discover the stories in your data

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Exclusive Australian
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enquiries@analytics8.com
Tel: 1 8 0 0 4 6 3 6 5 6
Twitter: @DraperDash
Linkedin: Draper&Dash LTD

version 2 applications
www.draperanddash.com

CS

WELCOME TO
OUR VERSION 2
APP RELEASE
With more than twenty new features and a beautifully
redesigned interface, both our current and future
clients have much to look forward to.

ts time to start using your healthcare

QlikView licence as an asset to make your
organisation a centre of excellence. A place
where clinicians, managers, and corporate
teams use data and insight to transform
patient care. Your organisation no longer
needs months or years of development by
ICT and data scientists to provide analytical
tools for actionable insight. The Draper & Dash
version 2 suite of applications will provide you
with unparalleled capacity to manage and
monitor your most important KPIs. You will be
able to perform complex analysis on a simple
and effective platform, thereby improving the
quality and speed of reporting to key decisionmakers and healthcare payers. The D&D

01

version 2 applications ensure that end users

have a better experience, both on mobile
devices and on desktop machines. With more
than twenty new features and a beautifully
redesigned interface, both our current and
future clients have much to look forward to.
The D&D team are always looking at ways in
which technology and patient care can be
combined. This release has been titled Quality,
Safety and Efficiency (QSE), as we have
endeavoured to create beautiful applications
that enhance QSE at the front line. We trust
that our latest offering will provide our clients
with better quality and more insight than
ever before, as well as an unparalleled user
experience. Please enjoy!

02

ABOUT
D&D

ABOUT
ANALYTICS8
Analytics8 specialises solely in the provision of best-of-breed Business Intelligence and Data

Draper & Dash is a provider of Business Intelligence Applications and

Services, covering organisations across England, Scotland, Australia
and North America. We blend industry expertise and advanced
technology to deliver the most accurate perspectives and in-depth
analytics on business dynamics. Actionable insights, powered
by superior information assets, are tuned to our clients precise
requirements. We are a provider of:

Warehousing Services. Founded and incorporated in 2002, Analytics 8 is an Australian SME

success story, remaining at the forefront of specialist expertise in business intelligence services.
Made up of a team of 80+ solution consultants (33 in Australia; 52 in the USA), Analytics8 has
successfully delivered complex business intelligence solutions that are used by our clients in all
States and Territories of Australia. Analytics 8 and its personnel maintain partnerships and
certifications with the leading BI vendors, namely Draper & Dash, Qlik, SAP, IBM, SAS,
Teradata, Oracle, Informatica, Microstrategy, Tibco, Tableau etc.
Our services fall into the 3 categories of Consultancy, Technical Implementation and Support.

Patient Level Costing Solutions

Service Level Agreement
Manager (SLAM) Financials
Deep Business Analysis
Business Intelligence Applications
Service Transformation and
Clinician Engagement
QlikView Training

03

CONSULTANCY

Business Intelligence and Data

Warehousing solution and architecture
analysis and design, business
justification, support for tender
processes, tool selection, information
management and roadmap
development.

SUPPORT

First, second and third level

support for Data Warehouse,
Data Integration / ETL and
Business Intelligence solutions.

TECHNICAL IMPLEMENTATION

Covering the entire solution

implementation lifecycle, including
data modelling, Extract, Transform and
Load (ETL) design and implementation,
testing and Business Intelligence solution
design and implementation, and
reporting.

04

CONTENTS
07

Case Study

09

Inpatients

11

Accident & Emergency

13

Mortality

15

Operating Theatres

17

Referral to Treatment

19

Readmissions

elcome to a whole new world of healthcare Quality, Safety

and Efficiency with our D&D version 2 application release.
Whether youre an executive, techie, data scientist, nurse,
doctor or corporate staff; our version 2 app release is designed with
you in mind and patient care at heart.
As I write this, I reflect on the success we have had over the previous
years with our committed D&D clients and partners. To those of you
who have been committed to giving us a hard time, I say thank you!
For without your continued engagement and feedback we would
not have the opportunity to continuously push the boundaries of
healthcare innovations. This edition of the D&D healthcare collection
is dedicated to you, our current clients, followers, and future
collaborative organisations.
In this issue, youll find plenty of ideas on how to drive up quality
across your health economy through the use of our apps. As a result,
you may find yourselves the envy of every other health organisation
on the planet.
Orlando Agrippa, Editor and CEO

