How to get the most out of your data. By Maria Buxton Consultant Respiratory Physiotherapist LNWHT

Transcription

1 How to get the most out of your data By Maria Buxton Consultant Respiratory Physiotherapist LNWHT

2 What is the data? Monthly reports sent to CCG Oxygen lead (or equivalent) for payment and data analysis Comprise of: a)invoices (costs) with patient level activity per month b) concordance report AL summary analysis of patient activity / ordering and usage behaviour Excel spreadsheets need to copy and paste onto a Template that interprets the data in the concordance report

3 Who gets the data? Sent to identified lead within CCG commonly in medicines management teams May or may not ever get scrutinised depends upon if there is interest / or if an oxygen service is available / been commissioned Nominated clinicians can have access to these spreadsheets / reports Access controlled/ granted by CCG lead / Contract manager and AL names kept on a database

4 Variation in Oxygen services Are all HOSARs the same NO we still have a a high degree of variation in London Just because you see patients with oxygen needs in your service you may not have responsibility for entire CCG oxygen population So some services do not have access or use the monthly reports to influence their activity KPIs and targets influence what is a priority

5 What is required to access data Secure nhs.net account Agreement of who gets access Any PID is carefully shared not typically available to commissioners without a clinician involved / sharing data Follow How to guide from AL that shows how to transfer data into concordance report easy to do

6 Monthly Report / Invoice -factual data

7 Daily rental costs of equipment Service Charges for every action

8 Monthly cost Air Liquide (Homecare) Ltd Alpha House Wassage Way, Hampton Lovett, Droitwich, WR9 0NX DATE: 01/05/2016 INVOICE ALHC-LN07W VAT Registration: GB Invoice to: NHS EALING CCG (07W) Home Oxygen Service Supply 01/04/2016 to 30/04/2016 Equipment Services Other Electricity Recharge 12, , NET 25, VAT 5, GROSS 31, Please make cheques payable to:

9 Number of charges Total Monthly Charge Equipment E1 Concentrator , E1HF High Flow Concentrators E2 Large StaticCylinder/Standard Cylinder , E3 Self-fill Concentrator E4 Transportable Concentrator , E5 Ambulatory Cylinder , E6 Cylinder - lightweight , E7 Portable Concentrator , E8 Liquid Oxygen Canister/Flask E9 Liquid Oxygen Dewar E12 Conserving Device E14 Flow Meter (Paediatric) , Services S1 Urgent service visit , S2 Install & Train - Concentrator - piped in S3 Installation & Training - Concentrator - not piped in 16 1, S4 Installation & Training - Cylinders , S5 Installation & Training - Liquid Oxygen System S6 Removal of equipment S7 Risk assessment, upon installation/ongoing as required S8 Servicing (first 3m,6m thereafter) S10 Refill - large static cylinder , S11 Refill - standard amb. cylinder , S12 Refill - lightweight amb. cylinder , S13 Refill - Liquid Oxygen dewar , Others Items x days in the month e.g / 30 = 190 concentrators in ealing / month Provider charges for every delivery / each different piece of equipment requires training e.g. new LTOT = S3 + S4 (back up cylinder) + S7 =

10 Patient details, HOOF details & signature, and prescription Details of equipment and prescription Contact with AL, service charges, electricity pay

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13 Individual patient activity in month

14 Concordance Report -AL highlighting easier to digest spreadsheet breakdown and target patients

15 Key areas Overall dashboard Individual Patient summary great to show indiv pt s HOOF and actual usage New pts that month PEP (patient escalation process) High / Urgent activity that month Excessive cylinder stocks i.e. > 9 High Risk pts safety / smokers /fire alarms HOOF vs Equipment in the house HOOFs > 1 yr old Conc and LOX usage

16 Dashboard -summary

17 Patient Accounts For Review Patients with over usage (>= 100% usage) Patients with under usage (<= 25% usage) AMB patients with over usage (>= 100% over usage) AMB patients with under usage (<= 25% under usage) Concentrator patients on < 8 HPD Concentrator patients on more than 24 HPD (Total Therapy) LOX patients on > 8 HPD 0 0 0

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22 So where to start and how to tell if you have done a good job High Risk high risk pts e.g. smokers, falls urgent orders, high users, old HOOF new orders Quality non / low users -identified by no electricity payments for concentrators Wide variety of equipment in use Low numbers of lightweight cylinders High pt satisfaction with service

23 Good practice points. A new HOOF on high % pts on record, which implies they have been reviewed within past year even if for data update only as no change to prescription necc Low numbers of urgent calls well educated population and equipment price Low numbers of high risk pts smokers fallers etc implies home visits and monitoring pts regularly HOOF prescription is close to actual usage correct pt identification and educated pts Wide variety of equipment being prescribed HOOF prescribers limited to knowledgeable few Hospital initiated HOOfs emergency orders low High numbers of LTOT users without ambulatory implies no formal assessment of ambulatory needs