12 june 2012 due data – improving midwives’ use of data and access to information julie...
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12 JUNE 2012
DUE DATA –
IMPROVING MIDWIVES’ USE OF DATA AND ACCESS TO
INFORMATION
JULIE TINDALE-MIDWIFE
Maternity DataUpdate on issues
Julie Tindale : Heart of England NHS Foundation Trust
Biog:
Clinical Midwife-
Lead for Information and Communications for Women’s Health
Governance Dept
• Member of CCIO Leaders Network Advisory Group
• Chair NN4B Closure Programme working Group
• Member of Maternity Dataset (MCDS) Implementation Group
• Member of National Nursing (and midwifery)Informatics Strategic
Taskforce (NNIST)
• 4 years as National Clinical Lead for Midwifery – DH Informatics
Directorate (DHID) and Connecting for Health (Feb 2008 to Apr 2012)
Due Data
Overview:
NN4B
MCDS (Maternity and CYPHS and CAMHS)
PbR and Metrics
Clinical Information Systems
Leadership- A Maternity CCIO-how do we progress?
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Julie Tindale : [email protected]
NHS Number for All Babies born in England
NHS Number for All Babies born in England
Electronically Since October 2002
Electronically Since October 2002
1. Contract ends June 2014 (was 2013)
2. The software is now very out of date
3. Previous expectation Trusts would all be PDS compliant now
4. INNS was a temporary solution only
1. Renegotiation of business contracts on-going with BT
2. Trusts are not all PDS compliant
3. Trusts expected to have a working clinical maternity information system
Maternity Data: NN4B
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Julie Tindale : [email protected]
Maternity Data: NN4Bhttp://www.connectingforhealth.nhs.uk/systemsandservices/nhsnumber
System Providers are engaged with the CFH team
Early adopters based in Manchester : Silverlink for Maternity and iSoft for Child Health systems
Maternity services to provide a Clinical Lead as focus for communications / compliance
Regular updates are circulated- when there is news/progress
Website is updated with information
Contact : for further information
[email protected]@nhs.net
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MDSMDS CYPHS and CAMHS
CYPHS and CAMHS
Maternity Units – including a Midwifery clinical lead!
Units must be working with their Data management departments to ensure the correct definitions working
Child Health units must be working with their Data management departments to ensure the correct definitions working
Mental health systems also need to adjust definitions and consider data capture methods
Maternity data: MCDS June 2013http://www.ic.nhs.uk/maternityandchildren/maternity
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Julie Tindale : [email protected]
Approved by ISB
Maternity data: MCDShttp://www.ic.nhs.uk/services/maternity-and-childrens-data-set/maternity-services-secondary-uses-data-set
Key Areas Routine Booking Appointment activities Maternity Care Plans Dating Scan Antenatal Screening Tests Structural Fetal Anomaly Screening Labour & Delivery Postnatal Demographics Newborn Screening Maternal and Neonatal Death
12/06/2012Julie Tindale : [email protected]
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Maternity data: MCDShttp://www.ic.nhs.uk/services/maternity-and-childrens-data-set/children-and-young-peoples-health-services-cyphs-secondary-uses-data-set
Children and Young People's Health Services (CYPHS) Secondary Uses Data Set Key areas
Personal and demographic Social and personal circumstances Relationships and household Breastfeeding and nutrition Care event Screening activity Inpatient stays Observations of BMI
12/06/2012Julie Tindale : [email protected]
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Maternity data: MCDShttp://www.ic.nhs.uk/maternityandchildren/CAMHS
CAMHS key AreasReferrals to CAMH services Demographics Background and Family history Targeted needs Encounters Care planning and Interventions Outcome measures Inpatient stays Presenting problems and diagnoses
12/06/2012Julie Tindale : [email protected]
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Maternity data: MCDS Benefits
The Information will flow real time to a national data warehouse reducing burden on service delivery organisations
Information will use same definitions- comparators will be more robust
Babies/ Children records directly linked to Mother’s pregnancy record* Outcomes directly linked with significant events in
pregnancy and deliveryRecords for subsequent pregnancies and deliveries for the
same mother will be linkedPowerful for public health: Smoking history linked to
outcome trends, Breastfeeding prevalence and persistence
12/06/2012Julie Tindale : [email protected]
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Maternity data: PBR mailto:http://www.dh.gov.uk/health/2012/04/guidance-maternity-services/
STANDARD INTERMEDIATE AND INTENSIVE
Pathway payment system to be introduced in shadow from April 2012
Payment split into 3 modules antenatal care; birth spell to discharge; postnatal care
Each module split into pathway levels by intensity of care needed; based on a woman’s characteristics and factors
Estimation of onset of conditions during pregnancy to enhance pricing
12/06/2012Julie Tindale : [email protected]
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Maternity Data :PbRhttp://www.dh.gov.uk/health/2012/04/guidance-maternity-services/
12/06/2012Julie Tindale : [email protected]
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Antenatal Births Postnatal
Standard £1,12665.5% of casemix
£24364.2% of case Mix
Intermediate
£1,80327.3% of case Mix
£30735.0% of Case Mix
Intensive £3,0007.1% of case Mix
£8250.8% of Case Mix
With CC £2,434 28.6% of case mix
Without CC £1,506 71.4% of case mix
IssuesIssues Solutions?Solutions?
12/06/2012Julie Tindale : [email protected]
Finding an up-to-date system that has a support department that is able to ‘speak Maternity’
What does the best of breed maternity system look like?
Sharing best practiceSignposting to
systems that workLocal networks
choosing shared or collaborative systems
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Maternity Data :Clinical Information Systems
Access for service usersAccess for service users Solutions?Solutions?
12/06/2012Julie Tindale : [email protected]
Health Bill: No decision about me without me
Information strategy: access to own medical records
Data sharing & securitySchedulingLearning Disability, Language
difficulty and equality
Access for laboratory and diagnostic results
RedBook on linePregnancy records on
lineNavigation of
proliferation of on-line pregnancy and birth advice
A Role for Information ‘Observatories’?
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Maternity Data :Clinical Information Systems
Chief Clinical Information Officer for Maternity
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(Discussion)How to grow the future leaders for
Information and CommunicationsInformatics is not IT Information and Communications is key-
Better Safer Care?Sharing for better safer services- Local and
Regional Collaboration?Who speaks for front line midwives who are
‘drowning’ under weight of the Data requirements, old equipment, no equipment?