Executive Priority: Unscheduled Care Improvement Work Stream: Patient Flow Dashboard

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Executive Priority: Unscheduled Care Improvement Work Stream: Patient Flow Dashboard by Mind Map: Executive Priority: Unscheduled Care Improvement Work Stream: Patient Flow Dashboard

1. Metrics

1.1. Front Door

1.1.1. % of patients on ambulatory emergency care pathway who are not admitted, by age group

1.1.1.1. National aspiration: 90%

1.1.2. % of acute medical attendances on ambulatory emergency care pathway, by age group

1.1.2.1. National aspiration: 30%

1.1.3. % of patients who are referred to ambulatory emergency care via GP, by age group

1.1.3.1. Query whether this is actually a problem since it should be 100%

1.1.4. % of patients who are referred to ED from another source, by age group and source

1.1.5. Number of patient on ambulatory emergency care pathway, by age group

1.1.6. Number of patients reattending ED or Ambulatory Care within 30 days, by age group

1.1.7. ED re-attendance rate for patients, by age group

1.1.8. Number of patients seen in ambulatory emergency care that attended ED within 48 hours of going home from ED, by age group

1.1.9. 4-hour ED performance, by age group

1.1.10. Number of new attendances to an ED, by age group

1.1.11. Conversion rates for patients by age group (Percentage of attendances that resulted in admissions)

1.1.12. Number of patients turned around from front door within 24-hours, by age group

1.1.12.1. Include Ambulatory Care

1.1.12.2. New attendances only

1.1.13. Number of patients waiting in ED greater than 24-hours, by age group

1.2. Back Door

1.2.1. The number of lost days between EDD and actual discharge date, by age group

1.2.2. Stranded patients (partients waiting over 7-days), by age group

1.2.3. Number of inpatients discharged within 72 hours, by age group

1.2.3.1. Include Ambulatory Care

1.2.4. Bed days utilisation by age group

1.2.4.1. Exclude 0 LOS (captured in another metric), add 1 to all other LOS

1.3. Financial

1.3.1. Number of unfunded surge beds

1.3.2. Agency spend

2. Specifications and Controls

2.1. Temporal Granularity

2.1.1. Daily

2.1.2. Weekly

2.1.3. Monthly

2.2. Location Granularity

2.2.1. Hospital

2.2.2. GP cluster

2.2.3. GP practice

2.3. Time Horizon

2.3.1. 36 months historic data

2.4. Refresh Frequency

2.4.1. Live?

2.5. Intelligence

2.5.1. Median

2.5.2. Upper and lower control limit

2.5.3. 6 month forecast

2.5.4. Population

2.5.4.1. Per 1,000 patients

2.5.4.2. Population adjusted projections

2.6. Filters

2.6.1. Age groups

2.6.1.1. All ages

2.6.1.2. 0-18

2.6.1.3. 18-54

2.6.1.4. 55-64

2.6.1.5. 65-74

2.6.1.6. 75-84

2.6.1.7. 18+

2.6.1.8. 65+

2.6.1.9. 75+

2.6.1.10. 85+

2.6.2. Referral Source

2.6.2.1. All

2.6.2.2. GP

2.6.2.3. NHS Direct

2.6.3. Special Modes

2.6.3.1. Ambulatory Care

2.6.3.2. Frailty