1. Health Information Management A Case Study
Dr Paul Aylin
8th November 2007

2. Clinical Score Cards Small working group within urology
Refined the concept of score cards
Researched the literature for measures which might have some relevance to this project and could be extracted from the HES data set
Drawn up a list of Urological activity
Diagnostic groups
Operations
Examined all possible outcome measures available in routine data
Selected appropriate procedures, groups and measures for a pilot study
Built the first 5 item reporting system

3. Definition of a Clinical Score Card
A data report produced on a regular basis
Sent to individual practitioners (not their managers)
On an “opt out” basis
A few easy-to-view reports and graphics
Uses agreed outcome measures and standards where they exist
Compares data between clinicians, their consultant team and the NHS as a whole
Tracks change in performance over time
Urology Score Card

4. In and outpatient activity (numbers) Income to the Trust
General Activity Data
In and outpatient activity (numbers)
Income to the Trust
Adverse outcomes
Death
Excessive length of stay (>30 days)
Critical incidents
Urology Score Card

5. Urology specific activity
3 Core Procedures
Scrotal surgery
TURP
Nephrectomy
1 Diagnostic group
Acute ureteric colic
Urology Score Card

6. Urology Score Card - 5 Landscape Pages

7. Page 1 - Generic NHS practice information
Urology Score Card

8. Page 1 - Generic NHS practice information
Urology Score Card

9. Page 1 - Generic NHS practice information
Urology Score Card

10. Page 1 - Generic NHS practice information
Urology Score Card

11. Page 2 – Urology – Scrotal procedures
Urology Score Card

12. Page 2 – Urology – Scrotal procedures
Urology Score Card

13. Page 2 – Urology – Scrotal procedures
Urology Score Card

14. Page 2 – Urology – Scrotal procedures

15. Page 2 – Urology – Scrotal procedures
Urology Score Card

16. Audit responses and impressions of the tool
What happens next?
Invite approx 50 Urology consultants from Trusts across England to pilot the system for a period of 6 months
Audit responses and impressions of the tool
Publicise the concept of score cards
Open up the discussion about which procedures and measures define core Urological practice
Start the same process with other specialties including some medical disciplines

17. What data are available now? Suggest 5 outcomes you like to monitor?
Discussion
For each discipline (eg cardiology, orthopaedics, primary care, diabetes, nursing, etc.)
What data are available now?
Suggest 5 outcomes you like to monitor?
What additional information would you like to collect in the future?