data quality for service improvement

Data Quality for Service Improvement

Kate Harley

ISD

Clinic Outcome Completeness

Scotland Dental SpecialtiesClinical Outcome Code Completeness

0.0

20.0

40.0

60.0

80.0

100.0

May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10

Co

mp

lete

nes

s (%

)

Community Dental Practice

Oral and Maxillofacial Surgery

Oral Medicine

Oral Surgery

Orthodontics

Paediatric Dentistry

Restorative Dentistry

Clinic Outcome Completenessby Board

Bespoke Boards Dental Specialties Clinical Outcome Code Completeness

(Board 1, Board 2, Board 3, Board 4, Board 5, Board 6)

0.0

20.0

40.0

60.0

80.0

100.0


Co

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(%

) Community Dental Practice


Oral Medicine

Oral Surgery

Orthodontics




Board 1 Dental SpecialtiesClinical Outcome Code Completeness

0.0

20.0

40.0

60.0

80.0

100.0


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(%

)



Oral Surgery

Orthodontics




0.0

20.0

40.0

60.0

80.0

100.0


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(%

)



Orthodontics




0.0

20.0

40.0

60.0

80.0

100.0


Co

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lete

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)

Oral Surgery

Orthodontics



0.0

20.0

40.0

60.0

80.0

100.0


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Oral Medicine

Oral Surgery

Orthodontics





0.0

20.0

40.0

60.0

80.0

100.0


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Oral Medicine

Orthodontics

General anaesthetics

Q - What is included in the 18 Week Referral to Treatment (RTT) Standard for Dental Specialties?

A - General anaesthetic services led by the salaried dental services are also included in the 18 Weeks RTT Standard.

Q - Are dental procedures performed in primary care or community care included within the 18 Week RTT Standard?

A - If the procedure requires a general anaesthetic

Q - Should all patients requiring general anaesthesia for dental procedures be treated under the 18 Week RTT Standard?

A - Yes, dental procedures requiring a general anaesthetic (in the settings as outlined in G1 above) are part of the 18 Week RTT Standard.

Q - GA2. If community-run General Anaesthetic sessions are performed within secondary care, will these be included within the 18 Week RTT Standard?

A - Yes these patients will be included in the 18 Weeks RTT Standard.

QueSSTcap Analysis

• Queue• Stage of Treatment• Capacity

Queue

1. Total number of patients on the waiting list at month end (census) New Outpatients - NHS XXX - Orthodontics

0

20

40

60

80

100

120

140

160

180

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

2008 2009 2010Source:New Ways data, as at 30 Sep 2010

3. Waiting List Activity - Additions to list & removals from list within month New Outpatients - NHS XXX - Orthodontics

-40

-20

0

20

40

60

80

100

120

Gap betw een additions/removals Additions to list Removals to list

Source: New Ways data, as at 30 Sep2010

2. Distribution of ongoing waits at Sep 2010New Outpatients - NHS XXX - Orthodontics

All Referral Sources

0

5

10

15

20

25

30

35

Source: New Ways data, as at 30 Sep 2010

54% 36%

9%

2%

Please note, patients waiting over 18 weeks are likely to be on waiting list in error.

2. Distribution of ongoing waits at Sep 2010New Outpatients - NHS XXX - Orthodontics

All Referral Sources

0

10

20

30

40

50

60

0 <01

wee

ks

01 <

02 w

eeks

02 <

03 w

eeks

03 <

04 w

eeks

04 <

05 w

eeks

05 <

06 w

eeks

06 <

07 w

eeks

07 <

08 w

eeks

08 <

09 w

eeks

09 <

10 w

eeks

10 <

11 w

eeks

11 <

12 w

eeks

12 <

13 w

eeks

13 <

14 w

eeks

14 <

15 w

eeks

15 <

16 w

eeks

16 <

17 w

eeks

17 <

18 w

eeks

18+ w

eeks

Source: New Ways data, as at 30 Sep 2010

27% 16%

24%

32%

Please note, patients waiting over 18 weeks are likely to be on waiting list in error.

4.b) Estimated total number of weeks to clear Waiting List at month end based on monthly activity

New Outpatients - NHS XXX - Orthodontics by month

0

2

4

6

8

10

12

14

Oct2009

Nov2009

Dec2009

Jan2010

Feb2010

Mar2010

Apr2010

May2010

Jun2010

Jul2010

Aug2010

Sep2010

Weeks to clear allow ing for unavailability Periods of unavailabilitySource:

New Ways data, as at 30 Sep 2010

7.512.99.011.05.77.95.17.16.77.17.5

Total w eeks to clear = w eeks to clear allow ing for unavailability + average w eeks unavailable

5.5

4.a) Estimated total number of weeks to clear Waiting List as at month ending Sep 10New Outpatients - Orthodontics by NHS board of treatment

9.66.8 7.7 6.6

8.3

16.413.7

9.612.0 11.0

8.4

2.9

7.0

3.4

10.36.9

50.2

6.59.5

14.916.3

8.6

16.6

10.5

24.4

10.8

5.5

0.00

10

20

30

40

50

60

based on annual activity based on monthly activity (Sep 10)Source:

New Ways data, as at 30 Sep 2010

Outpatient procedure recording – North of Scotland NHS Boards

2009/10–22,623 new outpatients –99% with no procedure

recorded–61,313 return outpatients–92% with no procedure code

Top 10 procedure groups recorded for return outpatients,

31 March 2010• Main procedure No. %

• Other Specified Orthodontic Operations 1,838 3.0• Surgical Removal Of Impacted Wisdom Tooth 423 0.7• Insertion Of Fixed Orthodontic Appliance 330 0.5• Surgical Removal Of Retained Root Of Tooth 255 0.4• Insertion Of Movable Orthodontic Appliance 226 0.4• Surgical Removal Of Tooth NEC 154 0.3• Surgical Removal Of Wisdom Tooth NEC 141 0.2• Apicectomy Of Tooth 139 0.2• Biopsy Of Lesion of Lip 118 0.2• Biopsy Of Lesion of Mouth NEC 106 0.2

Dental Information Developments

•Scottish Health Information Service Incorporate Dental data mart•R4 – Solution Stewardship commencing•Review of Dental Specialty definitions Endodontics, prosthodontics,periodontics •Increased coverage of statistics Registrations by patient postcode, NHS Board and SIMD Participation – Scotland, NHS Board and age group• Childhood admissions to hospital for dental extractions in Scotland A Childsmile service evaluation project

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