1. TOOLS FOR IMPLEMENTING THE QUALITY FRAMEWORK Dr Peter Jones MSc EBHC (Oxon) FACEM Dr Alana Harper PG Cert Med Sci FACEM MOH Forum, Wellington 23/3/2015

2. Aim of this presentation The MOH suite of quality measures – making it easy for you Data definitions (dictionary / executive summary) Data collection for process and clinical outcomes

3. Development of Quality Measures and Data Dictionary: What’s Needed? MOH Data definitions / dictionary IT at each site standardised and audited Standardised ‘intelligent’ Tools for data collection Web vs local DHB Dedicated resources for quality Space / Time / Admin / Clinical Records People (thank you NZMC) More than lip-service!

4. SSED NRP Quality Clinical Markers Clinical Quality Markers Selection Literature review / Evidence Search / Critical Appraisal Reference Group Meeting December 2010

5. Talk to IT and Clinical Records Set up a standard report Automatically generates list of cases With demographic data and time stamps for flow You enter the clinical data Upgrade your software! Excel 2010 or later This is MOH priority = lever for IT and Records

6. Clinical Quality Indicators Data Collection ED Presentations in time period ‘X’ For Specific Diagnosis List of ICD codes to IT: eg J45 (0,1,8,9); J46 Events with that ICD code in each time period Date NHI Demographics Random or consecutive sample, n=50? Manual collection of data Data Dictionary and Definitions Data accuracy / cleaning And/or use your own method to choose patients

7. MOH Quality Data Dictionary

8. MOH Data Dictionary Executive Summary

12. Clinical Quality Data Collection Tools ‘Intelligent’ spreadsheets Data validation checks / protected formulas Based on SSED NRP – ‘Lite’ tools

13. Clinical Quality Data Collection Tools Read First Worksheet Moderate or Severe Pain <30min for Severe Pain <60min for Moderate Pain Adequate Analgesia

14. Clinical Quality Data Collection Tools Audit Form Demographics and Time Stamps 13 fields Eligibility 2 – 8 fields Audit Data 9-18 fields

15. SSED NRP Clinical Quality Data Collection Tools Audit Forms Time to enter data ≈ 4 patients / hour 2 Days to do an audit Print / Export / Save results instantly Nicer format of the form coming MOH Excel experts will reformat Need piloting Please let us know if it’s not working! Start!

16. Tools for Implementing the Quality Framework National Definitions and Agreed Standards Questions / Discussion