Mental Health Collaborative- Reduction of psychiatric readmissions HEAT T4
|
|
- Douglas Barker
- 5 years ago
- Views:
Transcription
1 Mental Health Collaborative- Reduction of psychiatric readmissions HEAT T4
2 Readmissions HEAT Target Collaborative approach High Impact change Areas Work to date Link (conflict?) with A&E attendance target Measures for improvement Sustaining improvement
3 Mental Health Collaborative Focus 3 Workstreams & 4 HEAT Targets Evidence based prescribing of anti-depressants and effective treatment of depression Improved inpatient processes and community mental health services (including crisis services) Timely diagnosis of Dementia and appropriate follow-up support Each underpinned by: Improvements in the quality of the service user experience
4 Readmissions HEAT Target To reduce readmissions of patients with an index admission of more than seven days by 10% by the end of 2009 Encourage best practice in discharge planning, crisis resolution, and support of individuals out of hospital
5 140 Number of patients with psychiatric readmissions as defined by HEAT target per 100,000 population for year ending 30th June
6 Collaborative Approach Developing the time and skills to do improvement work Sharing ideas and good practice
7 Collaborative Approach Sharing ideas and good practice Events and Networks National Learning Events ( Time to deliver conference ) Regional Networks & National Networks (i.e. Crisis, Doing Well, Dementia) Putting people in contact Publications and Case Studies E-resources Shared space Database looking at how link to Piramhids Newsletters
8 Readmissions Workstream Focus of Improvement Activities Improve delivery and outcomes of assessments for admission Improve the Inpatient Experience Improve Discharge Planning Ensure all services are focused on sustaining wellbeing and recovery
9 Sustaining Wellbeing and Recovery Sustaining Wellbeing and Recovery Admission discussion/process Quality of the In-Patient Experience Discharge Readmissions: Primary Drivers/High Impact Change Areas
10 Delivering the Readmissions HEAT Target Improve design of care delivery processes Key elements of Generic Pathway that need to improve to deliver HEAT Target. Improve standard of clinical service delivered National workforce programmes relevant to improving pathway Current focus is on diagnosing the key issues with current systems and processes using: opathway Mapping, Value Streaming and Flow Analysis to identify: what adds value, un-necessary steps, duplication, rework because not done right first time, bottlenecks and hand-offs odata Analysis to identify variation and understand when this is justifiable and when it can be reduced odemand, Capacity and Queue Theory so understand what the demand is, what the capacity is to respond to it, opportunities to make more effective use of current capacity, when queues are caused because of the process design rather than a mismatch between demand and capacity, and where in the process there is a mismatch between demand and capacity. opdsa to pilot improvements Improve delivery and outcomes of assessments for admission ICP Standards 5,7,8,9 10,11,12,14,16,19,20 Modernising Medical Careers Rights, Relationships and Recovery Changing Lives (Social Work) Improve the Inpatient Experience ICP Standards 5,7,8,9 11,12,13,14,15,16,18,19,20 Modernising Medical Careers Rights, Relationships and Recovery Recovering Ordinary Lives (OTs) Improve Discharge Planning ICP Standards 5,7,8 16,17,20,21 Modernising Medical Careers Rights, Relationships and Recovery Recovering Ordinary Lives (OTs Changing Lives (SocialWork) Ensure all services are focused on sustaining wellbeing and recovery ICP Standards 5,6,7,8,9 10,11,12,13,14,15,16, 17,18,19,21, SIGN 30,60,74,82 Psychological Therapies Matrix Modernising Medical Careers Rights, Relationships and Recovery Recovering Ordinary Lives (OTs) Changing Lives (Social Work)
11 Reducing Readmissions- Impact on A&E attendances? By improving services for those with Severe and Enduring Mental illness will we reduce attendance at A&E? Or are those in Mental health Crisis a different population? Does the development of Mental Health Crisis/ Home Treatment services help?
12 Measurement can be used in different ways Measures for judgement used to judge against performance targets Measures for diagnosis data gathered to understand the process, see if there is a problem Measurement for improvement a few specific measurements, linked to objectives and aims, that demonstrate changes are making improvements Measurement for sustainability ensure that changes and the improved outcomes are maintained and are part of everyday practice.
