APPENDIX 2 Moray HSCP Culbin and Varis Medical Practice Hospital Data November 2018 Improvement Hub Enabling health and social care improvement
Healthcare Improvement Scotland 2018 Published November 2018 www.healthcareimprovementscotland.org
Contents Contents... 1 Moray HSCP Culbin and Varis Medical Practice Hospital Data... 2
Apr 16 Jun 16 Aug 16 Oct 16 Dec 16 rate per 1000 Moray HSCP Culbin and Varis Medical Practice Hospital Data Hospital data from Moray HSCP has been put into run charts in order to try and ascertain the impact of the Forres Neighbourhood Care Team (FNCT). Run charts are simple analytical tools to help us understand changes in data over time. Emergency admissions The chart below shows emergency admissions for the Culbin Medical Practice for patients aged 65+. There has been a sustained downwards shift in the rate of emergency hospital admissions for these patients. The baseline median reduced from 15.2 emergency admissions per 1,000 population to 12.1, a fall of 20%. 20.0 18.0 16.0 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 Culbin Medical Practice emergency admissions age 65+ Baseline Median = 15.2 FNCT begins New median = 12.1 2
Apr 16 Jun 16 Aug 16 Oct 16 Dec 16 rate per 1000 Varis Medical Practice does not show any change in the rate of emergency medical admissions over the same time period (see chart below). 30.0 Varis Medical Practice emergency admissions age 65+ 25.0 20.0 15.0 10.0 5.0 Baseline median = 13.4 0.0 3
Apr 16 Jun 16 Aug 16 Oct 16 Dec 16 rate per 1000 Apr 16 Jun 16 Aug 16 Oct 16 Dec 16 rate per 1000 Emergency 28 day readmissions The following two charts show emergency 28 day readmissions. The highlighted yellow points on the chart for Culbin Medical practice show that there was an increasing trend within the baseline period. There was also a decreasing trend following the baseline period. Varis Medical Practice did not show any significant variation over time in terms of their 28 day emergency readmissions. Culbin Medical Practice 28 day Emergency readmissions age 65+ 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 Varis Medical Practice 28 day Emergency readmissions age 65+ 4
Jan 17 Mar 17 May 17 Jul 17 Sep 17 Nov 17 Jan 18 Mar 18 May 18 Jul 18 Sep 18 Average Jan 17 Mar 17 May 17 Jul 17 Sep 17 Nov 17 Jan 18 Mar 18 May 18 Jul 18 Sep 18 Average Length of stay The hospital length of stay data for emergency admissions only represents a subset of patients; those whose admissions were potentially preventable by the FNCT, and only includes admissions to Dr Gray s Hospital and Aberdeen Royal Infirmary. The data is also presented for a shorter time period, allowing less opportunity to assess changes. Please note this data is provisional. The length of stay data for Cul in Medi al Pra ti e doesn t show any hange. The data for Varis Medical Practice shows a downward trend in length of stay. 40 Culbin Medical Practice average length of stay age 65+, Emergency admissions 35 30 25 20 15 10 5 0 Date of discharge 25 Varis Medical Practice average length of stay age 65+, Emergency admissions 20 15 10 5 0 Date of discharge 5
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This Document is for internal use of Moray HSCPS Written November 2018 Improvement Hub Healthcare Improvement Scotland Edinburgh Office Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB 0131 623 4300 Glasgow Office Delta House 50 West Nile Street Glasgow G1 2NP 0141 225 6999 www.ihub.scot