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Maternity Data Update on issues. 12 June 2012 Due Data – Improving midwives’ use of data and access to information Julie Tindale-Midwife. Julie Tindale : Heart of England NHS Foundation Trust. Biog: Clinical Midwife-

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Maternity data update on issues

Maternity DataUpdate on issues

12 June 2012

Due Data –

Improving midwives’ use of data and access to information

Julie Tindale-Midwife


Julie tindale heart of england nhs foundation trust
Julie Tindale : Heart of England NHS Foundation Trust

Biog:

Clinical Midwife-

Lead for Information and Communications for Women’s Health Governance Dept

  • Member of CCIO Leaders Network Advisory Group

  • Chair NN4B Closure Programme working Group

  • Member of Maternity Dataset (MCDS) Implementation Group

  • Member of National Nursing (and midwifery)Informatics Strategic Taskforce (NNIST)

  • 4 years as National Clinical Lead for Midwifery – DH Informatics Directorate (DHID) and Connecting for Health (Feb 2008 to Apr 2012)


Due data
Due Data

  • Overview:

    • NN4B

    • MCDS (Maternity and CYPHS and CAMHS)

    • PbR and Metrics

    • Clinical Information Systems

  • Leadership- A Maternity CCIO-how do we progress?

Julie Tindale : [email protected]


Maternity data nn4b
Maternity Data: NN4B

NHS Number for All Babies born in England

Electronically Since October 2002

  • Contract ends June 2014 (was 2013)

  • The software is now very out of date

  • Previous expectation Trusts would all be PDS compliant now

  • INNS was a temporary solution only

  • Renegotiation of business contracts on-going with BT

  • Trusts are not all PDS compliant

  • Trusts expected to have a working clinical maternity information system

Julie Tindale : [email protected]


Maternity data nn4b http www connectingforhealth nhs uk systemsandservices nhsnumber
Maternity Data: NN4Bhttp://www.connectingforhealth.nhs.uk/systemsandservices/nhsnumber

  • System Providers are engaged with the CFH team

  • Early adopters based in Manchester : Silverlink for Maternity and iSoft for Child Health systems

  • Maternity services to provide a Clinical Lead as focus for communications / compliance

  • Regular updates are circulated- when there is news/progress

  • Website is updated with information

  • Contact : for further information

    [email protected]

    [email protected]

Julie Tindale : [email protected]


Maternity data mcds june 2013 http www ic nhs uk maternityandchildren maternity
Maternity data: MCDS June 2013http://www.ic.nhs.uk/maternityandchildren/maternity

MDS

CYPHS and CAMHS

Approved by ISB

  • MaternityUnits – including a Midwifery clinical lead!

  • Units must be working with their Data management departments to ensure the correct definitions working

  • Child Health units must be working with their Data management departments to ensure the correct definitions working

  • Mental health systems also need to adjust definitions and consider data capture methods

Julie Tindale : [email protected]


Maternity data: MCDShttp://www.ic.nhs.uk/services/maternity-and-childrens-data-set/maternity-services-secondary-uses-data-set

Key Areas

  • Routine Booking Appointment activities

  • Maternity Care Plans

  • Dating Scan

  • Antenatal Screening Tests

  • Structural Fetal Anomaly Screening

  • Labour & Delivery

  • Postnatal Demographics

  • Newborn Screening

  • Maternal and Neonatal Death

Julie Tindale : [email protected]


Maternity data: MCDShttp://www.ic.nhs.uk/services/maternity-and-childrens-data-set/children-and-young-peoples-health-services-cyphs-secondary-uses-data-set

Children and Young People's Health Services (CYPHS) Secondary Uses Data Set Key areas

  • Personal and demographic

  • Social and personal circumstances

  • Relationships and household

  • Breastfeeding and nutrition

  • Care event

  • Screening activity

  • Inpatient stays

  • Observations of BMI

Julie Tindale : [email protected]


Maternity data mcds http www ic nhs uk maternityandchildren camhs
Maternity data: MCDShttp://www.ic.nhs.uk/maternityandchildren/CAMHS

CAMHS key Areas

  • Referrals to CAMH services

  • Demographics

  • Background and Family history

  • Targeted needs

  • Encounters

  • Care planning and Interventions

  • Outcome measures

  • Inpatient stays

  • Presenting problems and diagnoses

Julie Tindale : [email protected]


Maternity data mcds benefits
Maternity data: MCDS Benefits

  • The Information will flow real time to a national data warehouse reducing burden on service delivery organisations

  • Information will use same definitions- comparators will be more robust

  • Babies/ Children records directly linked to Mother’s pregnancy record*

    • Outcomes directly linked with significant events in pregnancy and delivery

  • Records for subsequent pregnancies and deliveries for the same mother will be linked

  • Powerful for public health: Smoking history linked to outcome trends, Breastfeeding prevalence and persistence

Julie Tindale : [email protected]


Maternity data pbr mailto http www dh gov uk health 2012 04 guidance maternity services
Maternity data: PBR mailto:http://www.dh.gov.uk/health/2012/04/guidance-maternity-services/

STANDARDINTERMEDIATE AND INTENSIVE

  • Pathway payment system to be introduced in shadow from April 2012

  • Payment split into 3 modules antenatal care; birth spell to discharge; postnatal care

  • Each module split into pathway levels by intensity of care needed; based on a woman’s characteristics and factors

  • Estimation of onset of conditions during pregnancy to enhance pricing

Julie Tindale : [email protected]


Maternity data pbr http www dh gov uk health 2012 04 guidance maternity services
Maternity Data :PbRhttp://www.dh.gov.uk/health/2012/04/guidance-maternity-services/

Julie Tindale : [email protected]


Maternity data clinical information systems
Maternity Data :Clinical Information Systems

Issues

Solutions?

  • Finding an up-to-date system that has a support department that is able to ‘speak Maternity’

  • What does the best of breed maternity system look like?

  • Sharing best practice

  • Signposting to systems that work

  • Local networks choosing shared or collaborative systems

Julie Tindale : [email protected]


Maternity data clinical information systems1
Maternity Data :Clinical Information Systems

Access for service users

Solutions?

  • Health Bill: No decision about me without me

  • Information strategy: access to own medical records

  • Data sharing & security

  • Scheduling

  • Learning Disability, Language difficulty and equality

  • Access for laboratory and diagnostic results

  • RedBook on line

  • Pregnancy records on line

  • Navigation of proliferation of on-line pregnancy and birth advice

  • A Role for Information ‘Observatories’?

Julie Tindale : [email protected]


Chief clinical information officer for maternity
Chief Clinical Information Officer for Maternity

(Discussion)

  • How to grow the future leaders for Information and Communications

  • Informatics is not IT

  • Information and Communications is key- Better Safer Care?

  • Sharing for better safer services- Local and Regional Collaboration?

  • Who speaks for front line midwives who are ‘drowning’ under weight of the Data requirements, old equipment, no equipment?

Julie Tindale : [email protected]


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