13 Improvement Measures Reduction in readmissions (any LOS) within 133 days of discharge 95% SMR04 completeness at 2 months Reduce ALOS for 20% with longest LOS (balanced with 80% with shortest LOS) Patient experience measure
14
15 Improvement Measures Readmissions (within 133 days and any LOS) as % of total admissions (any LOS): Any LOS was selected to ensure both long and short stays are addressed. 133 days, 19 weeks (130 days actual) was calculated from the distribution 'bath tub' curve. The curve levels at 133 days. Readmissions after 133 days can be seen as 'natural relapses' Will identify patients with multiple readmissions
16 Improvement Measures SMR04 Completeness at 95%: Improve on 85% (ISD set) completeness so data can be more accurately recorded. Majority of boards are consistently 100% so 95% allows for some variance
17 SMR04 completness estimate by Health Board for October 2007 to September % 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Ayrshire & Arran Borders Fife Greater Glasgow & Clyde Highland Lanarkshire Grampian Lothian Tayside Forth Valley Western Isles Dumfries & Gallow ay
18 Proposed National Improvement Measure Three Average LOS Balancing measure for readmissions Break down by 80/20 otherwise data heavily impacted by a few longer term stays. By combining with readmission rates and benchmarking data can help indicate where LOS is excessively high or low
19 Readmissions Measures for improvement Readmissions should be a never event The local measure is aimed at driving readmissions down locally LoS and the 80/20 measure- designed to improve and understand capcity and flow Highlights 2 patient populations/ streams More complex but greater utility
20 Readmission within 133 Days P-chart showing Dumfries & Galloway psychiatric readmissions within 133 days as proportion of monthly admissions 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% UCL UWL Proportion Process Average LWL LCL 0% Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Proportion of Readmissions
21 Readmission within 133 Days P-chart showing Dumfries & Galloway psychiatric readmissions within 133 days as proportion of monthly admissions - Adult patients only Adult 60% 50% 40% 30% 20% 10% UCL UWL Proportion Process Average LWL LCL 0% Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Proportion of Readmissions P-chart showing Dumfries & Galloway psychiatric readmissions within 133 days as proportion of monthly admissions - Older Adult patients only Older Adult 120% 100% 80% 60% 40% 20% UCL UWL Proportion Process Average LWL LCL 0% Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Proportion of Readmissions
22 Readmission Measures Average Length of Stay Average Length of Stay (ALOS) broken down by shortest 80% LOS and longest 20% LOS Also looked at this by Adult and Older Adult specialties separately
23 Average Length of Stay Average LOS in Dumfries & Galloway for shortest 80% LOS for psychiatric admissions Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Average Length of Stay (days) Shortest 80% Month of discharge Average LOS in Dumfries & Galloway for longest 20% LOS for psychiatric admissions UCL ALOS Process Average LCL Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Average Length of Stay (days) Longest 20% Month of discharge UCL ALOS Process Average LCL
24 Average Length of Stay - Adults Average LOS in Dumfries & Galloway for shortest 80% LOS for psychiatric admissions in adult patients 30 Shortest 80% Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Average Length of Stay (days) Month of discharge Average LOS in Dumfries & Galloway for longest 20% LOS for psychiatric admissions in adult patients 600 Longest 20% UCL ALOS Process Average LCL Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Average Length of Stay (days) Month of discharge UCL ALOS Process Average LCL
25 Average Length of Stay Older Adults Average LOS in Dumfries & Galloway for shortest 80% LOS for psychiatric admissions in older adult patients Shortest 80% UCL ALOS Process Average LCL Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Average Length of Stay (days) Month of discharge Average LOS in Dumfries & Galloway for longest 20% LOS for psychiatric admissions in older adult patients Longest 20% Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Average Length of Stay (days) Month of discharge UCL ALOS Process Average LCL
26 Elements of the patient experience Recognises service users strengths Maximises service user involvement Enables choice Supports social inclusion Respects diversity Promotes Equality Supports safety and positive risk taking
27 Improvement Measures Percentage of wards and CMHTs that have a negotiated patient experience improvement measure in place: To take patient experience into account when applying improvements To actively promote this through the services
28 Why not this measure? Too much room for local variation Missing an opportunity to link to other national work (SRI) But- if nationally set may not be locally valid in all areas How do we deal with these conflicting requirements?
