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Welcome
NHS Data Model and Dictionary Service
Open Day
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Dictionary for England• A collection of definitions about data
• Datum: a single piece of information, as a fact, statistic or code
• Dictionary: a selection of the words of a language, usually arranged alphabetically, giving information about their meanings
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The NHS Data Model and Dictionary for England• Model: A simplified view
of reality • allows some ideas to be
shared
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Aim of the Day: To enable users to discuss theNHS Data Model and Dictionarywith the National team
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• Timings • Toilets• Fire Drill (not planned for today)• Mobile Phones• Smoking - Cavendish Square• Breaks served in the lounge• Lunch served in the lounge
Domestics
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• Introductions • Genitourinary Medicine• What We Do • CDS Version 6• Topical Work • 18 weeks
• Break • Break• Break Out Sessions • Open Discussion• Lunch around 12:30 • Review of the Open Day
• Close no later than 4pm
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Some Ground Rules• This will be short, and very boring if we talk
and you listen - challenge us!
• We will discuss current work - this is our direction of travel, not definitive standards
• Your comments will not be attributed to you
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Introductions by table
• Your:- Name- Role- Organisation
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Questions
• Feel free to ask questions at any time
• If there is an area you want to explore in the open discussion, make a note for later
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Slides/ Evaluation• The Open Day Slides will be available on
the NHS Data Model and Dictionary Service website at:http://www.connectingforhealth.nhs.uk/systemsandservices/data/datamodeldictionary/index_html
• An Evaluation Questionnaire will be sent to you by Events Online - please complete it
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NHS Data Model & Dictionary ServiceThe TeamThe Team
Summary of Role and Responsibilities:
• Analyse, model and develop change proposals for NHS Data Standards
• Provide support and guidance on NHS Data Standards and the NHS Data Model and Dictionary
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NHS Data Model & Dictionary ServiceThe TeamThe Team
Content Manager: Nicholas Oughtibridge
Business Analysts:• Angela Faulding• Bushra Khatoon• Cath Chilcott• David Barnet• Gill Foley
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NHS Data Model and Dictionary Service Products
NHS Data Model and Dictionary
NHS Data Model and Dictionary Website
NHS Data Model and Dictionary Consultation
Website
Frequently Asked
Questions
Training Courses
Open Days
Query Resolution
Mailing List
Supporting Development
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NHS Data Model and Dictionary Service Products
NHS Data Model and Dictionary
NHS Data Model and Dictionary Website
NHS Data Model and Dictionary Consultation
Website
Frequently Asked
Questions
Training Courses
Open Days
Query Resolution
Mailing List
Supporting Development
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NHS Data Model and Dictionary:
The NHS Data Model and Dictionary:
• provides a reference point for assured information standards to support health care activities within the NHS in England;
• together with Data Set Change Notices represent the agreed data standards which should be collected across the NHS.
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NHS Data Dictionary Release Cycle• The NHS Data Model and Dictionary is
updated once changes pass their implementation date
• Often this includes April and October• May include other months,
for example February 2008• Each item is independently version
controlled• The history of every change is included with
every item
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NHS Data Model and Dictionary Service Products
NHS Data Model and Dictionary
NHS Data Model and Dictionary Website
NHS Data Model and Dictionary Consultation
Website
Frequently Asked
Questions
Training Courses
Open Days
Query Resolution
Mailing List
Supporting Development
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It holds:• News• NHS Data Model and Dictionary• Help (Frequently Asked Questions)• Events• Mailing List• Consultation Website• Publications• XML Schemas• Commissioning Data Set Supporting Information• Link to Data Set Change Notice Website• Useful Links
NHS Data Model andDictionary Service Website
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NHS Data Model and Dictionary Service Products
NHS Data Model and Dictionary
NHS Data Model and Dictionary Website
NHS Data Model and Dictionary Consultation
Website
Frequently Asked
Questions
Training Courses
Open Days
Query Resolution
Mailing List
Supporting Development
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Frequently Asked Questions
Categories A-Z Listing Popularity
Sub Categories
FAQ PagesFAQ Pages
FAQ PagesFAQ Pages
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NHS Data Model and Dictionary Service Products
NHS Data Model and Dictionary
NHS Data Model and Dictionary Website
NHS Data Model and Dictionary Consultation
Website
Frequently Asked
Questions
Training Courses
Open Days
Query Resolution
Mailing List
Supporting Development
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• Check the NHS Data Model and Dictionary• Look at Frequently Asked Questions• Search other websites:
• e.g. Department of Health, Information Standards Board for Health and Social Care etc
• Contact other Help Desks• e.g. Secondary Uses Service, National
Administrative Codes Service etc.
