diabetic retinopathy screening service national management groups meeting perth concert hall - 9 th...
TRANSCRIPT
Diabetic Retinopathy Screening Service
National Management Groups Meeting
Perth Concert Hall - 9th Nov
Mike Black - DRS Collaborative Coordinator
KPIs – what they tell us and performance management
Q2 2011 KPI summary • Total Diabetic Population aged 12 and over on Soarian
(KPI 0) = 258,394 • Eligible population (KPI 0) = 223,555• Number of individuals attending screening at least once
(KPI 2 -Uptake rate) = 93,303
41.7%• Total number of the current eligible population
successfully screened (KPI 4) = 84,500
37.8%• Not screened or suspended = 139,000
62.2%• Referral to Ophthalmology = 2,994 - 3.3%
Q2 2011 KPI summary
223555
24910
14065 4136
Total Diabetic Population Q2 2011 = 258,394
Eligible Pop = 223,555
Temp Suspended = 24,910
Permanently Suspended = 14065
Temporarily Unavailable = 4,136
Q2 2011 KPI summary
37.8%
62.2%
Eligible population as at 30th Sept 2011 = 223,555
- Successfully Screened = 84,500
- Unscreened = 139,055
KPI 2 – Uptake rate - Number of individuals attending screening at least
once.
Ayrsh
ire &
Arra
n
Borde
rs
Dumfri
es an
d Gall
oway Fi
fe
Forth
Vall
ey
Grampi
an
Greater
Glas
gow
Highl
and
Lanark
shire
Lothi
an
Orkne
y
Shetl
and
Taysid
e
Wes
tern I
sles
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
45.00%
50.00%
KPI 2 Percentage Q2 2011
40%
• Ayrshire & Arran 42.60% • Borders 44.40% • Dumfries and Galloway 46.40% • Fife 36.40% • Forth Valley 43.50% • Grampian 45.10% • Greater Glasgow 41.60% • Highland 39.50% • Lanarkshire 39.60% • Lothian 41.20% • Orkney 43.50% • Shetland 46.90% • Tayside 43.30% • Western Isles 42.70% • National Average - 41.70%
• What’s the key to having a good uptake rate ?
• How about a good invitation rate
(Screening Invitation rate - KPI 1)
KPI 1 Screening Invitation rate
Ayrsh
ire &
Arra
n
Borde
rs
Dumfri
es an
d Gall
oway Fi
fe
Forth
Vall
ey
Grampi
an
Greater
Glas
gow
Highl
and
Lanark
shire
Lothi
an
Orkne
y
Shetl
and
Taysid
e
Wes
tern I
sles
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
KPI 1 Percentage Q1 2011
50%
• Ayrshire & Arran 58.00% • Borders 56.20% • Dumfries and Galloway 53.10%• Fife 45.20% • Forth Valley 46.20% • Grampian 58.30% • Greater Glasgow 51.50% • Highland 49.10% • Lanarkshire 44.60% • Lothian 48.20% • Orkney 50.30% • Shetland 0.20% • Tayside 50.10% • Western Isles 48.70% • Total 50.50%
• KPI 1 derived from – Percentage (100*INV/EP-API)
• INV = patients invited at least once• EP = eligible population• API = patients attending without invitation
API
Patient Invited
Reference Date
Reporting Start Date
Reporting interval
time
10th Nov 2010
Patient Screened
INV = 1 API = 0
INV = 0 API = 1
• Conclusion to all this is that API rates are wrongly reported and used in KPI 1.
• Proposal is to use the following equation to show invitation rate – Percentage 100 *(API+ INV) / (EP)
This would result in the following changes to KPI 1 screening invitation rates
• Ayrshire & Arran 58.00% - 61.8%• Borders 56.20% - 60.1%• Dumfries and Galloway 53.10% - 56.8%• Fife 45.20% - 51.0%• Forth Valley 46.20% - 51.9% • Grampian 58.30% - 62.5%• Greater Glasgow 51.50% - 55.4%• Highland 49.10% - 53.5%• Lanarkshire 44.60% - 51.1%• Lothian 48.20% - 53.9%• Orkney 50.30% - 55.1%• Shetland 0.20% - 47.0%• Tayside 50.10% -56.6% • Western Isles 48.70% - 55.5% • Total 50.50% - 55.1%
Invitation Profiles
• 100% / 12 months = 8.33% invitation rate per month (in an ideal world).
• Consider profiling your invitation rates on a monthly or even weekly basis.
• Your ‘Invitation Profile’ will depend on many factors related to your area.
April
May
Ju
ne July
Augus
t
Septem
ber
Octobe
r
Novem
ber
Decem
ber
Janu
ary
Febru
ary
Mar
ch0
2
4
6
8
10
12
• Don’t forget that KPIs can also be used to enhance your invitation targeting by other categories.
• Ethnic Minorities
Percentage referable each ethnic group. Source: DRS collaborative, Scotland June 2010
0%1%2%3%4%5%6%7%8%9%
10%
Ethnic group
Pe
rce
nta
ge
re
fera
ble
• Or age group
Percentage referable each age groupSource: DRS collaborative, Scotland June 2010
0.0%
4.5%
8.2%
5.8%
4.2%3.3%
2.7% 2.7% 3.0% 3.4%
0%1%2%3%4%5%6%7%8%9%
10%
Age Group
Pe
rc
en
tag
e r
efe
rra
ble
• and deprivation quintile
Percentage referable by quintile of deprivation (Scottish
Index of Multiple Deprivation 2009). Source: DRS collaborative, Scotland June 2010
4.1% 3.9%3.1% 3.2% 3.4%
0%1%2%3%4%5%6%7%8%9%
10%
1 2 4 5 Scotland
Quintile of deprivation
Pe
rce
nta
ge
re
fera
ble
• To continue to increase performance of the DRS service we will use KPIs to target the use of –– SMS– Email– Voice messaging
• To summarise– KPIs are not perfect and require interpretation.– We can do more with them.– They are not being used regularly enough by
Managers.– They are good for reporting success.– They are also good for reporting failure !!! – Especially when your service is under pressure.– They will be important for any future business cases.
• Questions and comments ?