29 Patient experience Moving towards a locally agreed target Monthly reporting on PDSA/ Improvement work in high impact change areas Highlighting the patient experience element Producing diverse examples Allowing sharing of good practice and initiatives- hopefully sustainable change
30 Patient experience The HEAT target is only relevant if it produces an improvement in the patient experience The KEY balancing measure The main ongoing focus of this workstream
31 1200 Progress towards Readmissions HEAT Target April 07 - March 08 or latest available position Target Actual Health Boards
Child and Adolescent Mental Health Services Waiting Times in NHSScotland
Publication Report Child and Adolescent Mental Health Services Waiting Times in NHSScotland Quarter ending 30 September 2016 Publication date 6 December 2016 An Official Statistics Publication for Scotland
More informationChild and Adolescent Mental Health Services Waiting Times in NHSScotland
Publication Report Child and Adolescent Mental Health Services Waiting Times in NHSScotland Quarter ending 30 June 2017 Publication date 5 September 2017 A National Statistics Publication for Scotland
More informationChild and Adolescent Mental Health Services Waiting Times in NHSScotland
Publication Report Child and Adolescent Mental Health Services Waiting Times in NHSScotland Quarter ending 30 September 2017 Publication date 12 December 2017 A National Statistics Publication for Scotland
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter Ending 31 December 2015 Publication date 23 February 2016 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3 Results
More informationFindings from the 6 th Balance of Care / Continuing Care Census
Publication Report Findings from the 6 th Balance of Care / Continuing Care Census Census held 31 March Publication date 28 June A National Statistics Publication for Scotland Contents Contents... 1 About
More informationChild Healthy Weight Interventions
Publication Report Child Healthy Weight Interventions 2012/13 Publication date 27 August 2013 An Official Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Key points... 3 Results
More informationFindings from the Balance of Care / Continuing Care Census
Publication Report Findings from the Balance of Care / Continuing Care Census Census held 31 March 2013 Publication date 25 June 2013 A National Statistics Publication for Scotland Contents Introduction...
More informationAudiology Waiting Times
Publication Report Audiology Waiting Times Quarter ending 30 September 2012 Publication date 27 November 2012 An Official Statistics Publication for Scotland Contents Introduction... 2 Key points... 3
More informationAudiology Waiting Times
Publication Report Audiology Waiting Times Quarter ending 30 June 2012 Publication date 28 August 2012 Contents Contents... 1 Introduction... 2 Key points... 3 Results and Commentary... 4 Current waiting
More informationPrescribing and Medicines: Minor Ailments Service (MAS)
Publication Report Prescribing and Medicines: Minor Ailments Service (MAS) April 2010 March 2011 Publication date 28 June 2011 Contents Contents... 1 About ISD... 2 Official Statistics... 2 Introduction...
More informationChild & Adolescent Mental Health Services (CAMHS) Benchmarking Balanced Scorecard
Publication Report Child & Adolescent Mental Health Services (CAMHS) Benchmarking Balanced Scorecard Quarter ending 31 st December 2013 Publication date 25 th March 2014 An Official Statistics Publication
More informationImproving ethnic data collection for equality and diversity monitoring
Publication Report Improving ethnic data collection for equality and diversity monitoring October 2010 September 2012 Publication date 26 th February 2013 Contents Contents... 1 Introduction... 2 Key points...
More informationImproving ethnic data collection for equality and diversity monitoring
Publication Report Improving ethnic data collection for equality and diversity monitoring April 2010 March 2012 Publication date 28 th August 2012 Contents Contents... 1 Introduction... 2 Key points...
More informationChild & Adolescent Mental Health Services in NHS Scotland
Publication Report Child & Adolescent Mental Health Services in NHS Scotland Workforce Information as at 31 st December 2014 24 th February 2015 A National Statistics Publication for Scotland Contents
More informationQuality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance
Quality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance A Whole System Approach to Patient Flow for Scotland Our Quality Improvement Approach Jane Murkin Programme
More informationChild & Adolescent Mental Health Services in NHS Scotland
Publication Report Child & Adolescent Mental Health Services in NHS Scotland Workforce Information as at 31 st March 2015 26 th May 2015 A National Statistics Publication for Scotland Contents Contents...
