Health care using data in a better way

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Health care using data in a better way
Mal Owen Training for Excellence Neil
Westwood NHS Phil Campling NHS Direct
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Health care using data in a better way
Some background
Typical data representation in the NHS
A better way the control chart
The problems with targets
Some NHS related examples
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Some background
The National Blood Service
NHS Direct
THE NHS
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Unacceptable decision-making

• Develop polite impatience with
• guesswork
• shooting from the hip
• anecdotal data
• debate
• known solutions
• arbitrary targets and standards

Source 3M
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NHS planned targets
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Trolley waiting times - 1
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Trolley waiting times - 2
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Trolley waiting times - 3
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The patients charter
When you go to an outpatient clinic you can
expect to be given a specific appointment time
and be seen within 30 minutes of that time.
In outpatient departments, more than 8 out of 10
patients are now seen within 30 minutes of their
appointment time.
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Control chart for waiting times
SPC 7
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Control chart for sugar levels
SPC 7
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Control charts for travel times
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Typical representation of trolley wait data

Month
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Trolley wait data represented in SPC format
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Line graph for median days to treatment
Median Days to Treatment for prostate cancer
260
210
160
Median Days to Treatment
110
Target
60
number of patients
30
28
27
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18
18
18
16
15
12
10
Base
May-02
Jan-02
Jun-02
Aug-02
Sep-02
Dec-01
Feb-02
Mar-02
Apr-02
Oct-02
Nov-02
Dec-02
Jul-02
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Control chart for response times for treatment
What happened to this patient?
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Control chart for chemotherapy waiting times
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What happened to these patients?
Control chart for lung cancer referral times
140
120
100
waits in days
80
Time in days
mean
60
UCL
40
20
0
1
5
9
13
17
21
25
29
33
37
41
45
49
53
57
61
65
69
73
77
81
85
89
Consecutive patient data