data quality for service improvement
DESCRIPTION
Data Quality for Service Improvement. Kate Harley ISD. Clinic Outcome Completeness. Clinic Outcome Completeness by Board. Clinic Outcome Completeness by Board. Clinic Outcome Completeness by Board. Clinic Outcome Completeness by Board. Clinic Outcome Completeness by Board. - PowerPoint PPT PresentationTRANSCRIPT
Data Quality for Service Improvement
Kate Harley
ISD
Clinic Outcome Completeness
Scotland Dental SpecialtiesClinical Outcome Code Completeness
0.0
20.0
40.0
60.0
80.0
100.0
May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10
Co
mp
lete
nes
s (%
)
Community Dental Practice
Oral and Maxillofacial Surgery
Oral Medicine
Oral Surgery
Orthodontics
Paediatric Dentistry
Restorative Dentistry
Clinic Outcome Completenessby Board
Bespoke Boards Dental Specialties Clinical Outcome Code Completeness
(Board 1, Board 2, Board 3, Board 4, Board 5, Board 6)
0.0
20.0
40.0
60.0
80.0
100.0
May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10
Co
mp
lete
ne
ss
(%
) Community Dental Practice
Oral and Maxillofacial Surgery
Oral Medicine
Oral Surgery
Orthodontics
Paediatric Dentistry
Restorative Dentistry
Clinic Outcome Completenessby Board
Board 1 Dental SpecialtiesClinical Outcome Code Completeness
0.0
20.0
40.0
60.0
80.0
100.0
May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10
Co
mp
lete
ne
ss
(%
)
Community Dental Practice
Oral and Maxillofacial Surgery
Oral Surgery
Orthodontics
Restorative Dentistry
Clinic Outcome Completenessby Board
Board 2 Dental SpecialtiesClinical Outcome Code Completeness
0.0
20.0
40.0
60.0
80.0
100.0
May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10
Co
mp
lete
ne
ss
(%
)
Community Dental Practice
Oral and Maxillofacial Surgery
Orthodontics
Restorative Dentistry
Clinic Outcome Completenessby Board
Board 4 Dental SpecialtiesClinical Outcome Code Completeness
0.0
20.0
40.0
60.0
80.0
100.0
May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10
Co
mp
lete
ne
ss
(%
)
Oral Surgery
Orthodontics
Clinic Outcome Completenessby Board
Board 5 Dental SpecialtiesClinical Outcome Code Completeness
0.0
20.0
40.0
60.0
80.0
100.0
May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10
Co
mp
lete
ne
ss
(%
)
Community Dental Practice
Oral and Maxillofacial Surgery
Oral Medicine
Oral Surgery
Orthodontics
Paediatric Dentistry
Restorative Dentistry
Clinic Outcome Completenessby Board
Board 6 Dental SpecialtiesClinical Outcome Code Completeness
0.0
20.0
40.0
60.0
80.0
100.0
May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10
Co
mp
lete
ne
ss
(%
)
Oral Medicine
Orthodontics
General anaesthetics
Q - What is included in the 18 Week Referral to Treatment (RTT) Standard for Dental Specialties?
A - General anaesthetic services led by the salaried dental services are also included in the 18 Weeks RTT Standard.
Q - Are dental procedures performed in primary care or community care included within the 18 Week RTT Standard?
A - If the procedure requires a general anaesthetic
Q - Should all patients requiring general anaesthesia for dental procedures be treated under the 18 Week RTT Standard?
A - Yes, dental procedures requiring a general anaesthetic (in the settings as outlined in G1 above) are part of the 18 Week RTT Standard.
Q - GA2. If community-run General Anaesthetic sessions are performed within secondary care, will these be included within the 18 Week RTT Standard?
A - Yes these patients will be included in the 18 Weeks RTT Standard.