More informationChild & Adolescent Mental Health Services in NHSScotland
Publication Report Child & Adolescent Mental Health Services in NHSScotland Workforce Information as at 31 December 2015 23 February 2016 A National Statistics Publication for Scotland Contents Contents...
More informationNHSScotland Child & Adolescent Mental Health Services
Publication Report NHSScotland Child & Adolescent Mental Health Services Workforce Information as at 31st December 2011 27th March 2012 A National Statistics Publication for Scotland Contents About ISD...
More informationSafety in Mental Health Collaborative
NHS Tayside Safety in Mental Health Collaborative Improving Safety in Mental Health Programme Aims supported by an Improvement Advisor: Dr Noeleen Devaney Support 4 UK organisations to: reduce harm improving
More informationHealthcare quality lessons from the best small country in the world
Healthcare quality lessons from the best small country in the world Scotland and Canada Scotland 5.5 Million people Scottish Politics Scottish Politics Devolution - 1997 Scottish National Party minority
More informationAlcohol Brief Interventions 2015/16
Publication Report Alcohol Brief Interventions 2015/16 Publication date 14 June 2016 An Official Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Main points... 3 Results and
More informationEmergency Department Waiting Times
Publication Report Emergency Department Waiting Times (formerly Accident & Emergency Waiting Times) Quarter ending 30 June 2011 Publication date 30 August 2011 A National Statistics Publication for Scotland
More informationChild & Adolescent Mental Health Services in NHS Scotland
Publication Report Child & Adolescent Mental Health Services in NHS Scotland Workforce Information as at 31st December 2012 26th February 2013 A National Statistics Publication for Scotland Contents Introduction...
More informationChild & Adolescent Mental Health Services Workforce in NHSScotland
Publication Report Child & Adolescent Mental Health Services Workforce in NHSScotland Workforce Information as at 31 March 2016 Publication date: 07 June 2016 A National Statistics Publication for Scotland
More informationChild & Adolescent Mental Health Services in NHS Scotland
Publication Report Child & Adolescent Mental Health Services in NHS Scotland Workforce Information as at 30 th September 2013 26 th November 2013 A National Statistics Publication for Scotland Contents
More informationUKMi PDS Tuesday 27 th September 2016
Implications of the Carter report for MI, what we can learn from colleagues in Scotland? Yvonne Semple Lead Pharmacist, MI Services NHS GGC UKMi PDS Tuesday 27 th September 2016 What can we learn from
More informationInpatient, Day case and Outpatient Stage of Treatment Waiting Times
Publication Report Inpatient, Day case and Outpatient Stage of Treatment Waiting Times Monthly and quarterly data to 30 June 2017 Publication date 29 August 2017 A National Statistics Publication for Scotland
More informationChild & Adolescent Mental Health Services Workforce in NHSScotland
Publication Report Child & Adolescent Mental Health Services Workforce in NHSScotland Workforce Information as at 30 September 2016 Publication date: 06 December 2016 A National Statistics Publication
More informationPsychology Services Workforce in NHSScotland
Publication Report Psychology Services Workforce in NHSScotland Workforce Information at 31 December 2015 23 February 2016 A National Statistics Publication for Scotland Contents Introduction... 2 Key
More informationMental Health Services - Delayed Discharges: Update
NHS Greater Glasgow & Clyde NHS Board Meeting Chief Officer, Glasgow City HSCP and Nurse Director October 20 Paper No: /56 Mental Health Services - Delayed Discharges: Update Recommendation:- The NHS Board
More informationFindings from the Balance of Care / NHS Continuing Health Care Census
Publication Report Findings from the Balance of Care / NHS Continuing Health Care Census Census held 31 Publication date 23 June 2015 A National Statistics Publication for Scotland Contents Findings from
More informationAlcohol Brief Interventions 2016/17
Publication Report Alcohol Brief Interventions 2016/17 Publication date 27 June 2017 A National Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Main points... 3 Results and
More informationCorporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,
Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907
More informationChild & Adolescent Mental Health Services Workforce in NHSScotland
Publication Report Child & Adolescent Mental Health Services Workforce in NHSScotland Workforce Information as at 30 June 2016 Publication date: 06 September 2016 A National Statistics Publication for
More informationDisability and Work Division. Jobcentre Plus Pathways to Work: Official Statistics
