Academic Health and Social Care Network (AHSN): Health Outcomes Group
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|The Clinical Informatics Research Group has been awarded a small grant from the 2010/11 fund to develop a Health Outcomes Group for the AHSN (South West London Academic Health and Social Care Network - http://www.swlondonahsn.org ). *|
We want to use this funding to develop plans for a Health Outcomes group – able to be a focus for local evaluation of service innovations and facilitate cross organisational research based on routinely collected data. It aims to gain added value from existing expertise and technology, which is largely already in place within our health community.
The scheme will include four elements:
Identifying the outcome data. Workshops to identify priority areas where outcome measures exist in a different information system. e.g. Impact of training to improve End of Life (EoL) care may influence short-term admissions to hospital. We will hold workshops in three priority areas:
- Urgent care;
- Older people.
Demonstration projects. We will identify and learn from demonstration projects how interventions in one part of the system effects outcomes in another – and the challenge of capturing health and social care outcome data. We will present data from one or more of the following:
- How virtual wards identify their case-load;
- A GP working in A&E;
- Diabetes data from primary and secondary care;
- Examples of improved chronic disease management in practice: Osteoporosis management in practice; Practice interventions to reduce the impact of COPD.
Scoping the development of a sustainable Health Outcomes group / Developing a Strategic Outline Case (SOC). We will explore potential academic and service supported models for a Health Outcomes group. The academic support may initially be project related, but later supported by programmes and become embedded in service developments in the local health and social care community. We will create a website of information and resources:
- Priority areas where effective evaluation are needed
- Existing data resources and contacts and permissions needed to access them
- List of expertise in evaluation and measurement of health outcomes and research using routinely collected data
- Identify commissioners of care and researchers who are interested in working with an emerging Clinical Outcomes group
- Developing a business plan/Outline Business Case (OBC). The final deliverable will be to develop business plans appropriate to potential sources of funding.
Figure 1: Overview of project - the development of a business case for a Health Outcomes Unit *
Local innovations in healthcare will benefit from local expertise in the assessment of health outcomes including cost-effectiveness. Current and planned service changes in configuration and delivery offer a series of opportunities across the SW London Sector to evaluate health and social care outcomes by utilising routinely available data.
To demonstrate how locally recorded, routinely recorded health and social care data can be linked and used to monitor health outcomes.
- Demonstrate the ability to link health and social care data across institutional and primary–secondary care boundaries in three discrete health priority areas: (1) Urgent care; (2) Diabetes; (3) Older people
- Identify the range of data sources that a Health Outcomes group could process. This should include the ability to process data from patient surveys, and provide data for health economic assessments, population data etc.
Identify examples of where routine data could support quality improvement. This will demonstrate the feasibility of supporting quality improvement initiatives and might include:
- Developing smarter performance indicators (KPIs – Key Performance Indicator)
- Case finding – high risk patients
- Audit and feedback tools (Audit based education)
- Create a directory of potential collaborators to work with routinely collected data.
- Create from this information a scoping exercise (Strategic Outline Case)
- Deploy an academic with business skills to produce and consult on the business model of the health outcomes group, including its modus operandi, responsiveness to service needs and sustainable sources of funding.
Figure 2: Developing a business case for a Health Outcomes unit – summary including timelines and financial breakdown *
Joint chairs of Advisory Group (Strategic direction & options appraisal):
Houda Al-Sharifi – Director of Public Health NHS Wandsworth/ Wandsworth Borough Council
Sean Hilton - Deputy Principal and Professor of Primary Care, St. George’s – University of London
Project lead (Project Director):
Simon de Lusignan - Reader in General Practice and Primary Care
Project Manager - Contact:
* You can download and read the complete application in PDF format by clicking here...