Using national clinical audit data to improve quality

Using national clinical audit data to improve quality Nick Black Chair National Clinical Audit Advisory Group NNAP & NDAU Collaborators’ Meeting 21 January 2011

White Paper (July 2010) • “…there will be a relentless focus on clinical outcomes. • Success will be measured, not through bureaucratic process targets, but against results that really matter to patients…”David Cameron, Prime Minister

White Paper (July 2010) • “The Department will extend national clinical audit to support clinicians across a much wider range of treatments and conditions…”

National clinical audit Clinical audit is the assessment of the process and/or the outcome of care. Its aim is to stimulate and support national and local quality improvement interventions and, through re-auditing, to assess the impact of such interventions.

Quality assurance cycle Establish criteria Set standards Quality assessment Quality improvement interventions National Clinical Audit Stimulate quality improvement

NCA portfolio in England (2010-11) • 54 NCAs meet the three criteria • intention to achieve participation by all relevant providers in England • data collected on individual patients • provides comparisons of providers (eg Trusts) • Funding • DH National Clinical Audit & Patient Outcomes Programme (NCAPOP) funds 27 • Variety of other funders: DH; charities; NHS Trusts; Special Health Authorities; NPSA

Clinical areas

Quality assurance cycle Establish criteria Education Regulation Revalidation Legislation Incentives Redesign Set standards Quality assessment Quality improvement interventions National Clinical Audit Stimulate quality improvement

Improving quality: how will it happen? • Clinicians and managers: redesign services; education • Patients/public: informed choice • PCTs/GPCCs: commissioning; reimbursement (CQUIN; Best Practice Tariff) • Royal Colleges/GMC: revalidation • NHS Litigation Authority: risk management • Care Quality Commission: regulation • Trusts: public accountability (Quality Accounts) • NHS Commissioning Board: performance management (NHS Outcomes Framework)

Current policies • Expand the NCA portfolio • Improve quality of NCAs • Improve NCA output • Public disclosure of information from NCAs • Encourage use of NCA data for quality improvement

The future • NCA for too long the poor cousin of research • Inadequate funding • Insufficient scientific rigour • Little professional esteem/status • Opportunity to realise the potential NCAs can offer for driving quality improvement

Using national clinical audit data to improve quality

Using national clinical audit data to improve quality

Presentation Transcript

Using HCAHPS data to improve the quality of patient care

Using Data to Improve Quality and Performance

Using HCAHPS data to improve the quality of patient care

Using Data to Improve Quality, Safety and Operations

Using Data to Improve Practice

Using Medicare CAHPS to Improve Quality

Using Data to Improve Learning

Organize to improve Data Quality

Using Audit and Feedback to Improve Quality of Care

Linking systems to improve data quality

Using Satellite Data to Improve Operational Air Quality Forecasting Capabilities

Basic Introduction to Quality Improvement through Clinical Audit

Delivering National Clinical Audit

Using ISES Reports to Improve Data Quality

PANDA: Using Paradata to Improve Data Quality

NICE and national clinical audit

USING DATA TO IMPROVE PERFORMANCE

Using NCES Forum Documents to Improve Data Quality

Meeting national standards for clinical audit

Linking Data Quality and Clinical Audit to Support Diabetic Care

Using Quality Management to Improve Performance

Using Data to Improve Learning and Improve Teaching