Mental Health End of Life Care Appropriate indicators Appropriate indicators End of Life Care

5. Indicators for Quality Improvement (IQI) • INITIAL list is mainly existing indicators • Limited cover of the full spectrum of care • Tool provides search and browse facilities to find indicators • Full indicator details (description, methodology, precise construction) • Web link to the data now • Data in tabular form to download from July

12. How was this initial IQI set derived? Responses from the NHS on quality indicators DH Policy IC Indicator Survey Very highly endorsed & design info available Clinical Audit National Clinical Directors Healthcare commission Initial Indicators for Quality Improvment NHS Professionals • SHA reports • Indicators for local use • - Indicators for SHA visions QOF & Vital signs

13. IQI Continuing Development • Expected to grow with input from right across Health & Social Care, in particular Royal Colleges and Specialist Societies • Developing governance and processes for indicator development

14. Support for further development • The IC is developing a wider indicator library • 25 national indicator sets, over 2,500 indicators • www.ic.nhs.uk/indicatorlibrary • In alignment with IQI, aiming to bring in standardisation, quality assurance and governance to indicators • Should avoid duplication and share work • Supports use and development of indicators, without limiting innovation

15. Indicator Library

16. Record level data Aggregated data PROMs Data Flows Lot 2: “Aggregation” Lot 1: “Administration” Information Centre: “Linkage” & “Repository” NJR SUS Other Develop adjustment Pre-op Linked Pseud’sed identifiable IC Case-mix adjustment Post-op Aggregation Scoring, outcomes Extract Service Lot 3: “Analysis” Academic stakeholders Healthcare stakeholders Aggregated data Record-level data

17. Measuring for Quality Improvement www.ic.nhs.uk/mqi Includes the “Indicators for Quality Improvement” Support: 0845 300 6016 or enquiries@ic.nhs.uk