1. Delivering independent intelligence for health and wellbeing National Drug Treatment Monitoring System Data Quality and Completeness (2009/2010) Michelle Cook NDTMS Data Manager North East Public Health Observatory

2. Delivering independent intelligence for health and wellbeing NDTMS Supplementary Reports (Data Quality) NDTMS Data Completion Reports TOP Exceptions Reports TOP Reporting Tool (available to DET users) Questions

3. Delivering independent intelligence for health and wellbeing NDTMS Supplementary Reports When are where to find them? Published between 20-25 th each month. NEPHO Website - http://www.northeastpho.org.uk/ndtms/dats/ levelreport DATs Emailed Summary with details of this months focus Agencies sent detailed reports to identify clients

4. Delivering independent intelligence for health and wellbeing NDTMS Supplementary Reports Overall Summary Report NDTMS Supplementary Metrics – December 09_10.xls Provides information by DAT on performance for each Metric

5. Delivering independent intelligence for health and wellbeing NDTMS Supplementary Metrics Data Load % Data Quality % Late Deliveries Episode dates out of sequence De-active Agencies with Dates outside agency de-active date De-active agencies with incomplete discharge data Male Clients Pregnant = Yes Clients in effective treatment, with no modality start TOP Care Co-ordinations Field Not Complete (Active Episodes) Discharge Code Useage Parental Status Code Useage Duplicate client episodes Missing Discharge Data Duplicate Open Episodes Overlapping Episodes Duplicate Open Modalities Overlapping modalities Poly drug use Missing DAT Missing Drug 1 Clients Under 1 & Greater than 100 Missing PCT Drinking days > 28 days Drinking units null or greater than 75 per day Route of administration is not oral Parental Status Field Blank Children Field Blank DATA COMPLETENESS (Active Episodes) DATA COMPLETENESS (New Episodes) Data Completeness - Health Interventions

6. Delivering independent intelligence for health and wellbeing Clients in Effective Treatment with No Modality Start Identifies clients who only have a triage date and no treatment modality start date. These are specifically the cases that have had a triage date entered, but have no treatment modality start date and have not been discharged within a reasonable period of time following triage. If a client does not have a modality then they do not count towards your PDU numbers

7. Delivering independent intelligence for health and wellbeing Clients in Effective Treatment with No Modality Start – Agency Numbers

8. Delivering independent intelligence for health and wellbeing Clients in Effective Treatment with No Modality Start

9. Delivering independent intelligence for health and wellbeing New Supplementary Reports Pregnant Males Discharge Code Useage Parental Status Useage Completion of TOP Care-Coordinator Completion of Parental Status/Children With Fields Completion of Healthcare Interventions

10. Delivering independent intelligence for health and wellbeing Pregnant Males Additional Data Quality work carried out by the North East since October09 Criteria: All Episodes, All ages, Drugs and Alcohol

11. Delivering independent intelligence for health and wellbeing Discharge Code Useage New Discharge Codes were introduced for Adults & YP from 1 st April 2009 Criteria: all Ages, Drugs and Alcohol Old Code used on New Episodes (eg discharged after 1 st April 09) New Code used on Old Episodes (eg discharged before 1 st April 09)

12. Delivering independent intelligence for health and wellbeing Parental Status Useage New fields were introduced from 1 st April 09 Criteria: Active Episodes triaged after 1 st April 09, all ages, Drugs and alcohol

13. Delivering independent intelligence for health and wellbeing Data Completion

14. Delivering independent intelligence for health and wellbeing Completion of TOP Care-Coordinator New field which was introduced from 1 st April 2009 Criteria: Active Episodes, 16 or over, Drugs only

15. Delivering independent intelligence for health and wellbeing Completion of Parental Status/Children With Fields Additional Data Quality work carried out by the North East since December09 Criteria: Triaged after 1 st November09, All ages, Drugs and Alcohol

16. Delivering independent intelligence for health and wellbeing Drop Box – Attributable Data Only Attributable data is sent Encrypted Via the Drop Box Agencies are expected to fix all issues before the next upload https://www.ndtms.org.uk/cgi-bin/dropbox.cgi?boxid=2009

17. Delivering independent intelligence for health and wellbeing TOP Exception Reports ATTRIBUTOR REPORT - Breakdown of treatment start TOP exceptions Includes all clients aged 18 and over at triage, that started treatment between 1st November - 21st November 2009 A modality has started for client. Is a TOP present? Treatment Start TOP forms with TOP date outside of guidance (+/- 2 weeks) TOP care coordination for client More than one provider has claimed TOP care- coordination responsibility YESNOYESNO -YESNO YESNOYES

18. Delivering independent intelligence for health and wellbeing TOP Reporting Tool (DET Users) The following reports have been developed as a useful function to help providers better understand their TOP data, compliance and plan for future improvements.  Missing Treatment Start TOP  Treatment Start TOP outside Protocol  Treatment Start TOP with Inconsistent Drug Values  Treatment Start TOP with Inconsistent Drug Values II  Treatment Start TOP with Inconsistent Injecting Status Data  Client missing review TOP  Discharge Clients with Missing Treatment Exit Top  Treatment Exit Top outside Protocol  TOP Treatment Progress Tracker

19. Delivering independent intelligence for health and wellbeing HOW TO REVIEW AND GENERATE TOP REPORTS Click on “Report” from the “Client List” screen (above). This will take you to the “TOP Reporting” screen as shown above

20. Delivering independent intelligence for health and wellbeing TOP Reporting Screen 1.Select the type of report required from the drop down “Report” menu

21. Delivering independent intelligence for health and wellbeing TOP Reporting Screen 2. Enter the “Modality Range” in the start and end date fields.

22. Delivering independent intelligence for health and wellbeing TOP Reporting Screen 3. Select the preferred format (either PDF or Excel) in which the report is to be generated from the drop down menu.

23. Delivering independent intelligence for health and wellbeing TOP Reporting Screen 4. Next choose to either include or exclude episodes with TOP flag set to ignore from the drop down menu.

24. Delivering independent intelligence for health and wellbeing TOP Reporting Screen 5. You can review and/or generate the report by clicking on the “Review Report” or “Generate Report” buttons as shown on the “Top Reporting” screen.

25. Delivering independent intelligence for health and wellbeing Generate Top Report

26. Delivering independent intelligence for health and wellbeing Example of TOP Report (pdf)

27. Delivering independent intelligence for health and wellbeing TOP Treatment Progress Tracker

28. Delivering independent intelligence for health and wellbeing TOP Progress Tracker (Opiate Use)

29. Delivering independent intelligence for health and wellbeing Time Scale Chart

30. Delivering independent intelligence for health and wellbeing Guidance http://www.nepho.org.uk/ndtms/treatmentout comeprofile

31. Delivering independent intelligence for health and wellbeing QUESTIONS?