TRACEABILITY
Every product and device is scanned so that it can be traced.
minutes. And they can be confident that the data is accurate.
Benefits beyond patient safety
The benefits this has for patient safety are obvious, but it doesn’t stop there. They’ve increased the accuracy of their recording of OPCS codes from capturing the data at the point of care. This coding improvement has helped them earn over £1m extra a year in income from commissioners. Also, as part of the new approach, their inventory management solution, product catalogue and financial system were integrated so the data from their barcode scanners could be used across all three – automating the creation of orders to their suppliers, based on their actual usage of products and supplies.
And as equipment and implants are recorded against the patient – linked also to cost, staff and time information – a complete and accurate procedure cost is calculated. They’re saving valuable clinical time that had been spent ordering stock and they’re reducing waste. These efficiencies will save them £1.2m in 2016/17 and that’s just from the rollout in theatre, endoscopy and their cardio cath labs.
Delivering benefits from clinical data
On top of this, what Derby now have is a lot of data. Since starting three years ago they now have over 97,000 theatre episodes recorded. It’s a major database they can use to identify patient outcomes and differences in clinical treatment. And they now also use
barcodes to record co-morbidities. In endoscopy in particular, this has been a major improvement in being able to track patient outcomes.
Another example of how clinicians are using this data is in the detail it provides of procedures that have already taken place. Someone coming to Derby with complex facial injuries, who then has a reconstruction involving titanium plates and screws, will have a record of what screws were used, who manufactured them, what the product codes are, when they were put in, and what type of screw head to expect. A surgeon operating on them at a later date can prepare in advance because they know what they’re dealing with. And, if this operation is taking place at a different Trust, Derby can send them that information. This sharing of data – whether it’s for facial screws, a pacemaker or a cardiac valve replacement – has incredible potential for the NHS as a whole, where patients don’t stay in one location all their lives.
Driving performance management
When a patient is scanned, the system captures the time the procedure starts, from the anaesthetic all the way through into recovery, and then out of recovery to the ward.
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This data also has huge implications for performance management. Knowing accurate costings and timings for each procedure highlights any variations between a group of consultants performing the same procedure, whether it’s comparing the cost of consumables used or the average number of minutes per procedure for each consultant. And because of the accuracy of scanning, this data is undisputed, enabling consultant- to-consultant discussions about where efficiencies can be made. If one consultant takes less time completing an operation and you can see they have two more members of staff in the theatre with them, it allows the conversation that says, let’s put two more healthcare assistants in other theatres and then we’ll be able to get another two cases through every day. It’s safer for the patient
SEPTEMBER 2017
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