Quality Audit Reporting System Quality Im Improvement Data System - - PowerPoint PPT Presentation

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Quality Audit Reporting System Quality Im Improvement Data System - - PowerPoint PPT Presentation

Jul 04, 2023 222 likes •539 views

Quality Audit Reporting System Quality Im Improvement Data System Dr James Mackie Medical Director, Patient Safety, Clinical Excellence Commission Jun Bai Senior Manager, Data Team, Clinical Excellence Commission Development - Current

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– Quality Audit Reporting System – Quality Im Improvement Data System

Dr James Mackie Medical Director, Patient Safety, Clinical Excellence Commission Jun Bai Senior Manager, Data Team, Clinical Excellence Commission

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Development - Current version, V5.4.1

2

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Cli linicians Come to Work rk to do a Good Job The Questions that need to be asked.

Do we know how good we are today? Do we know where our waste, unwarranted clinical variation and harm is? Do we know how we compare to best in class? Do we know our rate of improvement over time?

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4

Quality Improvement Data System

Functionality

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Quality Improvement Data System

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Quality Improvement Data System

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Quality Improvement Data System

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Quality Improvement Data System

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Quality Improvement Data System

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Data Available fr from QID IDS

IIMS Conditions HACs LOS Mortality HAI Hand Hygiene Service Agreement Reporting

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HACs

Pressure Injury Hospital Acquired Infections Falls Venous Thromboembolism Cardiac Complications Medication Complications Delirium Surgical Complications Renal Failure Malnutrition Gastrointestinal Bleeding Respiratory Complications Persistent Incontinence Neonatal Birth Trauma

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Quality Improvement Data System

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40 - HIE HAC 1-14 Trend Report

All

| Complication: All | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All |

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106 - HIE HAC 15-16 By Trend Report

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| Complication: 15. Third and fourth degree perineal laceration during delivery | Sex: All | Age Group: All | Indigenous Status: All |

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HIE HAC 15-16 By Trend Report

All

| Complication: 16. Neonatal birth trauma | Sex: All | Age Group: All | Indigenous Status: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 03. Healthcare associated infection | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 10. Medication complications | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 10. Medication complications | Diagnosis: 10.3 Hypoglycaemia | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |

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Cli linicians Come to Work rk to do a Good Job The Questions that need to be asked.

Do we know how good we are today? Do we know where our waste, unwarranted clinical variation and harm is? Do we know how we compare to best in class? Do we know our rate of improvement over time?

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40 - HIE HAC 1-14 Trend Report

South Eastern Sydney LHD - Prince of Wales Hospital

| Complication: 01. Pressure injury,02. Falls resulting in fracture or other intracranial injury,03. Healthcare associated infection,06. Respiratory complications,07. Venous thromboembolism,08. Re... | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |

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Diabetes

The impact is very large and easily measurable

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 01. Pressure injury,02. Falls resulting in fracture or other intracranial injury,03. Healthcare associated infection,06. Respiratory complications,07. Venous thromboembolism,08. Re... | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 01. Pressure injury,02. Falls resulting in fracture or other intracranial injury,03. Healthcare associated infection,06. Respiratory complications,07. Venous thromboembolism,08. Re... | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: Impaired glucose regulation and diabetes mellitus : E09-E14; | Procedure: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 01. Pressure injury,02. Falls resulting in fracture or other intracranial injury,03. Healthcare associated infection,06. Respiratory complications,07. Venous thromboembolism,08. Re... | Diagnosis: 1.1 Stage III ulcer,1.2 Stage IV ulcer,1.3 Unspecified decubitus and pressure area,2.1 Intracranial injury,2.2 Fractured neck of femur,2.3 Other fractures,3.1 Urinary tract infecti... | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: Impaired glucose regulation and diabetes mellitus : E09-E14; | Procedure: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 03. Healthcare associated infection | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 03. Healthcare associated infection | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: Impaired glucose regulation and diabetes mellitus : E09-E14; | Procedure: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 03. Healthcare associated infection | Diagnosis: 3.2 Surgical site infection | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 03. Healthcare associated infection | Diagnosis: 3.2 Surgical site infection | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: Impaired glucose regulation and diabetes mellitus : E09-E14; | Procedure: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 03. Healthcare associated infection | Diagnosis: 3.5 Central line and peripheral line associated blood stream infection | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |

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40 - HIE HAC 1-14 Trend Report

All

| Complication: 03. Healthcare associated infection | Diagnosis: 3.5 Central line and peripheral line associated blood stream infection | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: Impaired glucose regulation and diabetes mellitus : E09-E14; | Procedure: All |

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Questions?