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ASE Event Slides

ASE Event Slides. Major Trauma Sepsis QIPP. Table of Contents – Indicators for ASE Event. Major Trauma MTrauma1 – Standardised Mortality Rates MTrauma2a – Trauma Related Mortality MTrauma2b – Trauma Related Mortality per 100,000 MTrauma3 – Number of pre-hospital trauma related deaths

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ASE Event Slides

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  1. ASE Event Slides Major Trauma Sepsis QIPP 14 June 2010

  2. Table of Contents – Indicators for ASE Event Major Trauma • MTrauma1 – Standardised Mortality Rates • MTrauma2a – Trauma Related Mortality • MTrauma2b – Trauma Related Mortality per 100,000 • MTrauma3 – Number of pre-hospital trauma related deaths • MTrauma4 – Variation in secondary transfers by site • MTrauma5 – Number and proportion of all admissions that are Major Trauma related • MTrauma6 – Length of stay for major trauma admissions by acute trust • MTrauma7 – Variation in total rehab bed days per site • MTrauma8 – Ratio of rehab episodes / number of trauma episodes by site Sepsis • Sepsis 1a: Number of deaths due to Sepsis in the North East • Sepsis 1b: Number of deaths due to Sepsis in the North East per 100,000 • Sepsis 1c: Number of in –hospital deaths related to Sepsis in the North East • Sepsis 2a: ICU bed days for Sepsis related admissions • Sepsis 2b: Bed days for all Sepsis related admissions • Sepsis 3: Cost of Sepsis related admissions QIPP • QIPP1a: Number of emergency admissions by Acute Trust • QIPP1b: Proportion of emergency admissions versus all admissions by Acute Trust • QIPP2a: Number of 28d emergency re-admissions by Acute Trust • QIPP2b: Proportion of 28d emergency re-admissions by Acute Trust versus all emergency admissions • QIPP3: Emergency Length of Stay per site • QIPP4a: Ambulatory care sensitive as a % of admitted cases per site • QIPP4b: Percentage difference in emergency admissions with an ambulatory care condition compared to national average for each SHA • QIPP5: A & E Attendances, England 1987-88 to 2008-09

  3. MTrauma1 – Standardised Mortality Rates Table 1: Data NOTE –CDDFT, NTHFT, NHFT and STFT either do not submit to TARN or have low case counts and are not displayed Data obtained from TARN, January 1st 2006 and December 31st 2010

  4. MTrauma2a – Trauma Related Mortality Table 1: Data NOTE – ALL external causes of morbidity are included, which is a proxy measure for Trauma related deaths. Data obtained from ONS: 2005, 2006, 2007, 2008, using ICD U50.9,V01-Y89 (External causes of morbidity)

  5. MTrauma2a – Trauma Related Mortality Chart 1: Time Series NOTE – ALL external causes of morbidity are included, which is a proxy measure for Trauma related deaths. Data obtained from ONS: 2005, 2006, 2007, 2008, using ICD U50.9,V01-Y89 (External causes of morbidity)

  6. MTrauma2b – Trauma Related Mortality per 100,000 resident population Table 1: Data Data obtained from ONS: 2005, 2006, 2007, 2008, using ICD U50.9,V01-Y89 (External causes of morbidity)

  7. MTrauma2b – Trauma Related Mortality per 100,000 resident population Chart 1: Time Series Data obtained from ONS: 2005, 2006, 2007, 2008, using ICD U50.9,V01-Y89 (External causes of morbidity)

  8. MTrauma3 – Number of pre-hospital trauma related deaths Table 1: Data Not able to complete within current timescales Data obtained from

  9. MTrauma3 – Number of pre-hospital trauma related deaths Chart 1: Time Series Not able to complete within current timescales Data obtained from

  10. MTrauma4 – Variation in secondary transfers by site Table 1: Data Not able to complete within current timescales Data obtained from

