RealTime Health User Group Meeting 27 th June 2012

Welcome to all our users!!

Agenda

FRIMLEY PARK HOSPITAL NHS FOUNDATION TRUST RealTime deployment

PROJECT TIMESCALES Current activity: integration testing & Phase 1 processes & configuration August 2012: rollout to pilot ward Sept-Dec 2012: live rollout to all wards Phase 2 to follow

PHASE 1: Ward View EDD & next day predictor Board round Ward discharge planning Accurate up to date PAS info Nursing / clinical handovers (ward level) Replacement of Jonah Discharge Risk Assessment Social services referral & tracking

PHASE 2: Additional documentation / forms Nursing / clinical handovers (hospital wide) Hospital view (full capacity & bed management) Improved patient flow VTE assessments Patient centre referrals

COFFEE BREAK

SECURING DOCTOR ENGAGEMENT AND DELIVERING BENEFITS TO CLINICAL

KPIs & MANAGEMENT REPORTING

Management reporting requirements: Executive teams reports Reporting against CQUIN etc targets Operations management reports Solutions: RealTime KPI reports Integration with MIS Historical data mining

Integration with Qlikview based MIS system RealTime have supported NMUH in integrating the RT system with their Qlikview based MIS Data providing a daily view of LOS data etc provided to the Qlikview system Qlikview used to analyse data and present in format consistent with Trust’s overall MIS dashboard

Example NMUH MIS report

Additional requirements and plans: Interface to provide RT bed state data to MIS Refinement of Qlikview views Options for data mining historical RT data For discussion: MIS in other Trusts? Use of Qlikview? CQUIN reporting: RT KPI or Qlikview / other? Requirements for data mining?

FUNKY FEATURES AND REALTIME ROADMAP

REALTIME SUPPORT AND NEW FEATURE REQUEST PROCESSES

Support Process Flow © 2010, RealTime Health Ltd

Managing our Roadmap

LUNCH – enjoy!

DATA DRIVEN EDD SETTING AND THE USE OF R EAL T IME EDD SETTING TO DRIVE LOS REDUCTIONS Dr. Gulam Patel Dr. Jess Boyer

Conclusions for EDD Setting Obtain Trust LOS data by top diagnoses – Mean and Median (mode can be helpful, too) – Preferably 12 months data – Medical and Surgical – 20 to 50 for starters Analyse compared to NHS norms – Mean and median (mode not available in standard data sets) Establish EDD targets based on the above – Work with clinical leadership – Must be clinically reasonable – Should not have ‘fudge factor’ for non-clinical issues – Need to be significant improvement Most significant opportunities for improvement are in the older/elderly patients

Comparing Trust XXXX LOS data to Norms EDD TARGETS MEDICAL For XXXX

Comparing Trust XXXX LOS data to Norms EDD TARGETS SURGICAL EMERGENCY for XXXX

How To Use RealTime to Drive ALOS Reductions All patients need EDDs within 24 hours of admission Many can be set automatically based on the data and doctor support Daily board rounds will focus actions targeting EDD timing Changes in EDD after initial EDD is set are tracked and the information is then used to target specific improvement actions internal or external to the Trust

REALTIME ED DEMONSTRATION

REALTIME TIPS & TRICKS - THE WINNERS!!!! “Include RealTime in staff appraisals process” Claire Tolliday, CUH NHS Foundation Trust “eLearning sessions before full training” Gina Williamson, NCUH NHS Trust “Always remember to F11” David Young, NCUH NHS Trust * All tips and trick in their entirety you can read in Tips&Tricks Competition responses file

THANK YOU & SAFE JOURNEY HOME!!