January 2012 - Sandwell & West Birmingham Hospitals

SWBTB (1/12) 275 (a)
6) Development of A Nursing Dashboard
A considerable amount of information (qualitative and quantitative) is collected for every in
patient area within the Trust. Currently this data is shared piece meal with ward staff,
Matrons, directorates and divisions as it is reported by the lead for the subject area – this
will be on a monthly quarterly basis. Data is collected from:
Patient Surveys – nursing division
Audits – nursing division, infection control and facilities
Observation of care – nursing division
Collection of outcome data/incidents – tissue viability, falls, infection control,
dietetics etc
ESR – HR
Bank system – nursing division
The quarterly ward performance review process pulls all of the various pieces of intelligence
together into one place for a review meeting between the Ward Manager and Head of
Nursing. The results of these are published via a RAG rated performance review dashboard.
Whilst the above processes serve a useful purpose a more simplistic and real time approach
to ward performance indicators would allow for more immediate action if wards standards
are slipping and would provide ward staff with meaningful information about how they are
doing. It would also make sense of the plethora of information for the Trust Board and
other assurance committees.
It is suggested that the KPI’s that would form part of a ward quality dashboard would be:
Falls rates (against reduction target)
Tissue viability rates (against reduction target)
MUST assessment
Infection control rates
Number of complaints
Number of incidents
Catheter rates
VTE rates (?)
Patient Survey (Net promoter)
Sickness absence
Bank/agency
Vacancy rates
All of this information is currently collected but help is required from IT to create a
dashboard.
This work has commenced.
7) Visits/Assessments
Since October 2011 the following have taken place:
November – PCT unannounced visit to Sandwell Trauma & Orthopaedic wards
December – The third CQC DaNi to N1/N4 (unannounced)
Stroke appreciative enquiry – all Stroke wards City/Sandwell.
Peer review (reciprocal) with HEFT of elderly care wards against CQC
standards.
52 mock CQC inspections (internal) unannounced – all wards
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