1. Plastic Surgery Audit System Proposal

2. Auditing System Customised database Customised database Aims Aims Accurate, relevant and secure auditing system Accurate, relevant and secure auditing system Potential for research applications Potential for research applications Quality Assurance/Clinical Governance Quality Assurance/Clinical Governance Log Book, Discharge summary Log Book, Discharge summary

3. Auditing System Requirements Requirements User Friendly User Friendly Minimal training required Minimal training required Data entry – simple and quick Data entry – simple and quick Report generation – simple Report generation – simple Easily expandible Easily expandible Accessible at most locations Accessible at most locations Compatible with other surgical specialties Compatible with other surgical specialties

4. Software Development Project Manager SurgeonsDeveloper

5. Ongoing Auditing Data Manager Surgeons Developer

6. Meeting the Aims Accuracy Accuracy Classification scheme for Classification scheme for Diagnoses – ICD-10AM, SNOMED CT Diagnoses – ICD-10AM, SNOMED CT Operations – CMBS, OPCS4, Otago Operations – CMBS, OPCS4, Otago Complications – RACS Complications – RACS Cross linked to TOPAS/TMS database Cross linked to TOPAS/TMS database Outcome data from PDC/OPC Outcome data from PDC/OPC

7. Meeting the Aims Relevant Relevant Only meaningful data should be collected Only meaningful data should be collected Demographics, LOS, TTT Demographics, LOS, TTT Comorbidities/ASA Comorbidities/ASA Outcomes Outcomes Security Security Application only delivered to relevant providers. Application only delivered to relevant providers. Password protected Password protected Data backup Data backup

8. Meeting the Aims Research Applications Research Applications Prospective data collection Prospective data collection Key areas need to be identified Key areas need to be identified Antithrombotic use in free flaps Antithrombotic use in free flaps Antibiotic use patterns, Infection rates Antibiotic use patterns, Infection rates Incomplete excision rates Incomplete excision rates Quality Assurance Quality Assurance Trauma Wait Times Trauma Wait Times Registrar Logbook Registrar Logbook

9. Meeting the Aims Recognise Limitations Recognise Limitations Cannot be all inclusive Cannot be all inclusive As accurate as the data entered As accurate as the data entered Categorisation will be difficult Categorisation will be difficult

10. Progress Project manager appointment Project manager appointment Template on cardiology system-CGMS Template on cardiology system-CGMS Visual BASIC Visual BASIC ICPC-2 ICPC-2 Linked to TOPAS/TMS/PBS/ICP2 Linked to TOPAS/TMS/PBS/ICP2 Preliminary discussion with developer (Stephen Bloomer) Preliminary discussion with developer (Stephen Bloomer)