Practicalities of data collection ahp s perspective
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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



Practicalities of data collection ahp s perspective

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


Practicalities of data collection ahp s perspective

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