Options for ResolvingData Definition Queries
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Data Definition Queries
Data Standards and Products Helpdesk:[email protected]
• full name• job title• telephone number• full postal address • organisation code (if you are an NHS user)• suggested resolution
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NHS Data Model and Dictionary Service Products
NHS Data Model and Dictionary
NHS Data Model and Dictionary Website
NHS Data Model and Dictionary Consultation
Website
Frequently Asked
Questions
Training Courses
Open Days
Query Resolution
Mailing List
Supporting Development
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Consultation Website: What is it?• View NHS data standards during
development stages
• Review and comment on work in progress
• Discuss work with the NHS Data Model and Dictionary Service
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Consultation Website: Example Sites• 18 weeks• Commissioning Data Set V6• Mental Health Minimum Data Set• Removal of EDIFACT• Genitourinary Medicine Access Monthly
Monitoring Data• Identifying the Responsible
Commissioner• 18 Weeks Clock Rules Suite
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Consultation Website: AccessEmail:[email protected]
Note: Users granted access to the Consultation Website are automatically added to the NHS Data Model and Dictionary Service Mailing List
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NHS Data Model and Dictionary Service Products
NHS Data Model and Dictionary
NHS Data Model and Dictionary Website
NHS Data Model and Dictionary Consultation
Website
Frequently Asked
Questions
Training Courses
Open Days
Query Resolution
Mailing List
Supporting Development
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Mailing List: What is it?• It is designed to make users aware of NHS
Data Model and Dictionary Service products, such as:
- New NHS Data Model and Dictionary releases
- Forthcoming events such as NHS Data Model and Dictionary Open Days, Training Courses
- Consultation of a draft Change Request
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NHS Data Model and Dictionary Service Products
NHS Data Model and Dictionary
NHS Data Model and Dictionary Website
NHS Data Model and Dictionary Consultation
Website
Frequently Asked
Questions
Training Courses
Open Days
Query Resolution
Mailing List
Supporting Development
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Introduction to the NHS Data Modeland Dictionary Training Course• Objective:
Develop a greater understanding of the NHS Data Model and Dictionary
• Target Audience:NHS Information professionals in Trusts, Primary Care Trusts and Health Authorities
• Delivery:2 day course based in Leeds, 6 times a yearNext course June 2008 in Leeds
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Course ContentThe training course includes presentations on the following topics:• Background • Data Standards • Change Process • NHS Data Model and Dictionary • Data Validation • Data Modelling • Data Definition Queries
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Course Content
On successful completion of the course, participants will be able to:
• Understand the need for Data Standards• Understand how to navigate the NHS Data
Model and Dictionary• Read a Data Model• Use the NHS Data Model and Dictionary to
resolve data definition queries
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NHS Data Model and Dictionary Service Products
NHS Data Model and Dictionary
NHS Data Model and Dictionary Website
NHS Data Model and Dictionary Consultation
Website
Frequently Asked
Questions
Training Courses
Open Days
Query Resolution
Mailing List
Supporting Development
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Supporting Development
• Each Change Request:• Requires a:
• Sponsor and• Developer
• Is assured by the Information Standards Board for Health and Social Care
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• The Information Standards Board for Health and Social Care:
• provide an independent mechanism for the assurance and sign off of Information Standards for use in the NHS (England)
• publish the assured change as a Data Set Change Notices (DSCN)
DSCN Mailing List:http://www.connectingforhealth.nhs.uk/dscn/mailist
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Association for Informatics Professionals in Health & Social Care
ASSISTAssociation for InformationManagement & Technology
Staff in Health
ASSIST National Conference & Awards
Thursday, 22 May 2008London – Oval Cricket Ground
Key note speaker: Matthew Swindells
Book online @ http://www.connectingforhealth.nhs.uk/events/
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The Operating Framework for 2008/09
• Electronic Staff Record (ESR) Data Warehouse
• Strategic workforce planning and monitoring purposes
Human Resource and Payroll System for England and Wales
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The Operating Framework for 2008/09 Roles & Responsibilities
• Strategic Health Authorities• NHS Trusts• Primary Care Trusts
Expected to profile and monitor their workforce numbers and payroll monthly
National Workforce Data
