Transcript % Patients with Dementia on GP QOF register whose care has been

Data tools to support the RCSEng Right Care
Commissioning Guidance
Online Learning Series
Right Care for Populations
Commissioning for Value
Data tools to support the RCSEng
Right Care Commissioning Guidance
Simon Swift
Methods
Director of Insight Analytics
Copyright 2014 Right Care
Our role
Created and maintaining web tools and technical
documents
Working with each GDG to:
•
•
•
•
•
•
•
•
Understand scope of guidance
Agreeing procedures
Creating hierarchy
Drafting technical definition
Creating draft data
Review
Finalise
Publish
Mantra
Evidence
Analysis
Data
Information
Interpretation
Actionable
Knowledge
Decision
Change
Approach: Questioning variation
•
•
•
•
Are you different?
Do you know why?
What does it mean?
Are you comfortable being different?
Bullet charts
Spine charts for the indicators have been created using statistical process
control (SPC) principles and use control limits to indicate variation from the
national mean, suing standard deviation (SD)
Methodology
SPC sparklines increase the amount of relevant information
presented contain national mean, variation and trend over time
The full technical guidance is available on the web page:
Interpretation
A value that lies outside of the two SD (95%) control
limits can be considered as an ‘alert’. Values that lie
outside 3SD (99.8%) can be viewed as ‘alarms’.
A dashboard is the tin opener for a conversation, it is
not a test. The data is the starting point and should
not be arbitrarily used for performance management
without local interpretation.
The five stages of grief
Adapted from Elisabeth Kübler-Ross 5 stage model
(Though more modern grief theories such as that of John Bowlby described as ‘ebb and flow of processes such as
shock and numbness, yearning and searching, disorganization and despair, and reorganization’ have some
attraction)
DENIAL
ANGER
BARGAINING
DEPRESSION
RESOLUTION
The data is
wrong
It does not
apply to me
I will get the
correct data
There is
nothing I can
do about it
Acceptance
and action
DATA TOOLS
Dashboards
•
Purpose
– Initial view by CCG of a core set of activity and output measures for
each group in the guidance hierarchy
•
Structure
– Standard layout using SPC rules showing value, mean, national control
limits and trend
•
Accessibility
– Public
http://www.rcseng.ac.uk/providers-commissioners/nscc/data-tools
Procedures Explorer Tool
•
Purpose
– Enable users to interact with the data to ask questions and understand
both commissioner and provider variation
•
Structure
– Standard tool for all guidance sets, with the same metrics as
dashboards
• Variation view
• Commissioner view
• Provider view
•
Accessibility
– Public
http://www.rcseng.ac.uk/providers-commissioners/nscc/data-tools
Online Learning Series
Right Care for Populations
Find the full series at:
www.rightcare.nhs.uk/resourcecentre
Commissioning Guidance and
Tools on RCS website
http://www.rcseng.ac.uk/healthcare-bodies/nscc
13
Follow Right Care online
• Subscribe to get a weekly digest
of our blog alerts in your inbox,
• Receive occasional eBulletins
• Follow us on Twitter
@qipprightcare