1. Data to Drive Improvement Workshop: Outpatient DCAQ
11 September Charmaine Blaize

2. Outpatient DCAQ Dashboard
Shows last two years (24 months) trends of
Referrals;
Activity ;
Waiting list changes.
Most frequent data updates are hourly
Data to Drive Improvement: NHSFV OP DCAQ Demo

3. Technology and Datasets used
Microstrategy (BI tool)
SQL to extract datasets
TOPAS (Patient Administration System)
Data to Drive Improvement: NHSFV OP DCAQ Demo

4. Data to Drive Improvement: NHSFV OP DCAQ Demo
The Story
Two main improvement initiatives (Outpatients Improvement & Clinic Utilisation improvement project) required data
Easily accessible format
Visible to their managers as well
Creation of OP DCAQ to replace mix of adhoc and weekly spreadsheets
Data to Drive Improvement: NHSFV OP DCAQ Demo

5. Data to Drive Improvement: NHSFV OP DCAQ Demo
Referrals
Requested Specialty - when a referral is received and it is vetted.
Allocated Specialty - number of referrals per specialty after they have been vetted.
Request Source - where referrals came from (e.g. GP, Ambulance etc)
Data to Drive Improvement: NHSFV OP DCAQ Demo

6. Referrals: Requested Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

7. Referrals: Request Source
Data to Drive Improvement: NHSFV OP DCAQ Demo

8. Referrals: Allocated Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

9. Data to Drive Improvement: NHSFV OP DCAQ Demo
Decision Outcomes
24 month breakdown of all vetted referrals and the decision of all vetted referrals.
By month and individual specialties.
Data to Drive Improvement: NHSFV OP DCAQ Demo

10. Decision Outcomes: By Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

11. Data to Drive Improvement: NHSFV OP DCAQ Demo
Current Waiting List
Patient availability by Specialty and Subspecialty where applicable.
Data to Drive Improvement: NHSFV OP DCAQ Demo

12. Current Waiting List: Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

13. Current Waiting List: Sub Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

14. Data to Drive Improvement: NHSFV OP DCAQ Demo
Waiting List Dynamics
24 months Waiting List Activity includes:
Patient Type
Waiting list (WL) size
Attendances
Additions
Removals
Unavailable
Number of patients seen at clinic and taken off the WL
Data to Drive Improvement: NHSFV OP DCAQ Demo

15. Waiting List Dynamics: Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

16. Waiting List Dynamics: Sub Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

17. Data to Drive Improvement: NHSFV OP DCAQ Demo
Clinic Outcomes:
Overall activity of patients seen and the outcomes.
E.g. Attendances, DNAs, CNWs,
Patient Moved/Cancelled, Hospital Moved/Cancelled
Overall activity of patients seen and the outcomes.
Outcomes are as follows:
Attendances,
DNAs,
CNWs,
Patient Moved/Cancelled
Hospital Moved/Cancelled
DNA >=2 is to flag a patient that has more than 2 DNAs in their pathway. This is to assist in reduction of repeat DNAs per person.
Clinical Outcomes can be viewed by:
Specialty
Sub-Specialty
New/Return
All/Adjusted /Unadjusted
Adjusted occurs when the WL clock is reset. E.g. If a patient cancels then the WL clock is reset.
If the hospital cancels then this does not affect the WL clock.
Data to Drive Improvement: NHSFV OP DCAQ Demo

18. Clinic Outcomes: Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

19. Clinic Outcomes: DNA>=2
Data to Drive Improvement: NHSFV OP DCAQ Demo

20. Data to Drive Improvement: NHSFV OP DCAQ Demo
Cancelled Clinics
The number of clinics cancelled per specialty and breakdown by cancellation reasons.
Overall activity of patients seen and the outcomes.
Outcomes are as follows:
Attendances,
DNAs,
CNWs,
Patient Moved/Cancelled
Hospital Moved/Cancelled
DNA >=2 is to flag a patient that has more than 2 DNAs in their pathway. This is to assist in reduction of repeat DNAs per person.
Clinical Outcomes can be viewed by:
Specialty
Sub-Specialty
New/Return
All/Adjusted /Unadjusted
Adjusted occurs when the WL clock is reset. E.g. If a patient cancels then the WL clock is reset.
If the hospital cancels then this does not affect the WL clock.
Data to Drive Improvement: NHSFV OP DCAQ Demo

21. Data to Drive Improvement: NHSFV OP DCAQ Demo
Clinic Utilisation
Used for forecasting and scheduling activity for clinic availability. It can be : Historic or Future/Predicted
Overall activity of patients seen and the outcomes.
Outcomes are as follows:
Attendances,
DNAs,
CNWs,
Patient Moved/Cancelled
Hospital Moved/Cancelled
DNA >=2 is to flag a patient that has more than 2 DNAs in their pathway. This is to assist in reduction of repeat DNAs per person.
Clinical Outcomes can be viewed by:
Specialty
Sub-Specialty
New/Return
All/Adjusted /Unadjusted
Adjusted occurs when the WL clock is reset. E.g. If a patient cancels then the WL clock is reset.
If the hospital cancels then this does not affect the WL clock.
Data to Drive Improvement: NHSFV OP DCAQ Demo

22. Clinic Utilisation: Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

23. Data to Drive Improvement: NHSFV OP DCAQ Demo
Performance
24 month review of the number of completed waits within target and out of target.
Overall activity of patients seen and the outcomes.
Outcomes are as follows:
Attendances,
DNAs,
CNWs,
Patient Moved/Cancelled
Hospital Moved/Cancelled
DNA >=2 is to flag a patient that has more than 2 DNAs in their pathway. This is to assist in reduction of repeat DNAs per person.
Clinical Outcomes can be viewed by:
Specialty
Sub-Specialty
New/Return
All/Adjusted /Unadjusted
Adjusted occurs when the WL clock is reset. E.g. If a patient cancels then the WL clock is reset.
If the hospital cancels then this does not affect the WL clock.
Data to Drive Improvement: NHSFV OP DCAQ Demo

24. Performance: Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

25. Performance: Sub Specialty
Data to Drive Improvement: NHSFV OP DCAQ Demo

26. End of Demo Questions? Contacts: Paul Woolman p.woolman@nhs.net
Tracey Newman