Article Text
Abstract
Background Health services must meet the needs of patients and their families. The Outcome Assessment and Complexity Collaborative (OACC) collated a suite of measures to capture and demonstrate this for palliative care services (Witt, Murtagh, de Wolf-Linder, et al. Introducing the Outcome Assessment and Complexity Collaborative (OACC) Suite of Measures. A brief introduction. 2015), now commonly used in the UK. However, hospices can struggle to utilise the data they collect effectively and efficiently (Bradshaw, Santarelli, Mulderrig, et al. Palliat Med. 2021;35(2):397–407). The PCOM 360 programme has been introduced but does not comply easily with the EMIS clinical record system.
Aims To develop a dashboard to efficiently produce and share patient demographic and outcome data from hospice EMIS data. Utilisation of the dashboard by other hospices, enabling regional benchmarking.
Method A hospice in South-East England explored options to have visually pleasing, easily accessible outcome reports, available for hospice staff and service users. The hospice’s Outcome Champion Group with their Business Intelligence Manager used specialist software (Sequel) to develop a Dashboard for this purpose, refining content and design through monthly meetings. The hospice volunteers group provided feedback on the service user version.
Results The new dashboard produces quarterly reports on hospice ward data, including:
Outcome measures on admission, death/discharge: Phase of illness, IPOS, Views on Care.
Demographic information: admissions, age, sex, diagnosis, episode outcome (death, discharge, length of stay).
A working group with neighbouring hospices meets quarterly. A template could enable hospice data to be entered and reported using Microsoft PowerPoint. The visual reports are designed for display in staff areas (for clinicians) and reception areas (for service users).
Conclusion With business intelligence capability, hospices are able to develop an efficient way of reporting outcome measures accessible to clinicians and service users. Work is ongoing to develop this for community patient data, other outcome measures, and accessibility to other hospices. Comparing data between hospices, enables them to see how well their services are performing.