Disability and Work Division Jobcentre Plus Pathways to Work: Official Statistics October 2009 Jobcentre Plus Pathways to Work 2 of 21 Executive summary This is the official statistics publication of Jobcentre
More informationNHSScotland National Catering and Nutritional Services Specification: Half Yearly Compliance Report. Results for July Dec 2016
NHSScotland National Catering and Nutritional Services Specification: Half Yearly Compliance Report Results for July Dec 2016 March 2017 National Catering and Nutritional Services Specification: Half Yearly
More informationAyrshire and Arran NHS Board
Paper 12 Ayrshire and Arran NHS Board Monday 9 October 2017 Planned Care Performance Report Author: Fraser Doris, Performance Information Analyst Sponsoring Director: Liz Moore, Director for Acute Services
More informationInpatient, Day case and Outpatient Stage of Treatment Waiting Times
Publication Report Inpatient, Day case and Outpatient Stage of Treatment Waiting Times Monthly and quarterly data to 31 December 2016 Publication date 28 February 2017 A National Statistics Publication
More informationSummary of PLICS costing methodology used in IRF mapping. Detailed example of current methodology using acute inpatients
Summary of PLICS costing methodology used in IRF mapping High level summary The patient level costing method (PLICS) was developed by NHS Highland to allow hospital costs to be attributed to patient activity
More informationIMPROVING TRANSITIONS FROM ACUTE CARE TO REHAB: SPREADING CHANGE ACROSS GTA HOSPITAL SITES FOR PATIENTS POST-HIP FRACTURE
IMPROVING TRANSITIONS FROM ACUTE CARE TO REHAB: SPREADING CHANGE ACROSS GTA HOSPITAL SITES FOR PATIENTS POST-HIP FRACTURE GTA Rehab Network Charissa Levy, Sharon Ocampo-Chan, Donna Renzetti October 2016
More informationApproaches to reducing DNA and CNA
Quality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance Approaches to reducing DNA and CNA Lesley White, National Improvement Advisor, QuEST Mike Henderson, Consultant
More informationNational Hand Hygiene NHS Campaign
National Hand Hygiene NHS Campaign Compliance with Hand Hygiene - Audit Report Germs. Wash your hands of them Prepared for the Scottish Government Health Directorate HAI Task Force by Health Protection
More informationPrimary Care Workforce Survey 2013
Experimental Report Primary Care Workforce Survey 2013 Out of Hours GP Services Strand Sections 1,2,3 and 6 Publication Date 19 November 2013 Contents Introduction... 2 Method of completing the survey...
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter Ending 30 June 2016 Publication date 30 August 2016 A National Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Main points...
More informationNHS Research Scotland Permissions Coordinating Centre
permissions NHS Research Scotland Permissions Coordinating Centre (NRS Permissions CC) Coordinating faster permissions for Scotland A guide to who we are and what we do nrs c c Foreword from Professor
More informationLIVING & DYING WELL AN ACTION PLAN FOR PALLIATIVE AND END OF LIFE CARE IN HIGHLAND PROGRESS REPORT
Highland NHS Board 4 October 2011 Item 5.3 LIVING & DYING WELL AN ACTION PLAN FOR PALLIATIVE AND END OF LIFE CARE IN HIGHLAND PROGRESS REPORT Report by Chrissie Lane, Cancer Nurse Consultant/Project Lead
More informationPAUL GRAY, DIRECTOR-GENERAL HEALTH & SOCIAL CARE, SCOTTISH GOVERNMENT AND CHIEF EXECUTIVE NHSSCOTLAND, 26 OCTOBER 2017
PAUL GRAY, DIRECTOR-GENERAL HEALTH & SOCIAL CARE, SCOTTISH GOVERNMENT AND CHIEF EXECUTIVE NHSSCOTLAND, 26 OCTOBER 2017 1. Agency Staff Spend and Data Annexe C NHSScotland spends around 6.5 billion a year
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationabcdefghijklmnopqrstu
Scottish Government Health Directorates: Delivery Directorate Access Support Team Dear Colleague Achieving the 18 Week Referral to Treatment Standard in Dermatology Services Summary This letter is to provide
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter Ending 30 September 2017 Publication date 28 November 2017 A National Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Main
More informationDelayed Discharges in NHSScotland
Publication Report Delayed Discharges in NHSScotland Annual summary of occupied bed days and census figures Figures up to March 2016 Publication date 28 June 2016 A National Statistics Publication for
More informationASPIRE. Allied Health Professions Supporting and Promoting Improvement, Rehabilitation and Enabling Others ADVANCED PRACTICE SPECIALIST GENERALIST
ASPIRE Allied Health Professions Supporting and Promoting Improvement, Rehabilitation and Enabling Others ADVANCED PRACTICE SPECIALIST GENERALIST ENABLING OTHERS AHP Strategy 2017 2021 CONTENTS Introduction
More informationPrescribing & Medicines: Minor Ailments Service (MAS)
Publication Report Prescribing & Medicines: Minor Ailments Service (MAS) Financial Year 2012/13 Publication date 25 June 2013 A National Statistics Publication for Scotland Contents Introduction... 2 Background...