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National Workforce Data
Introduces data definitions for Workforce
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National Workforce Data
Categories:
1. Organisational2. Personal/Operational3. Deployment4. Education5. Absence6. Staff Movements and Numbers
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National Workforce Data
Key Points:-
• Not linked to Main Specialty Code
• Evolution of Workforce data needs means further releases expected
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Cancer Waiting Times Cancer Reform Strategy (2007)
1. Align with 18 weeks data set, cancer registry and radiotherapy collections
2. Incorporate more cancer patients under the 62 day referral to treatment pathway
Continued…
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Cancer Waiting Times Cancer Reform Strategy (2007)
3. Include all cancer patients requiring more than one treatment for a primary or recurrent cancer receive all their treatment within 31 days of being ready to start treatment
4. Patients with breast symptoms where cancer is not suspected
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Cancer Waiting Times
Support:• Patient Outcomes \ Treatment
Packages• Service reconfiguration and local
planning• Policy development and decision-
making. • Cancer registries and their datasets
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Cancer Waiting Times
Key points:
• Extended data set imminent
• Reporting through Secondary Uses service from 2012
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New definitions• Consultant led activity / service• Non-consultant led activity / service• Interface Service
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Sex and Gender• Sex
A statement, as far as is known, about the phenotypical sex of the person based on observation of his/her biological and physiological characteristics • Not known• Male • Female• Indeterminate
• GenderA statement by the individual about the gender they identify themselves to be (i.e. self-defined)• Not known • Male• Female • Other - The person has a clear
idea of what their gender is, but it is neither discretely male nor female, e.g. agendered, bi-gendered, pan-gendered, transgender, third gender
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Sex and Gender• Sex
How the body looks
• GenderHow you choose to behave
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Person Sex at Registration and Gender Recognition Act 2004 • The ONS data element ‘Person Sex at Registration’ is the
person’s legal sex • as originally defined at birth registration • and possibly modified by issue of a Full Gender Recognition
Certificate under the Gender Recognition Act 2004. • The ONS may be the source of information for NHS data about
Person Sex. • People who are planning to have their ‘Sex at Registration’ entry
modified must be made aware of the implications of not disclosing their phenotypical sex to a health care professional when seeking health care.
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Ethnic Category• Mandating collection in non-admitted settings
including clinics and Accident & Emergency• Updating Commissioning Data Set 10, 20
and 21• Updating Schema for 6-1
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Commissioning Data Set 5 closedown
• Commissioning Data Set 5 is no longer the approved standard
• SUS supports the current standard and the immediate past standard
• Release 4 (October 2008) requires a new schema 6-1
• Release 4 cannot support Commissioning Data Set 5
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SUS Output• Defining SUS derived
output for• 18 weeks• Mental Health
• Will be used for Performance Sharing for 18 weeks
Breakout
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Break Out Sessions
• Developing Standards
• Navigation and the Consultation Website
• Healthcare Resource Group (HRG) 4
• Secondary Uses Service and 18 Week Reports
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Healthcare Resource Group 4 (HRG4)
• 33 Expert Working Groups• Managed by the Information Centre
for Health & Social Care• Developed the HRG4 currency• Support Payment by Results tariff
policy
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Healthcare Resource Group 4 (HRG4)
• A major revision of groupings increased from 550 to 1,400
• Focus on cost rather than length of stay
• 25% Increase in OPCS codes
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Healthcare Resource Group 4 (HRG4)
History:
• 2006/7 – Reference Costs used HRG4 for the first time
• Used to inform the 2009/10 national tariff under Payment by Results
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Healthcare Resource Group 4 (HRG4)
Expected:
• 2007/8 – Reference Costs use HRG4
• Use to inform the 2010/11 national tariff
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Healthcare Resource Group 4 (HRG4)
1. Increased clinical coverage:• Specialist Palliative Care• Diagnostic Imaging• Chemotherapy• Radiotherapy• Critical Care• Rehabilitation
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Healthcare Resource Group 4 (HRG4)
2. Improved use of Complications & Co-morbidities:
