Liz Mitchell AHP Advisor Elizabethmitchell2@nhs.net AHP Minimum Dataset Liz Mitchell AHP Advisor Elizabethmitchell2@nhs.net

What I’ll cover The Problem Past Clinical History Assessment Diagnosis Intervention.

The Problem for AHP’s Our computer systems don’t speak to each other - if we have any. We may not be using the same language We have very little national based information Health & Social Care Integration is a National driver.

History 2003-9 National Clinical Dataset Development Programme. NCDDP AHP Core Data Standards tested in AHP Census 2005 AHP Care Planning Continence AHP Stroke 2009 Structured information in Systems. Headings – RCP 2011 Need for information about AHP Birth minimum data set 2012 AHP Census eHealth became devolved to Local health boards IT systems are evolving without any national standard for information GCS

AHP National Delivery Plan AHPs across health and social care services will monitor the quality of AHP service delivery, including user experience, by implementing the national data set and using quality measures/dashboard agreed for national and local reporting, particularly in relation to the nationally agreed outcomes for integration of health and social care services.

AHP National Delivery Plan Project Charter NDP 6.1- National Quality Measures across H&SC Sponsor: Sarah Mitchell SG. Project Team: ISD, AHP eHealth Leads, NDP Co-ordinators, Social Care? Business Case Demand: AHP NDP, Quality & eHealth Strategy, 2020 Vision; Data: No current National AHP Activity Information exists. Routine standardised National Information captured nationally in ISD would give information on: service activity, key performance indicators & service users experience X H B/ SWD, & Profession. Evidence service/quality changes over time, at national level, integration between health & social care Demonstrate: NHS Wales have national dashboard for nursing & an AHP dashboard is in development across H&SC. Goals by April 2014 1.ISD to Identify & report base line information about AHP IT or paper systems in use or planned capable of capturing and exporting MDS information and identify the no. of AHPs who have no access to systems. Where IT systems exist, identify how long suppliers take for a system change & cost. 2. ISD to identify and work with other groups looking for similar info e.g. MSK Waiting Times, Health & Social Care Integration. 3. NDP Coordinating Group Establish a high level multidisciplinary group to review the minimum data set and develop options/business case and funding for hosting the National Dashboard Problem Statement Unknown national picture of the level of access to IT, what data set information is being captured or its robustness to achieve the outcomes required from NDP 6.1 to populate a national dashboard for AHPs across Scotland’s Health & Social Care Services. Scope Out of Scope Non NHS/ SC funded services IT systems unsuitable for capturing MDS e.g. Portal In Scope All AHPs funded by Health/ Social Care All IT & paper systems capable of capturing and exporting the minimum data set Timescale May 14 Jan 14 Feb 14 Mar 14 April 14 ISD Project Initiation Co-ordinators approve survey and send to AHPs for completion ISD Analyse Survey Findings ISD Report Finding to Co-ordinators Phase 2

Assessment 1 What systems do you have in place capable of capturing and reporting on the Minimum Data Set? Collated by AHP eHealth Leads to include Social Care Returned to ISD by 4th April 2014.

AHP System Questionnaire

Assessment 2 Is the Minimum Data Set fit for purpose? 1. Base location of AHP 2. Patient contact type 3. AHP profession 4. AHP clinic type 5. Source of referral 6. Date referral received 7. New referral, First contact, Review contact 8. Waiting Times Information

KPI’s Do we require Key Performance Indicators? The MSK workstream include Work, EQ5D, Physical Activity, Body Part affected

Suspected Diagnosis Where IT systems exist in health and social care standardised information is lacking Data extraction from IT systems may not be able to deliver reports IT systems unable to share information.

Intervention What is the remedy? TBC