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Practicalities of Data Collection AHP’s Perspective. Lynne Douglas Director AHP’s NHS Lothian. Introduction. Context of project to Step 4 Information available Use of information Impact Learning points from experience. UHB Therapy Burns Project. Key Drivers Key Objectives

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practicalities of data collection ahp s perspective

Practicalities of Data CollectionAHP’s Perspective

Lynne Douglas

Director AHP’s

NHS Lothian

introduction
Introduction
  • Context of project to Step 4
  • Information available
  • Use of information
  • Impact
  • Learning points from experience
uhb therapy burns project
UHBTherapy Burns Project
  • Key Drivers
  • Key Objectives
  • Small ‘Specialist’ staff group
  • Resistance to project
  • 15 months start to finish
context 1
Context 1

Activity / Case mix

Core Business

Workforce

Tariff / Income

quality
Quality

2004 Review National Burns Care

National Burns Standards

Service redesign

analysis of data
Analysis of data
  • What are the therapists currently doing?
  • Who are they seeing?
  • How to predict workforce based on recent trends?
  • Service redesign improve efficiency
data systems
Data Systems
  • Investment sustained in data collection UHB
  • Lorenzo Administration System
  • Health Informatics
  • Data manager infrastructure
  • Allocated resource to obtain Information
drill down
Drill Down
  • Detailed analysis of tasks, time utilisation
  • Identified unique role/tasks across whole skill mix
  • Evaluated against known activity
  • Identified many inefficiencies and issues
  • Took us into comprehensive redesign
looking at wider picture
Looking at widerpicture
  • External Stakeholders:
  • Patient activity
  • Flow
  • LOS
  • Complexity
slide22

Burns Unit Admissions 05/06

Burns Unit Admissions 01/02

40

45

40

35

35

30

0-29%

0-29%

30

25

25

Number

30-59%

20

30-59%

20

15

15

>60%

>60%

10

10

5

5

0

0

08/2005

09/2005

10/2005

11/2005

12/2005

01/2006

02/2006

03/2006

07/2005

04/2005

05/2005

06/2005

04/2001

06/2001

08/2001

12/2001

02/2002

10/2001

slide23

Length of Stay per day of admission

9.00

8.00

7.00

6.00

5.00

4.00

3.00

2.00

1.00

0.00

Friday

Sunday

Monday

Tuesday

Saturday

Thursday

Wednesday

key recommendations
Key Recommendations
  • Continuity of care – 7 day service
  • Implement workforce development plan
  • Physiotherapy out -patient service
  • Multi-therapy assistant role in Unit- improve capacity
impact
Impact
  • Information was timeous and available
  • Information arrived pre-analysed/validated
  • Data transformed into meaningful information
  • Context enabled key individuals to see potential of investment
result
Result
  • Bid was prioritised to go forward
  • Financial package to fund aspects achieved in 2007
  • Implementation for therapies in 2008
  • Staff and patient satisfaction much greater.
  • £180K Secured
conclusion
Conclusion
  • Live example of a data collection story
  • One piece of information can and should lead to another
  • Analyse what you have
  • Think about drivers relating to what you need
  • Devise a plan
bumps on the way
Bumps on the way
  • Principles remain the same
  • Process remains the same
  • Resourcefulness important
  • Use creative methods
  • End result potentially the same
workshop
Workshop
  • In groups consider the following:
    • Methods by which you would collect data in your host boards
    • What tools might you use
    • What do you think created biggest impact to facilitate change?
    • ? Quality ?Activity? External Data information
    • Report back in groups
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