to reflect variations in severity and complexity
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Healthcare Resource Group 4 (HRG4)
3. Unbundling activity:
to handle high cost drugs and other high cost elements of care
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Healthcare Resource Group 4 (HRG4)
4. Setting independence: unbundling will help to make HRG’s ‘setting independence’
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HRG4 – Raise Awareness
Involve clinicians:-• To ensure accurate coding and optimise HRG
classification• To assist in identifying new data items• To help develop meaningful reference costs• To own and use the data• To help you to interpret variations from the
norm
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Healthcare Resource Group 4 (HRG4)
Key Issues for Reference Costs:
• Data Quality• Accuracy• Timeliness• Director of Finance sign-off
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The Operating Framework for 2008/09 Standard Contract Clause 29 • From April 2008
-Initially coded datasets weekly-Comprehensively coded datasets monthly
• From April 2009-Secondary Uses Service (SUS) standard repository for reconciliation and payments
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The Operating Framework for 2008/09 Standard Contract Clause 29
Failure to comply with the information requirements in terms of:• Accuracy • Completeness • Timeliness
Can result in Main Body, Clause 29 being enacted which can result in funds being withheld
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So what – they always say that!Host commissioners can instruct all commissioners to:
• Withhold 10% of income until hosts receive / accept data
• No interest payments on withheld income
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HRG4 - Your involvement is vital!Remember:-
1. Raise awareness of HRG4 within your organisation
2. Use OPCS-4.4 or lose money3. Involve clinicians4. SUS will be repository for payment,
reconciliation and performance from April 2009
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Data Model Components
NHS Number
NHS Number (Baby)
NHS Number (Mother)
Carer Support Indicator
Data Elements
Local Patient IdentifierOrganisation Code (Local Patient Identifier)Organisation Code TypeNHS NumberBirth Date
Accident and Emergency Attendance
Organisation Code (Code of Provider)Organisation Code (Code of Commissioner)Reporting Period (Mental Health)NHS NumberElectoral Ward of Usual Address
Mental Health Minimum Data Set
Data Sets
PATIENT
ACTIVITY
Classes
for
Subject of
1
0..*
Relationship
K NHS Number Carer Support Indicator Carer Permission Date Chronically Sick or Disabled Drug Misuse Database Number …..
K Activity Identifier
Attributes
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Genitourinary Medicine (GUM) Data Facts…
• GUM is in the 18 weeks Target
• Consultant\Nurse\Midwife-led data must be submitted in the Out-patient Commissioning Data Set
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Security Issues and Patient Confidentiality
Sensitive data, such as HIV and venereal diseases must omit the following:-
• NHS Number• Birth Date• Patient Name• Postcode of Usual Address
Genitourinary Medicine (GUM) Data
To be removed from CDS
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Genitourinary Medicine (GUM) Data British Association for Sexual Health
and HIV
• Developing a list of venereal disease classification codes
• Exceptions to the sensitive data rule…
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GUM Clinic Activity Data Set
Replaces the KC60 Sexually Transmitted Infections Central Return with a patient level data set
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DSCN 04/2008 - Sensitive Data
• Local Patient Identifier• Lower Layer Super Output Area
of Residence• Age• Gender
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GUM Clinic Activity Data SetDSCN 04/2008
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Genitourinary Waiting Times
Introduces a new aggregate level data set
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Genitourinary Medicine Remember:-
1. Consultant\Nurse-led activity must be transmitted in OP CDS
2. Exceptions to the sensitive data rules
3. Patient Name & Address to be removed from CDS
4. Included in 18 weeks
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Commissioning Data Set Purpose• Allows organisations to receive activity level
data• Supports Commissioning• Feeds Hospital Episode Statistics• Covers
• Past, current and future admitted patients including day case, long stay and psychiatric
• Past and future out-patients including ward-attenders, nurse/midwife/therapist and diagnostics
• Past Accident and Emergency attendances
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Commissioning Data Set Version 6• Evolution over 15 years, not revolution
• Move to re-use common components
• Summary of time-table• Notice of change published in May '06• Schema and Tables published May ’07• Mandatory by 31 March 2008
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Commissioning Data Set 6
• XML – protects the integrity of the data• Commissioning Data Set 5 has proved challenging