QueSSTcap Analysis
• Queue• Stage of Treatment• Capacity
Queue
1. Total number of patients on the waiting list at month end (census) New Outpatients - NHS XXX - Orthodontics
0
20
40
60
80
100
120
140
160
180
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2008 2009 2010Source:New Ways data, as at 30 Sep 2010
3. Waiting List Activity - Additions to list & removals from list within month New Outpatients - NHS XXX - Orthodontics
-40
-20
0
20
40
60
80
100
120
Gap betw een additions/removals Additions to list Removals to list
Source: New Ways data, as at 30 Sep2010
2. Distribution of ongoing waits at Sep 2010New Outpatients - NHS XXX - Orthodontics
All Referral Sources
0
5
10
15
20
25
30
35
Source: New Ways data, as at 30 Sep 2010
54% 36%
9%
2%
Please note, patients waiting over 18 weeks are likely to be on waiting list in error.
2. Distribution of ongoing waits at Sep 2010New Outpatients - NHS XXX - Orthodontics
All Referral Sources
0
10
20
30
40
50
60
0 <01
wee
ks
01 <
02 w
eeks
02 <
03 w
eeks
03 <
04 w
eeks
04 <
05 w
eeks
05 <
06 w
eeks
06 <
07 w
eeks
07 <
08 w
eeks
08 <
09 w
eeks
09 <
10 w
eeks
10 <
11 w
eeks
11 <
12 w
eeks
12 <
13 w
eeks
13 <
14 w
eeks
14 <
15 w
eeks
15 <
16 w
eeks
16 <
17 w
eeks
17 <
18 w
eeks
18+ w
eeks
Source: New Ways data, as at 30 Sep 2010
27% 16%
24%
32%
Please note, patients waiting over 18 weeks are likely to be on waiting list in error.
4.b) Estimated total number of weeks to clear Waiting List at month end based on monthly activity
New Outpatients - NHS XXX - Orthodontics by month
0
2
4
6
8
10
12
14
Oct2009
Nov2009
Dec2009
Jan2010
Feb2010
Mar2010
Apr2010
May2010
Jun2010
Jul2010
Aug2010
Sep2010
Weeks to clear allow ing for unavailability Periods of unavailabilitySource:
New Ways data, as at 30 Sep 2010
7.512.99.011.05.77.95.17.16.77.17.5
Total w eeks to clear = w eeks to clear allow ing for unavailability + average w eeks unavailable
5.5
4.a) Estimated total number of weeks to clear Waiting List as at month ending Sep 10New Outpatients - Orthodontics by NHS board of treatment
9.66.8 7.7 6.6
8.3
16.413.7
9.612.0 11.0
8.4
2.9
7.0
3.4
10.36.9
50.2
6.59.5
14.916.3
8.6
16.6
10.5
24.4
10.8
5.5
0.00
10
20
30
40
50
60
based on annual activity based on monthly activity (Sep 10)Source:
New Ways data, as at 30 Sep 2010
Outpatient procedure recording – North of Scotland NHS Boards
2009/10–22,623 new outpatients –99% with no procedure
recorded–61,313 return outpatients–92% with no procedure code
Top 10 procedure groups recorded for return outpatients,
31 March 2010• Main procedure No. %
• Other Specified Orthodontic Operations 1,838 3.0• Surgical Removal Of Impacted Wisdom Tooth 423 0.7• Insertion Of Fixed Orthodontic Appliance 330 0.5• Surgical Removal Of Retained Root Of Tooth 255 0.4• Insertion Of Movable Orthodontic Appliance 226 0.4• Surgical Removal Of Tooth NEC 154 0.3• Surgical Removal Of Wisdom Tooth NEC 141 0.2• Apicectomy Of Tooth 139 0.2• Biopsy Of Lesion of Lip 118 0.2• Biopsy Of Lesion of Mouth NEC 106 0.2
Dental Information Developments
•Scottish Health Information Service Incorporate Dental data mart•R4 – Solution Stewardship commencing•Review of Dental Specialty definitions Endodontics, prosthodontics,periodontics •Increased coverage of statistics Registrations by patient postcode, NHS Board and SIMD Participation – Scotland, NHS Board and age group• Childhood admissions to hospital for dental extractions in Scotland A Childsmile service evaluation project