quality control of gynecological operations in sweden: how and what?
DESCRIPTION
Quality control of gynecological operations in Sweden: How and what? . GYNOP Swedish National Quality Register of Gynecological Surgery www.gynop.org. HOW? Measurements for Improved Quality in Healthcare. TOP – DOWN. Singapore China India Scotland England Australia Canada - PowerPoint PPT PresentationTRANSCRIPT
Quality control of gynecological operations
in Sweden:
How and what?
GYNOPSwedish National Quality Register of Gynecological Surgery
www.gynop.org
Emil Nüssler
HOW?Measurements for Improved Quality in Healthcare
SingaporeChinaIndiaScotlandEnglandAustraliaCanada
+Denmark+Germany+ ….
TOP – DOWNGovernment + departments...Quality indicators
RecommandationsStandards
CertificationAccreditation
National statistics
Emil Nüssler
Sweden+ Australia?
BOTTOM – UP….Enthusiasts + nerds...
HOW?Measurements for Improved Quality in Healthcare
Emil Nüssler
Sweden BOTTOM – UP….Enthusiasts + nerds... Rapidly growing number registries
in the nineties
1997 Gynop
2007 ”the local authorities and regions took the responsibility of the continuing operation, development, and financing of the registries”
HOW?Measurements for Improved Quality in Healthcare
Emil Nüssler
Sweden BOTTOM – UP….
Sweden today... 8 ”competence centres”
78 ”accepted” national quality registries
24 ” candidate” registries
HOW?Measurements for Improved Quality in Healthcare
Emil Nüssler
Database
LaparoscopyHystero-scopy
HOW? The gynaecological family 1997
Emil Nüssler
Database
Benign abd. surgery
Adnex
Hystero-scopy
MalignanttumoursProlapse
Incon-tinence
HOW? The gynecological family since 2006
Emil Nüssler
Pre-op questionnaire
Questionnaire1 year post-op
Questionnaire 8 weeks post-OP
PATIENT DOCTOR
Emil Nüssler
Pre-OP questionnaire
Questionnaire1 year post-OP
Questionnaire 8 weeks post-OP
Status at ADMISSION
OPERATION
Status at DISCHARGE
PATIENT DOCTOR
8 weeks - assessment
1 year - assessment
Emil Nüssler
CARE orientedMedical perfection
PATIENT orientedFitness for purpose
MANAGEMENT orientedValue for money
WHAT? QUALITY?????
Emil Nüssler
on NATIONAL LEVEL ?
What do we do with our data? COMPARISON
Emil Nüssler
Uninformative for the clinician
on NATIONAL LEVEL =
What do we do with our data? COMPARISON
Emil Nüssler
Uninformative for the clinician
Irrelevant for the patient
on NATIONAL LEVEL =
What do we do with our data? COMPARISON
Emil Nüssler
Uninformative for the clinician
Irrelevant for the patient
Boring, for quality-minded professionals
on NATIONAL LEVEL =
What do we do with our data? COMPARISON
Emil Nüssler
COMPARISON
on CLINIC + INDIVIDUAL LEVEL ?
Emil Nüssler
COMPARISON
”IMPOSSIBLE”on CLINICAL + INDIVIDUAL LEVEL =
Emil Nüssler
COMPARISON
”IMPOSSIBLE”
because of ….
CASE MIX………
POLITICS………
MONEY…………
EGO…………….
TRADITIONS…..
..anything goes..
on CLINIC + INDIVIDUAL LEVEL =
Emil Nüssler
COMPARISON
YES WE CAN…
Comparable Patient Groups
Dynamic Benchmark
on CLINICAL + INDIVIDUAL LEVEL =
Emil Nüssler
COMPARISON on NATIONAL LEVEL
Emil Nüssler
COMPARISON on CLINICAL LEVEL version 2006
Einfache Prolapsoperationen
Emil Nüssler
Einfache Prolapsoperationen
Dynamic Benchmark
COMPARISON on CLINICAL LEVEL version 2009
Emil Nüssler
Einfache Prolapsoperationen
COMPARISON on CLINICAL LEVEL version 2012
Emil Nüssler
What do we do with our data?
Production reports
Special reports
”Open report”(Öppna Jämförelser)
Gyn. Departments ”annual report”
Scientific research ”for all”
Pre-op informationof patients
Clinical data + ”Rapportgenerator”
Quality control
ain’t easy…..
Thank youfor listening!
[email protected] National Quality Register of Gynecological Surgery
www.gynop.org