63 Improvements in patient care in a community based diabetes service driven by a bespoke business intelligence programme. (12th November 2018)

• Record Type: Journal Article
• Authors: Brown, Francesca; Adamson, Stuart; Rezazadeh, Eleanor; Lipsomb, David
• Is Part Of: BMJ leader. Volume 2(2018)Supplement 1
• Page Start: A26
• Page End: A26
• Publication Date: 2018-11-12
• Subjects: Medical personnel -- Periodicals; Leadership -- Periodicals; Medicine -- Practice -- Management -- Periodicals; Health services administration -- Periodicals; 610.68
• DOI: 10.1136/leader-2018-FMLM.61
• Languages: English
• ISSNs: 2398-631X

Abstract

Abstract : Diabetes Care for You (DCFY) is a multi-professional specialist community service for adults living with Type 1 and Type 2 diabetes in Brighton, Hove/High Weald, Lewes and Havens CCGs. There are 1195 people with Type 1 and 3390 with Type 2 currently. The DCFY team were unable to access real-time population level data, in a user friendly way. Meaning an increasing proportion of time was dedicated to generating information. This inability meant that targets, such as referral to treatment waiting times (RTT) could not be predicted. A bespoke Power (BI) suite of reports was developed. The technology provides up to date data allowing cohorts to be viewed in an easy to read form. It compiles patient data using coding and displays chosen metrics that can be easily changed to generate patient lists. This technology has allowed the identification of discrete patient cohorts and identifies when appointments need to be booked or interventions need to be discussed. It identified 277 type 2 'poorly controlled' (HbA1c>80) patients. Currently 63 of those patients do not have a booked appointment and 12 are not on insulin. The technology has led to improved outcomes because previously the quick collation of this data would not have been possible. RTT data retrieval has become more time efficient and streamlined, saving 1.5 days per month of Managerial time. RTT compliance has risen from an average of 87.3% during June, July and August in 2017 to an expected 95.9% during the same months in 2018.