Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery www.gynop.org.

Slides:

Advertisements

Similar presentations

Spanish Initiatives Assessing future health workforce needs.

Advertisements

Local Improvement following National Clinical Audit The View from a National Clinical Audit Provider – the Health & Social Care Information Centre.

Danish Nursing Society Improving Nursing by Clinical Guidelines and Documentation. How to organize the work?

Child Life Internship Frequently Asked Questions What is a child life internship at the Children’s Hospital of Michigan (CHM)? Our internship is 600 total.

A brief introduction to EuroQol Group Foundation.

Day 3 (5 March 2014). Overview Since 1858, into a regional leader in Obstetrics, Gynecology, Paediatrics and Neonatology. Today, 830-bed hospital is a.

HPH COORDINATING CENTRE OF THE HEALTH PROMOTING HOSPITALS REGIONAL NETWORK OF EMILIA-ROMAGNA - ITALY AUSL DI REGGIO EMILIA - LOCAL HEALTH AUTHORITY OF.

A Perspective on Canadian Initiatives in Health Care Quality HL7 Clinical Quality Work Group June 26,

Since 1994 KSMU has actively taken part in clinical medical trials in I-IV phases (certificate of accreditation for conducting clinical trials of medications.

Searching the grey literature : where to look and what to expect Rose Relevo, MLIS, MS Oregon Health & Sciences University Effective Healthcare Program.

Socialdepartementet Primary care and the care for the elderly.

What Is MONAHRQ? March 2015 Note: This is one of eight slide sets outlining MONAHRQ and its value, available at

Does transparency improve quality? lessons learnt from cardiac surgery BCIS meeting 2006 Ben Bridgewater SMUHT.

Healthcare The London for LondonTrauma System Launch Maralyn Woodford The TRAUMA Audit & Research NETWORK The Trauma Audit & Research Network.

Review on national systems of statistics and registration on child abuse First draft Florence, December 2004.

Opened since 1889 under his mother & father lasts’ name Johns Hopkins.

A Competent Workforce: The ACAD Experience

1 Establishing a Pharmacovigilance Centre Sten Olsson the Uppsala Monitoring Centre.

Since 1994 KSMU actively involved in clinical medical trials in I-IV phases (certificate of accreditation for conducting clinical trials of medicinal products.

European Council of Optometry & Optics Julie-Anne Little President VISION To improve vision and eye health by providing high-quality, cost-effective optometric.

A Global Approach for Ex-Products – IECEx UNECE WP.6 Geneva June 2006 Proposal for a new activity: “International legal requirements for explosion.

5 DECEMBER 2012 PRESENTER: AS SESING MCWH MANAGER(FSDOH)

HCA 701: Survey of the U.S. Healthcare System Physicians and Ambulatory Care.

1 st MEETING CER Psychologists Sub-Group and EFPA Committee on Traffic Psychology Brussels 29 th April 2013 Hector Monterde-i-Bort, Spanish representative.

Medical Records Achieving professional consensus Professor Iain Carpenter Health Informatics Unit RCP, 15 th July 2010.

Health outcome conference July 2004 Quality Assurance in Ophthalmic Service Monitoring Cataract Surgery Outcome Dr. Goh Pik Pin Consultant Ophthalmologist.

Timeliness of Cancer Registry Reporting Ali Johnson, CTR Vermont Cancer Registry Vermont Explor Annual Data Meeting May 1, 2006.

Reception department that deals with patient information.

Career Project By: Tiffany Miller. Description: Provide healthcare services typically performed by a physician, under the supervision of a physician,

Certification and Registration; the practical and social implications

Aligning professional and systems regulation: Can the whole be greater than the sum of its parts? Jon Billings Director of Strategy, Nursing and Midwifery.

Internationally Educated Legal Professionals Deborah Wolfe, P.Eng. Federation of Law Societies of Canada.