More informationRedesign of Front Door
Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager
More informationSPSP Medicines. Prepared by: NHS Ayrshire and Arran
SPSP Medicines Prepared by: NHS Ayrshire and Arran Medication Reconciliation: Story so far MR happening in primary care, acute adult, paediatrics and mental health Started in acute then mental health,
More informationOutline. The HEAT target for stroke unit care Early swallow screen Early access to brain scanning
Outline The HEAT target for stroke unit care Early swallow screen Early access to brain scanning More later from Andrew Farrall Early use of aspirin Bundles of care Early access to TIA clinics HEAT target
More informationNational Hand Hygiene NHS Campaign
National Hand Hygiene NHS Campaign Compliance with Hand Hygiene - Audit Report Germs. Wash your hands of them Prepared for the Scottish Government Health Directorate HAI Task Force by Health Protection
More informationNHS Research Scotland Permissions Coordinating Centre
permissions NHS Research Scotland Permissions Coordinating Centre (NRS Permissions CC) Coordinating faster permissions for Scotland A guide to who we are and what we do nrs c c Foreword from Sir John Savill,
More informationInpatient, Day case and Outpatient Stage of Treatment Waiting Times
Publication Report Inpatient, Day case and Outpatient Stage of Treatment Waiting Times Monthly and quarterly data to 30 June 2016 Publication date 30 August 2016 A National Statistics Publication for Scotland
More informationNHS Education for Scotland (NES) Information Services Division (ISD) Workforce Planning for Psychology Services in NHS Scotland
NHS Education for Scotland (NES) Information Services Division (ISD) Workforce Planning for Psychology Services in NHS Scotland Characteristics of the Workforce Supply in 2005 Contents Page Summary...
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Monthly Data to 31 December 2014 Publication date 24 February 2015 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3
More informationFacilities Shared Services Programme Transport & Fleet Management Short Life Working Group
Facilities Shared Services Programme Short Life Working Group Terms of Reference Author: Michael Jackson, Chair Contact: michaeledwinjackson@nhs.net Date Published: 2013-12-10 Version: 1.1 Page 1 of 6
More informationTITLE PAGE. Title: Determining Nursing Staffing Levels for Stroke Beds in Scotland. Authors: Scottish Stroke Nurses Forum:
TITLE PAGE Title: Determining Nursing Staffing Levels for Stroke Beds in Scotland Authors: Scottish Stroke Nurses Forum: 1 Any comments or correspondence please contact the following SSNFC members: Anne
More informationNational Report 2012
National Services Scotland Scottish Multiple Sclerosis Register National Report 2012 Information relating to 01.01.2010 31.12.2011. Scottish MS Register Contact List Dr Belinda Weller Chair of Steering
More informationNHS National Services Scotland. Equality Impact Assessment Initial Screening Tool
Equality Impact Assessment Initial Screening Tool Key Considerations: The Equality Act 2010 means public authorities (including health boards) have a legal duty to have due regard to the need to: eliminate
More informationNES NHS Life Sciences: Healthcare Science (HCS) Support Worker (SW) and Assistant Practitioner (AP) education and training group.
