1. Quality Indicators Martin Orton – NHS IC & Arun Bhoopal DH Medical Directorate

2. Agenda Intro to Quality Framework Programme & MQI/IQI Indicators for Quality Improvement (IQI) –What is it? –Demo/Screen shots –How it is expected to grow Wider IC library intentions & vision for use with IQI PROMs (very brief overview) Q&A Your chance to give input –What would make IQI more useful/usable locally –Please suggest one key thing we should do in developing IQI

3. Indicators for Quality Improvement (IQI) What –Details of over 200 quality of care indicators Purpose –a resource for local clinical teams providing a set of robust indicators from which they can select to support local quality improvement –a source of indicators which can be used for benchmarking and comparison –Also Selected indicators to support patient choice through NHS Choices Possible use in Quality accounts and CQUIN

4. Indicator Framework SafetyEffectivenessExperience Maternity and Newborn Long Term Conditions Staying Healthy Children’s Health Acute Care Planned Care Mental Health End of Life Care Appropriate indicators SafetyEffectivenessExperience Maternity and Newborn Long Term Conditions Staying Healthy Children’s Health Acute Care Planned Care Mental Health End of Life Care Appropriate indicators

5. Indicators for Quality Improvement (IQI) INITIAL list is mainly existing indicators Limited cover of the full spectrum of care Tool provides search and browse facilities to find indicators Full indicator details (description, methodology, precise construction) Web link to the data now Data in tabular form to download from July

12. How was this initial IQI set derived? Initial Indicators for Quality Improvment IC Indicator Survey Responses from the NHS on quality indicators Clinical Audit National Clinical Directors DH Policy Healthcare commission NHS Professionals Very highly endorsed & design info available SHA reports - Indicators for local use - Indicators for SHA visions QOF & Vital signs

13. IQI Continuing Development Expected to grow with input from right across Health & Social Care, in particular Royal Colleges and Specialist Societies Developing governance and processes for indicator development

14. Support for further development The IC is developing a wider indicator library –25 national indicator sets, over 2,500 indicators –www.ic.nhs.uk/indicatorlibrarywww.ic.nhs.uk/indicatorlibrary In alignment with IQI, aiming to bring in standardisation, quality assurance and governance to indicators Should avoid duplication and share work Supports use and development of indicators, without limiting innovation

15. Indicator Library

16. PROMs Data Flows Aggregated data Lot 3: “Analysis” Lot 2: “Aggregation” Lot 1: “Administration” Information Centre: “Linkage” & “Repository” identifiable Pre-op IC OtherSUSNJR Post-op Scoring, outcomes Aggregation Academic stakeholders Case-mix adjustment Develop adjustment Record-level data Healthcare stakeholders Extract Service Linked Pseud’sed Aggregated data Record level data

17. Measuring for Quality Improvement www.ic.nhs.uk/mqi Includes the “Indicators for Quality Improvement” Support: 0845 300 6016 or enquiries@ic.nhs.ukenquiries@ic.nhs.uk