bmj group presentation quality forum 2013
TRANSCRIPT
Expert Networks
Specialists Authors Peer reviewers Technical Experts
Quality Assurance
Clinical Editorial Peer review Transparent standards
Primary research
Research quality Article selection Study design
Evidence Based Medicine
Systematic review Evidence Summary Health Economics
Technology
Multimedia delivery Clinical Audit Software Health Informatics
Domain expertise
Medical Education Decision Support Clinical Audit
Measure
Educate Influence
Educate
Identify Variation
Interpret Clinical Data
Influence
Audit Performance
Measure
Design KPIs
Educate
Support Decisions
Inform Patients
Guide Current Awareness
Identify Variation
Interpret Clinical Data
Measure
Alert
Audit Performance
Influence
Design KPIs
Support Decisions
Inform Patients
Guide Current Awareness
Measure
Influence
Alert
Qualify
Understand Needs
Learn Online
Events
Publish
Educate
Identify Variation
Interpret Clinical Data
Audit Performance
Design KPIs
Educate
Support Decisions
Inform Patients
Guide Current Awareness
Measure
Influence
Alert
Qualify
Understand Needs
Learn Online
Events
Publish
Identify Variation
Interpret Clinical Data
Audit Performance
Design KPIs
Back
Help your clinicians make better decisions
We can help with:
• Referential knowledge to inform decisions at the
point of care
• Evidenced based orders sets that reduce cost and
improve quality
• Detailed systematic reviews to help plan and design
services
• Knowledge integrated into your clinical systems
Support Decisions
Systematic Review
Evidence Synthesis
Alert Design
System Integration
Study Grading
Back
Case Studies
Demo
Evidence based reference tool designed to be used at the point of care
• Over 1000 monographs covering around 2500 clinical conditions
• Evidence based and internationally peer reviewed
• Has condition specific information, assessment of symptoms guidance and overviews
• Include International guidelines and drug database links
• Links to GRADE evidence and learning resources
Understand Needs
Support Decisions
Learn Online
Guide
Qualify
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Case Studies
Demo
Evidence based reference tool designed to be used at the point of care
• Over 1000 monographs covering around 2500 clinical conditions
• Evidence based and internationally peer reviewed
• Has condition specific information, assessment of symptoms guidance and overviews
• Include International guidelines and drug database links
• Links to GRADE evidence and learning resources
Design KPIs
Support Decisions
Identify Variation
Guide
Interpret Clinical Data
Back
Help your clinicians make better decisions
We can help with:
• Referential knowledge to inform decisions at the
point of care
• Evidenced based orders sets that reduce cost and
improve quality
• Detailed systematic reviews to help plan and design
services
• Knowledge integrated into your clinical systems
Support Decisions
Systematic Review
Evidence Synthesis
Alert Design
System Integration
Study Grading
Back
We can provide a synthesis of the available evidence on any clinical topic
• We use a robust evidence based medicine process to interpret available evidence
• Develop search strategies and set condition specific criteria for the filtering of the studies
• Create protocols for the appraisal of the evidence
• Synthesise the evidence, interpreting it in the context of its relevance and quality
• Generate evidence summaries which highlight changes in the available knowledge
Evidence Synthesis
Evidence Synthesis
Back
Help your clinicians make better decisions
We can help with:
• Referential knowledge to inform decisions at the
point of care
• Evidenced based orders sets that reduce cost and
improve quality
• Detailed systematic reviews to help plan and design
services
• Knowledge integrated into your clinical systems
Support Decisions
Systematic Review
Evidence Synthesis
Alert Design
System Integration
Study Grading
Back
In many cases, our products can be integrated into
local systems. This facilitates usage by making them:
• Fit with local workflow
• Accessible at the point-of-care
• Utilise common user-interfaces where able
• Record usage to local data warehouses to enable
tracking
• This includes the integration of decision support as
well as the consolidation of national and local data
sources.
