Integrated real time information An IT tool to support local management decision making….. Wednesday 6 June: Beardmore Hotel Graham Gault ( eHealth Lead -NHS Dumfries & Galloway) Background Workshop aim…… “To establish what appetite managers have for deploying management Information/business intelligence solutions to gather real time/near real time information and what the priorities are for improvement” Drivers for change in approach to BI Our Approach - Our Journey of change Chosen tools, and why DEMONSTRATION of Health / Social Care real time data access Strategy - Christie Report (Gov’t response) The Scottish Government is committed to the introduction of an integrated system of health and social care to ensure that older people continue to receive the care, compassion, support and dignity they need and deserve. Strong evidence suggests that better outcomes for people, better use of resources (money, people’s time) and better experience of care and support can all flow from services that are planned and delivered in an effectively integrated way. Over the next 20 years demography alone could increase expenditure on health and social care by 70 per cent. Reform is necessary to help address this unprecedented challenge. Strategy - Christie Report (Gov’t response) a decisive shift towards prevention; greater integration of public services at a local level driven by better partnership, collaboration and effective local delivery; greater investment in the people who deliver services through enhanced workforce and development and effective leadership; and a sharp focus on improving performance, through greater transparency, innovation and use of digital technology. Where we were…… New Quality Strategy for Health ( and requirement for efficiency) Lots of data in silo systems A basis of retrospective reporting, not current….. An increasing need to benchmark amongst Peers……(efficiency) Lots of routine reporting……..How useful ? Lots of different tools to deliver information to operational staff Small Information team (with no budget to expand to meet demand) Low level of ability in users to self service Too many questions being asked with little ability to respond with succinct useful timely information Quality Healthcare Enabled by eHealth Safe & Effective • Safer faster diagnosis • Better understanding of history & health status • Reduce complications due to drug interactions • Data for audit, improvement & population based studies • Support protocols & evidence based pathways of care • Effective patient identification • Improved data quality & automatic validation Equitable & Patient Centered Timely & Efficient • Improved communications & sharing of information between patients, clinicians and carers across health and other partner agencies • Reduced duplication of data entry • Reduce unnecessary repeat investigations • More efficient collection & analysis of secondary use data • Real time information to support operational management • Less need for patients to repeat information • More clinical time with patients rather than searching for information • Patients will be supported in accessing, verifying & amending their health records • Patients and carers will have improved access to information about their condition encouraging greater involvement in their own health What we did……….. Directors/ Senior General Managers review Developed a simple high level “dashboard” tool “idashboards” (quick deployment) Purchased a single BI reporting tool called “Qlikview” Developed Operational Staff Awareness and Training materials Developed a data model to allow data sets to be joined up Developed near real time interfaces to key systems Delivering a series of Staff Training sessions …. “starting at the top…..” Build single “common look and feel” interface Plan GO live……. KPI Awareness…..idashboards • Constant Feedback loop • RAG Targets set throughout • Live system feeds • Digital Dashboards – center piece of Intranet Pre Canned Vs User Defined The Tools….. Social Work Finance Managers Doctors Planners Quick to Develop Link multiple systems with common data fields Easy to deploy (web browser) Mobile options Dashboard Driven Low learning needs for Operational Staff A vehicle for self service Mobile App Development…… Finance Systems Patient Systems Clinical Systems Social Work / Partner Systems Deployment…… Inpatients – Key Stats Discharge Management Key stats - ALOS Key Stats - Readmisisons Length of Stay/ Num Admissions Occupancy Rates by Postcode Emergency Admissions by Practice Emergency Admissions by Practice All Occupied Beds across the region of # neck of femur first admitted to DGRI Demonstration of Linked SW/ Health Data sets >>>>> Questions…..?