quality indicators martin orton – nhs ic & arun bhoopal dh medical directorate

Quality IndicatorsMartin Orton – NHS IC & Arun Bhoopal DH Medical Directorate

Agenda

• Intro to Quality Framework Programme & MQI/IQI• Indicators for Quality Improvement (IQI)

– What is it? – Demo/Screen shots– How it is expected to grow

• Wider IC library intentions & vision for use with IQI• PROMs (very brief overview)

• Q&A• Your chance to give input

– What would make IQI more useful/usable locally– Please suggest one key thing we should do in developing IQI

Indicators for Quality Improvement (IQI)

• What– Details of over 200 quality of care indicators

• Purpose– a resource for local clinical teams providing a set of

robust indicators from which they can select to support local quality improvement

– a source of indicators which can be used for benchmarking and comparison

– Also • Selected indicators to support patient choice through

NHS Choices • Possible use in Quality accounts and CQUIN

Indicator Framework

Safety Effectiveness Experience

Maternity andNewborn

Long TermConditions

StayingHealthy

Children’sHealth

Acute Care

Planned Care

Mental Health

End of Life Care

Appropriate indicators








Safety Effectiveness Experience

Maternity andNewborn

Long TermConditions

StayingHealthy

Children’sHealth

Acute Care

Planned Care

Mental Health

End of Life Care









Indicators for Quality Improvement (IQI)

• INITIAL list is mainly existing indicators

• Limited cover of the full spectrum of care

• Tool provides search and browse facilities to find indicators

• Full indicator details (description, methodology, precise construction)

• Web link to the data now

• Data in tabular form to download from July

How was this initial IQI set derived?

Initial

Indicators for

Quality Improvment

IC Indicator Survey

Responses from the NHS on quality indicators

Clinical Audit

National Clinical Directors

DH Policy

Healthcare commission

NHS Professionals

Very highly

endorsed & design

info available

SHA reports- Indicators for local use- Indicators for SHA visions

QOF & Vital signs

IQI Continuing Development

• Expected to grow with input from right across Health & Social Care, in particular Royal Colleges and Specialist Societies

• Developing governance and processes for indicator development

Support for further development

• The IC is developing a wider indicator library – 25 national indicator sets, over 2,500 indicators– www.ic.nhs.uk/indicatorlibrary

• In alignment with IQI, aiming to bring in standardisation, quality assurance and governance to indicators

• Should avoid duplication and share work• Supports use and development of indicators,

without limiting innovation

http://www.ic.nhs.uk/indicatorlibrary

Indicator LibraryIndicator Library

Leve

ls o

f Q

ualit

y A

ssur

ance

Web Interface

Effective search based on carefully developed taxonomy

One click to full design and supplementary data for each indicator;

User reviews of indicator effectiveness

Upload, modify and withdraw indicators

ISB ApprovedFull QA

Repository of indicators

List of indicators matching the search

Signpost to data source(s) and related information including data access

User InterfaceGovernance

Indicator Quality

Approved Quality Assurance processes for each level

Details of Quality Assurance processes for each level

Periodic check of use, effectiveness, user reviews & relevance

Indicator Library

Leve

ls o

f Q

ualit

y A

ssur

ance

Web Interface

Effective search based on carefully developed taxonomy

One click to full design and supplementary data for each indicator;

User reviews of indicator effectiveness

Upload, modify and withdraw indicators

ISB ApprovedFull QA

Repository of indicators

List of indicators matching the search

Signpost to data source(s) and related information including data access

User InterfaceGovernance

Indicator Quality

Approved Quality Assurance processes for each level

Details of Quality Assurance processes for each level

Periodic check of use, effectiveness, user reviews & relevance

PROMs Data Flows

Aggregated data

Lot 3: “Analysis”

Lot 2: “Aggregation”Lot 1: “Administration” Information Centre: “Linkage” & “Repository”

identifiable

Pre-op

IC

OtherSUSNJR

Post-opScoring,

outcomesAggregation

Academic stakeholders

Case-mix adjustment

Develop adjustment

Record-level data

Healthcare stakeholders

Extract Service

LinkedPseud’sed

Aggregateddata

Record level data

Measuring for Quality Improvement

www.ic.nhs.uk/mqi

Includes the

“Indicators for Quality Improvement”

Support: 0845 300 6016 or [email protected]

http://www.ic.nhs.uk/mqi

mailto:[email protected]

quality indicators martin orton – nhs ic & arun bhoopal dh medical directorate

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