System Integration
Audit+
Analytics
System Integration
Educate
Support Decisions
Inform Patients
Guide Current Awareness
Measure
Influence
Alert
Qualify
Understand Needs
Learn Online
Events
Publish
Identify Variation
Interpret Clinical Data
Audit Performance
Design KPIs
Back
Highlight opportunities for clinical improvement
We can give you better information on:
• Variation between providers in your health system
• Clinical areas where variation is greatest
• Specific interventions to help reduce variance
• Comparison of individual clinicians performance against quality measures
• Sharing of comparative performance data between providers
Identify Variation
Alert Design
Audit Software
Data Analysis
Performance Measures
Audit+
Contract+
Analytics
Clinical Dashboards
Back
Our data analysis capability, including statisticians,
technologists and health economists, provides the
ability to:
• Baseline current performance and standards
• Identify areas of concern to target
• Develop meaningful KPI’s
• Monitor change and performance to drive
sustainable benefits
• Show you where savings and quality improvements
can be made
Data Analysis
Audit+
Data Analysis
Analytics
Back
Highlight opportunities for clinical improvement
We can give you better information on:
• Variation between providers in your health system
• Clinical areas where variation is greatest
• Specific interventions to help reduce variance
• Comparison of individual clinicians QOF performance
• Sharing of comparative performance data between providers
Identify Variation
Alert Design
Clinical Dashboards
Audit Software
Data Analysis
Performance Measures
Audit+
Contract+
Analytics
Back
Powerful clinical dashboards are available to provide
local clinicians and commissioners with visibility of
difference process and outcome measures to
facilitate:
• Identification of variation
• Targeting of services to where they are needed
• Identification of problem areas to focus
improvement strategies
• Monitoring of quality, safety and efficiency
Clinical Dashboards
Audit+
Contract+
Prescribing+
Clinical Dashboards
Analytics
Educate
Support Decisions
Inform Patients
Guide Current Awareness
Measure
Influence
Alert
Qualify
Understand Needs
Learn Online
Events
Publish
Identify Variation
Interpret Clinical Data
Audit Performance
Design KPIs
Back
Enhance your clinicians knowledge
We can help you with:
• Online learning modules to allow your clinicians to
learn in their own time
• A record of all of their learning activity
• Reducing the number of face to face educational
events
• Delivering your organisation’s mandatory training
Learn Online
Learn Online
Medical Writing
Expert Authors
Multimedia production
Medical Education
Curriculum Development
Back
Case Studies
Institutions
The trusted independent online learning service for
medical professionals
• Interactive, learner centric website designed to
support personal development
• Over 1,000 peer reviewed, evidence based
modules
• Link practice professional development planning
with learning resources
• Curriculum driven, editorially independent and up-
to-date
Qualify
Learn Online
Publish
Understand Needs
Current Awareness
Modules
Platform
Back
Enhance your clinicians knowledge
We can help you with:
• Online learning modules to allow your clinicians to
learn in their own time
• A record of all of their learning activity
• Reducing the number of face to face educational
events
• Delivering your organisation’s mandatory training
Learn Online
Medical Writing
Curriculum Development
Expert Authors
Multimedia production
Medical Education
Back
Our experience in medical education can be applied in your
organisation. We can help you with:
• The principles of adult learning in healthcare professionals
• Planning and delivering a curriculum
• Small and large group teaching
• Teaching practical skills
• Problem based learning
• The principles of assessment
• How to evaluate your teaching and quality assurance in
medical education
Curriculum Development
Curriculum Development
Back
Enhance your clinicians knowledge
We can help you with:
• Online learning modules to allow your clinicians to
learn in their own time
• A record of all of their learning activity
• Reducing the number of face to face educational
events
• Delivering your organisation’s mandatory training
Learn Online
Medical Writing
Curriculum Development
Expert Authors
Multimedia production
Medical Education
Educate
Support Decisions
Inform Patients
Guide Current Awareness
Measure
Influence
Alert
Qualify
Understand Needs
Learn Online
Events
Publish
Identify Variation
Interpret Clinical Data
Audit Performance
Design KPIs
Identify variation
KPI Design
Audit ‘Screening’ prompt
‘Assessment’ prompt
Patient lists
Portfolio Reference
Decision Support
eLearning modules
‘Management’ prompt
Bespoke decision tree
Reference Decision Support
eLearning modules
Link to local pathways
Performance monitoring
Patient information
Relevant articles
Performance
EBM Content Articles Education
Back
Identify variation
KPI Design
Audit ‘Screening’ prompt
‘Assessment’ prompt
Patient lists
Portfolio Reference
Decision Support
eLearning modules
‘Management’ prompt
Bespoke decision tree
Reference Decision Support
eLearning modules
Link to local pathways
Performance monitoring
Clinical Rules Services
Relevant articles
Patient information
Back
Audit ‘Screening’ prompt
‘Assessment’ prompt
Patient lists
Portfolio Reference
Decision Support
eLearning modules
‘Management’ prompt
Bespoke decision tree
Reference Decision Support
eLearning modules
Link to local pathways
Performance monitoring
Relevant articles
Patient information
KPI Design
Identify variation
End
Back
Consultation with the CCG, clinical leads and GPs enabled identification of key priorities and design of KPIs.
