1. Published Reports The Trauma Audit & Research Network (TARN)

2. TARN Reports Clinical reports Viewable only any logged in user Trauma Dashboards Emailed to Clinical and Networks leads Performance comparisons Viewable by all

3. Themed Clinical Reports Published 3 times a year, at end of: March:Thoracic & Abdominal July:Orthopaedic & Pelvic November: Head & Spinal (Head & Spinal report due out this week) Includes submissions Dispatched up to end of previous month Data shown by Financial years: Currently patients Admitted April 14-March 15 & April 15-Dec 15 Core section: All patients admitted during time period Themed section: All patients admitted during time period with relevant injuries Email notification when published Click on REPORT tab to access

4. Trauma Dashboards Benchmarking between comparable hospitals Major Trauma Centre Dashboard Launched July 2012 Developed by MTC Clinical Reference Group Children’s Major Trauma Centre Dashboard Launched July 2015 Developed by TARNLet Trauma Unit Dashboard Launched September 2015 Developed by Trauma Unit Working Party

5. Trauma Dashboards  Key Performance Measures, divided into 3 groups: 1.Data quality 2.Evidence based Measures: NICE, BOAST, TXA 3. System indicators: Consultant led Trauma teams, Time to CT  Quarterly data analysed for MTCs/TUs  Bi-annual for Children’s MTCs

6. Dashboard documentation  Dashboard  Support document: Each measure explained

7. Dashboard documentation  Amendments spreadsheet: Which MUST be used to submit any changes  List of all Non Compliant patients for each measure:  Amber: Missing data  Red: Data entered that does not fulfil criteria

8. MT Dashboard timescales  Initial Dashboard Emailed to Trust & Network leads  3 week Validation period: amendments submitted  Validated Dashboard published

9. TU Dashboard timescales

10. Dashboard format Caterpillar plot Bullet chart Run chart Data displayed in 3 formats:  Caterpillar plot  Bullet Chart  Run Chart

11. Caterpillar plot  Blue markers: All comparable hospitals’ performance during last quarter  Green marker: Individual Hospital figure

12. Bullet chart  Comparing individual Hospital with National average (vertical bar)  Grey area: Expected range  Green area: Better than expected  Red area: Worse than expected

13. Run chart  Blue bar: Individual Hospital performance over last 8 quarters  Purple bar: National quarterly average for all comparable hospitals  Red bar: Lower control limit  Green bar: Upper control limit

14. TU Dashboard measures

18. Performance Comparisons Updated 3 times a year, at end of: March, July & November Includes submissions Dispatched up to end of previous month Data shown by last 4 Calendar years: Currently patients Admitted January 2012-Sept 2015 Includes: Data completeness Data Accreditation Hospital Survival Rate Ps Breakdown Standards of care results: Head, Spine, Chest and Open fractures

19. Performance Comparisons

20. Reports Overview Clinical reports three times a year Dashboards quarterly/half yearly (cMTC) Performance comparisons refreshed three times a year Ad-hoc analysis available on request

21. Today’ Summary Quality Assurance Calculating the Injury Severity Score Ps14 (Probability of Survival) calculation Hospital Survival rate (Ws) Online reports Published Reports