Effective use of safety and quality information for service improvement in the Illawarra Shoalhaven Local Health District
Illawarra Shoalhaven Local Health District (ISLHD)
Duration: June 2016 – December 2016
The patient safety and financial implications of adverse incidents and complications that arise in hospitals is substantial. It is important to be able to better utilise the available information from a number of sources to inform and support improvement initiatives. This project was part of a collaborative research agreement between ISLHD and AHSRI and involved the ISLHD Clinical Governance and Information Management Units. The project aimed to ensure that the best use is made of the available information to identify the significant drivers of cost and service capacity related to complications of hospital care.
What we did
The project involved two main components: undertaking analysis of the data relating to hospital acquired diagnoses and complications and with the presentation of results and providing assistance in the development of local reporting tools for ongoing analysis of safety and quality data.
The project involved three consultation sessions where the approach to safety and quality reporting was discussed and the results of analysis were presented to key staff in Clinical Governance and Information Management Units. Key issues that were discussed included clinician engagement, the identification of priority concerns and the assessment of organisational risk (both clinical and financial).
The project delivered two SQL-based algorithms to include within the ISLHD reporting system. These algorithms were both developed in Australia for monitoring adverse care outcomes. They are the Classification of Hospital Acquired Diagnoses (CHADx) and the newly developed classes of Hospital Acquired Complications (HAC). The inclusion of these algorithms in local reporting would enable local timely reporting of episodes of care in which adverse outcomes of care occurred.