Evidence submitted by BMI Healthcare (ISTC
59)
BMI HEALTHCARE
Clinical Outcomes Data collection for GSup2 Contract
The Second General Supplementary contract (GSup2)
was awarded in Summer 2005. BMI Healthcare was one of the
successful bidders and was awarded a large volume of orthopaedic
procedures to be carried out under the terms of the project agreement.
The contractual reporting requirements related
to both Key Performance Indicators (KPIs) and also to patient
HRG specific tracking information.
Key Performance Indicators
The KPIs required reporting on a monthly basis
and were presented both electronically and in hard copy at the
monthly Performance Management Review (PMR). The purpose of the
PMR was to enable formal review of the progress made towards completing
the contract and for discussion of all KPI's to identify any trends
and to agree necessary actions.
In tandem with this reporting process, a regular
contact was established between the Central Contracts Management
Unit (CCMU) clinical lead and the BMI clinical contract lead.
This enabled each party to understand the workload being undertaken
at each BMI hospital undertaking G Sup 2 work and to review and
understand any adverse KPI data. It should be noted that there
was no necessity for any "Joint Service Review" during
the period of the contract.
All KPI data was presented to the DH as required
by the contract. The breadth and depth of the data was in line
with what is regularly collected from all BMI hospital and as
such provided comprehensive view of the clinical outcomes across
the contract, consistent with that which we collect for all BMI
patients.
The data areas collected are as shown below:
Did Not Attends (DNAs)-Daycases
DNAs-Inpatients
Cancellations for clinical reasons
Cancellations for non-clinical reasons
Unplanned Returns to theatre
Rejections at referral
Total referrals
Unforeseen day case to inpatient stays
Transfers to another facility
Emergency admissions within 29 days
Procedures under local anaesthetic
Provider performance data
Clinician performance data
Patient satisfaction level (daycases)
Patient satisfaction level (inpatients)
Complaints received
Complaints not handled within timescales
Incidents reported to the NPSA
NHS staff recruited
Facility condition
Security breaches
Data protection breaches
Patients treated after treat by date
HRG KPI Data
In addition to the above, KPI data was also
collected by HRG. The following areas were recorded by HRG:
Total Outpatient sessions attributed
to each HRG
Emergency admissions by HRG
Length of stay by HRG (day-case and inpatient)
Average length of induction by HRG
Average duration of surgery by HRG
Average length of recovery by HRG
Total procedures under local anaesthetic by HRG
Again the data was submitted consistently to
the CCPP and was discussed at the PMR meetings.
BMI PATIENT TRACKER
On a weekly basis the contract required submission
of a tracking form to identify each patient and what point they
had reached in the patient pathway. The tracker included the following
information:
SHA
NHS Number
HRG Code
Breach date
Date referral received
Date medical notes received
Outpatient assessment date
Outpatient appointment outcome
Pre-operative assessment date
Pre-operative assessment outcome
Admission date
Procedure date
Procedure outcome
Discharge date
Follow up status
Episode complete date
Reason patient failed to start pathway
Patient contacted date
The completion of the tracker allowed both the
DH and the local SHA to have an accurate view of the situation
regarding each patient.
Additional Information
As the contract drew to a close, BMI were asked
to present data to the DH relating to reasons for rejected referrals.
It is understood that this was required to enable The Department
to fully understand the referral processes and ways of improving
them across the NHS in the future. BMI provided this data in a
timely way as requested.
Conclusions
Data provision to the DH for the duration has
been a straightforward process and has not presented a significant
problem to BMI in terms of compliance or delivery.
Jane Rooney
Clinical Service Director, Amicus Heathcare
28 April 2006
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