Transcript Slide 1

Data Quality for Service Improvement
Kate Harley
ISD
Clinic Outcome Completeness
Scotland Dental Specialties
Clinical Outcome Code Completeness
100.0
Completeness (%)
80.0
Community Dental Practice
Oral and Maxillofacial Surgery
Oral Medicine
60.0
Oral Surgery
Orthodontics
Paediatric Dentistry
40.0
Restorative Dentistry
20.0
0.0
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Oct-10
Nov-10
Clinic Outcome Completeness
by Board
Bespoke Boards Dental Specialties
Clinical Outcome Code Completeness
(Board 1, Board 2, Board 3, Board 4, Board 5, Board 6)
100.0
80.0
Completeness (%)
Community Dental Practice
Oral and Maxillofacial Surgery
60.0
Oral Medicine
Oral Surgery
Orthodontics
Paediatric Dentistry
Restorative Dentistry
40.0
20.0
0.0
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Oct-10
Nov-10
Clinic Outcome Completeness
by Board
Board 1 Dental Specialties
Clinical Outcome Code Completeness
100.0
Completeness (%)
80.0
60.0
Community Dental Practice
Oral and Maxillofacial Surgery
Oral Surgery
Orthodontics
Restorative Dentistry
40.0
20.0
0.0
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Oct-10
Nov-10
Clinic Outcome Completeness
by Board
Board 2 Dental Specialties
Clinical Outcome Code Completeness
100.0
Completeness (%)
80.0
60.0
Community Dental Practice
Oral and Maxillofacial Surgery
Orthodontics
Restorative Dentistry
40.0
20.0
0.0
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Oct-10
Nov-10
Clinic Outcome Completeness
by Board
Board 4 Dental Specialties
Clinical Outcome Code Completeness
100.0
Completeness (%)
80.0
60.0
Oral Surgery
Orthodontics
40.0
20.0
0.0
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Oct-10
Nov-10
Clinic Outcome Completeness
by Board
Board 5 Dental Specialties
Clinical Outcome Code Completeness
100.0
80.0
Completeness (%)
Community Dental Practice
60.0
Oral and Maxillofacial Surgery
Oral Medicine
Oral Surgery
Orthodontics
Paediatric Dentistry
Restorative Dentistry
40.0
20.0
0.0
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Oct-10
Nov-10
Clinic Outcome Completeness
by Board
Board 6 Dental Specialties
Clinical Outcome Code Completeness
100.0
Completeness (%)
80.0
60.0
Oral Medicine
Orthodontics
40.0
20.0
0.0
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Oct-10
Nov-10
General anaesthetics
Q - What is included in the 18 Week Referral to Treatment (RTT) Standard for
Dental Specialties?
A - General anaesthetic services led by the salaried dental services are also
included in the 18 Weeks RTT Standard.
Q - Are dental procedures performed in primary care or community care
included within the 18 Week RTT Standard?
A - If the procedure requires a general anaesthetic
Q - Should all patients requiring general anaesthesia for dental procedures be
treated under the 18 Week RTT Standard?
A - Yes, dental procedures requiring a general anaesthetic (in the settings as
outlined in G1 above) are part of the 18 Week RTT Standard.
Q - GA2. If community-run General Anaesthetic sessions are performed within
secondary care, will these be included within the 18 Week RTT Standard?
A - Yes these patients will be included in the 18 Weeks RTT Standard.
QueSSTcap Analysis
• Queue
• Stage of Treatment
• Capacity
Queue
1. Total number of patients on the waiting list at month end (census)
New Outpatients - NHS XXX - Orthodontics
180
160
140
120
100
80
60
40
20
0
Jan
Feb
Mar
Apr
Source:
New Ways data, as at 30 Sep 2010
May
2008
Jun
Jul
2009
Aug
2010
Sep
Oct
Nov
Dec
Ja
n
Fe 20
b 0
M 20 8
a
Ap r 2 08
0
M r 2 08
ay 00
Ju 20 8
n 08
Ju 20
Au l 2 08
g 0
Se 20 0 8
p 0
O 20 8
c
N t 2 08
ov 00
D 2 8
ec 00
Ja 20 8
n 0
Fe 20 8
b 0
M 20 9
ar 0
Ap 20 9
M r 2 09
ay 00
Ju 2 9
n 00
Ju 20 9
Au l 2 09
g 0
Se 2 0 9
p 009
O 20
c 0
N t 20 9
o 0
D v2 9
ec 00
Ja 20 9
n 0
Fe 20 9
1
M b2 0
a 0
Ap r 2010
M r 2 10
ay 01
Ju 20 0
n 1
Ju 20 0
Au l 2 10
g 01
Se 20 0
p 10
20
10
3. Waiting List Activity - Additions to list & removals from list within month
New Outpatients - NHS XXX - Orthodontics
120
100
80
60
40
20
0
-20
-40
Gap betw een additions/removals
Source: New Ways data, as at 30 Sep2010
Additions to list
Removals to list
2. Distribution of ongoing waits at Sep 2010
New Outpatients - NHS XXX - Orthodontics
All Referral Sources
Please note, patients waiting over 18 weeks are likely to be on waiting list in error.