  11. MTrauma4 – Variation in secondary transfers by site Chart 1: Time Series Not able to complete within current timescales Data obtained from

  12. MTrauma5 – Number and proportion of all admissions that are Major Trauma related 12 Table 1: Data (% of all admissions that are trauma episodes) Table 1b: Data (number of trauma episodes) Data obtained from HES 2009/10

  13. MTrauma5 – Proportion of all admissions that are Major Trauma related Chart 1: Time Series Data obtained from HES 2009/10

  14. MTrauma6 – Length of stay (days) for major trauma admissions by acute trust Table 1: Data Data obtained from HES 2009/10

  15. MTrauma6 – Length of stay (days) for major trauma admissions by acute trust Chart 1: Stacked Bar Chart Data obtained from HES 2009/10

  16. MTrauma6 – Length of stay (days) for major trauma admissions by acute trust Chart 2: Box whisker plot Data obtained from HES 2009/10

  17. MTrauma7 – Variation in total rehab bed days per site Table 1: Data Not able to complete within current timescales Data obtained from

  18. MTrauma7 – Variation in total rehab bed days per site Chart 1: Time Series Not able to complete within current timescales Data obtained from

  19. MTrauma8 – Ratio of rehab episodes / number of trauma episodes by site Table 1: Data Not able to complete within current timescales Data obtained from

  20. MTrauma8 – Ratio of rehab episodes / number of trauma episodes by site Chart 1: Time Series Not able to complete within current timescales Data obtained from

  21. Sepsis 1a: Number of deaths due to Sepsis in the North East Table 1: Data Data obtained from ONS: 2005, 2006, 2007, 2008, using ICD A40-A41 (Septicaemia )

  22. Sepsis 1a: Number of deaths due to Sepsis in the North East Chart 1: Time Series Data obtained from ONS: 2005, 2006, 2007, 2008, using ICD A40-A41 (Septicaemia )

  23. Sepsis 1b: Number of deaths due to Sepsis in the North East per 100,000 resident population Table 1: Data Data obtained from ONS: 2005, 2006, 2007, 2008. Mid year Primary Care Organisation population estimates from ONS, 2005, 2006, 2007, 2008

  24. Sepsis 1b: Number of deaths due to Sepsis in the North East per 100,000 resident population Chart 1: Time Series Data obtained from ONS: 2005, 2006, 2007, 2008. Mid year Primary Care Organisation population estimates from ONS, 2005, 2006, 2007, 2008

  25. Sepsis 1c: Number of in hospital deaths related to Sepsis in the North East Table 1: Data NOTE – Most recent year of data available from ONS is 2008. Table above based on HES 2009/10 Data obtained from HES: 2009/10, Diagnosis in any position for A40-A41

  26. Sepsis 1c: Number of in hospital deaths related to Sepsis in the North East Chart 1: Time Series Data obtained from HES: 2009/10

  27. Sepsis 2a: ICU bed days for Sepsis related admissions Chart 1: Data Data obtained from ONS 2005, 2006, 2007, 2008

  28. Sepsis 2a: ICU bed days for Sepsis related admissions Chart 1: Time Series NOTE – Max for GHFT, STHFT and NUTHFT is beyond scale of y-axis Data obtained from HES: 2009/10

  29. Sepsis 2b: Bed days for all Sepsis related admissions Table 1: Data Data obtained from HES: 2009/10

  30. Sepsis 2b: Bed days for all Sepsis related admissions Chart 1: Time Series NOTE – Max for GHFT, STHFT and NUTHFT is beyond scale of y-axis Data obtained from HES: 2009/10

  31. Sepsis 3: Cost of Sepsis related admissions Table 1: Data Data obtained from HES : 2009/10

  32. QIPP1a: Number of emergency admissions by Acute Trust Table 1: Data Note: Q4 2009/10 data from HES may not be complete. Numbers for City Hospitals Sunderland Foundation Trust are low. Data obtained from HES: 2009/10

  33. QIPP1a: Number of emergency admissions by Acute Trust Chart 1: Time Series Data obtained from HES: 2009/10 Note: Q4 2009/10 data from HES may not be complete.