NES NHS Life Sciences: Healthcare Science (HCS) Support Worker (SW) and Assistant Practitioner (AP) education and training group. SUMMARY Remit of NES NHS Life Sciences The NES NHS Life Sciences: Healthcare
More informationNHS performance statistics
NHS performance statistics Published: 8 th February 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More information2016/17 Activity Report April August/September 2016
Due to a change in national hospital data flows (SUS) and also a delay in processing September 2016 Practice-level finance data, the latest information on hospital activity and spend is still up to August
More informationSCOTTISH DRIVING ASSESSMENT SERVICE: DRAFT FOR DOP COMMENT
Meeting: IPG Date: 20 th November 2013 Item: 54/13 NHS LOTHIAN National Chief Executives Group December 2013 Alex McMahon Director of Strategic Planning, Performance Reporting & Information Catriona Renfrew
More informationNHS Research Scotland Permissions Coordinating Centre (NRS Permissions CC)
permissions NHS RESEARCH SCOTLAND nrs c c NHS Research Scotland Permissions Coordinating Centre (NRS Permissions CC) Coordinating faster permissions for Scotland A guide to who we are and what we do Foreword
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationUrgent Care Short Term Actions to Improve Performance
To: Trust Board From: Chief Operating Officer Date: March 2017 Healthcare standard Title: Urgent Care Short Term Actions to Improve Performance Author/Responsible Director: Michael Woods / Andrew Prydderch
More informationNHS Performance Statistics
NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More information(a) check that GP practices were acting in accordance with the relevant regulations (see below)
REPORT ON VACCINE STORAGE IN GP PRACTICES Scope and Purpose 1. This report sets out the findings of a two part survey, carried out in 2006 and 2007, of all GP practices in Scotland concerning the proper
More informationKentucky Sepsis Summit. August 2016
1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute
More informationCosting report. Pulmonary Rehabilitation April Improvement
Costing report Pulmonary Rehabilitation April 2011 Improvement Healthcare Improvement Scotland is committed to equality and diversity. This document, and the research on which it is based, have been assessed
More informationFacilities Shared Services Programme Car Leasing Short Life Working Group
Facilities Shared Services Programme Car Leasing Short Life Working Group Terms of Reference Author: Douglas Seago, Programme Director Contact: Douglas.Seago@nhs.net Date Published: 2014-02-17 Version:
More informationAppendix 1: South Lanarkshire H&SCP Improvement Plan 2017/18.
Appendix 1: South Lanarkshire H&SCP Improvement Plan 2017/18. South Lanarkshire - Whole System Pathway Indicators identified capture key data across the whole H&SC system, primarily based around supporting
More informationPrescribing & Medicines: Minor Ailments Service (MAS)
Information Services Division Publication Report Prescribing & Medicines: Minor Ailments Service (MAS) Financial Year 2014/15 Publication date 30 June 2015 A National Statistics Publication for Scotland
More informationElaine Andrews, Assistant Director of Nursing & Safety and Caroline Booton Quality Analyst Jill Asbury, Acting Director of Nursing
Report to: Board of Directors Date of Meeting: 26 th October 2016 Report Title: Inpatient Falls Report Status: Mark relevant box with X Prepared by: Executive Sponsor (presenting): For information x Discussion
More informationLearning from adverse events. Learning and improvement summary
Learning from adverse events Learning and improvement summary November 2014 Healthcare Improvement Scotland 2014 Published November 2014 You can copy or reproduce the information in this document for use
More informationPercent Unadjusted Inpatient Mortality (NHSL Acute Hospitals) Numerator: Total number of in-hospital deaths
Page 1 of 23 Quality Ambition: Safe NHS Lanarkshire aims to be the safest health and care system in Scotland with no avoidable deaths, reduction in avoidable harm, a sustainable infrastructure for patient
More informationCAMDEN CLARK MEDICAL CENTER:
INSIGHT DRIVEN HEALTH CAMDEN CLARK MEDICAL CENTER: CARE MANAGEMENT TRANSFORMATION GENERATES SAVINGS AND ENHANCES CARE OVERVIEW Accenture helped Camden Clark Medical Center, (CCMC), a West Virginia-based