21

Outpatients

23
Waiting List

25

Day Case

27

Ward Quality

29

Diagnostics

31
Finance ledger

33

Clinical Coding

35

Reconciliation

37

Incident Reporting

39

Workforce

41

QlikView Usage

ABOUT
THE
CLIENT
This Australian healthcare provider
is responsible for providing primary and
secondary care for people across four
hospitals, as well as tertiary and community
care in seven health centres. This represents a
population of some

AUSTRALIAN
CASE STUDY

residents with an income of approximately

CHALLENGES
The healthcare provider recognised
shortcomings in its web-based system for a
number of years the healthcare provider had
been struggling to produce daily, automatically
generated reports.
They needed a tool that could help them to
visualise their emergency department data
on a daily basis with a focus on a number
of key metrics including triage waits, bed
allocation, number of patients treated, those
left to be treated and the number of clinically
unstable patients and their location within the
department.
In addition, there was also a need to track
Governance performance analysis and Staff
performance metrics to track the number
of patients seen, consultant notes entered,
admissions, NEAT performance and clinical
events all in real-time.

IMPROVED VISIBILITY

D&D APPROACH
& SUPPORT
With a reputation in the United Kingdom for
delivering a suite of business intelligence
applications, built on QlikView that are expertly
designed and simple to use, the healthcare provider
turned to Draper & Dash to solve problems around
the visualisation of their emergency department
and governance performance data. The Draper
& Dash team installed their Inpatient, Emergency
Department (ED), Operating Theatres and Mortality
applications to help tackle these challenges. Each
application fulfilled the criteria the healthcare
provider outlined, enabling them to track key
metrics, using near real-time data with the ability to
drill down to patient-level and produce daily
reports.

OUTCOMES
The difference in visualisation was clear, previously
the healthcare provider had limited visibility on
the key indicators. The newly installed Draper &
Dash applications provide clear visibility through
simple and easy to navigate dashboards and
individual tabs to track specialties, facilities and
attendance types. Improving visibility on the real
issues is encouraging engagement from clinicians
and managers and resolving the challenge of
generating automatic and daily reports.
Draper & Dashs ED application has provided
the healthcare organisation with real-time data
about current waits, triage and assessment times
and breaches as they happen allowing the
emergency department team to take proactive
action. Patient-level detail allows consultants and
other ED staff to explore who the presenting patients
are and where they are in their hospital journey.
The newly installed Inpatient and Mortality
applications are enabling the Local Health District
to track key Governance and Staff performance
metrics, such as the number of patients seen,
coding of patients, quality of consultant notes,
admissions and NEAT performance all in real-time
with patient-level information available at their
fingertips.

The app gives users the option to

drill down into selections and furnish
themselves with the information
they require.

Various selections can be applied

to each of the metrics to identify
which part of patient pathways
contain difficulties.

This Inpatient app dashboard

includes an extensive overview of
all key measures to allow clients
immediate sight of performance
within the organisation.

INPAT
IENTS
T

he challenges hospitals experience when handling

their Inpatient datasets often mean they do not
achieve the potential benefit of their BI. Reporting
structures in place in numerous Trusts are unable to
present such a large dataset in a format that allows
users to make dynamic selections permitting them
to make effective decisions on patient pathways
and the services they provide. The consequence of
these reporting deficiencies has led to a number of
secondary care organisations being left behind the
curve in health analytics and insight.

The Inpatients app has been designed around a number

of indicators, these include activity levels, daycase rates,
readmission rates and average, zero day and >14 day LoS
indicators split by admission type. This suite of indicators
allows users to focus on trends in patient flows and
gain insight into the challenges of the services, all whilst
exploring areas of interest all the way down to patientlevel information.
The app gives users, whether they are a clinician,
manager or analyst, the option to drill down into selections
and furnish themselves with the information they require
to truly interrogate the performance of the service.
Specialty, ward, clinician, diagnosis and procedure
selections can be applied to each of the metrics to
identify which part of patient pathways contain difficulties
leading to poor patient experience.

The agility of this app allows for a wider range of daily

usages that cannot be achieved using Excel and other
product reporting as the parameters and capabilities do
not permit flexibility.
The Inpatients app dashboard includes an extensive
overview of all key measures to allow clients immediate
sight of performance within the organisation. This
clarity of information is where Draper & Dash cannot be
surpassed. With clients reporting 10% increased usage
of apps compared to previous BI solutions it is clear that
visualisation is key in user buy-in.

