Shared learning database
Type and Title of Submission
NHS Sheffield Webtool for monitoring and reporting on the NICE Quality StandardsDescription:
An innovative web based resource has been developed by NHS Sheffield that will enable users across a health community to record progress and collate evidence to support the implementation and monitoring of the NICE Quality Standards Programme.Category:
2010-11 Shared Learning examplesDoes the submission relate to the general implementation of all NICE guidance?
YesDoes the submission relate to the implementation of a specific piece of NICE guidance?
NoFull title of NICE guidance:
-Category(s) that most closely reflects the nature of the submission:
Is the submission industry-sponsored in any way?
Description of submission
To create an interactive web based resource which encourages organisations to record and report progress against the NICE Quality Standards. The webtool helps to minimise bureaucracy, maximise the availability of information and actively endorses the sharing of intelligence across pathways and the health community.Objectives
o To build on and strengthen existing working practices across Sheffield already recognised by NICE (see Shared Learning entry 2009 Monitoring of NICE Implementation - A Commissioner Perspective) o As a commissioner - To develop a resource which can be used to fulfil a number of internal and external reporting requirements, tracking changes over time, thus providing assurance of the quality of care o To deliver a resource to local providers, enabling information to be recorded easily and efficiently by named users, and promoting local ownership by active engagement throughout the development phase o To enhance partnership working across the health community by improving accessibility, sharing local data and promoting consistency in approach.Context
Since being proposed by Lord Darzi in the White Paper 'High Quality care for All', Quality Standards (QS) are now regarded as being pivotal within the changed NHS, a message which is strengthened in the White Paper 'Equity and Excellence: Liberating the NHS'. QS will also be reflected in the Outcomes Framework and in commissioning contracts and financial incentives. Concurrently, the Yorkshire and Humber (Y&H) Strategic Health Authority published a Quality Improvement Plan 2010-2012, stating that:- o All providers should have a populated dashboard of compliance in existence within six months of a QS being released o All providers should be compliant with NICE QS within two years of the standard being released With a library of 150 QS expected to be published within the next five years, it became clear that a robust system would need to be in place in order to measure, track and report on implementation and compliance across provider organisations. As effective reporting systems for clinical audit and effectiveness already existed across Sheffield, it was decided that any new process would need to build on, but not duplicate, these principles. The system would also need to link commissioners and providers, and not just be utilised in isolation by PCTs and hospitals. From an IT perspective, it was also acknowledged that in terms of effective utilisation of resources, the new system would help to decrease the volume of network traffic, thus reducing the strain on bandwidth and email box size, preventing the duplication of information and enabling tight version control. Working on the proviso that the resource could be made available to colleagues across the Y&H region in order to fulfil the requirements of the Regional Quality Improvement Plan, it was clear that any solution would have to be transferable, would need to be accessible by multiple organisations simultaneously, and that the system could be refined and updated as users provided feedback.Methods
It was agreed that the use of Oracle software would provide a user friendly, flexible platform for the webtool. Following a period of initial development and internal testing with dummy data, the webtool was made available to the major local providers for piloting. Valuable feedback on the functionality ensured that all of the links and fields responded as expected. In terms of accessing the webtool, all users are assigned a username and password which then dictates the level of access they have within their organisation. Four levels of user have been set as follows:- Super-user - able to access and edit anything as well as adding new users. Trust Admin - able to edit anything in their Trust and add users (both from their own and other organisations) of the following types. Subject Admin able to edit specified subject areas. View only - able to view the areas they have been given access to. Initially, Trust Admin users will be able to see all of the QS statements within a specific standard and then make a preliminary judgement as to which of the specific statements are applicable to their organisation. Once the relevant statements are identified, the organisation can begin building up a library of actions, record supporting evidence and add appropriate explanatory notes. Progress is tracked by utilising a number of functional elements, including the existing BRAG rating scheme which is well established within Sheffield and acknowledged previously by NICE. This can be explained as follows:- Blue - fully compliant / the organisation can provide assurance that it meets the requirements. Red - no progress has been made / there are major issues to rectify. Amber - some progress has been made but further work is required / there is a delay in achieving the requirements. Green - satisfactory progress is being made / everything is on target. This rating system is used to record the progress of each of the statements and the actions associated with them.Results and evaluation
As the webtool is still in its relative infancy, it is not possible at this point to be able to generate any results or to provide any meaningful evaluation of how useful it is for NHS Sheffield or our providers. However, it has generated lots of interest across Y&H and has now been released to colleagues from other organisations as a package which includes full user instructions. It is envisaged that over the long term this resource will prove effective in reducing requests to providers for reporting progress, will prevent duplication of data, will provide NHS Sheffield with a picture of overall progress across the city and will be a conduit for providing assurance at a number of levels for all those involved.Key learning points
o Communication - engage and include colleagues who will ultimately have responsibility for entering information and maintaining the system. o Clarity of purpose - make sure the remit and requirements are clear before starting the project. o Be innovative - try out new technology to achieve your goals rather than reverting to the 'same old'. o Review - have a mechanism whereby any system can be updated and refined as a result of active user feedback.
|Job Title:||Senior Clinical Audit and Effectiveness Facilitator|
|Address:||722 Prince of Wales Road, Darnall|
|Phone:||0114 305 1105|
NICE handles personal information provided to the Institute in accordance with the Data Protection Act 1998. Find further details in our data protection policy.
This page was last updated: 14 February 2011