Tarmessia Mckay 6 th period Ms. Wright JOB DESCRIPTIONSKILLS REQUIRED TThey are healthcare professionals who diagnose and treat individuals of all.

ONE UNIVERSITY. MANY FUTURES. IMGs in CaRMS Dr. Ira Ripstein Associate Dean, Postgraduate Medical Education University of Manitoba.

INTRODUCING EVIDENCE-BASED MANAGEMENT OF ACUTE PAIN TO RWANDA: A pilot study Antoine Bahati Kabeza, 1 Martin Nyundo, 1 Andreas Kopf, 2 Ruth Zaslansky,

Purpose of patient care management systems (PCMS); Most known solution in Latvia -„Doctor`s Office ” Mr. Kaspars Freimanis “Meditec” Ltd R Ī G A

Quality follow up programme in primary care. Experiences from Västra Götaland what have we learned? Staffan Björck, Analysenheten, Regionkansliet, Västra.

Ludwig Boltzmann Institute for the Sociology of Health and Medicine Institute for Sociology, HUSO, University of Vienna Ludwig Boltzmann Society Do patient.

The Nursing Process ASSESSMENT. Nursing Process Dynamic, ongoing Facilitates delivery of organized plan of nursing care Involves 5 parts –Assessment –Diagnosis.

Exit Examinations European view M62 Coloproctolgy course, Huddersfield Lars Påhlman Dept. Surgery, Colorectal unit University Hospital, Uppsala, Sweden.

Baskent University, Medical Oncology Department, ESMO designated center since 2009 BASKENT UNIVERSITY FACULTY OF MEDICINE MEDICAL ONCOLOGY DEPARTMENT.

Child Life Internship Frequently Asked Questions What is a child life internship at the Children’s Hospital of Michigan (CHM)? Our internship is 600 total.

nigADvZrM.  Means doing the right thing At the right time (when) In the right way (what) For the right person (to.

Regional Outreach Challenges

Chapter 7: Indexes, Registers, and Health Data Collection

Critical Appraisal (CA) I Prepared by Dr. Hoda Abd El Azim.

EVALUATING SWEDISH QUALITY REGISTERS BERTIL LINDAHL

The Egg. Accreditation of stroke services A pilot project to test the hypothesis that service accreditation is the natural and necessary link between.

Chapter 8: Indexes, Registers, and Health Data Collection Instructor: Sherry Farrell, MBA, RHIT

Nursing My specific job My specific job is a RN coordinator.

This study proposes to explore the concept of empowerment combined with the clinical experience on final year nursing students.This study proposes to explore.

Measurements and indicators for healthcare IT

Cancer System Quality Index (CSQI) 2012 Treatment.

بسم الله الرحمن الرحيم Community Medicine Lec -11-

PROMs Martin Orton – NHS Information Centre. Overview PROMs Overview IC’s central role in implementation –Matching & linking to HES & NJR –Applying the.

MONDAY 01/02/2016 Professional English in Use, Medicine Medical Practitioners 1.

Chapter 7: Indexes, Registers, and Health Data Collection.

JCI Workshop Moscow, June 5 th EPOS is a German consulting company with more than 300 clients (hospitals + insurance companies) in  Germany  Austria.

Today’s Lesson Understand the structure of the NHS.

EC TWINNING PROJECT Development of National Coding Standards within the Czech DRG System CZ2005/IB/SO/03.

Staffing matters; funding counts Workforce profile and trends in the English NHS July 2016.

Six Sigma Total Error Percent Process Sigma 1,000, ,000 10% 2.78

Healthcare Matrix: Care of Patient(s) with….

Indexes, Registers, and Health Data Collection

Providing sustainable resilient primary care

Major Depression Care for Adults and Adolescents

China Co-authored Papers in the Humanities & Social Sciences Indexed by SSCI & A&HCI, : A Statistical Analysis Zheng Haiyan Centre for.

Adults with Health Problems Who Have an Excellent Patient Experience Are Most Likely to Be Well-Informed About Their Prescription Medications Percent of.

