Metrics do matter !

To measure is to know..

Opportunity to convert performance data into information and then action

Building blocks in place Performance Standards Performance Measurement Reporting on Progress Quality Improvement Process Performance Management System

Performance Standards Quantifiable levels of achievement

Performance Measurement Regular collection and reporting of data

Quality Improvement Process Convert performance data into information and then action

Using metrics to … –Take blame out of equation – ‘carrot not a stick’ –Focus on processes - are we doing the right things in the right way –Emphasising on team learning

Where Metrics Can Impact Large multi-centre research study evaluating the efficacy of Azithromycin for patients suffering acute asthma exacerbations

Why? FPFV and T&T metrics highlighted issues –3 months to recruit first patient –Only recruiting 1 patient a month Review –Weekend and overnight screening –Junior Clinical Research Fellows –Increasing patient awareness –Research team expansion & improved communication

Result

Successful model has now been adopted by other trusts nationally

Matching workforce to study design HEAT – large scale interventional study. –Early recognition of need community nurses working across multiple sites

Hub and spoke models CRASH - ILR

Big picture

Reporting on Progress

Effective Reporting Clear Easy to read Context to relate PMF

Value for Money Recruit to time and target and avoid Chief Investigators going back to funders for additional resources CLRN resources used to best effect -quality must not be sacrificed for volume

Move beyond limits of lagging metrics … Real time data –EDGE and new CRN CC portfolio database Open data platform –Integration of multiple data sources Tighter reporting deadlines to CRN CC

Look at systems Refine, revise what we do Learn from one another in the network

Most importantly

Use metrics dynamically and continuously to make decisions and create change

Celebrate success