PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Rush for Practices

A new GP Data Analysis Tool from PRIMIS

Dr John WilliamsDr John Robinson

Julia Arthur

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Clinical Governance: Improving the quality of Primary Health

Care

The Challenge:“Having selected our indicators, data are

required. The data must be accessible, valid, complete, and relevant. Primary care has a

particular shortage of this type of data.”

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Rush for Practices

• The authors• Demonstration –

– What is it?– What does it do?

• Experience in the real world

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Who are the authors?

• John Williams• John Robinson

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Rush for Practices

What is it?

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Developing Rush for Practices

• Design Parameters– Local – Iterative– Simple– Graphical Display– Population View– Individual View

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Introducing Excel

• Exporting to Excel from System 5– Analysis– Charts

• Developing Reports for System 6000– One line per patient spreadsheets– Pivot Tables– Individual View

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Pivot Tablesusually_seen_gp (All)gender Maleage 40-59Cholesterol 5-10Statin Prescribed (All)BMI (All)Glucose or HBA1C check (All)Annual Review (All)ACE Inhibitors Issued (All)Left Ventricular Failure (All)Beta blockers Issued (All)MI last 12 months (All)History of Myocardial Infarct ever (All)Salicylate Prophylaxis (All)Aspirin or Warfarin Issued (All)Smoking Match (All)

Number of patients Mean Diastolic BPMean Systolic BP -89-0 1-90 91-180 Grand Total

-139-0 1 11-140 1 1

141-280 1 1Grand Total 1 1 1 3

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Putting Rush for Practices together

• One line per patient data table– Already in use– Solutions for some of MIQUEST

shortcomings

• Pivot tables could be driven from data table in order to provide graphics

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

MIQUEST – problems to solve

• Updating date ranges• Practice identity codes• Meaningless column headings• No graphics• Finding the right queries at the

right time

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Go to Rush for Practices demonstration

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Project planning

• Alpha- and then beta-testing• Writing specification• Developing user guide• Training

– PRIMIS– Learning Consultants– Facilitators– Practices

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Rush for Practices“Real World Experience”

Julia ArthurPRIMIS Facilitator

NEW FOREST PCT

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Background

• January 2001 PRIMIS Project set up

• All 19 practices signed up to PRIMIS Project

• Various clinical systems• PRIMIS contacts in each practice

NEW FOREST PCT

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Beta-testing Rush for Practices

• Demonstration• Installation• Implementation

NEW FOREST PCT

PRIMIS Third National Conference Tuesday 1 April 2003Birmingham

As easy as 1, 2, 3

• Installation & configuration: only once per PC– R4P 100 release holder4\R4PG5.exe

• Rush4p.xls– 1. Select query set– 2. Run query set on MIQUEST– 3. Display results

NEW FOREST PCT

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Issues

• Technical– Rush for Practices– MIQUEST / Clinical System

• Human

NEW FOREST PCT

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

Benefits

• User friendly• Reports generated quickly and are

comprehensive summaries• Excellent for overall, visual picture• Able to easily identify search criteria and

information gaps• Complementary tool to National PRIMIS work• Standardisation

NEW FOREST PCT

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham

The Future

• GP Contract• Data Quality• PCT Audits / Clinical Governance /

NSFs• Use by other projects

NEW FOREST PCT

PRIMIS Third National Conference Tuesday 1 April 2003

Birmingham