delivering independent intelligence for health and wellbeing national drug treatment monitoring...

Delivering independent intelligence for health and wellbeingDelivering independent intelligence for health and wellbeing

National Drug Treatment Monitoring SystemData Quality and Completeness (2009/2010)

Michelle CookNDTMS Data Manager

North East Public Health Observatory

Delivering independent intelligence for health and wellbeing

• NDTMS Supplementary Reports (Data Quality)• NDTMS Data Completion Reports• TOP Exceptions Reports• TOP Reporting Tool (available to DET users)• Questions


NDTMS Supplementary Reports

When are where to find them?• Published between 20-25th each month.

• NEPHO Website - http://www.northeastpho.org.uk/ndtms/dats/ levelreport

• DATs Emailed Summary with details of this months focus

• Agencies sent detailed reports to identify clients


NDTMS Supplementary ReportsOverall Summary

Report

• NDTMS Supplementary Metrics – December 09_10.xls

• Provides information by DAT on performance for each Metric


NDTMS Supplementary Metrics

• Data Load %• Data Quality %• Late Deliveries• Episode dates out of

sequence• De-active Agencies with

Dates outside agency de-active date

• De-active agencies with incomplete discharge data

• Male Clients Pregnant = Yes

• Clients in effective treatment, with no modality start

• TOP Care Co-ordinations Field Not Complete (Active Episodes)

• Discharge Code Useage• Parental Status Code

Useage • Duplicate client

episodes • Missing Discharge Data • Duplicate Open Episodes • Overlapping Episodes • Duplicate Open

Modalities • Overlapping modalities • Poly drug use • Missing DAT • Missing Drug 1 • Clients Under 1 &

Greater than 100

• Missing PCT• Drinking days > 28

days• Drinking units null or

greater than 75 per day

• Route of administration is not oral

• Parental Status Field Blank

• Children Field Blank

• DATA COMPLETENESS (Active Episodes)

• DATA COMPLETENESS (New Episodes)

• Data Completeness - Health Interventions


Clients in Effective Treatment with No Modality Start

• Identifies clients who only have a triage date and no treatment modality start date.

• These are specifically the cases that have had a triage date entered, but have no treatment modality start date and have not been discharged within a reasonable period of time following triage.

If a client does not have a modality then they do not count towards your PDU numbers


Clients in Effective Treatment with No Modality Start – Agency Numbers


Clients in Effective Treatment with No Modality Start


New Supplementary Reports


Pregnant MalesAdditional Data Quality work carried out by the North East since October09

Criteria: All Episodes, All ages, Drugs and Alcohol


Discharge Code UseageNew Discharge Codes were introduced for Adults & YP from 1st April

2009

Criteria: all Ages, Drugs and Alcohol• Old Code used on New Episodes (eg discharged after 1st April 09)• New Code used on Old Episodes (eg discharged before 1st April

09)


Parental Status UseageNew fields were introduced from 1st April 09

Criteria: Active Episodes triaged after 1st April 09, all ages, Drugs and alcohol


Data Completion


Completion of TOP Care-CoordinatorNew field which was introduced from 1st April 2009

Criteria: Active Episodes, 16 or over, Drugs only


Completion of Parental Status/Children With Fields

Additional Data Quality work carried out by the North East since December09

Criteria: Triaged after 1st November09, All ages, Drugs and Alcohol


Drop Box – Attributable Data Only• Attributable data is sent Encrypted Via the Drop Box• Agencies are expected to fix all issues before the next upload

https://www.ndtms.org.uk/cgi-bin/dropbox.cgi?boxid=2009


TOP Exception Reports

• ATTRIBUTOR REPORT - Breakdown of treatment start TOP exceptions

• Includes all clients aged 18 and over at triage, that started treatment between 1st November - 21st November 2009

A modality has started for client. Is a TOP present?

Treatment Start TOP forms with

TOP date outside of guidance (+/- 2

weeks)

TOP care coordination for

client

More than one provider has

claimed TOP care-coordination responsibility

YES NO YES NONO - YES NOYES NO YES YES


TOP Reporting Tool (DET Users)The following reports have been developed as a useful function to help providers better

understand their TOP data, compliance and plan for future improvements. Missing Treatment Start TOP Treatment Start TOP outside Protocol Treatment Start TOP with Inconsistent Drug Values Treatment Start TOP with Inconsistent Drug Values II Treatment Start TOP with Inconsistent Injecting Status Data Client missing review TOP Discharge Clients with Missing Treatment Exit Top Treatment Exit Top outside Protocol TOP Treatment Progress Tracker


HOW TO REVIEW AND GENERATE TOP REPORTS

• Click on “Report” from the “Client List” screen (above). This will take you to the “TOP Reporting” screen as shown above


TOP Reporting Screen

1. Select the type of report required from the drop down “Report” menu



2. Enter the “Modality Range” in the start and end date fields.



3. Select the preferred format (either PDF or Excel) in which the report is to be generated from the drop down menu.



4. Next choose to either include or exclude episodes with TOP flag set to ignore from the drop down menu.



5. You can review and/or generate the report by clicking on the “Review Report” or “Generate Report” buttons as shown on the “Top Reporting” screen.


Generate Top Report


Example of TOP Report (pdf)


TOP Treatment Progress Tracker


TOP Progress Tracker (Opiate Use)


Time Scale Chart


Guidancehttp://www.nepho.org.uk/ndtms/treatmentoutcomeprofile


QUESTIONS?

delivering independent intelligence for health and wellbeing national drug treatment monitoring...

Documents

independent intelligence

wellbeing clients

alcohol slide

metric slide

treatment modality

effective treatment

box attributable data

new code