Reporting with MedChart What can data do for you?

Data Benefits What Can Data do for You Meet objectives E.g. Budgets, CQUIN Targets, Local targets Identify opportunities for improvement Optimise decision making Create employee objectives Cost reduction Audit Trail Improved Processes Evidence Based Practice Improved Time Efficiency Allow Targeted Care Informed Decision Making

Selection of current reports for Nurses Nursing Dashboards: Missed Doses Dashboard Delayed Doses Dashboard Withheld Doses Dashboard Adherence to guidelines: Non Medical Prescriber Practice Medication Prescribed Without Weight Recording Medication prescribed for self/carer administration

Selection of current reports for Prescribers Adherence to guidelines: As for Administration practice IV Anti-microbial stewardship Appropriate recording of indications Allergies and Interactions: Allergen prescribing Severe interactions Target reports: Smoking cessation referrals Junior Doctor Prescribing

Selection of current reports for Pharmacists Patient Safety: Appropriate dosing of dalteparin Administration of emergency correction medications Prescription of high risk medications Antipsychotic prescribing in the elderly Antibiotic omissions Allergies and Interactions: As for Prescribing practice Operational data Medicines reconciliation Pharmacist interventions Supply issues Target reports: Smoking cessation referrals Opioid indications High dose inhaled corticosteroids Identification of patients by drug prescribed

Example Reports

Prescriptions without an allergy status recorded (DOCRep10) on 24-Nov-2015 at Guy's & St Thomas' NHS Foundation Trust Row No AgeSexLocationAdmission Date Discharge Date Number of Meds Prescribed 156FSTH - SAL DSU STH Surgical Admissions Lounge :00 AM 2 27FELCH - Husky :55 AM :40 PM3 341MSTH - Evan Jones (EMU) :00 AM :00 PM4 494FSTH - Coronary Care Unit :14 PM FGUYS - Haematology Day Unit :18 PM :45 PM1 670FGUYS - Oncology Day Case AOS :37 AM 4 765FGUYS - Sarah :23 AM 5 882FSTH - Evan Jones (EMU) :42 AM :50 PM1 947FSTH - Inpatients (for DSU Theatres) :30 AM :06 PM5 1011FELCH - Husky :45 AM :20 PM3 1128MSTH - Evan Jones (EMU) :38 AM :30 PM3

Example Reports Junior doctor prescribing report (DocRep15) Period covered: 01-Oct-2015 to 31-Oct-2015 at Guy's & St Thomas NHS Foundation Trust IDMedication PrescribedRouteFreqDoseActivity%(Total Prescription By Jr Doctors) 1sodium chloride 0.9% Infusion SubTotal84.47% 2omeprazole Gastro-Resistant Capsule SubTotal73.91% 3paracetamol SubTotal63.35% 4MACROGOL COMPOUND oral powder (GALEN) sugar-free SubTotal52.79% 5compound sodium lactate (HARTMANN'S) infusion (1000mL) SubTotal52.79%

Example Reports Prescription of high risk medications (DOCRep05) on 24-Nov-2015 at Guy's & St Thomas' NHS FoundationTrust DirectorateWard Name AgeSexMedication Prescribed Min Dose Max Dose Qualifier Details UnitFormFreqRouteIndicationDurationPrescription Date Pharmacy Comments Phamacist ReviewOn Admission Date Abdominal Medicine and SurgeryGUYS - Florence 54Mgentamicin Injection 160 mgIJstatIntravenoussurgical prophylaxis :32 PM :00 AM 74Mwarfarin sodium mg vdoWOralAtrial Fibrillation/Flutt er Long Term :53 PM :45 PM GUYS - Patience 30Fvancomycin Infusion 1000 Check levels as per 'Antibiotic Use in Adult Patients with Renal Impairment' clinical guideline mgIFstatIntravenousVancomycin in patients with CrCl less than 50mL/min (weight kg) :23 PM :00 AM GUYS - Richard Bright 30Fvancomycin 1g Infusion gIFvdoGHaemodialysisSoft tissue infection :18 PM :00 AM gentamicin Injection mgIJvdoGHaemodialysisSoft tissue :18 PM :00 AM 28Mazathioprine 25mg Tablet 50 mgTBstatOral :33 AM New - switched from mycophenolate T10:13: :46 PM 54Famikacin sulphate Injection 500 7mg/kg dose (maximum dose of 500mg) to be given by anaesthetist at induction mgIJstatIntravenousAdult Renal Transplant (Standard Risk) :10 PM :00 PM STH - GI Unit (Gastrointesti nal) - STH 70Mgentamicin Injection 400 mgIJo.d.Intravenouspsuedomonas as per micro 2 Doses :32 PM New use ideal body weight. ibw 78.75kg. 5mg/kg T16:15: :00 PM 37Fgentamicin Injection 450 mgIJstatIntravenouspleural fluid as per ID :59 AM :55 AM 35Mazathioprine Tablet 200 mgTBmaneOral :49 PM :55 AM

Example Reports Smoking cessation referrals (PHRep33) Period covered: 01-Oct-2015 to 31-Oct-2015 at Guy's & St Thomas' NHS Foundation Trust Row No LocationAgeSexSmoking Status NRT Status NRT Prescribed Admission Date Discharge Date 3STH - Acute Admissions69F*Smoker (0-10/day)*NRT: offered and acceptedY :37 PM :32 PM 4STH - Sarah Swift (Vascular)41M*Never Smoked*NRT: not applicableY :38 AM :30 PM Prescription of high dose inhaled corticosteroids (PHRep02) on 24-Nov-2015 at Guy's & St Thomas' NHS Foundation Trust IDLocationHospital Number Medication Prescribed Min Dose Max Dose UnitFormFreqRouteindicationQualifier Details DurationPrescription Date Ceased On Prescribing Doctor PharmPharm Comment Pharm Review Daily Dose(mcg) Tiotropium Prescribed 1GUYS - Dorcas XSERETIDE 250 ACCUHALER dry powder inhaler 2 DPb.d.Inhalati on :45 PM Henry Munby [SHO] GUYS - Dorcas USYMBICORT TURBOHALER 200microgram+6m icrogram dry powder inhaler 2 DPb.d.Inhalati on :51 PM Farah Din[Clinical Fellow] 800tiotropium 18microgra m DPI 3GUYS - Esther GSYMBICORT TURBOHALER 100microgram+6m icrogram dry powder inhaler 2 DPb.d.Inhalati on :55 PM Pedram Modarres [Doctor] 400tiotropium 2.5microgra m MDI