The agility of
this app allows
for a wider
range of daily
usages

tel: 1800 463 656 email: enquiries@analytics8.com

ACCI
DENT &
EMER
GENCY
11

ealthcare savings are a priority across the entire

sector. Like you, we know whats needed to
manage a challenging Emergency Department
(ED). Our version 2 application allows our clients to
focus on what really matters: letting them make
informed decisions on how to drive quality and safety
improvements to their ED service.
Our applications show the ED team the current state of
play within the department, which is refreshed via daily
and real time data, giving clinicians and managers
visibility of Current Waits, Triage/Assessment Times and
Breaches as they happen, allowing the ED team to take
proactive action. Clinicians can drill down to patient
level to explore who the presenting patients are and
where they are in the journey, all at their fingertips.
The ED team can see which ED/facility will breach NEAT,
investigate down to patient level of each presentation,
and take steps to avoid the breach by reallocating
senior clinical resources, diagnostics and bays as
appropriate.
The impact our clients have reported show an 85%
stepped reduction in triage waiting times, with other

clients performing at 98% on average against the 4

hour national ED/NEAT target, since using our ED app to
identify their service challenges. This has allowed them
to make informed changes based upon real data.
Since using our ED app our clients on average report a
saving of 97,000 service efficiencies per annum. When
reviewing trends, this app will give you sight of common
themes and challenged areas. The 4 Hour Performance
and Triage Band analysis can identify weaknesses in the
flow of pathways, and whether its the triage or clinician
review holding up patient flow, you will be able to see
trends and watch as improvements begin.
Existing methods of reporting are outmoded and unable
to provide a visual analysis that is easily understood
by clinicians and mangers in the BI era. The Operating
Theatres App has been tailor-made to increase clinical
engagement and increase user buy-in. A common
theme that poses a challenge with Operating Theatres
datasets is the poor data quality and unfortunately
many organisations do not have sight of this issue due to
a lack of reporting structure. With our app organisations
can gain insight into problem areas and improve the
documentation of patient pathways.

Our version 2
application
allows our
clients to focus
on what really
matters

tel: 1800 463 656 email: enquiries@analytics8.com

MOR
TALITY
Clinicians can drill down to patient level to explore who the
patients are and the complexities relating to those patients
and their care, all at their fingertips.

s pressure increases on the healthcare sector to deliver everimproving quality of care to patients, so too does the need for
data to support organisations in their bid to understand their
health economies. With patient pathways often too complex and
dataset volumes too large for out-dated reporting formats to allow any
true benefit realisation, many Trusts are unable to achieve visibility of
their challenges. Draper & Dashs Mortalities and Outcomes App allows
our clients to focus on what really matters: letting them make informed
decisions on how to drive quality and safety improvements to their
services and reduce the number of avoidable deaths occurring.
The application provides clinicians with daily visibility of crude mortalities
by ward, specialty, diagnosis groups and other dimensions of high volume
mortalities. The application provides governance insight within each of
the specialties, which is refreshed daily from patient level data, giving
clinicians and executives visibility of safety challenges, mortalities and
trends in patient outcomes.
Clinicians can drill down to patient level to explore who the patients are
and the complexities relating to those patients and their care, all at their
fingertips. The application supports rich discussions at monthly mortality
and morbidity meetings where clinical teams can see which ward/
specialty/facility is potentially unsafe or experiencing higher levels of
patient safety challenges. This visibility at patient level can allow clinicians
to identify where there are recurring themes in the patient pathways, all
leading to improved patient experience and greater quality of care.
The improvements our clients have reported show a reduction of 158
crude mortalities in twelve months. Using the Mortality and Outcomes
App clinicians were able to identify those patients at risk and prevent
negative outcomes, thus improving the quality of care patients receive.
The Mortalities and Outcomes App will give users sight of common
themes and challenged areas. The mortality rate, palliative care, depth
of coding and readmissions analysis can identify unnecessary deaths,
whether its a clinical challenge or seasonality, you will be able to see the
trends. The hospital can then focus on providing resources where they are
really needed and watch as improvements begin.

