- Winning idea
Meet the team: The DATAing agency
- Dr Kieran Mullan - Audit Data for Improvement Clinical Lead (COP and NCAB)
- Jane Ingham - CEO Healthcare Quality Improvement Partnership
- Jill Stoddart - Director of Operations Healthcare Quality Improvement Partnership
- Dr Danny Keenan - Medical Director Healthcare Quality Improvement Partnership
Trusts spend a lot of time entering data to support National Clinical Audits (NCA). However, for those staff at the front line, the results are not always being fed back in an easily accessible and easy to use format. As a result, working with the CQC, HQIP developed National Clinical Audit Benchmarking (NCAB).
NCAB distills quality data on structure, process and outcome measures into a concise set of key metrics for each audit topic on a page, also showing trends over time. NCAB provides a visual snapshot of individual Trust or hospital audit data set against national benchmarks. This is a specialist tool aimed at key trust staff taking advantage of our positive working relationships with quality improvement and clinical audit leads as well as medical directors/clinical directors. Key staff are notified by email when data becomes available with links to view data sent straight to their inbox.
We would like to survey users on how we could improve the tool and then want to use this feedback (including feedback from the Q Community) to ensure that outputs enable quality improvement and shared learning. This would be achieved by providing and making data/information accessible to front line staff, clinical services and also trust boards through a number of mediums including an application on smartphone devices. We would then wish to share and capture the progress of the quality improvement (QI) work that the hospitals have engaged in to enable other teams to learn from these approaches.
We wish to increase the use of national clinical audit data to drive QI at local, regional and national levels. We know that by the end of April 2018, 84% of the data sets had been accessed using the NCAB platform, equating to more than 1000 views. Some of the requests for improvement include the need to annotate the data and trends to enable QI messages/learning, links to QI case studies and results by regions. We want to develop the NCAB platform with the feedback we will collect via our survey and with the help of the Q Community. Some early ideas we have had for improvement is adding ‘tooltips’ functionality, which would aim to make associated and targeted QI messages more easily accessible by:
1. Highlighting sites/hospitals/Trusts performing well on a particular metric to encourage learning and sharing of best practice
2. Enhancing notification emails that update relevant staff to new data including key messages about their performance
3. Improving the use of data for other outputs such as NHS Trust annual quality account reports/communications and submissions
We also want to develop an app to make the NCAB platform accessible on smart phones in a convenient way. We know 10% of NCAB users are already accessing the platform via mobiles devices. We want to optimise the experience for our end users, as well as take advantage of the additional functionality available in this digital environment.
Expected key outcomes:
- more frontline staff frequently viewing the results of national clinical audit data enabling local discussions about process, structure and outcome measures that would benefit from quality improvement approaches as well as identification of services which are performing at high standards to enable learning and sharing of approaches
- the formation of and input from a stakeholder and user group, which will include patients, staff and Q members to test, refine and facilitate our approach, app and outputs to evolve in an agile and dynamic way
- more organisational leadership figures supporting or taking part in quality improvement activity
- the quality of healthcare potentially improving in all domains (effectiveness, safety, efficiency, equality, timeliness and person centricity) which can be tracked over time and used for baseline measurement at local, regional and national levels accessible at your fingertips (via the app).
We will measure these outcomes through monitoring of the use of the website, app downloads, surveys of website and app users, as well as capturing case study evidence of actual care process changes that are likely to lead to improved outcomes for patients and services.
We hope the NCAB platform and its interoperability and interactivity will be a helpful one for many members of the Q Community within their host organisations, supporting to drive their local, regional and national QI efforts. That is why we need their feedback on how it can be improved in order to meet the needs of the end users. We will enable all Q community members to take part in giving feedback on the tool and testing it out as it develops. We would be delighted to blog about our progress and encourage real-time and dynamic feedback through various media channels.
This is a great project because…
There is huge potential for making national clinical audit data more usable for those improving services and this project aims to make that data more accessible. It builds on an existing tool but plans to use feedback from the Q community and others to make it better. We liked the focus on making use of existing data to support change.
By the time of the event we encourage the project team to think more about…
One of the challenges will be finding out how the data and tool are being used to support change. We liked that the team want to understand end impact but thought they could further develop how they might achieve that.