CHDGP

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CHDGP

• Collection of Health Data
• from General Practice Project
• Professor Mike Pringle
• CHDGP Team Leader
• Division of General Practice, University of
  Nottingham

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Outline of session

• Outputs to date
• Lessons so far
• Improving data quality

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CHDGP output to date

• MIQUEST query software / interpreter software
• Guidelines
• Overview booklet
• Co-ordinators Handbook
• Websites http//www.nottingham.ac.uk/chdgp ht
  tp//www.clinical-info.co.uk/
• and ...
• Data analysed and fed back to 84 practices,
  650,000 patients
• Data from 2nd extraction analysed and fed back
  to 136 practices

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Some examples of analyses

• Comparative prevalence data
• Data quality issues
• Quality of care issues

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Comparative prevalence data
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Data quality
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Quality of care
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What skills are needed?

• Facilitators
• Communication and teaching skills
• Technical skills
• Knowledge of GP clinical systems
• Read Code
• MIQUEST
• Data quality issues
• Analysis and interpretation of clinical data

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What skills are needed?

• Practices
• Commitment to learning and change
• Knowledge of own GP clinical system
• Impact of data quality on clinical care
• Read Code
• MIQUEST interpreter
• Analysis and interpretation of clinical data

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What skills are needed?

• PCGs
• Commitment to support the process
• Knowledge of GP clinical systems
• Understanding of data quality
• Limits and constraints on interpretation of
  clinical data

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Improving data quality

• What is high-quality data?
• Accurate
• Complete
• Relevant
• Timely
• Accessible

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Improving data quality

• Why does it matter?
• Good patient care
• Medicolegal record
• Decision support
• Communication of clinical data
• Other uses of clinical data

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Improving data quality

• How can it be improved?
• Education (concepts, coding)
• Feedback
• Analyse information needs
• Model information flows
• Implement electronic guidelines
• Communicate, communicate, communicate!

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Key messages

• Data quality and information flows need
  attention
• Skilled facilitators required
• Good clinical systems needed
• Training takes time to show effects
• Good data is being used already
• Poor data is being used constructively
• Increasing motivation to learn

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CHDGP

• Collection of Health Data
• from General Practice Project
• CONCLUSIONS
• Professor Mike Pringle
• CHDGP Team Leader
• Division of General Practice, University of
  Nottingham