Transcript Risk Stratification Overview

Wigan Borough
Risk Stratification
Wayne Sanders
Jonathan Kerry
Aims of Session
•
•
•
•
•
•
•
Wigan Borough Overview
The Challenge
Risk Stratification Tool
The Approach
How Information is being used
Positive Outcomes
Future Direction
Wigan Borough Overview
Key Organisations
The Challenge
Risk Stratification Tool
4776 Residents have risk score >30%
1.5% of the Population
The Approach
Population Mapping
Cohort Monitoring
Cohort Monitoring
GP Pathway Selected
Supporting the Strategy
Positive Outcomes for Patients
A&E
attendances
Data: Apr-Nov 13/14 v Apr-Nov 14/15
Inpatient
Admissions
(NE)
Inpatient
Admission
Outpatients
Positive Outcomes for the Patients
“I don’t have a problem with the sharing of information at all. If that sharing of
information means I will get better or my health will improve faster then that’s OK. If
that means my information needs to be shared between professionals then that is fine
by me.”
Bill Greenwood, Patient
Future Direction
• Additional Data Flows
–
–
–
–
Primary Care
Community Health
Mental Health
Social Care
• Wider Risk Stratification Views to support usage
• SharetoCare rollout
• Access to Risk Stratification for INTs
Future Direction
*NOTE: initial cut of data – some caveats apply
What we think makes us different
• We don’t see Information Governance as a
barrier to progress
• We work collaboratively as a Borough to make
a difference
• We are working to support a wide range of
information requirements to make a difference
with patients, frontline staff and managers
Thank You
Any Questions?