Integrated real time information
An IT tool to support local management decision making…..
Wednesday 6 June: Beardmore Hotel
Graham Gault ( eHealth Lead -NHS Dumfries & Galloway)
Background
Workshop aim……
“To establish what appetite managers have for deploying management
Information/business intelligence solutions to gather real time/near real time
information and what the priorities are for improvement”
 Drivers for change in approach to BI
 Our Approach - Our Journey of change
 Chosen tools, and why
 DEMONSTRATION of Health / Social Care real time data access
Strategy - Christie Report (Gov’t response)
The Scottish Government is committed to the introduction of an integrated system of
health and social care to ensure that older people continue to receive the care,
compassion, support and dignity they need and deserve.
Strong evidence suggests that better outcomes for people, better use of resources (money,
people’s time) and better experience of care and support can all flow from services that are
planned and delivered in an effectively integrated way.
Over the next 20 years demography alone could increase expenditure on health and social
care by 70 per cent. Reform is necessary to help address this unprecedented challenge.
Strategy - Christie Report (Gov’t response)
a decisive shift towards prevention;
 greater integration of public services at a local level driven by
better partnership,
 collaboration and effective local delivery;
 greater investment in the people who deliver services through
enhanced workforce and development and effective leadership; and
 a sharp focus on improving performance, through greater
transparency, innovation and use of digital technology.
Where we were……
 New Quality Strategy for Health ( and requirement for efficiency)
 Lots of data in silo systems
 A basis of retrospective reporting, not current…..
 An increasing need to benchmark amongst Peers……(efficiency)
 Lots of routine reporting……..How useful ?
 Lots of different tools to deliver information to operational staff
 Small Information team (with no budget to expand to meet demand)
 Low level of ability in users to self service
Too many questions being asked with little ability to respond with succinct
useful timely information
Quality Healthcare Enabled by eHealth
Safe & Effective
•
Safer faster diagnosis
•
Better understanding of
history & health status
•
Reduce complications due
to drug interactions
•
Data for audit,
improvement & population
based studies
•
Support protocols &
evidence based pathways
of care
•
Effective patient
identification
•
Improved data quality &
automatic validation
Equitable & Patient
Centered
Timely & Efficient
•
Improved communications
& sharing of information
between patients,
clinicians and carers across
health and other partner
agencies
•
Reduced duplication of
data entry
•
Reduce unnecessary
repeat investigations
•
More efficient collection &
analysis of secondary use
data
•
Real time information to
support operational
management
•
Less need for patients to
repeat information
•
More clinical time with
patients rather than
searching for information
•
Patients will be supported
in accessing, verifying &
amending their health
records
•
Patients and carers will
have improved access to
information about their
condition encouraging
greater involvement in
their own health
What we did………..
 Directors/ Senior General Managers review
 Developed a simple high level “dashboard” tool “idashboards” (quick deployment)
 Purchased a single BI reporting tool called “Qlikview”
 Developed Operational Staff Awareness and Training materials
 Developed a data model to allow data sets to be joined up
 Developed near real time interfaces to key systems
 Delivering a series of Staff Training sessions …. “starting at the top…..”
 Build single “common look and feel” interface
 Plan GO live…….
KPI Awareness…..idashboards
• Constant Feedback loop
• RAG Targets set throughout
• Live system feeds
• Digital Dashboards – center
piece of Intranet
Pre Canned Vs User Defined
The Tools…..
Social Work
Finance
Managers
Doctors
Planners
 Quick to Develop
 Link multiple systems with common data fields
 Easy to deploy (web browser)
 Mobile options
 Dashboard Driven
 Low learning needs for Operational Staff
 A vehicle for self service
Mobile App
Development……
Finance Systems
Patient Systems
Clinical Systems
Social Work /
Partner Systems
Deployment……
Inpatients – Key Stats
Discharge Management
Key stats - ALOS
Key Stats - Readmisisons
Length of Stay/ Num Admissions
Occupancy
Rates by Postcode
Emergency Admissions by Practice
Emergency Admissions by Practice
All Occupied Beds across the region of # neck of femur
first admitted to DGRI
Demonstration of Linked SW/ Health Data sets >>>>>
Questions…..?