to some providers• Prevents invalid data for almost all fields
• Exceptions include NACS, ICD, OPCS, READ
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Categorisation of Data Quality
Missing
Default Other
Invalid
Valid
Data
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Categorisation of Data Quality
Missing
Default Other
Valid
Data
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If the admission is in a series of regular day or night admissions
Then use either National Code 0 or 1
Otherwise, don’t send the field
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Values 0 or 1
One digit long
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Main New Content• Payment by Results
• Paediatric and neonatal critical care
• Discharge ready date
• Age
• 18 Weeks• Pathway identifier• RTTP data items• Future out-
patients• Earliest
reasonable offer date
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Big impact - Content• Future out-patients• Elective Admission List• Critical Care• Patient Pathways• Referral to treatment periods• Diagnostic systems
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Big impact - Submission• Move to WEEKLY within
5 days of a week end (7 day period)
• Net change protocol for weekly submissions
• Source: Operating Framework
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Topic DSCN Publish Collect from
Submit from
Paediatric Critical Care 01/2007 Feb '07 Apr '07 Dec '07
Neonatal Critical Care 15/2006 Aug '06 Apr '07 Dec '07
Age 08/2007 Apr '07 Oct '07 Dec '07
Discharge Ready Date 13/2007 May '07 Oct '07 Dec '07
Patient Pathway 18/2006 Dec '06 Jan '07 Dec '07
Referral to treatment periods 18/2006 Dec '06 Jan '07 Dec '07
Earliest Reasonable Offer Date 09/2007 Apr '07 Oct '07 Dec '07
Diagnostic data flow 02/2007 Feb '07 Oct '07 Oct '07
CDS 5 refresh 27/2007 Aug ‘07 Ongoing Oct '07
CDS 6 XML schema 14/2007 Jun '07 (message) Dec '07
CDS 6 tables 18/2007 May ’07 (message) Dec ‘07
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Topic Implement MandatedDiagnostic data through out-patients Dec '07 Apr '08
Elective Admission List Apr '08
Future Out-patient appointments Dec '07 Apr '08
Use of net change protocol Use of CDS 6
Retire Commissioning Data Set 4 Jul '07
Retire Commissioning Data Set 5 Apr '08
Timely submission (weekly within 5 days of a week end)
Apr '08
Secondary Uses Service extracts Dec '07
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When does CDS 5 retire• Formerly: 31 March 2008
• Technically: SUS only supports 2 versions, current and previous. CDS 5 retires as soon as we need any update to CDS 6.
• Expected withdrawal – no later than Oct 2008
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CDS Version 6.1• Release: October 2008
• Content Changes: Ethnic Category in:-• Outpatient CDS• Future Outpatient CDS
• Coincide with withdrawal CDS Version 5
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Measuring 18 weeks
'By 2008 no one will wait longer than 18 weeks from GP referral
to hospital treatment.'
The NHS Improvement PlanJune 2004
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Aim
To define and measure the length of wait from GP referral to first definitive treatment
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Patient
What are we trying to measure?
Lets look at some pathways
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Clinical Assessment Attendance
Walk in centreattendances
Outpatient attendances
Radiologyinvestigations
Physiological Measurements
Elective Admissions
Emergency Admissions
Accident and Emergency
attendances
GP Attendances
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Interface Service
Walk in centreattendances
Outpatient attendances
Radiologyinvestigations
Physiological Measurements
Elective Admissions
Emergency Admissions
Accident and Emergency
attendances
GP Attendances
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InterfaceService
Walk in centreattendances
Outpatient attendances
Radiologyinvestigations
Physiological Measurements
Elective Admissions
Emergency Admissions
Accident and Emergency
attendances
GP Attendances
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InterfaceService
Walk in centreattendances
Outpatient attendances
Radiologyinvestigations
Physiological Measurements
Elective Admissions
Emergency Admissions
Accident and Emergency
attendances
GP Attendances
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Clinical Assessment Attendance
Walk in centreattendances
Outpatient attendances
Radiologyinvestigations
Physiological Measurements
Elective Admissions
Emergency Admissions
Accident and Emergency
attendances
GP Attendances
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Clinical Assessment Attendance
Walk in centreattendances
Outpatient attendances
Radiologyinvestigations
Physiological Measurements
Elective Admissions
Emergency Admissions
Accident and Emergency
attendances
GP Attendances
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Clinical Assessment Attendance
Walk in centreattendances
Outpatient attendances
Radiologyinvestigations
Physiological Measurements
Elective Admissions
Emergency Admissions
Accident and Emergency
attendances
GP Attendances