13

tel: 1800 463 656 email: enquiries@analytics8.com

THEA
TRES
With a Government drive to save 20 billion by
2015, organisations are reviewing their services to
identify potential efficiencies.

ealthcare savings are a priority across the Healthcare sector. With

a Government drive to save 20 billion by 2015, organisations
are reviewing their services to identify potential efficiencies.
Operating theatres are one of the highest costing service areas within
Trusts. The Draper & Dash Operating Theatres application allows
Hospitals to focus on what really matters: letting them make informed
decisions on how to drive utilisation, quality and safety improvements
within operating rooms.
The app shows the surgeons, nurses and operation managers the
current state of play within each of the operating rooms, refreshed in
real time or on a daily basis, giving clinicians and managers visibility
of total utilisation, knife to skin times and cancellations daily, allowing
the Theatres team to take proactive action. Clinicians can drill down
to patient level to explore who the patients are and where they are
in the journey all at their fingertips. The Theatres team can see which
theatres are underutilised and investigate down to patient level of
each procedure. This visibility at patient level can allow clinicians to
identify where there are bottlenecks in the patient pathways, doing this
will lead to improved patient experience and greater utilisation.
Existing methods of reporting are outmoded and unable to provide a
visual analysis that is easily understood by clinicians and mangers in the
BI era. The Operating Theatres App has been tailor-made to increase
clinical engagement and increase user buy-in. A common theme that
poses a challenge with Operating Theatres datasets is the poor data
quality, unfortunately many organisations do not have sight of this issue
due to a lack of reporting structure. With our app organisations can
gain insight into problem areas and improve the documentation of
patient pathways.
The impact our clients have reported show a 22% stepped increase
in theatre utilisation with other clients performing at 98% on average
since using our app to identify their service challenges. This has
allowed them to make informed changes based upon real data. Since
using our Theatres app our clients on average report an estimated
saving of 500k in service efficiencies per annum with a 93% data
quality improvement on timing points. The app allows users to review
cancellations, theatre utilisation, knife-to-skin to closure, anaesthetic to
recovery, late starts and early finishes. All of these indicators can be
reviewed and the data cut by operating theatre, clinician or specialty
to identify trends or problem areas.

15

tel: 1800 463 656 email: enquiries@analytics8.com

REFE
RRAL
TO
TREA
TMENT
17

atients continue to have a legal right under

the NHS Constitution to access services within
maximum referral to treatment waiting times,
or for the NHS to take all reasonable steps to offer
them a range of alternative providers if this is
not possible. This 18 Weeks Referral To Treatment
Pledge drives the urgent need to continually
manage all aspects of patient pathways
throughout the hospital, ensuring the highest
quality of patient care is delivered and national
targets are met.

Due to the complex nature of referral to

treatment pathways, Draper & Dash have
produced an application to improve
understanding and clarity exactly where needed,
highlighting key areas of vulnerability in the
patient pathway, identifying bottlenecks, spotting

trends and predicting future performance to

ensure organisations gain the knowledge required
to successfully manage referral to treatment
pathways and stay ahead of the game with
regards to future demand and capacity across
outpatient, diagnostic and inpatient settings.
The application dashboard, as well as providing
a visual colour coded position of current waiters,
clearly highlights patients which need action
or review, such as those on waiting lists without
an appointment or admission date, patients
who are close to breaching the national 18
Weeks standards and those patients booked
outside of their 18 Week target but could still
be brought back within target if capacity is
managed accordingly. Users can jump directly
to the patient detail for those involved and take
immediate action to ensure priority patients

receive care as quickly as possible if they have

experienced delays in their patient journey so far.
Performance figures are displayed month-month,
by quarter and YTD to track the following key
metrics:
- Admitted Performance (against 90% target)
- Non-Admitted Performance (against 95% target)
- Incomplete Performance (against 92% target)
- Median (across Admitted, Non-Admitted and
Incomplete patient cohorts)
- 95th Percentile (across Admitted, Non-Admitted
and Incomplete patient cohorts)
- Longest Waiters (across Admitted, Non-Admitted
and Incomplete patient cohorts)
- Patient Backlog
- Patients waiting over 26 weeks
- Patients waiting over 52 weeks

tel: 1800 463 656 email: enquiries@analytics8.com

eadmissions are a challenge for most health economies. More

than 9m per year is spent on readmissions within the National
Health Service (NHS) in England, Scotland, Northern Ireland
and Wales each year. The D&D team have extensive experience
in helping our clients reduce their readmission rates. In all cases,
our clients are left with lasting Business Intelligence insight and the
technology to continuously deliver improved performance.
In the latest version of the app, we have placed a greater
emphasis on simplifying our analytics solution. This ensures that
nurses, managers, doctors, primary carers and executives can
access and monitor the relevant KPIs, thereby proactively reducing
patient readmission rates within their organisations. The new
application includes the following: Admissions, Readmissions and
Readmission Rates viewed by Current Month, YTD or Selected
Period, Top 5 Readmissions (by Specialty, Consultant, Ward,
HRG, Diagnosis Group, Primary Diagnosis - Parent or Child), Top 5
Readmission Rates (by Specialty, Consultant, Ward, HRG, Diagnosis
Group, Primary Diagnosis - Parent or Child) and more.
Readmissions and Readmission Rates in our app can be viewed
in various combinations: With Exclusions, No Exclusions, Elective
to Non-Elective, Non-Elective to Non-Elective, All to Non-Elective,
any amount of days between parent and child, plus Readmissions
to Same Specialty, Consultant, Ward, HRG, Diagnosis Group and
Primary Diagnosis Group and Primary Diagnosis.

