If you are completing a KIS – make sure it

Report
‘If you are completing a
KIS – make sure it’s a
good KIS’
Paul Baughan, GP, Dollar Health Centre, Clackmannanshire
Steven Ebsworth, Practice Manager, Dollar HC, Clackmannanshire
Overview of session
- Share findings from audit about quality of KIS
- Explore what components of a KIS make it good or bad
- Suggest ways that you could improve the quality of
KISs within your practice
Background
-57 GP practices in NHS Forth Valley
-All use EMIS
-Started using KIS in June 2012, with all GP practices using it
by December 2012
- now have 5800 patients (1.9% of FV population) with a KIS
Total number of KISs in NHS FV
7000
6000
Number
5000
4000
3000
2000
1000
0
March
April
May
June
July
Aug
Month
Population 31000, therefore 1.9% now have a KIS
Sept
Audit – How good are our KISs
-In June 2013 we audited the quality of 174 KISs
- 2 GPs, 1 DN and 1 Hospital specialist nurse assessed
quality and usefulness of each of these KISs
Results of audit of 174 KISs
How useful would you find this KIS?
100
Percentage
80
60
2013% KIS
40
30
35
21
20
14
0
Extremely
Quite
Of some
Of little
Results of audit of 174 KISs
How useful would you find this KIS?
100
Percentage
80
60
40
30
35%
35
21
20
14
0
Extremely
Quite
Of some
Of little
2013% KIS
‘If you are completing a
KIS – make sure it’s a
good KIS’
What makes a good KIS?
1. Look at the 6 KISs
2. Rate them from most useful
to least useful.
3. What makes the useful ones
useful?
What makes a good KIS?
Results of audit of 174 KISs
How useful would you find this KIS?
100
Percentage
80
60
2013% KIS
40
30
35
21
20
14
0
Extremely
Quite
Of some
Of little
Results of audit of 174 KISs
Q3 Is the main diagnosis documented?
(n=174)
100
98
Percentage
80
60
40
20
2
0
Yes
No
Results of audit of 174 KISs
Q4 Is there information about the patient's past medical history?
(n=174)
100
Percentage
80
67
60
40
32
20
1
0
Yes
No
N/R
Results of audit of 174 KISs
Q5 Is there information about the patient's current clinical status?
(n=174)
100
Percentage
80
79
60
40
19
20
1
1
Unsure
N/R
0
Yes
No
KEY INFORMATION SUMMARY
(KIS)
Dr Paul Baughan
September 2013
Results of audit of 174 KISs
Q6 Are any anticipated problems documented?
(n=174)
100
Percentage
80
60
48
51
40
20
1
0
Yes
No
Unsure
Results of audit of 174 KISs
Q7 Is there a proposed management or care plan?
(n=174)
100
Percentage
80
60
51
48
40
20
1
0
Yes
No
Unsure
Q9 Are carer/NOK details documented?
(n=174)
100
Percentage
80
72
60
40
26
20
1
1
Unsure
N/R
0
Yes
No
Q10 Is it stated if other professionals are involved?
E.g. DN/CNS/Social Work/Hospice (n=174)
100
Percentage
80
71
60
40
29
20
1
0
Yes
No
Unsure
Q11 Is the patients preferred place of care documented?
(n=174)
100
Percentage
80
63
60
36
40
20
1
0
Yes
No
Unsure
Q12 Is the resuscitation status documented?
(n=174)
100
Percentage
80
60
53
46
40
20
1
0
Yes
No
Unsure
Results of audit of 174 KISs
How useful would you find this KIS?
100
Percentage
80
60
2013% KIS
40
30
35
21
20
14
0
Extremely
Quite
Of some
Of little
But – big improvement on ePCS
How useful would you find this KIS?
100
Percentage
80
60
2011% ePCS
40
40
30
35
2013% KIS
32
21
20
26
14
2
0
Extremely
Quite
Of some
Of little
A suggested approach to
improving the quality of a KIS
Questions in Thinking Ahead Document
At this time in your life what is it that makes you happy or unhappy?
Do you have any special requests or preferences regarding your future care?
If your condition gets worse, where would you most like to be cared for eg hospital,
hospice, home, nursing home?
What thing (s) would you like to avoid happening to you?
What are your wishes regarding resuscitation ie CPR?
Do you have any comments, wishes or concerns, about any thing or any one, that you
would like others to know about?
Is there anything that you would like to know more about? eg benefit advice
Have we missed anything?
I consent to sharing a summary of the information in this document with my GP practice and for it to be made
available to key medical professionals who may need to care for me in an emergency (e.g. GP out of hours service,
NHS 24, Scottish Ambulance Service)
Summary:
- Not difficult to create KIS for patients
- Important to spend a little time
thinking about quality

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