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What’s new• Multiple stages
• CAS / CATS / ICATS / RMC / Interface Services
• Outpatients, GU Medicine• Admitted Patients
• Multiple providers – “Performance” sharing• Commissioner target
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The strategic approach• Measurement using the Commissioning
Data Set• Patient Pathway Identifier to link records• Referral to Treatment Period Status to
identify the anticipated or final status of each activity
• Referral to Treatment Period Start Date and Referral to Treatment Period End Date
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Commissioning Data Set Version 6 Type IDs• Accident and Emergency:
010 – Accident & Emergency
• Care Activity:020 – Outpatient021 – Future Outpatient
• Admitted Patient Care:120 – Finished Birth Episode130 – Finished General Episode
• etc…
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Referral to Treatment (RTT) Status• First activity
• Subsequent Activity
• Last Activity (First Definitive Treatment)
• Activity that is not part of a Referral to Treatment period
• Not yet known
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First Definitive Treatment
the start of the first treatment that is
intended to manage a patient's
disease, condition or injury in a
REFERRAL TO TREATMENT PERIOD
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A worked example - ReferralCDSType
Patient Pathway ID
Activity Date
StartDate
EndDate
RTT Status
021 1 9/1/07 10
Future Outpatient CDS
First ACTIVITY in RTT Period
Referral Request
Received Date
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A worked example - Appointment CDSType
Patient Pathway ID
Activity Date
StartDate
EndDate
RTT Status
021 1 9/1/07 10021 1 24/1/07 9/1/07 10
Future Appointment
Date
Future Outpatient CDS
First ACTIVITY in RTT Period
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A worked example - AttendedCDSType
Patient Pathway ID
Activity Date
StartDate
EndDate
RTT Status
021 1 9/1/07 10021 1 24/1/07 9/1/07 10020 1 24/1/07 9/1/07 10
Outpatient CDS
Attendance Date
First ACTIVITY in RTT Period
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A worked example - X-Ray bookedCDSType
Patient Pathway ID
Activity Date
StartDate
EndDate
RTT Status
021 1 9/1/07 10021 1 24/1/07 9/1/07 10020 1 24/1/07 9/1/07 10021 1 31/1/07 9/1/07 20
subsequent activity in RTT Period- further
ACTIVITIES anticipated
Future X-Ray Date
Future Outpatient CDS
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A worked example - X-Ray attendedCDSType
Patient Pathway ID
Activity Date
StartDate
EndDate
RTT Status
021 1 9/1/07 10021 1 24/1/07 9/1/07 10020 1 24/1/07 9/1/07 10021 1 31/1/07 9/1/07 20020 1 31/1/07 9/1/07 20
Outpatient CDS
X-Ray Attendance Date
subsequent activity in RTT Period - further
ACTIVITIES anticipated
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A worked example - Decide to admitCDSType
Patient Pathway ID
Activity Date
StartDate
EndDate
RTT Status
021 1 9/1/07 10021 1 24/1/07 9/1/07 10020 1 24/1/07 9/1/07 10021 1 31/1/07 9/1/07 20020 1 31/1/07 9/1/07 20030 1 9/1/07 30
Elective Admission List CDS
Anticipated start of the FIRST DEFINITIVE TREATMENT in the RTT Period
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A worked example - TCI givenCDSType
Patient Pathway ID
Activity Date
StartDate
EndDate
RTT Status
021 1 9/1/07 10021 1 24/1/07 9/1/07 10020 1 24/1/07 9/1/07 10021 1 31/1/07 9/1/07 20020 1 31/1/07 9/1/07 20030 1 9/1/07 30030 1 19/3/07 9/1/07 30
To Come In (TCI) Date
the start of the FIRST DEFINITIVE TREATMENT in
the RTT Period
Elective Admission List
CDS
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A worked example - AdmittedCDSType
Patient Pathway ID
Activity Date
StartDate
EndDate
RTT Status
021 1 9/1/07 10021 1 24/1/07 9/1/07 10020 1 24/1/07 9/1/07 10021 1 31/1/07 9/1/07 20020 1 31/1/07 9/1/07 20030 1 9/1/07 30030 1 19/3/07 9/1/07 30130 1 19/3/07 9/1/07 19/3/07 30
Admission DateAPC Finished General Episode CDS
Start of the FIRST DEFINITIVE TREATMENT in
the RTT Period
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Length of wait measurement
• For waits for non-admitted treatment(RTTP End Date – RTTP Start Date)
• For waits ending in treatment through elective admission
(RTTP End Date – RTTP Start Date) less (RTTP End Date – EROD for admission)
This is the only adjustment to take into account patient choice
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“Performance” Sharing• Shares “success” between the organisations
involved in each patient’s care• Used by Healthcare Commission from Jan 09• Taken from Secondary Uses Service• Requires CDS 6 or above with 18 weeks data
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Inter-provider transfer• In an estimated 10% to 20% of referral to
treatment periods involve multiple providers• Receiving provider needs Patient Pathway
information at the time of transfer• Will also reduce administrative errors• Many providers are using it internally too
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Review of the day
Please complete the Evaluation Questions which will be sent to you
by Events Online
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