REA
DMIS
SIONS
19

tel: 1800 463 656 email: enquiries@analytics8.com

eing a patient's first point of contact, ensuring the outpatient

department operates smoothly benefits patients and
organisations both in a direct manner and via knock-on effects
moving forward in the pathway. Increased patient care, quality,
safety and cost-saving all starts with efficent management of patients
in the outpatient setting. Reducing cancellations and DNA rates,
maintaining an optimum first to follow-up ratio and keeping an eye on
volumes of activity to assist with demand and capacity is all possible
with the Draper & Dash version 2 Outpatient application. Users can
drill right down to patient level detail to garner more intelligence
around the activity and the patient outcomes.

The application dashboard keeps the key metrics clear and visible
while maintaining the Draper & Dash eye for enticing aesthetics,
keeping users engaged to increase positive action to promote
change. Trending activity and rates across specialties and consultant
ensures that individuals and departments can be aware of any
arising issues or potential increased demand. Keeping on top of these
key outpatient metrics will ensure your organisation can apply its
resources efficiently at every point in a patient pathway, avoiding any
delays and bottlenecks further down the line. The version 2 Outpatient
application provides the insight needed to deliver and maintain a
solid start to every patient experience and a healthy, productive
outpatient department for your organisation.
Our Outpatients application helps a number of healthcare services
focus on their performance, keeping a close eye on their numbers
across the following range of measures:
- Dashboard on all performance
- Outpatient Activity
- New Follow-Up Analysis
- Outpatient DNAs
- Outpatient Cancellations Procedures
- Number on new outpatient waiting list
- OP WL Number and % waiting 64-84 days
- OP WL Number and % waiting >84 days
- OP waiting list number and % available
- OP waiting list number and % unavailable (split
medical and patient advised)

OUTP
ATIENT
21

tel: 1800 463 656 email: enquiries@analytics8.com

www.draperanddash.com

aiting lists are just one part of the NHS

Pledge to put patients at the centre
of everything they do. The number of
patients waiting to be seen, diagnosed or treated
is a fundamental indication of how well your
organisation is performing in conjunction with its
capabilities and against national targets. The WeekOn-Week Waiting List application from Draper &
Dash seeks to prioritise the monitoring of waiting
lists across Outpatient, Diagnostic and Inpatient
settings. Spotting trends in the number of waiters
in these areas is key to forward-planning, avoiding
bottlenecks and making the best use of resources
available, all whilst ensuring patients do not have
to endure excessive wait times. The application
dashboard illustrates the key rise and fall figures
across the three areas, and also highlights the
specialties in which there has been the biggest
movement, ensuring action can be taken to
address the variances noted in the waiting list sizes.

By comparing up to six weeks prior, users can review

or note both long-term and short-term variance,
either to analyse the effects of process change or
to predict further challenges down the line, ensuring
your organisation stays ahead of the curve and
is able to cope with increased demand across
individual specialties or within the trust as a whole.
Historical trend lines can show seasonal variation
and by isolating individual waiting lists, users can
gain increased clarity and focus when managing
waiting list size and the patients involved.