  34. QIPP1b: Proportion of emergency admissions versus all admissions by Acute Trust Table 1: Data Note: Q4 2009/10 data from HES may not be complete. Data obtained from HES: 2009/10

  35. QIPP1b: Proportion of emergency admissions versus all admissions by Acute Trust Chart 1: Time Series Note: Q4 2009/10 data from HES may not be complete. Data obtained from HES: 2009/10

  36. QIPP2a: 28d emergency re-admission rate by Acute Trust Table 1: Data Data obtained from NHS Comparators: 2006/07, 2007/08, 2008/09, 2009/10

  37. QIPP2a: 28d emergency re-admission rate by Acute Trust Chart 1: Time Series Data obtained from NHS Comparators: 2006/07, 2007/08, 2008/09, 2009/10

  38. QIPP2b: Proportion of 28d emergency re-admissions by Acute Trust versus all emergency admissions Table 1: Data Not able to complete within current timescales Data obtained from HES: 2009/10

  39. QIPP2b: Proportion of 28d emergency re-admissions by Acute Trust versus all emergency admissions Chart 1: Time Series Not able to complete within current timescales Data obtained from HES: 2009/10

  40. QIPP3: Emergency Length of Stay (days) per site Table 1: Data Data obtained from HES: 2009/10

  41. QIPP3: Emergency Length of Stay (days) per site Chart 1: Time Series Data obtained from HES: 2009/10

  42. QIPP3: Emergency Length of Stay (days) per site Chart 2: Box and whisker Data obtained from HES: 2009/10

  43. QIPP4a: Ambulatory Care Sensitive Cases that are admitted as a proportion of admitted cases per Trust Table 1: Data Data obtained from HES: 2009/10

  44. QIPP4a: Ambulatory Care Sensitive Cases that are admitted as a proportion of admitted cases per Trust Chart 1: Time Series Note: Q4 2009/10 data from HES may not be complete. Data obtained from HES: 2009/10

  45. QIPP4b: - Percentage difference in emergency admissions with an ambulatory care condition compared to national average for each SHA Chart 1: Bar Graph Data obtained from NHS Comparators Emergency Admission Data

  46. QIPP5: - A & E Attendances, England 1987-88 to 2008-09 Chart 3: Time Series Analysis Data obtained from NHS Comparators Emergency Admission Data

  47. Anna doing today

  48. Major Trauma Data specificationsHigh level notes 14 June 2010

  49. MTrauma1 – Standardised Mortality Rates • Data Source: The Trauma & Audit Research Network (TARN) • Data Details: TARN data are presented as rates of survival adjusted for potential risk factors including age, gender, severity of injury and a patient’s own response to a certain injury • Indicator: Adjusted difference in survival (actual survivors minus expected survivors adjusted per above) by hospital for all hospitals in the NE as reported on TARN • Data Handling Notes: Use the TOTAL line of data (survival band) as reported in the Rate of Survival Breakdown at this Hospital for each hospital in the NE 14 June 2010

  50. MTrauma2 – Trauma Related Mortality • Data Source: ONS, Death registration in England and Wales, Table 2: Deaths by age, sex and selected underlying cause. 2005-2008 • Data Details: ONS data: ICD U50.9,V01-Y89 (External causes of morbidity) 2005, 2006, 2007, 2008NOTE: This is a proxy measure for Trauma Related Mortality. All external causes of morbidity will include some deaths which are not related to Trauma. 66% of Trauma related admissions (See TARN ICD10 codes.pdf for ICD10 codes to use) have a secondary diagnosis of one of these external cause codes. • Indicator: Number of trauma-related deaths by time period for the NE by PCT 14 June 2010

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