Transcript Supporting Clinicians and Managers to Drive Change

Supporting Clinicians and Managers to Drive
Change Together: Unlocking Data
Supporting Clinicians and Managers to
Drive Change Together:
Unlocking Data
NSW Health Symposium, 2014
Thursday 19 June 2014
Dr Teresa Anderson
CE, SLHD
Mr Charlie Farah
Director, Performance SLHD
Dr Gabriel Shannon, AM
Staff Specialist Orange Health
Mr Alfa D’Amato
Deputy Director, ABF Taskforce
Dr Rohan Hammett
Deputy Secretary, Strategy and Resource
Ministry
Clinicians
and
managers
SLHD
Other
Districts
DATA MINING AND
ANALYTICS
Ambulance
Service
Other
States
ACI
CEC
The holy grail: access to timely, accurate data
Limitations of Current System

Labour intensive

Limited data able to be reviewed

Unable to respond to different needs of different departments

No real time access to data
Limitations of Current System

Labour intensive

Limited data able to be reviewed

Unable to respond to different needs of different departments

No real time access to data
Why STARS?

We can’t manage what we can’t analyse/monitor

Managing processes in real time

Efficient insight into data

Combines and manages multiple sources of data
Data Source Collections
Feeder Systems:
•Pathology
•Imaging
•Pharmacy
•Prosthesis
•Blood
•Operating Theatre
Data Extracts:
•Overdue Patients (Weekly)
•Financial Class (3 times a Day)
•NEAT (Daily)
•Orders and Results
Data Collections:
•Non Admitted Patient Data
Data Collections:
•Admitted Patient Data
•Emergency Department
Standalone Clinical
Databases
Incidents related to:
•Falls
•Medication
•Pressure Ulcers
What does STARS offer clinicians & managers?
 A tool to help:
– increase our collective knowledge about our services
– identify clinical variation / reduce unwarranted clinical variation
– strengthen / implement ‘best-practice’ models of care, & monitor
outcomes
– improve clinical outcomes
What does STARS offer clinicians?
 Real time access to a huge amount of data
 User driven and flexible design
 Link to clinical databases
STARS Implementation

Strong governance

Managed by the Performance Unit

Focus groups for individual application development

Review of applications/functions used at other healthcare facilities
(internationally)

Data access and security

Resources
Governance
STARS
Executive
Steering
Committee
Clinicians:
Medical / Surgical / O&G
JMOs
Nursing and Allied Health
Mental Health
Managers:
Chief Executive
Senior Executive
General Managers
HIMs
Take Home Messages STARS

New innovative data management system

Tool to identify and interrogate clinical variation

Needs clinicians and managers to work together for it to gain maximum
benefits

Will only be as good as its data inputs and its users

For successful local implementation needs
–
adequate resources
–
educated, engaged clinicians and managers
–
clear governance structures and processes already in place
Where we are now:
District led
Specialty / Clinician driven
STARS DEMONSTRATION
-78.24
The ABM Portal provides:
 Comparisons of activity, costs and prices for
LHDs
Facilities
ABF Workstreams
Eg. ED, acute, non-admitted
Specialties
Clinicians
Patients
 The ability to benchmark costs and LOS
performance
THE ABM PORTAL PROVIDES:
A tool to assist in evaluating the
efficiency, efficacy & appropriateness of
health service delivery
in order to
review and improve care and practice,
leading to better patient outcomes.
Who provides
the patient and
cost data?
LHD/SHN
staff
Who uses the
patient and cost
data?
ABM Portal
Updated every 6 months
Examples of data input
systems:
• eMR
• Oracle
• FirstNet
• MH-OAT
LHD,
SHN and
MoH staff
Used for:
• State Price
• Peer benchmarking
• Monitoring clinical variation
DRG – E65B Chronic Obstructive Airways
Disease without complications or
comorbidities
All Major Hospitals
Average length of
stay = 4.93 days
Orange Hospital
All Major Hospitals
Average cost/NWAU =
$4,338
DRG – E65B Chronic Obstructive Airways Disease without
complications or comorbidities
Clinical Variation
Pathology
Critical Care
Orange
Hospital
Orange
Hospital
Critical
Care
Pathology
Single Patient Journey – Patient in Orange Hospital
Total Cost:
$60,010
Hospital avoidance care
Following respiratory illness
- 9 visits over 3 months
Acute $39,512
ED $17,877
NAP $2,621
Chronology of patient
treatments
Patient had 5
inpatient episodes for
COAD
Three recommendations for state governments:
• Set the right price for hospital care
• Provide the right information
• Manage the system in a way that doesn’t
weaken price signals, and encourages
underperforming networks to improve (p.5)
Activity Based Management
Transparency
These new tools provide a very rich
source of patient activity and
information, which fosters
transparency and
accountability across the
healthcare system.
Activity Based Management
Patient Journey
We can now follow the patient
journey across the health system.
By analysing and integrating
services, we can optimise
patient care.
Key Messages

Collaboration is the critical success factor

Clinicians have to be involved early in governance and app design

System needs to be fast and accessible

Need the processes for data review to already be in place

Education is critical

Focus on understanding and explaining variation

Set clear expectations regarding data review, feedback and
accountability
ABM PORTAL & STARS
For more information, live demonstrations of the ABM portal and
the STARS programs are available to try out outside.