INSIGHTS - August 2019 Update
HRT INSIGHTS: August 2019 Product Update
The Health Roundtable
New Risk Adjustment Measure
In the July newsletter I updated you on a fantastic new investigation tool designed to enable users to conduct a contextual analysis of a focus indicator; lifting your report from a single measure view to multiple measures that help tell a story - showing the rate of performance and more! We're confident this will help users surface key themes running through their data at the clinical pathway level.
Going one step further we will be improving performance and user experience by splitting the pages into individual modules and creating a new flow by neatly linking them together using URLs. On face value what this looks like is your analytics hub expanding from having one tile to six tiles!
For example, you'll have the ability to navigate directly to your latest trend for Major Hospital Acquired Complications, bypassing the Executive Summary page. Or why not enjoy a cleaner export to PDF of your Executive Summary.
Click here if you are interested to participate in the grand launch webinar which we anticipate running in early-mid October.
Relative Stay Index or RSI has been a longstanding measure of the length of stay provided to our members of the Health Roundtable. In simple terms, it is the ratio of the actual length of stay to the expected length of stay, adjusted for complexity. It's considered an important measure for monitoring hospital efficiency and in a wider context of clinical effectiveness.
Coming in the late September update of INSIGHTS is a modern twist on a theme. We have updated the reference period and developed a new modern statistical model that uses current complexity models with more precision.
What does this mean for the INSIGHTS user when this update is complete?
When you view your results for Acute/Relative Stay Index (RSI) indicators the numbers coming through for the expected length of stay and RSI will be different from what might have been expected. Having said that, we believe it's worth having something different when it aligns with our vision to provide precision data.
Click here if you'd like to know more about RSIv2 and how the measure stacks up against RSIv1!
N.B. that the implementation of RSIv2 will take effect in your core PDF reports scheduled for release to members Friday, 30th of August. Hence, there will be a period of roughly one month where INSIGHTS will be showing legacy RSIv1 values, until the update of INSIGHTS scheduled for the end of September.
Hospitals who are subscribed to Package B and Package C have their latest data; available to June 2019.
Alzheimer's Australia runs Dementia Awareness Month during the month of September each year. The intention is to raise the profile of dementia within Australian communities and increase their understanding of the challenges people with dementia and their carers face on a day-to-day basis.
Click here if you like to know more about the activities facilitated by Dementia Australia (the new official new voice of Alzheimer Australia) during the awareness month.
According to Dementia Australia, patients with dementia are two times more likely to experience harm while in hospital, two times more likely to die in hospital, six times more likely to develop delirium and two times more likely to be readmission to hospital. Therefore it is paramount that dementia sufferers avoid hospitalisation after presenting at a hospital emergency department, with non-urgent clinical needs.
Within INSIGHTS you can view how many dementia sufferers present to your emergency department, profiled by triage category and disposal. This can give you awareness down to the patient episode level of who with dementia has presented in the emergency department and subsequently required admission or were treated and discharged back to the community.
Interested to know the numbers for HRT hospitals?
In the last 12 months of data available in the platform (Jun18-May19 inclusive) all Health Roundtable member hospitals recorded 7,951 patients presenting to their emergency department with dementia. Of those, 73% (5,815) resulted in an admission to hospital and a further 84% (4,890) were categorised as being a non-urgent clinical priority.
Western Australian hospitals recorded the lowest proportion of patients presenting to their department with dementia and being admitted (55%).
As an emergency department service provider you might be interested to know which dementia patients presented with non-urgent conditions but had an admission outcome:
1 - Within the Emergency Services module, select the "Count of all presentations" indicator;
2 - Select any presenting diagnosis containing the word "dementia";
3 - Select your hospital and a desired peer group;
4 - Limit the time period to the most recent 12 month period to include a seasonality effect
5 - Populate the investigation table and choose "Urgency Disposition Groups" as a row-header.
6 - Click on the numerator of urgency disposition groups: Admitted - Triage 3/4/5 to determine your patients with dementia who were not classed as urgent but had an admission outcome.
Please feel free to contact me if you'd like to discuss other possible use-cases for INSIGHTS
Jovin Synott (firstname.lastname@example.org)
Product Manager - INSIGHTS