Data Quality
Lyndsay Pendegrass
IST
Peter Hyland
Director of Operational Performance and Information, GOSH
4th May 2017
Agenda
Time
Order for the session
Introduction and context
DQ self assessment
SA findings to date
Future support
GOSH introduction and context
Example operational reports
Next steps and future direction
2
Introduction and Context
•
Linked to delivery of the standard is the concern around the quality of the
data and an awareness that there is inconsistency in the management and
processes related to RTT data across organisations
•
These concerns were identified in the National Audit Office (NAO)and
Parliamentary Advisory Committee (PAC) reports which focused on data
quality specifically around elective care
•
National compliance against the Incomplete standard has been a challenge
for some months with 1,583 patients waiting over 52 weeks
•
Number of patients waiting for treatment is increasing (3.66m February
2017)
•
Areas of regional focus include demand management, diversion at point of
referral, use of IS, long waiter trajectories and data quality and PTL
improvements
PTL data quality and validation
NHSI and NHSE identified data quality strategy for 2017-2019 and the work streams highlighted are linked to the requirements to
assist with the delivery of the suggested improvement strategy. The aim of the strategy is to improve data quality for all providers.
1
Non-reporting Trust
review and Intensive
(focused) Support
2
RTT Data Quality
Self-Assessment
Tool
3
Focus on best
practice
4
Regulation and
contractual levers
Centrally led joint team to work with NHSI and NHSE on regulatory requirements with respect to
driving better data quality and use of the NHS Contract.
5
Data Validation
Provide best practice on validation prioritisation and validation v’s audit. Develop list of preferred
external suppliers for mass legacy validation and also those that ‘clean’ PTLs e.g. NECSU Clear
PTL (National work)
6
Improved quality of
referrals
7
Analytics and
reporting
On site IST data quality diagnostic to all non reporting providers and others agreed with regional
teams. Support return to reporting trajectories with monthly reporting progress reviews. Further
support to be contracted outside of NHSI
Roll out to providers to cover business rules and exclusions, data quality checks, PAS outlook, data
quality governance and operational management. Commenced 31st January
Share best practice and information sheets covering: Data validation versus data audit, RTT rules
adherence and access policies, training, pathway exclusions and local governance. Look to
include an offer of support to commissioners.
NHSE to lead on improving referrals data. To include eRS, MAR and SUS data support of RTT
Support trusts to develop the right analytical and reporting capabilities so they can judge their own
data quality and develop national indicators of data quality
IST support offer
Detailed on site
DQ review
Specific dq non reporters support
IST dq support as part of work
stream package
Advice and guidance- provider and
commissioner level
DQ self
assessment
DQ Assessment
IST DQ self Assessment
Sections include:
• Business rules exclusions (National and local);
• Data input sheet;
• Data systems, operational reporting and dq
governance;
• Data check results
• Risk summary
• Assumptions
General Findings from self assessment to date
Key Issues
•
Incorrect exclusions applied to raw data set for several reasons;
•
Local application of rules to ‘cover up’ poor input of data (understanding of rules)
•
Application of blanket rules (not understanding the rules)
•
Lists of patients with unknown RTT status
•
Number of clock starts and stops does not link to variations in total list size
•
Lack of governance
•
No records of pathway removals and who agreed them
•
Limited board reports on data quality
•
Knowledge of who signs off monthly return
•
Poor quality of referral data (using gp referrals only)
•
Limited follow up PTLs
•
Poor visibility of planned lists
•
PAS implementation leaving legacy patients to validate
IST Resources
IST Elective Care Guide
IST Data Quality Self-Assessment Tool
IST Good Practice Guides
•
Managing Patients with uncertain RTT status
•
Data Validation versus Data Audit
•
Patient Administration System Basic Rules
•
Good practice approach to RTT data quality
IST Sustainability Tool