The NHS Outcomes Framework 2013/14 Technical Appendix - Gov.uk

More documents

Recommendations

Info

data sourceTechnicalissuesremaining tobe resolvedChangessinceDecember2011definitionHistoricalcomparisonsDatapublished onthe ICindicatorportalThis indicator is currently a placeholder within the NHS OutcomesFramework. The development of this indicator will be informed by arecent BMJ research study on preventable deaths by Hogan et al,‘Preventable death due to problems in care in English acute hospitals:A retrospective case record review study’ published in the BMJ in July2012 (http://qualitysafety.bmj.com/content/early/2012/07/06/bmjqs-2012-001159.full)A research programme on measuring harm in the Welsh NHS will alsobe explored for its application to England.Not applicable – new indicator in developmentNone – new indicatorNot yet published.5.1 Incidence of healthcare-related venous thromboembolismOutcome Reduced harm from failure to prevent venous thromboembolism (VTE)sought in a health care settingStatusUpdateddefinitionIn developmentIndicator description: Rate of hospital admissions for VTEIndicator construction: The recommendation of the National VTEProgramme Board and regional clinical VTE leads is to use HospitalEpisode Statistics as the basis for this indicator, as the best currentlyavailable option for measuring incidence.NumeratorNumber of hospital admissions with a primary or secondary diagnosis ofVTE.Proposed summary of ICD codes for VTEICD10 CodeI260I269I800I801I802I803I808NamePulmonary embolism with mention of acute cor pulmonalePulmonary embolism without mention of acute corpulmonalePhlebitis/thrombophlebitis superfic vessels low extremtiesPhlebitis and thrombophlebitis of femoral veinPhlebitis/thrombophlebitis oth deep vessels lowextremtiesPhlebitis and thrombophlebitis of lower extremities,unspecPhlebitis and thrombophlebitis of other sites92
I809Phlebitis and thrombophlebitis of unspecified siteI821Thrombophlebitis migransI822Embolism and thrombosis of vena cavaI823Embolism and thrombosis of renal veinI828Embolism and thrombosis of other specified veinsI829Embolism and thrombosis of unspecified veinO223 Deep phlebothrombosis in pregnancyO229 Venous complication in pregnancy, unspecifiedO871 Deep phlebothrombosis in the puerperiumO87.0 Superficial thrombophlebitis in the puerperiumO87.9 Venous complication in the puerperium, unspecifiedDenominatorThe denominator is the resident population. Data are based on thelatest revisions of ONS mid-year population estimates for the respectiveyears (current as at September 2012).For further details on revisions to ONS mid-year population estimates,and their availability, seehttp://www.statistics.gov.uk/hub/population/populationchange/population-estimates/index.html.Indicator format: Age standardised rate per 100,000.Data sourceReportingschedule fordata sourceHospital Episode Statistics (NHS Information Centre,www.ic.nhs.uk/statistics-and-data-collections/hospital-care/hospitalactivity-hospital-episode-statistics–hes);andPopulation statistics (Office for National Statistics,http://www.ons.gov.uk/ons/rel/pop-estimate/population-estimates-forengland-and-wales/index.htmlFrequency: HES reports provisional data monthly, annual data byfinancial year is available in the autumn/winter after the end of theperiod. The ONS population estimates are available annually (calendaryear).Timing: Latest HES monthly data is for May 2012 (provisional), annualrefresh for 2011/12 is due in November 2012. Mid-year populationestimates for 2011 were published in September 2012.Technicalissuesremaining tobe resolvedChangessinceDecember2011definitionFurther alignment of the data source with national guidance on VTEprevention. Expert advice also suggests that VTE deaths within a setperiod following admission (eg 90 days) might provide an alternativeway of measuring the burden of VTE on the population in healthcaresettings. Further work is required to assess the feasibility of using thisas an alternative indicator.Advice from clinical experts suggests that HES provides the bestcurrent option for measuring incidence in hospital of VTE.93
Page 1 and 2:
The NHS OutcomesFramework 2013/14Te
Page 3 and 4:
Contents− Introduction 4− Domai
Page 5 and 6:
mandate to the NHS Commissioning Bo
Page 7 and 8:
1.4 The improvement areas are of tw
Page 9 and 10:
1.17 For contributions from public
Page 11 and 12:
glandC81 Hodgkin’s disease 0-74C9
Page 13 and 14:
Methodology published by ONS:http:/
Page 15 and 16:
Resident population under 75 years.
Page 17 and 18:
HistoricalcomparisonsDatapublished
Page 19 and 20:
Number of deaths under 75 from all
Page 21 and 22:
Reportingschedule fordata sourceTec
Page 23 and 24:
ChangessinceDecember2011definitionH
Page 25 and 26:
definitionHistoricalcomparisonsData
Page 27 and 28:
Domain 2Enhancing quality of life f
Page 29 and 30:
Drivers of the outcome2.9 Further d
Page 31 and 32:
patient.co.uk/).- Health Survey for
Page 33 and 34:
December2011definitionHistoricalcom
Page 35 and 36:
ChangessinceDecember2011definitionH
Page 37 and 38:
Technicalissuesremaining tobe resol
Page 39 and 40:
a maximum score of 1 (full health)
Page 41 and 42: 2. Proportion of the general popula
Page 43 and 44: DenominatorPrevalence - The Dementi
Page 45 and 46: 3.4 These outcome indicators are de
Page 47 and 48: 3a Emergency admissions for acute c
Page 49 and 50: L08.8 Other spec local infections o
Page 51 and 52: DenominatorThe number of finished C
Page 53 and 54: patient characteristics, age, sex a
Page 55 and 56: For further details on revisions to
Page 57 and 58: postal questionnaire or by phone.It
Page 59 and 60: • Regularly walked without aids
Page 61 and 62: 3.6 Proportion of older people (65
Page 63 and 64: Ensuring people have a positiveexpe
Page 65 and 66: variation in care experience is int
Page 67 and 68: Indicator 4.7:Communitymental healt
Page 69 and 70: Datapublished onthe ICindicatorport
Page 71 and 72: The 2011 questionnaire is on the Pi
Page 73 and 74: Indicator construction: The indicat
Page 75 and 76: extent” 50; “No” 0; “I had
Page 77 and 78: some extent” 50; “No” 0.)Q21:
Page 79 and 80: All respondents who state “yes”
Page 81 and 82: your baby, were you treated with ki
Page 83 and 84: Data source VOICES survey of bereav
Page 85 and 86: HistoricalcomparisonsThe Community
Page 87 and 88: Domain 5Treating and caring for peo
Page 89 and 90: Drivers of the outcome5.11 The prin
Page 91: PSI, and‘death’ - the PSI has r
Page 95 and 96: HistoricalcomparisonsSource data ar
Page 97 and 98: 5.4 Incidence of medication errors
Page 99 and 100: Datapublished onthe ICindicatorport
Page 101 and 102: GlossaryA&E survey (Emergency depar
Page 103 and 104: Community Mental Health Services Su
Page 105 and 106: Health Survey for England (HSE)The
Page 107 and 108: Maternity Patient Experience Survey
Page 109 and 110: Public Health Outcomes FrameworkThe
Page 111: 111
show all

The NHS Outcomes Framework 2013/14 Technical Appendix - Gov.uk

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?