Clinical Dashboards Development & Implementation Kenny Scott: eHealth Implementation Manager Jenni Douglas: Information Manager (Operational)

Background Metric development Clinical dashboard - demo Implementation.

A 'clinical dashboard' is a toolset developed to provide clinicians/managers with the relevant and timely information they need to inform daily decisions that improve quality of patient care. Source: NHS Connecting for Health Clinical Dashboards Definition

Clinical Dashboards Visually stimulating quality measure tool Measuring what matters Improve performance and patient experience. Aim

Clinical Dashboards Intelligent toolkit, displaying many quality indicators at once −gauges, tables, trend graphs −allowing users to drill-down at patient level −provide trend analysis −annotations etc Highlighting special/random cause variations Web-based, operational & strategic. What is it?

NHS Tayside’s Approach Comprehensive metric library Existing information sources Generic data collection tools Intuitive, user friendly presentation.

NHS Tayside’s Approach promoting a “capture once use many times” philosophy.

Safe Our focus on achieving balanced benefits Effective Timely Efficient Equitable Patient Centred Our service improvement context

Project structure eHealth directorate responsible for project delivery Aridhia Informatics Ltd Project board established from stakeholders Regular reporting to D.U. EMT.

Metric Development

Bed complement/bed available Occupied beds/empty beds Potential/confirmed discharges Planned inpatient/day case admission Metric Development Real time bed management

% ward occupancy Average length of stay Boarding patients Same day surgery rates Elective/emergency admissions Weekday/weekend admissions Turnover/throughput. Metric Development Resource utilisation

Inpatient/daycase/new outpatient waiting times 18 week referral to treatment waiting times Cancer waiting times A&E waiting times. Metric Development Access/ waiting times

Referral volumes Outpatient activity with consultant, nurse. AHP clinic Volume of attendances, DNA, new to review ratio. Metric Development Demand/activity

HAI / Hand washing / Cleanliness Anti-biotic policy Early warning scores Compliance with central line insertion and central venous catheter maintenance Daily safety briefings compliance SBAR volumes, trained, using, quality levels. Metric Development Patient safety

Clinical Dashboard Presentation layer

Implementation

Multidisciplinary implementation team w/c 31 st May for 2 weeks Data collection tool Dashboards presentation Training on live products Evaluation and benefits session. Implementation

Clinical Dashboards Development & Implementation Kenny Scott: eHealth Implementation Manager Jenni Douglas: Information Manager (Operational)