35
30
25
54%
36%
20
15
9%
2%
10
5
01
0
<0
1
w
< 0 eek
s
2
02
w
< 0 eek
s
03 3 w
e
< 0 ek
s
4
04
w
e
e
<0
ks
5
05
w
e
< 0 ek
s
6
06
w
< 0 eek
s
7
07
w
< 0 eek
s
8
08
w
< 0 eek
s
9
09
w
e
< 1 ek
s
10 0 w
e
< 1 ek
s
1
11
w
< 1 eek
s
2
12
w
< 1 eek
s
3
13
w
< 1 eek
s
4
14
w
< 1 eek
s
5
15
w
< 1 eek
s
16 6 w
e
< 1 ek
s
7
17
w
e
e
<1
ks
8
w
e
ek
18
s
+
w
ee
ks
0
2. Distribution of ongoing waits at Sep 2010
New Outpatients - NHS XXX - Orthodontics
All Referral Sources
Please note, patients waiting over 18 weeks are likely to be on waiting list in error.
60
Source: New Ways data, as at 30 Sep 2010
50
27%
40
16%
24%
30
32%
20
10
01
0
<0
1
w
< 0 eek
s
2
02
w
e
< 0 ek
s
03 3 w
< 0 eek
s
4
04
w
< 0 eek
s
5
05
w
< 0 eek
s
6
06
w
< 0 eek
s
7
07
w
< 0 eek
s
8
08
w
e
< 0 ek
s
9
09
w
e
< 1 ek
s
10 0 w
< 1 eek
s
1
11
w
< 1 eek
s
2
12
w
< 1 eek
s
3
13
w
< 1 eek
s
4
14
w
< 1 eek
s
5
15
w
e
< 1 ek
s
16 6 w
< 1 eek
s
7
17
w
< 1 eek
s
8
w
18 eek
s
+
w
ee
ks
0
Source: New Ways data, as at 30 Sep 2010
4.b) Estimated total number of weeks to clear Waiting List at month end
based on monthly activity
New Outpatients - NHS XXX - Orthodontics by month
14
7.5
7.1
7.1
6.7
5.1
7.9
5.7
11.0
9.0
12.9
7.5
Feb
2010
Mar
2010
Apr
2010
May
2010
Jun
2010
Jul
2010
Aug
2010
5.5
12
10
8
6
4
2
0
Oct
2009
Source:
Nov
2009
Dec
2009
Jan
2010
Sep
2010
Weeks to clear allow ing for unavailability
Periods of unavailability
Total w eeks to clear = w eeks to clear allow ing for unavailability + average w eeks unavailable
New Ways data, as at 30 Sep 2010
4.a) Estimated total number of weeks to clear Waiting List as at month ending Sep 10
New Outpatients - Orthodontics by NHS board of treatment
60
50.2
50
40
30
24.4
20
16.4
14.9
9.6 10.3
10
7.7
6.8 6.9
16.6
16.3
13.7
9.6 8.6
8.3 9.5
6.6 6.5
12.0
11.010.5
10.8
8.4
7.0
5.5
3.4
2.9
0.0
G
S
Source:
New Ways data, as at 30 Sep 2010
based on annual activity
based on monthly activity (Sep 10)
NH
S
W
NH
S
es
te
rn
Is
les
Ta
ys
id
e
d
NH
S
Sh
et
lan
Lo
th
ian
S
NH
S
NH
re
at
er
NH
S
Hi
&
La
na
rk
sh
ire
gh
lan
d
Cl
yd
e
n
Gl
as
go
w
G
S
NH
Fo
rth
S
ra
m
pia
Va
lle
y
Fi
fe
NH
NH
NH
S
NH
Du
m
S
y
fri
es
&
Ga
l lo
wa
Bo
rd
er
s
S
NH
NH
S
NH
S
Ay
rs
hi
re
&
Ar
ra
n
Sc
ot
la
nd
0
Outpatient procedure recording
– North of Scotland NHS Boards
2009/10
–22,623 new outpatients
–99% with no procedure
recorded
–61,313 return outpatients
–92% with no procedure code
Top 10 procedure groups recorded
for return outpatients,
31 March 2010
• Main procedure
•
•
•
•
•
•
•
•
•
•
Other Specified Orthodontic Operations
Surgical Removal Of Impacted Wisdom Tooth
Insertion Of Fixed Orthodontic Appliance
Surgical Removal Of Retained Root Of Tooth
Insertion Of Movable Orthodontic Appliance 226
Surgical Removal Of Tooth NEC
Surgical Removal Of Wisdom Tooth NEC
Apicectomy Of Tooth
Biopsy Of Lesion of Lip
Biopsy Of Lesion of Mouth NEC
No.
%
1,838
423
330
255
0.4
154
141
139
118
106
3.0
0.7
0.5
0.4
0.3
0.2
0.2
0.2
0.2
Dental Information
Developments
•Scottish Health Information Service
Incorporate Dental data mart
•R4 – Solution Stewardship commencing
•Review of Dental Specialty definitions
Endodontics, prosthodontics,periodontics
•Increased coverage of statistics
Registrations by patient postcode, NHS
Board and SIMD
Participation – Scotland, NHS Board and
age group
• Childhood admissions to hospital for dental
extractions in Scotland
A Childsmile service evaluation project