Bespoke audits were designed in Audit+ using a combination of National Guidelines, QOF and local priorities.
Data from these audits allowed us to identify variation.
KPI Design
Audit
Identify Variation
Audit+
Analysis
Audit
KPI Design
Identify variation
Performance Measures
System Integration
Audit Software
Data Analysis
Rule Design
Audit+
Use of diagnostic tests.
Prescribing in BPSD. Anti-dementia prescribing.
Prevalence of Dementia and use of softer codes.
Audit+
Back
Audit ‘Screening’ prompt
‘Assessment’ prompt
Patient lists
Portfolio Reference
Decision Support
eLearning modules
‘Management’ prompt
Bespoke decision tree
Reference Decision Support
eLearning modules
Link to local pathways
Performance monitoring
Relevant articles
Patient information
KPI Design
Identify variation
Back
Audit ‘Screening’ prompt
‘Assessment’ prompt
Patient lists
Portfolio Reference
Decision Support
eLearning modules
‘Management’ prompt
Bespoke decision tree
Reference Decision Support
eLearning modules
Link to local pathways
Performance monitoring
Relevant articles
Patient information
KPI Design
Identify variation
Back
A wide range of reference materials are provided at the point-of-care from prompts and bespoke web pages:
• These aim to help the GPs with case-finding, diagnosis, management and prescribing
• Web pages have been designed which contain links to relevant resources
• These include BMJ resources and local care pathways and services.
Systematic Review
Evidence Synthesis
Alert Design
System Integration
Study Grading
Reference Decision Support
Decision Support
Back
Audit ‘Screening’ prompt
‘Assessment’ prompt
Patient lists
Portfolio Reference
Decision Support
eLearning modules
‘Management’ prompt
Bespoke decision tree
Reference Decision Support
eLearning modules
Link to local pathways
Performance monitoring
Relevant articles
Patient information
KPI Design
Identify variation
Educate
Support Decisions
Inform Patients
Guide Current Awareness
Measure
Influence
Alert
Qualify
Understand Needs
Learn Online
Events
Publish
Identify Variation
Interpret Clinical Data
Audit Performance
Design KPIs
Quality
Making healthcare improvement simple Dr Ashley McKimm Head of BMJ Quality
150,000 articles/month
120,000 RCT/year
Amount of medical
information doubles
every 5 years1
1. Mattox DE. Welcome to ARCHIVES CME. Arch Otolaryngol Head Neck Surg. 2000;126:914
1. Balas EA, Boren SA. Managing clinical knowledge for health care improvement
In: Bemmel J, McCray AT, editors. Yearbook of Medical Informatics 2000
On average it takes 17 years
for clinical research to become
routine practice
The challenge
Make healthcare improvement simple
1. Help identify area for improvement
2. Find out how others have solved it
– and what didn’t work
3. Support step-by-step through the
improvement process
4. Get advice from mentors, experts
and the global community
5. Publish and share your work
BMJ Quality Improvement Reports
• Aims to become the world’s largest
repository of quality improvement
evidence
• A standardised SQUIRE guideline
template
• Made it searchable to help clinicians
find what works - and what doesn’t -
work before they start
• Step-by-step guide for
everyone – whether a
beginners or expert
• Over 20+ tools and
resources to help you
along the way
• Worked examples and
advice from experts
• One-click submission
with rapid peer review
and publication
Learning modules
• Australia and New Zealand customised
versions (June 2013)
• Programme for organisations
• PDF mini-journal showcasing all the work by your staff annually
BMJ Publishing Group Limited 2013. All rights reserved.
Visit the BMJ Stand for a live demonstration Web: quality.bmj.com Email: [email protected] Twitter: @bmjquality
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