transforming data into actionable intelligence: health and
TRANSCRIPT
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Manira Ahmad [email protected] Head of Service, Analytics & Intelligence Philip Johnston [email protected] Service Manager, Local Intelligence Support Team Richmond Davies [email protected] Service Manager, Statistical & Info Governance
Transforming Data into Actionable Intelligence: Health and Social Care
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• NHS National Services Scotland delivers services critical to frontline patient care and in support of the efficient and effective operation of NHS Scotland (www.nhsnss.org)
• Our services: – Blood, Tissues & Cells (Scottish National Blood Transfusion Service) – Information Technology – Central Legal Office – Practitioner & Counter Fraud Services – Procurement, Commissioning & Facilities – Public Health and Intelligence (PHI) = ISD + HPS
ISD provides a range of information, statistical services and advice that support
the NHS, its partners and wider public sector
HPS provides services and information on infections, immunisations, blood borne
viruses, travel health, & public health
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The data landscape
Every week in Scotland data are collected on around :
1,000 Births 15,000 Out of Hours attendances 20,000 Screened for cancer 30,000 Hospital discharges 30,000 A&E attendances 40,000 NHS eye exams & tests 90,000 NHS dental treatments
200,000 Outpatient clinic attendances 500,000 GP practice consultations
2,000,000 Drugs dispensed
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A&E
Maternity
BIRTH
DEATH
Child health surveillance
Immunisation
GP consultations
Outpatients Hospital Admissions
Mental Health
Prescribing Screening
Continuing care census
Cancer registry
Dental inspection
Scottish birth record Substance misuse
Clinical audits
Most of our data sets offer 100% coverage
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ISD – working with stakeholders
• Traditionally, mainly central government, health (NHS management),
publications • Public accountability – Parliamentary Questions, FOIs, regulatory
bodies
• Gradual expansion to other stakeholders, accelerated in recent years Some examples: • Wider ‘health’- clinicians/practitioners, other national/local health orgs • social care • Wider public (and other) bodies – Local Authorities, Community
Planning Partnerships, Third Sector • Research – eDRIS/Farr
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‘Actionable intelligence’ - #1
Translation
Intelligence
Data
Our direction of travel
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Analytic capabilities
‘Actionable intelligence’ - #2a
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• SPARRA - Scottish Patients at Risk of Readmission & Admission - quantifies risk in coming year.
• SPARRA scores (%) calculated monthly for approx 4.2 million patients (80% of population)
• Maximise value of anticipatory care by targeting patients most likely to
benefit from interventions (medium-high risk)
• First, stratify the population; SPARRA stratifies on basis of risk of hospital admission
• SPARRA helps identify patients who may benefit from preventative approach & to ensure that patients are known to the relevant services
‘Actionable intelligence’ - #2b
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Outpatient(1 year)
Emergency Department(1 year)
Prescribing (1 year)
Outcome Year(1 year)
OUTCOME PERIOD
Hospitalisation(3 years)
PRE-PREDICTION PERIOD
Psychiatric Admission(3 years)
Any recent admissions to a psychiatric unit ?
Any A&E attendances in the past year?
What type of outpatient
appointments did the patient have?
Any prescriptions for e.g. dementia drugs? Or
substance dependence?
How many outpatient appointments?
What age is the patient?
How many previous emergency admissions
has the patient had?
How many prescriptions?
Any previous admissions for a long term condition
(such as epilepsy?
‘Actionable intelligence’ - #2c
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SPARRA Score Age Group Gender Whatever
•Logistic Regression is used to find straight lines of best fit through all of the variables to produces “coefficients”.
• An individual’s value for each variable used in the SPARRA model is multiplied by the coefficients and the sum of all these are converted (using something called the logit link...hence logistic regression) to get a value between 0 – 1.
‘Actionable intelligence’ - #2d
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‘Actionable intelligence’ - #2e
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‘Actionable intelligence’ - #3
LIST - Local Intelligence Support Team Supporting Health and Social Integration Across Scotland https://youtu.be/YIVxjAm7vi0
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‘Actionable intelligence’ - #4
MHAIST – mental health access
ISD
Child & Adolescent Mental Health Services
Psychological Therapies
HIS
1 x analyst supporting Distress Brief Intervention pilot work till 2020 based in Lanarkshire.
