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HRT-AHBG & NAHBC Technical Data Review Meeting. November 2007 Auckland NZ. Today’s Agenda. The Health Roundtable … An Innovation Clearinghouse. Share problems Share solutions Avoid reinventing wheels “Seed” large scale projects Provide CEO network. Health Roundtable. UHC. IHI.
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HRT-AHBG & NAHBCTechnical Data Review Meeting November 2007 Auckland NZ
The Health Roundtable … An Innovation Clearinghouse • Share problems • Share solutions • Avoid reinventing wheels • “Seed” large scale projects • Provide CEO network Health Roundtable UHC IHI
5. Confirmation 2. Persuasion 3. Decision 3. Decision The Roundtable Process: How to speed up action? 1.Knowledge 4. Implementation
Ambulatory Care Collection Status • Optional New fields • Primary diagnosis (5 facilities) • Primary intervention (7 facilities) • Referring unit (8 facilities) • Date of referral (5 facilities) • Intervention location (8 facilities) • Varying definitions and codes • More work to do to review and categorise the data
Allied Health Data Combined Allied Health and Casemix Data Casemix Data Other types of General Reports Not Patient Specific Report #2 Summary of linked Allied Health and inpatient data Report #1 Overview Report #3 Interactive AH+Casemix More Specific Patient Groups Report #4 CSG AH+Casemix Report #7 Casemix CSG Report #9 Screening Report Report #5 DRG+DRG Family Report #8 Casemix DRG+Family Report #6 DRG+DRG Family Long Stay Most Specific Patient Groups Different Allied Health Reports
NAHBC Data Diagram Total Allied Health Time Clinical Teaching Service & Management Training Clinical Research Care Components of Clinical Care Time 2a Inpatient 2 Group IPA 3 Group NIPA IPA 2b Outpatient IPA 1 Individual 4 Other NIPA IPA 1a Inpatient IPA 1b Outpatient IPA
Total Hours of Reported Allied Health Time Marked variation in Total Allied Health Hours reported by Hospitals. Majority of hospitals now beginning to report more than just CC time CC time Highest at Eagle & Panther – Lowest at Hawk& Hermes
Percentage IPA of CC 06-07 Some hospitals still have 25% NIPA
Total Allied Health Time Total Allied Health Time Clinical Clinical Teaching Teaching Service Service & & Management Management Training Training Clinical Clinical Research Research Care Care Change in Clinical Care Hours last 3 FYs Increase in CC time reported across the last 3 financial years (aprox 10%) Data Issues Hawk, Hawk2, & Tornado – Reporting much less activity this year.
Percentage Group Activity 06-07 Percentage of Group Activity is highest at Vulcan & Hawk as it was for 05/06
Overview of selected Allied Health professions using unlinked data – from Report01 • Physiotherapy • Occupational Therapy • Social Work • Nutrition • Speech • Little variation seen over prior year
Process used to link Casemix and Allied Health data. See Report #2 for further details
Aprroximately 80% of Allied Health time linked as “during acute stay” episode
Search for Reasons for Variation • Goal is to identify reasons why other services have higher or lower Allied Health involvement than you • Review handout • Find someone who has the answer • 30 minutes
Data Linking Process • Consistent linkages – do not rely on hospital linkages • Data are linked using UR Number and Service Date • Very important for the process to have these two data elements correct. • “Batch” data entry may cause linkage differences as well as data anomalies. • Allied data are linked to a casemix record if it falls within the stay or 30 days before or after an Inpatient stay. • For pragmatic purposes allied data are only linked to Acute casemix episodes (excluding dialysis). • This misses many inpatients for rehab e.t.c. which could be of interest (they are still linked to the acute episode not the rehab episode so they are given the DRG that corresponds to the primary reason for being in hospital but are linked as ‘outpatient’)
Eps with at least 1 Entry - Lowest at Hawk+ (?) Eps with at least 1 Entry - Highest at Antares & Rigel (same as last yr)
Top 20 Clinical Service Groups make up over 90% of the total inpatient Allied Health activity
Top 20 DRGs make up over 30% of the total inpatient Allied Health activity