Arden Medical Centre Patient Satisfaction 2017.

A Day in the life of Emergency Care

Presentation transcript:

Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery

Emil Nüssler HOW? Measurements for Improved Quality in Healthcare Singapore China India Scotland England Australia Canada +Denmark +Germany + …. TOP – DOWN Government + departments... Quality indicators Recommandations Standards Certification Accreditation National statistics

Emil Nüssler Sweden + Australia? BOTTOM – UP…. Enthusiasts + nerds... HOW? Measurements for Improved Quality in Healthcare

Emil Nüssler Sweden BOTTOM – UP…. Enthusiasts + nerds... Rapidly growing number registries in the nineties 1997 Gynop 2007 ”the local authorities and regions took the responsibility of the continuing operation, development, and financing of the registries” HOW? Measurements for Improved Quality in Healthcare

Emil Nüssler Sweden BOTTOM – UP…. Sweden today... 8 ”competence centres” 78 ”accepted” national quality registries 24 ” candidate” registries HOW? Measurements for Improved Quality in Healthcare

Emil Nüssler Database Laparoscopy Hystero- scopy HOW? The gynaecological family 1997

Emil Nüssler Database Benign abd. surgery Adnex Hystero- scopy Malignant tumours Prolapse Incon- tinence HOW? The gynecological family since 2006

Emil Nüssler Pre-op questionnaire Questionnaire 1 year post-op Questionnaire 8 weeks post-OP PATIENT DOCTOR

Emil Nüssler Pre-OP questionnaire Questionnaire 1 year post-OP Questionnaire 8 weeks post-OP Status at ADMISSION OPERATION Status at DISCHARGE PATIENT DOCTOR 8 weeks - assessment 1 year - assessment

Emil Nüssler CARE oriented Medical perfection PATIENT oriented Fitness for purpose MANAGEMENT oriented Value for money WHAT? QUALITY?????

Emil Nüssler on NATIONAL LEVEL ? What do we do with our data? COMPARISON

Emil Nüssler  Uninformative for the clinician on NATIONAL LEVEL = What do we do with our data? COMPARISON

Emil Nüssler  Uninformative for the clinician  Irrelevant for the patient on NATIONAL LEVEL = What do we do with our data? COMPARISON

Emil Nüssler  Uninformative for the clinician  Irrelevant for the patient  Boring, for quality-minded professionals on NATIONAL LEVEL = What do we do with our data? COMPARISON

Emil Nüssler COMPARISON on CLINIC + INDIVIDUAL LEVEL ?

Emil Nüssler COMPARISON ”IMPOSSIBLE” on CLINICAL + INDIVIDUAL LEVEL =

Emil Nüssler COMPARISON ”IMPOSSIBLE” because of …. CASE MIX……… POLITICS……… MONEY………… EGO……………. TRADITIONS…....anything goes.. on CLINIC + INDIVIDUAL LEVEL =

Emil Nüssler COMPARISON YES WE CAN… Comparable Patient Groups Dynamic Benchmark on CLINICAL + INDIVIDUAL LEVEL =

Emil Nüssler COMPARISON on NATIONAL LEVEL

Emil Nüssler COMPARISON on CLINICAL LEVEL version 2006 Einfache Prolapsoperationen

Emil Nüssler Einfache Prolapsoperationen Dynamic Benchmark COMPARISON on CLINICAL LEVEL version 2009

Emil Nüssler Einfache Prolapsoperationen COMPARISON on CLINICAL LEVEL version 2012

Emil Nüssler What do we do with our data? Production reports Special reports ”Open report” (Öppna Jämförelser) Gyn. Departments ”annual report” Scientific research ”for all” Scientific research ”for all” Pre-op information of patients Clinical data + ”Rapportgenerator” Clinical data + ”Rapportgenerator”

Quality control ain’t easy….. Thank you for listening! Swedish National Quality Register of Gynecological Surgery