1. Timaru Eye Clinic

2. How we were.or are? 3. The Cataract National Data SetEye Jan 2009 vol23 1 ..to demonstrate the ability of the CND to deliver certain of its intended benefits, including detailed pre operative profiling of cataract surgery patients and updating of benchmark stands of care in the NHS and beyond 4. The Cataract National Dataset electronic multicentre audit of 55 567 operations : Updating benchmark standards of care in the United Kingdom and internationally 5. TIMARU EYE CLINIC CATARACT AUDIT 1 Cataract Operations from 01/01/00 31/12/00 Total Number of Cataract Operations:178 Left Eye: 73 Right Eye:105 Average Pre-op Acuity:Snellen 6/30 Logmar 0.21(6/6 = 1.00) Average Post-op Acuity:Snellen 6/9 Logmar 0.60(6/6 = 1.00) Average improvement in Acuity 190.28% Change in Corneal H Shape 0.67% Change in Corneal V Shape 1.4% Capsule Ruptures 2.25%(4) 6. TIMARU EYE CLINIC CATARACT AUDIT 2 Percentage of incidence ofearly complications: 15.17% (27 cases) Percentage of incidence of Endophthalitis: 0.56% (1 case) Ratio of ECCE:Phaco 1:81(2/182)incomplete data Percentage of ECCEs done: 1.23% incomplete data Pre-operative Iris Prolapse: 3.4% Significant Immediate Post-operative Corneal Oedema: 5.6% Significant long term complications eg Iris damage (excluding Capsule Rupture): 3.4% 7. Transparency should be easy We wanted a way of doing audit any time easily We wanted a very intuitive interface The doctor doesnt need to understand it, just hit on the right looking graphical outcome 8. UK National Data Set 9. Steps to the automated on demand cataract audit function From the report writer, each row is a visit, each column a field The output is dumped into EXEL and we do clever stuff there Note that the clever stuff is in the processing formulae associating fields 10. Data Cleaning Data must conform to highly specified format for each column Where it does not, this appears in a separate excel spreadsheet called a failed row Thus the report can have a QA report Can enable a data inspection and completion stage where possible before an audit is run. 11. Report generation 12. Draft for Discussion April 2010 13. Tasks for the National Project 14. Aim is to produce a.. 15. Cataract Audit Data Set n/a n/a link BV Provider.firstnames + Provider.surname Pre, Op or Post Provider provname BUeyegen.rcatsurg Pre, Op or Post SurgeonR surgeon_R BT eyegen.lcatsurg Pre, Op or Post Surgeon L surgeon_L BS eyecatpo.rsignoff PostOpSign OffR PostSign_R BReyecatpo.lsignoff PostOpSign OffL PostSign_L BQeyecatpo.rendopht PostOpEndophthalmitis R PostEndo_R BPeyecatpo.lendopht PostOpEndophthalmitis L PostEndo_L BOeyecatpo.rcme PostOpCME R PostCME_R BNeyecatpo.lcme PostOpCME L PostCME_L BMeyecatpo.rearlypco PostOp EarlyPCO R PostPCO_R BL eyecatpo.learlypco PostOp EarlyPCO L PostPCO_L BKeyegen.rvaph PostOp Pin Hole R PostVAPH_R BJeyegen.lvaph PostOp Pin Hole L PostVAPH_L BIeyecat.rhighmyop PreOpHigh MyopiaR PreHiMyo_R BH eyecat.lhighmyop PreOpHigh MyopiaL PreHiMyo_L BGeyecat.rpseudex PreOpPseudoexfoliation R PrePseu_R BF eyecat.lpseudex PreOpPseudoexfoliation L PrePseu_L BEeyecat.rcorpath PreOpCorneal Pathology R PreCorpa_R BDeyecat.lcorpath PreOpCorneal Pathology L PreCorpa_L BCeyecat.rmacpath PreOp Macula Pathology R PreMacpa_R BBeyecat.lmacpath PreOp Macula Pathology L PreMacpa_L BA medical.provider F11 tab Progress Provider drop down box - Pkey provider AZ medical.mdname the Medical Visit type for this UDF mdname AY medical.notedate F11 tab Progress Date box notedate AX master.pkey n/a Patients Pkey _key AW master.filenumber n/a Patients file number in VIP filenumber AV master.firstnames + master.surname Patients name surname AU eyecatpo.liolpos PostOp IOL Position-L postiolpol AT eyecatpo.riolpos PostOp IOL Position-R postiolpor AS eyegen.Lva PostOp VAUA - L postvaual AR eyegen.rva PostOp VAUA - R postvauar AQ eyegen.lVaGl PostOp VABC - L postvabcl AP eyegen.RvaGl PostOp VABC - R postvabcr AO eyecat.lanaesthet Op Anaesthesia - Lanaes_l AN eyecat.ranaesthet Op Anaesthesia - Ranaes_r AM eyecat.lrupture Op Capsule Rupture - L caprup_l AL eyecat.rrupture Op Capsule Rupture - R caprup_r AK eyecat.lextract Op Extraction - L extr_l AJ eyecat.rextract Op Extraction - R extr_r AI eyecat.liolused Op IOL Lens Used - L iol_used_l AH eyecat.riolused Op IOL Lens Used - R iol_used_r AG eyecat.ltype Op IOL Type - L iol_type_l AF eyecat.rtype Op IOL Type - R iol_type_r AE eyecat.lsection Op Section - L sectionl AD eyecat.rsection Op Section - R sectionr AC eyecat.lsutures Op Sutures-L sutures_l AB eyecat.rsutures Op Sutures-R sutures_r AA eyecat.lvitrect Op Vitrectomy - L vitrect_l Z eyecat.rvitrect Op Vitrectomy - Rvitrect_r Y eyecat.liol PreOp IOL Lens Strength - Liol_str_l X eyecat.riol PreOp IOL Lens Strength - Riol_str_r W eyecat.llenstype PreOp IOL Lens Type - L iol_typel V eyecat.rlenstype PreOp IOL Lens Type - Riol_typer U eyegen.lkeratx1 PreOp Keratometry-L A1 a1_l T eyegen.rkeratx1 PreOp Keratometry-R A1 a1_r S eyegen.lkeratx2 PreOp Keratometry-L A2 a2_l R eyegen.rkeratx2 PreOp Keratometry-R A2 a2_r Q eyegen.lkeratk1 PreOp Keratometry-L K1 k1_l P eyegen.rkeratk1 PreOp Keratometry-R K1 k1_r O eyegen.lkeratk2 PreOp Keratometry-L K2 k2_l N eyegen.rkeratk2 PreOp Keratometry-R K2 k2_r M eyecat.laxis PreOp Refraction-L Axis- L axis_l L eyecat.raxis PreOp Refraction-R Axis-R axis_r K eyecat.lcyl PreOp Refraction-L Cyl-L cyl_l J eyecat.rcyl PreOp Refraction-R Cyl -R cyl_r I eyecat.lsphere PreOp Refraction-L Sphere-L sph_l H eyecat.rsphere PreOp Refraction-R Sphere-R sph_r G eyecat.ltargetref PreOp Target Refraction-L targref_l F eyecat.rtargetref PreOp Target Refraction-R targref_r E eyegen.lvagl PreOp VABC-L vabc_l D eyegen.lva PreOp VAUA-L vaua_l C eyegen.rva PreOp VAUA-R vaua_r B eyegen.rvagl PreOp VABC-R vabc_r A (VIP Table.Fieldname) VIP UDF & Field XL Column Name XL Column 16. The NZ National system Still in evolution Data definition still unclear An opportunity to show the way 17. Thanks for listening