WEEK
ON
WEEK
WAITING LIST
23

tel: 1800 463 656 email: enquiries@analytics8.com

ncreasing Daycase rates should be one of the highest

priorities for any organisation due to the wide-ranging
benefits for both hospitals and patients. Reduced bed days
and inpatient stays have an obvious financial impact for
the trust so are a key aspect of cost-saving and improving
efficiency, enabling hospitals to stay below tariff, which is an
ever-increasingly important consideration as commissioners
purchase more daycase activity. Hospital staff benefit
too, from increased potential for training time, rotation
throughout departments, more involvement in the patient
pathway, pre-assessment and nurse-led discharge, clearer
start and finish times resulting in increased job satisfaction
and hence productivity. Patients treated as daycases
benefit from minimum disruption, lower risk of cancellation
(due to increased efficiency), speedier recovery, less risk
of hospital-acquired infection and better information and
outcomes for their treatment. Waiting times will also improve
as capacity is made available as efficiency increases.
The version 2 Daycase application focuses on highlighting
current daycase rates and possible areas of improvement.
Users can follow patient pathways from the outpatient
department (observing how many pathways convert
to daycase) as well as reviewing those cases where a
daycase procedure was intended but the patient instead
converted to an inpatient stay. Staying on top of these
detrimental conversions is key to reducing excess bed days
and improving all-round efficiency for both trust and patient.
Reviewing this data by diagnosis, procedure, specialty or
consultant ensures that users can take appropriate action in
the right areas to ensure utilisation is as optimal as it can be,
and daycase rate targets are met across the procedures
that matter.

DAY
CASE
25

tel: 1800 463 656 email: enquiries@analytics8.com

eeping it simple! This statement has played a key role in D&Ds new
approach to the release of its first Ward quality application. The app is
designed to ensure that multidisciplinary nurse-led teams have instant
access and visibility to areas of concern and improvement. We are really
proud of the work around this with a number of nurses and doctors over the
years.
High quality, compassionate care is about people, not institutions. In every
ward, clinic, hospital, health centre, community service, and patients
home across the country, frontline healthcare workers provide care and
compassion to people when they need it most. There are however instances
where the quality of care falls below acceptable standards. In the latest
state of health and social care report from the Care Quality Commission
(CQC), 10% of NHS hospitals inspected struggled to make the respect
and dignity of patients their number one priority. Further reports suggest
that more than 57% of those asked in a survey described their ward as
understaffed and below expected standards of quality.

The D&D ward quality app is designed with the patient and front line staff in
mind and focuses on the following core areas:

- Number of Complaints
- Incidents per 100 Admissions
- Level of Harm measures
- Safety Thermometer
- Falls
- Pressure Ulcers
- Hand Hygiene
- Clostridium Difficile
- MRSA
- VTE Performance
- Environmental Cleanliness
- % of Discharges in Morning
- Crude Mortality
- High Risk Diagnosis Groups

- Mortality Rates
- Readmissions within 28 days
- Long Length of Stay
- Acuity/Comorbidity
- % Skill Mix Ratio
- WTE Establishment
- Vacancies
- Vacancy %
- Sickness Absence Rate
- Turnover
- Nurse to patient ratios
- Consultant to patient ratios
- All dimensions by ward, consultants,
speciality and directorates (based on
data availability)

WARD
QUA
LITY
27

tel: 1800 463 656 email: enquiries@analytics8.com

key element in any patient pathway, diagnostic tests are often

the cause of delays in patient care so need to be managed
carefully to aid overall pathway management, as well as to
avoid the over-use or under-use of diagnostic testing. Keeping an eye
on the multitude of metrics available in the Draper & Dash Diagnostics
application will help to manage demand and capacity in this key area,
and ensure patients do not wait too long for their diagnostic tests.
High waiting times and bottlenecks are something every hospital wants
to avoid, and with the Diagnostics application, organisations can drive
up productivity around the delivery of diagnostic services, resulting
in better patient outcomes and care. The application dashboard
absorbs trust radiology and pathology data to explicitly summarise your
hospital's position across a number of key metrics such as:

- % ED Urgent CT Scans
performed and reported within
1 hour

- % MRI scans performed within

24 hours of receipt of request

- % ED CT Scans performed and

reported within 3 hours

- % General Ultrasound scans

performed within 24 hours of
receipt of request

- % ED Ultrasound Scans
performed and reported within
3 hours

- % Gynaecology Ultrasound
scans performed within 24 hours
of receipt of request

-% Assessment Unit Urgent CT

Scans performed and reported
within 4 hours

- % Carotid Doppler's scans

performed within 24 hours of the
receipt of request

- % Assessment Unit routine CT

Scans performed and reported
within 24 hours

- % X-rays scans performed

within 24 hours of the receipt of
the request

- % Assessment Unit Routine

Ultrasound Scans performed
and reported within 24 hours

- % Nuclear Medicine scans

performed within 2 days of
receipt of request

- % Assessment Unit requests

received same day

- % CT reports issued on same

day as scan

- % CT Scans performed within

24 hours of receipt of request

- % MRI reports issued on same

day as scan

DIAG
NOSTICS
29

tel: 1800 463 656 email: enquiries@analytics8.com

FINANCE
LEDGER
G

etting a single version of the truth is not as

easy as one may think when it comes to
finance in the healthcare sector. Modern
healthcare organisations can have tremendously
complicated financial structures, and effective
decision making requires the components of
those structures to work together in perfect fluidity.
The D&D Finance Ledger app gives healthcare
managers access to all of the information they need
in one place, with instant drill down capabilities.
Due to the sheer volume of information, archaic
data reporting formats are falling out of favour in