MHAIST team comprises; ISD •Local based analysts x 10 •Central analysts x 4 •Data management x2 •Clinical lead x1
HIS •Clinical leads x2 •Improvement advisors x2 •Programme support staff x2
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‘Actionable intelligence’ - #5a
Comparative information to help review, monitor and plan services and support quality improvement.
Provides NHS managers and clinicians with comparative and benchmarking information to help service planning and delivery.
Information at NHS Board, hospital & specialty. Drill down, incl. to individual level (approved access) Scottish and English health benchmarking data.
‘Discovery’ – tool / service
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‘Actionable intelligence’ - #5b
‘Discovery’ – tool / service
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‘Actionable intelligence’ - #6
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‘Actionable intelligence’ - #7a
LIST some words from our staff https://youtu.be/3fmpEQUATyQ
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‘Actionable intelligence’ - #7b
LIST
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Transforming Data into Actionable Intelligence: Health and Social Care
INTERMISSION
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‘Actionable intelligence’ - #8
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Bed
Day
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bers
Number of Monthly Emergency Bed Days in Acute Specialties for People of All Ages Living in Partnership X
Bed Days Planned Trajectory
example: helping Integration Authorities estimate future needs
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‘Actionable intelligence’ - #9
example: exploratory Tableau / motion chart
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‘Actionable intelligence’ - #10
LIST ‘Our Stories’ – Releasing Time To Care https://youtu.be/u_yOnj8ZQJQ
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‘Actionable intelligence’ - #11a
Partnership X
Partnership X
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‘Actionable intelligence’ - #11b
Example: exploratory health & social care ‘pathways’ analysis
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‘Actionable intelligence’ - #12
1. Source third sector data to use
5. To see if can work through social care
system ‘SWIFT’. ISD continue to help projects with data
clean up and permissions
4. Work stalled: mental health is a ‘sensitive area’ so permission tricky.
Also capacity limited
3. ISD to set permissions from H&SCP to access
public data
2. ISD check quality of
demographic data and permissions
7. ESS facilitate meeting of third
and public agencies at locality level to share and discuss
pathways
NSS Local Intelligence Support Team
ISD – Information Services (NHS) ESS – Evaluation Services Scotland
PROJECT PATHWAY
PKAVS Identified third sector organisations to participate in the Pilot study
LIST met with the organisations to review and assess the data they held
Ensure appropriate governance in place to share and use data for linkage
Collection of demographic data from third sector
CHI (Community Health Index) seeding of these data
Linkage of the third sector data to statutory data using the derived CHI
Analysis and outputs
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‘Actionable intelligence’ - #13
LIST – ‘Our Stories’ – Accident & Emergency https://youtu.be/DBYlJkBqGxg
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‘Actionable intelligence’ - #14
Day & time of arrival at emergency
departments for capacity and
resilience planning
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‘Actionable intelligence’ - #15
LIST Some words from our local partners -https://youtu.be/M5zj644Kvfw
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Open Data - #1
Open data on the public sector official statistics platform www.statistics.gov.scot
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Open Data - #2
Prescribing open data on the ISD
website http://www.isdscotland.org/
Health-Topics/Prescribing-and-Medicines/
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The new NHS open data platform
- Currently undergoing IT resilience testing before go-
live
Open Data - #3
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Solutions for Scotland
Four major programmes:
Health and Social Care integration “Optimising and joining up balanced health and care services, whether provided by NHS Scotland, local government or the third and independent sectors”
The National Clinical Strategy “Strengthen primary and community care, improve secondary and acute care focus on realistic medicine”
Public Health Improvement “Create a clear set of national public health priorities for Scotland as a whole and streamline the current public health landscape”
NHS Board Review “Review the functions of existing national NHS Boards to explore the scope for more effective and consistent delivery of national services and the support provided to local health and social care systems for service delivery at regional level”
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Questions
http://www.isdscotland.org/About-ISD/Contacts/