power of peer review
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Power of Peer Review. Dr. Paul Oliver Chair, Clinical Lead, Nottingham North and East Clinical Commissioning Group Yale & SEPT July 2013. The Problem. Stenhouse Practice overspend with a cost to NNECCG at month six of £800,000 over budget. - PowerPoint PPT PresentationTRANSCRIPT
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Power of Peer Review
Dr. Paul OliverChair, Clinical Lead,
Nottingham North and EastClinical Commissioning Group
Yale & SEPT July 2013
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The Problem Stenhouse Practice overspend with a cost to
NNECCG at month six of £800,000 over budget.
*NNECCG (Nottingham North and East Clinical Commissioning Group)
21 Clinics
145,000 patients
£165m annual budget
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S.M.A.R.T. Objective To reduce Stenhouse overspend by 20% (of
projected) by year end at 31 3 13 and to establish systems to bring Stenhouse in budget by 31 3 15
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Root Cause Analysis A+E 237k
Critical Care 527k
Day Case 576k
Emergency 2,111k (148k)
OPD 1st 514k
OPD f/u 548k
OPD procedures 451k
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Alternative Interventions
Focus Peer Review (T&O and Gastroenterology)
External Scrutiny
Targeted Peer Education and Support
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Comparative AnalysisIntervention Empowering Expense
Peer Review Self EncouragingBuilds on Existing Strategy
Internal use of time onlySome restructuring of the day
External Reviewer A bit ‘Big Brother’ likeCould be Disempowering
Would cost 1-2 hours per day of additional clinical time
Periodic GPwSISupport
Educational and SkillDevelopingCould be Empowering
Would cost 1-2 hours per week for specific skill expertise and internal time
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Select, Implement and Create Evaluation Plan
Select a Strategy-----Focus Peer Review
Implementation Plan-----Meet Daily, Review Guidelines, Share Good Practise
Creating an Evaluation Plan-----CCG feedback monthly to practice, focus on non urgent GP driven activity, review at year end
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Preliminary Results
Direct
Acces
s
Day Cas
e
OP First M
ulti Pro
fessio
nal
OP First S
ingle
Profes
sional
OP Follow-u
p Multi
Profes
sional
OP Follow-u
p Single
Profes
sional
OP NON FACE2FACE
OP Proce
dure
OP UNBUNDLED
Grand T
otal
-£50,000
£0
£50,000
£100,000
£150,000
£200,000
£250,000
Estimated post intervention saving
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I am Happy Logical and easy to follow
Follows what I know from P.R.I.D.E. and 4DX
Empowering
Transferable
Delivers
Encouraging
Reflective
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Thank You