Dashboard Views. Alerts

Transcription

1 Dashboard Views There are a range of different dashboard views available as standard within the system. The expandable list view (HED Signals, NHS Choice Indicators, Nationally Published Indicators and the composite view (HEDlines). HED Signals provides an at-a-glance picture of an organisation s performance in specific patient groups. This view is customisable and the HED team have already worked with existing customers to identify organisational priorities and translate these into a customised signals page. HEDlines provides a holistic overview of performance across key dimensions of,, Financial Opportunity and. From this view Users are able to interact with the system to view exception reports or review across the complete range of indicators. Alerts The HED Dashboard views can be complemented by automatic notifications customised to alert you if performance indicators reach a level pre-defined by the end user. This allows the end user to ensure that the right people are alerted to a potential issue. Tailored alerts complementing dashboard notifications are pushed to users via . It is also possible for you to set different thresholds for different users, strengthening accountability.

2 Modules Modules within HED are broadly categorised across the areas of, Operational Efficiency, and Financial Opportunity. Dynamic drill down functionality is available across all areas to allow you to understand the route cause. monitoring within HED has been developed in collaboration with consultants, nurses and healthcare managers to support the continued observation of clinical outcomes. Mortality Monitoring is an essential part of assuring high quality clinical care. The main ways in which standardised mortality is monitored by regulating bodies and external entities are included within HED. This includes the Hospital Standardised Mortality Ratio (HSMR), the Summary Level Hospital Mortality Indicator (SHMI) & Cumulative Summary (CuSum) Control Chart. Standardised Mortality Models are re-run with the most recent national data set every month. Additionally bespoke views developed for specific patient groups with clinician input. Outcomes monitoring in key areas e.g. VTE is supported and the team are always looking to expand the range of areas covered. Indicators are complemented with statistical measures denoting the indicators status to allow trusts to understand their outlier status. Using the modules it is possible to highlight patient groups within trusts requiring investigation or monitoring, and then to drill through enabling detailed investigation and route cause analysis. The HED Efficiency Modules focus on effective use of resources. These methods and indicators take the form of: Readmission rates (Related readmissions, Avoidable readmissions, Post surgical readmissions for specific causes), Outpatient efficiency gains (New/Review appointments, Did Not Attend ratios), Length of Stay (Pre-op, Post-op, Standardised). indicators developed by the Agency for Healthcare Research and Quality (AHRQ), translated to an ICD-10 English Health data set, may be reviewed within the Indicators Module. Whilst the Incidents module draws data reported to the National Reporting and Learning Services (NRLS) to allow incidents of harm to be benchmarked nationally. In understanding Market Share the system allows users to identify particular trends in catchments for distinct procedures/referral diagnostics/ payment groups and disease settings. The system automatically alerts users of their relative market share fluctuations within particular catchments boundaries for particular disease entities. These are set to GP s and PCT s at the present moment, however will change based upon the future health economic boundaries, and can be tailored for local CCG information. All of the reports allow the export of information in either CSV, PDF or image file format. Whilst the My Favourites functionality allows end users to save analytics file templates which are continually updated at the click of a button.

3 Modules within HED

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5 Dashboards within HED HEDlines Figure 1: HEDlines home screen view Figure 2: HEDlines Exception Report Figure 3: HEDlines indicator list view

6 HED Signals Figure 4: HED Signals View

7 NHS Choice Indicators Figure 5: Indicator dashboard home view Figure 6: Expanded Emergency Readmissions Ratio Dashboard

8 Nationally Published Indicators Figure 7: Nationally published indicators dashboard view

9 Indicators within HEDlines Dashboard Table 1: HEDlines Indicators Area Indicator C Diff Infection Rate MRSA Infection Rate MSSA Infection Rate Hospital Standardised Mortality Ratio (HSMR) Mortality Relative Risk (HRG4) Summary Hospital-Level Mortality Indicator (SHMI) 30 Day Emergency Readmission Relative Risk (HRG4) Mortality Relative Risk following AAA elective Fractured Neck of Femur surgery within 48 hours VTE risk assessment VTE 90 day readmissions per 1,000 spells PE 90 day post discharge mortality per 1,000 spells Mortality Relative Risk for Diabetes Ketoacidosis (DKA) Mortality Relative Risk for Colorectal Cancer Mortality Relative Risk for Lung Cancer Mortality Relative Risk for Oesophageal Cancer Elderly care - discharge to usual place of residence Mortality Relative Risk for Fracture Neck of Femur Mortality Relative Risk for Stroke 14 days emergency readmission rate Day case rate Day case conversion rate Elective average length of stay Non-elective average length of stay Zero day length of stay Elective pre-operative length of stay over 3 days Average excess bed days Percentage of inpatients with a length of stay over 30 days Trust outpatient appointment cancellation rate Outpatient appointment patient non-attendance rate Ratio of first and follow-up outpatient appointments Day Case Rate - Arthroscopy of the knee Day Case Rate - Coronary angiography Day Case Rate - Coronary angioplasty Day Case Rate - Pacemaker implantation Day Case Rate - Repair of hand tendon Day Case Rate - Repair of inguinal hernia Day Case Rate - Repair of umbilical hernia Day Case Rate - Surgery for Dupuytrens contracture Day Case Rate - Surgery for haemorrhoids Day Case Rate - Varicose vein stripping

10 Day Case Rate - Breast Cancer Screened Length of Stay (Unadjusted) - Radical prostatectomy for prostate cancer Length of Stay (Unadjusted) - Heart Failure Length of Stay (Unadjusted) - Coronary Angiography Length of Stay (Unadjusted) - Alcoholic Liver Disease Length of Stay (Unadjusted) - Surgery on the Lower Back (Lumbar Spine) Length of Stay (Unadjusted) - Surgery for Oesophageal Cancer Length of Stay (Unadjusted) - Fractured Neck of Femur Length of Stay (Unadjusted) - Mastectomy to treat breast cancer, without immediate reconstruction Mortality Relative Risk for surgical inpatients Percentage of mortalities occurring in low risk CCS groups Incidents Deaths in high-risk conditions E-Coli Infection Rate Complication Rate in elective admissions Complication Rate in non-elective admissions Financial Opportunity Coding quality Financial Opportunity Inpatient Activity: Patient groups increasing by at least 5% Financial Opportunity Inpatient Activity: Patient groups decreasing by at least 5% Financial Opportunity Outpatient: Patient groups increasing by at least 10% Financial Opportunity Outpatient: Patient groups decreasing by at least 10%