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DRAFT UHS Patient Improvement Framework 2013/14Appendix A1. Preventingpremature deaths2. Long Term conditions 3. Episodes of ill health orinjury4. Positive experience ofcare5. Safe environmenta) Reduce prematuremortality ratesa) Improving diagnosis ratefor people with dementia(Cquin)a) Patient reported outcomemeasures (PROMS)a) Friends & family testrecommendingto others(Cquin)a) Patient safety incidentsreported & learningb) Management ofdeteriorating adults: Trauma centreoutcomesb) Integrated pathways ofcare (Cquin) Pathways to beidentifiedb) Efficient emergency pathways AMU/ED admission, EDWaits (Cquin) Emergency surgery timeto theatreb) Culture of staff behavioursfor positive patient feedback Using patient stories /listening Values & behavioursprojectb) Harm-free care (Safetythermometer) VTE Falls Pressure ulcers CAUTIc) Cancer waits c) Stroke pathway(performance)c) Improve outcomes fromsurgery (Cquin) 18 weeks & 52 weeksincomplete(performance), 14 weeksstretch target Focus on older people,and children
Appendix B2013/14 NHS Outcomes Framework(summarised to acute hospital provision improvement indicators only)1.Preventing People from Dying prematurely3.Helping people to recover from episodes of ill healthor following injury4.Ensuring that people have a positiveexperience of care Potential Years of Life Lost (PYLL) from causesconsidered amenable to healthcare Emergency admissions for acute conditions thatshould not usually require hospital admission Patient experience: Friends and family test Reducing premature (under 75 years) mortality from: cardiovascular diseaseo respiratory diseaseo liver diseaseo cancero one, and ii. Five-year survival from allcancerso One- and iv. Five-year survival from breast,lung and colorectal cancer Reducing deaths in babies and young childreni Infant mortalityii Neonatal mortality and stillbirthsiii Five year survival from all cancers in children Emergency readmissions within 30days Total health gain as assessed by patients forelective:Hip replacement ii Knee replacement iii Groinhernia iv Varicose veins v. Psychological therapies Emergency admissions for children with lowerrespiratory tract infection Proportion of people who recover from major trauma Proportion of stroke patients reporting animprovement in activity/lifestyle on the ModifiedRankin Scale at 6 months Improving people’s experience of:o outpatient serviceso A&E services Hospital responsiveness to in-patients’personal needs Women’s experience of maternity services Bereaved carers’ views on the quality of carein the last 3 months of life Improving children and young people’sexperience of healthcare: Underdevelopment Improving people’s experience of integrated Excess under 60 mortality rate in adults with alearning disability Proportion older people offered rehabilitationfollowing dischargecare: Under development2.Enhancing quality of life for people with long-term conditions5.Treating and caring for people in a safe environment and protect them fromavoidable harm Patient safety incidents reportedo Safety incidents involving severe harm or deatho Hospital deaths attributable to problems in care Reducing time spent in hospital by people with long-term conditionsi Unplanned hospitalisation for chronic ambulatory care sensitive conditions(adults)ii. Unplanned hospitalisation for asthma, diabetes, epilepsy in under 19s Estimated diagnosis rate for people with dementia Incidence of hospital-related venous thromboembolism (VTE) Incidence of healthcare associated infection (HCAI)i MRSAii C. difficileIndicators in italics are still to be developed by Department of Health Incidence of newly-acquired category 2, 3 and 4 pressure ulcers Incidence of medication errors causing serious harm Admission of full-term babies to neonatal care Incidence of harm to children due to ‘failure to monitor’5
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UHSFT - Directors’ Actions Summar
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172/12 b) A discussion followed cov
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