More informationBOARD OF DIRECTORS MEETING 10 th August 2016
BOARD OF DIRECTORS MEETING 1 th August 216 Open BoD 1.8.16 Item Ref No: 6 TITLE OF PAPER Mental Health Reconfiguration Update TO BE PRESENTED BY Dr Rachel Warner, Medical Director Richard Bulmer, Service
More informationNHS performance statistics
NHS performance statistics Published: 14 th December 217 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationNHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services
NHS GRAMPIAN Board Meeting 01.06.17 Open Session Item 8 Local Delivery Plan - Mental Health and Learning Disability Services 1. Actions Recommended The Board is asked to: Note the context regarding the
More informationImprovement and Assessment Framework Q1 performance and six clinical priority areas
Governing Body 30 th September 2016 Improvement and Assessment Framework Q1 performance and six clinical priority areas Agenda item 16 Paper 10 Summariser: Authors and contributors: Executive Lead(s):
More informationCASE STUDY. NHS Board. Contact. . Title. Category. Background/ context. Problem. Aim. NHS Western Isles. Kathleen McCulloch
NHS Board Contact Email NHS Western Isles Kathleen McCulloch kathleenmcculloch@nhs.net Title Category Background/ context Problem Aim Community Nursing Patient Held Record and Digital pen technology Outpatients,
More informationDelayed Discharges in NHS Scotland
Publication Report Delayed Discharges in NHS Scotland Figures from ober Census Publication date 25 November A National Statistics Publication for Scotland Contents Introduction... 2 Background... 2 National
More informationA collaborative approach to Specialist Palliative Care and the difference this is making in Dudley
A collaborative approach to Specialist Palliative Care and the difference this is making in Dudley Dr Joanne Bowen, Dudley Foundation Trust Nicole Woodyatt, Macmillan Cancer Support The Midhurst Macmillan
More informationDental Statistics HEAT Target H9: Fluoride varnishing for 3 and 4 year olds
Publication Report Dental Statistics HEAT Target H9: Fluoride varnishing for and year olds (Data as at 1 March 01) Publication date 7 January 015 A National Statistics Publication for Scotland Contents
More informationNHS Ayrshire & Arran Adverse Event Management: Review of Documentation Supplementary Information Requested by NHS Ayrshire & Arran
NHS Ayrshire & Arran Adverse Event Management: Review of Documentation Supplementary Information Requested by NHS Ayrshire & Arran April 2013 Background In February 2012, the Scottish Information Commissioner
More informationPSYCHIATRY SERVICES UPDATE
PSYCHIATRY SERVICES UPDATE Mark Leary MD, Interim Chief Kathy Ballou RN, Director of Nursing Anton Nigusse Bland MD, PES Medical Director Emily Lee MD, Inpatient Psychiatry Medical Director TRUE NORTH
More informationA new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust
A new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust Sally Roberts - Director of Governance, Quality & Safety. Walsall CCG Katie Welborn Advanced Nurse Practitioner- Walsall Healthcare
More informationAchieving the 18 Weeks Referral to Treatment Standard in Orthopaedic Services. Task & Finish Group Interim Output Report.
Achieving the 18 Weeks Referral to Treatment Standard in Orthopaedic Services Task & Finish Group Interim Output Report October 2010 F3130196 Page 1 of 63 October 2010 Contents Page No. Foreword 3 Chair
More informationQuality Management Report 2017 Q2
Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance
More informationEnlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):
Enlisted Professional Military Education FY 18 Academic Calendar Table of Contents STAFF NON-COMMISSIONED OFFICER ACADEMIES: SNCO Academy Quantico SNCO Academy Camp Pendleton SNCO Academy Camp Lejeune
More informationNHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with
More information5. ADULT MENTAL HEALTH PLANNING FRAMEWORK. 5.1 Analysis of Local Position
5. ADULT MENTAL HEALTH PLANNING FRAMEWORK 5.1 Analysis of Local Position 5.1.1 The Joint Planning, Performance & Implementation Group (JPPIG) in Renfrewshire has lead responsibility for planning of Adult
More informationIntegrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018
6b Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018 2 Contents Integrated Performance Report: Executive Summary 5 Clinical Governance: Chair and Committee
More information