Data tools to support the RCSEng Right Care Commissioning Guidance

Copyright 2014 Right Care

Simon Swift

Methods

Director of Insight Analytics

Commissioning for Value

Data tools to support the RCSEng Right Care Commissioning Guidance

Online Learning Series

Right Care for Populations

Our roleCreated and maintaining web tools and technical documents

Working with each GDG to:

• Understand scope of guidance• Agreeing procedures• Creating hierarchy• Drafting technical definition• Creating draft data• Review• Finalise• Publish

Mantra

Data

Information ActionableKnowledge ChangeAnalysis Interpretation Decision

Evidence

• Are you different?• Do you know why?• What does it mean?• Are you comfortable being different?

Approach: Questioning variation

Bullet charts

Spine charts for the indicators have been created using statistical process control (SPC) principles and use control limits to indicate variation from the national mean, suing standard deviation (SD)

SPC sparklines increase the amount of relevant information presented contain national mean, variation and trend over time

The full technical guidance is available on the web page:

Methodology

Interpretation

A value that lies outside of the two SD (95%) control limits can be considered as an ‘alert’. Values that lie outside 3SD (99.8%) can be viewed as ‘alarms’.

A dashboard is the tin opener for a conversation, it is not a test. The data is the starting point and should not be arbitrarily used for performance management without local interpretation.

The data is wrong

DENIAL

It does not apply to me

ANGER

I will get the correct data

BARGAINING

There is nothing I can do about it

DEPRESSION

Acceptance and action

RESOLUTION

Adapted from Elisabeth Kübler-Ross 5 stage model

(Though more modern grief theories such as that of John Bowlby described as ‘ebb and flow of processes such as shock and numbness, yearning and searching, disorganization and despair, and reorganization’ have some attraction)

The five stages of grief

DATA TOOLS

Dashboards• Purpose

– Initial view by CCG of a core set of activity and output measures for each group in the guidance hierarchy

• Structure– Standard layout using SPC rules showing value, mean, national control

limits and trend

• Accessibility– Public

http://www.rcseng.ac.uk/providers-commissioners/nscc/data-tools

Procedures Explorer Tool• Purpose

– Enable users to interact with the data to ask questions and understand both commissioner and provider variation

• Structure– Standard tool for all guidance sets, with the same metrics as

dashboards• Variation view• Commissioner view• Provider view

• Accessibility– Publichttp://www.rcseng.ac.uk/providers-commissioners/nscc/data-tools

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Online Learning Series

Right Care for Populations

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Find the full series at:

www.rightcare.nhs.uk/resourcecentre

Commissioning Guidance and Tools on RCS website

http://www.rcseng.ac.uk/healthcare-bodies/nscc