patient profiling carole adebayo health intelligence manager & pauline mitchell patient...

Patient Profiling

Carole AdebayoHealth Intelligence Manager

&Pauline Mitchell

Patient Profiling Development Officer

Princes Park Health Centre

• Personal profile details• Patient satisfaction• Health & ill health experience• Ethnic classification• Socio-economic status• Language use & literacy• Lifestyle choices• Social Security benefit use & eligibility

• General Health• Religion• Ethnic Group• Carer Information• Country of Birth• Spoken Language• Read Language• Updated addresses and

personal Details

Patient Profiling Questionnaire

• Embedded in the IM&T Department• Commended by the Commission for

Racial Equality as the Gold Standard for ethnicity monitoring in Primary Care.

• Pivotal To Central Liverpool Primary Care Trusts Diversity Equality Scheme.

Patient Profiling

• 62 Practices

• 29 Practices Profiled

• 11 profiling ongoing

Response Rate

• Average 56%

• Varies from 46% to 68%

Approximately 140,000 patients have received a Patient Profiling questionnaire

How• Meet with GPs and Practice Managers• Presentation to Staff – How - Why• 2 Mail outs to Patients aged 16+• Data entered onto Practice Clinical

System• Data extracted• Feedback presentation & written report• Practice continue to register new

patients• PP team send questionnaire to all

patients turning 16 each year

EMIS

LV

PCS

IPS

Vision

ISOFT

Synergy

Clinical Systems

IPS Vision

To DatePatient’s from

• 147 Countries• 82 Spoken languages• 48 Read languages• 54 Religions

PP Data 2004

Health Equity Action Team / Patient Profiling

Central Liverpool NHS Primary Care Trust

Patient Profiling

Purpose

• To improve overall service provision by supporting Primary Care providers with information collected locally on CHD, Diabetes, Smoking and Obesity and identify factors impacting on access and utilisation of services

Central Liverpool NHS Primary Care Trust

Patient Profiling• To reduce inequalities in health by

developing health equity audit tools for practitioners to use in each individual practice

1Agree partners &

issues

3

4

5

Service Delivery

Investment &

Secure changes in

Agree High Priorities

Agree

local actions,

narrow gap

Equity Profile

Identify Gaps

Compare:Area Age

Ethnicity Economic Gender

Health Equity Audit cycle

DOH

2

Health Equity Action TeamPatient Profiling

Patient Profiling

Looking at;

1. Practice Population Characteristics

2. Specified Health / Risk Factors

Central Liverpool NHS Primary Care Trust

Practice Population Characteristics

Total GP PopulationProfiled Patients – from the age of 16

Age StructureGenderWhere they live

Need for Interpreter / TranslatorThose that do not Reading any LanguageMain Languages Read

Patient Profiling

Central Liverpool NHS Primary Care Trust

Specified Health / Risk Factors

Currently looking at Diabetes, CHD, Smoking and Obesity

Cross referencing – e.g CHD & Smoking, Diabetic & Obese

Relating each to age, ethnicity, religion, spread and language

Looking for possible gaps e.g between male and female in certain age groups

Patient Profiling

Central Liverpool NHS Primary Care Trust

Uses Patient Profiling

Patient InvolvementLinks to Smoking CessationGeographical ProfileInequalities TargetingIdentify Hot SpotsHealth PromotionService improvement

Patient Profiling

Central Liverpool NHS Primary Care Trust

Conclusion

It is live information about people accessing our PCT.

It can be used to plan, organise and deliver service.

It is only as good as the information put into it.

It is not a magic tool and will not solve general issues.

It is brilliant in identifying / targeting the gaps in population, service, access etc.

Patient Profiling