31

the big-data era. Data visualisation has become

just as important as the underlying data analysis
mechanisms. In the healthcare informatics industry,
no solution providers have been able to surpass
Draper & Dash when it comes to data visualisation.
The innovative charts and figures allow users to
interpret enormous amounts of data at a single
glance. From the big picture, users can explore
areas of interest all the way down to patient-level
information. The Finance Ledger is built around a
number of metrics, eight of which are key measures
that come together on one dashboard to form a

comprehensive overview. With this single source of

information, every aspect of a hospitals financial
situation can be accessed and analysed instantly.
The dynamic nature of the dashboards allows
managers to exercise proactive management of
hospital finances, as opposed to damage control.
The 8 key measures included are: Income &
Expenses, Surplus, Non-Pay / Pay, Prescribing Costs,
Budget Variance, Growth, Supplementary Costs and
Outturn. With the Draper & Dash Finance Ledger
App, getting a single version of the truth in a single
place is finally possible.

tel: 1800 463 656 email: enquiries@analytics8.com

By encouraging strong
collaboration between
coding and clinical teams,
the resulting data quality
improvements mean more
accurate information is
channelled to executives.

Clinical coding is the

foundation on which
healthcare organisations
monitor their performance,
compete in the market, and
operate within guidelines.

Using the D&D app played a

key role in getting it right for a
number of organisations.

CLINICAL
CODING

ccurate healthcare coding insight has never

been more important. It underpins the delivery
of payment, performance, and patient
outcome measures. It is critical for driving service
improvement and increasing cost effectiveness
and value. When robust data quality processes are
developed and implemented at an organisation,
efficiency savings and improvements follow at
virtually all levels. By encouraging strong collaboration

33

between coding and clinical teams, the resulting

data quality improvements mean more accurate
information is channelled to executives, regulators and
commissioners to monitor performance.
Clinical coding is the foundation on which healthcare
organisations monitor their performance, compete
in the market, and operate within guidelines. When
the coding is inaccurate, both providers and
commissioners are given an incorrect snapshot of the
organisations current situation.
There are two key elements provided by coders diagnosis and procedure codes. Without these codes,
there is no record of what the patients presenting
condition was or how they were treated - nor is there
any possibility of assigning a tariff to enable the
recovery of costs. The introduction of payment by
results has put pressure on clinical coding services, as

providers want to ensure that costs are recovered for as

many patients as possible.
The exact pathway of clinical coding varies between
organisations, but usually relies on a coder taking
information from the medical record. These records are
most often written and updated by junior clinicians. The
data pathway can take several weeks, leading to delays
in coding and a variety of subsequent problems.
In our experience of carrying out clinical coding reviews,
we have found that the majority of organisations are
under-coding complexity and therefore getting lower
tariffs than they should be.
Likewise, when looking at mortality rates, any risk
adjustment model relies on an understanding of how sick
a deceased patient was prior to passing. This information
is inferred from diagnostic codes. A single diagnostic

code describes the presenting condition, but not any

co-morbidities that may have been present. Using the
D&D app played a key role in getting it right for a number
of organisations. Our app helps teams to get clinical
coding right, which affects the organisations income
and how they are ranked against other providers. The
Clinical Coding application focuses on, but is not limited
to the following measures: Patient Spells, Coded and
Uncoded Spells, Diagnosis Depth, Finished Consultant
Episodes, Bed days, Day Case Ratio, Poor Diagnosis,
HRG Complication, Long Length of stay, Intensive Level
category, Co-Morbidities, Include HRG and ability to
sort by volume/ward on discharge/point of admission/
specialty/consultant, ability to sort by ICD 10 code by
volume/ward on discharge/point of admission/specialty/
consultant and more.

tel: 1800 463 656 email: enquiries@analytics8.com

Ensure patient
activity isnt
lost with the
reconciliation
activity app

tel: 1800 463 656 email: enquiries@analytics8.com

ccurate patient activity numbers are crucial

to both healthcare providers and payers.
When numbers from different submissions dont
reconcile, a substantial amount of time, money, and
analytical capacity is wasted identifying the source of
variance and recreating reports.
The D&D version 2 Reconciliation application assures
operational, informatics and finance teams that
activity being captured by frontline staff is being
accurately reported across a range of systems.
The flow of data from the initial activity through to
invoicing, planning, and performance monitoring is
accurately captured and executed.

