Clinical Dashboards

Development & Implementation

Ian Fenton, Director of eHealth Jenni Woods, Operational Information Manager

• Aim of the project• Development Approach• Metrics currently available• Implementation• Development Roadmap

Improve standard of care and experience for patients by aiding service planning and decision making.

Achieve this by:Providing service improvement information real time.

Presenting this information as instinctively understandable and as visually stimulating as possible.

Aim – Patient Centred

NHS Tayside’s Development Approach

• Proof of concept• Operational and strategic dashboards• Comprehensive metric library• Exploit existing information sources e.g. PMS, Labs, Radiology• Real time delivery of information• Plug information gaps where necessary

− streamline ward based data collection− reduce the reliance on paper , spreadsheets etc

• Intuitive user interface• Evaluation

Healthcare Domain Model

Patient

Referral

Clinician

Wait

Appointment

Diagnostics

Clinic/hospital

Ward admission

Patient Centred Healthcare Domain

Plug Information Gaps

Clinical Dashboard Metrics I

Live 15 minute updates from TOPAS into current patient flow dashboard, including:- current % occupancy, - available beds, - occupied beds, - planned admissions, - patients on pass

Real-time bed management / Patient Flow

- Safer Patient Programme metrics – 31 metrics in total- Hand Hygiene

Patient safety / Infection control

Metric ExamplesGroup

Clinical Dashboard Metrics II

- Inpatient / Daycase waiting times- New Outpatient waiting times - Endoscopy procedure waiting times- Dental waiting timesWill be available September/October 2010.

Access / Waiting Times

Historical patient flow metrics, including:- % occupancy throughout the day, bed complement, available beds, occupied beds, average length of stay-admission / discharge volumes, by elective / emergency split, - turnover interval, throughput, boardersOutpatient activity, including:- volume of referrals- new / review attendances, DNA rates, new : review ratio- covering consultant-led, nurse-led and AHP-led services

Efficiency measures / inpatient activity / outpatient activity

Metric ExamplesGroup

9

10

Click to view trend

line

11

Hover over data point for

detail

Click for more details

Data Table

12

13

Current Patient flow - PRI Tay ward

• 7 pilot sites using the Clinical Dashboard toolset and Data Collection Tool.

• Implementation team delivered training to 50+ staff.• Develop spread plan to roll out across NHS Tayside.• Benefits realisation process with Scottish Government. • Evaluation of existing functionality. • Developing the toolset to enable the dashboard to be self

sustaining within NHS Tayside

Implementation

Clinical Quality IndicatorsSpecification developed to capture Clinical Quality Indicators within the data collection tool for subsequent display via the ClinicalDashboard.

Clinical Outcomes / Patient Reported Outcome MeasuresA Clinical Reference Group has been established led by AssociateMedical Director – Access Directorate. Role of this group is to discuss, agree and prioritise clinical metrics for inclusion within the clinical dashboard.

Population Health MeasuresGovernance dashboard is being developed for the use of NHS Boardand Standing Committees as appropriate. This will align the operational and strategic metrics and is being managed within the Organisational Effectiveness work.

Further Metric Development

Clinical Dashboards

Ian Fenton, Director of eHealthJenni Woods, Operational Information Manager