The application is designed to provide an overview

of the relevant systems, processes and data feeds.
Stakeholders are provided with details on the status
of current processes, and key areas of focus for the
overall reconciliation delivery. Using the version 2
application, reconciliation of activity can be monitored
in the following areas: Clinical Systems to Warehouses,
to Transformation Processes, to Benchmarking
Intelligence, to Invoicing all by points of delivery,
specialty, consultants and ward. Crucially, all of this
data is available at patient level.

RECO
NCILI
ATION
36

INCI
DENT
REPOR
TING
Studies have shown that institutions with better
incident reporting procedures tend to perform better
in terms of safety.

he Draper & Dash team are passionate about providing state of the art
data-visibility for clinical, operational, and executive insight. Moreover,
patient safety is at the core of everything that we do, which is why the
incident reporting application is so important to us. Studies have shown that
institutions with better incident reporting procedures tend to perform better in
terms of safety. With actionable incident reports and good procedures in place,
it is possible to substantially improve the safety of an entire organisation. NHS
trusts currently use the DATIX system for incident reporting. Analysis from DATIX
currently suggests that the NHS is improving in terms of recognising and reporting
patient safety incidents.
Our version 2 application assists with incident management, and will play a key
role in better patient outcome and care. The application uses DATIX as the core
dataset and enables users to track incidents across the five key categories:
Extreme, Major, Moderate, Minor and Negligible. Furthermore, the management
of incidents can be analysed and trended to ensure targets are achieved and
continue to be met. These include succeeding in reporting incidents within 24
hours, verifying them within 72 hours and reviewing incidents within 28 days.
Users can drill all the way down the incident detail to get to the heart of any
issues or delays in the incident reporting process.

37

tel: 1800 463 656 email: enquiries@analytics8.com

he healthcare global workforce is the primary driver of future health and

social care costs: 1.4 million people work in the NHS and a further 1.6 million
in the social care sector. Together they account for 1 in 10 of the working
population. Todays workforce is facing a number of challenges. The demand
for workers is growing; however the number of workers is not. There is also a
mismatch between the location of the current workforce and where care is
actually needed. For example, while the need for home and community-based
care is growing, the number of district nurses fell by 38% between 2001 and 2011.
Across the sector, there is now a need for there to be a much closer
collaboration between specialists and generalists, hospital and community
and the mental and physical health workers. There is now a high demand for
the NHS and social care sector to have multi-skilled staff to work across these
boundaries. In the future, an increasing proportion of the healthcare workforce
is likely to be employed outside of the NHS, for example social enterprises.
Our workforce insight application is designed to help Directors of Resourcing
and the wider organisation to have instant access and transparency of
staffing challenges and costs normally associated to running organisations. The
application has a number of core measures which are all designed to support
the management of resources, including:

- Headcount
- Staff in Post (FTE)
- Turnover % (Month)
- Turnover % (12
Months)
- Sickness %
- Long Term Sickness %

- Cost of Sickness
- Maternity %
- Appraisal %
- No of Starters
- No of Leavers
- No of Starters (FTE)
- No of Leavers (FTE)

WORK
FORCE
39

tel: 1800 463 656 email: enquiries@analytics8.com

QLIK
VIEW
USAGE
A

n important aspect of any QlikView

implementation is being able to track the impact
and changes it makes to your organisation. Any
Draper & Dash deployment comes with a complimentary
QlikView Usage and Server Performance application,
vital when tracking how many users are accessing the
apps you have installed, whilst also providing crucial
technical analysis around how the users access your
QlikView Server and any licensing implications of uptake
in demand. This allows the trust to be proactive in
spotting any issues that may arise.
You can also extract further detail, such as the amount
of time users access each application, giving you critical
insight around your user base, enabling you to action
training or support where you feel necessary. Keeping
an eye on your server capabilities is another element
of the complimentary Usage and Server Performance
app, meaning you can see exactly when and where any
potential heavy loads on the server could be a problem
and if your server can cope with the increased demand
your business intelligence deployment has driven.

provides crucial
technical analysis around
how the users access
your QlikView Server.

41

tel: 1800 463 656 email: enquiries@analytics8.com