Clinical Service Lines compartments

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  1. User selection of sub-specialties underneath each specialty

    Allow users to select which sub-specialties should fall under over-arching specialty i.e. in paediatrics often different sub-specialties are managed by different Divisions and it is not clear how much of the opportunity lies in each sub-specialty

    19 votes
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    1 comment  ·  Paediatrics  ·  Flag idea as inappropriate…  ·  Admin →
  2. Separate obstetrics and gynaecology and clinical lines

    Would it be possible to split obstetrics and gynaecology into separate lines as these are different services and it would be helpful to see data differentiated

    18 votes
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    0 comments  ·  Obstetrics and Gynaecology  ·  Flag idea as inappropriate…  ·  Admin →

    Thanks very much for your suggestion.

    Where possible, for example, for inpatient length of stay metrics powered by HES data, we have begun to do this. We are exploring ways of splitting out Obstetrics and Gynaecology more generally, but limitations with some of our data sources may prevent this from happening quickly.

    Best wishes,
    Model Hospital team

  3. More detailed cost per WAU breakdown

    I've noticed that a lot of the clinical service line metrics are limited in terms of drill down to pay metrics. So where for example you have a specialty that has a high overall cost per WAU, but low pay cost per WAU it would be very useful to be able to drill into where the cost differences are. i.e. drugs, clinical supplies, CNST etc.

    18 votes
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    0 comments  ·  Compartment Development  ·  Flag idea as inappropriate…  ·  Admin →

    Thanks very much for your suggestion.

    At the moment, we simply don’t have a non-pay data source that enables us to break these data down at a Clinical Service Line level. However, we will continue to explore options for improving this, as we know it is a high priority for many users.

    Best wishes,
    Model Hospital team

  4. Enable bespoke reports to be downloaded

    As a Model Hospital user I would like to be able to download data for a single metric across all clinical service lines, for example to be able to view Cost per WAU for all specialties at once rather than extracting from each specialty individually.

    16 votes
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    1 comment  ·  All compartments  ·  Flag idea as inappropriate…  ·  Admin →
  5. Include agency spend when calcualting staff type ost per WAU

    Currently the data on staff cost per WAU only includes employed staff this does not reflect the true cost which can include large amounts of agency spend. This means that areas that are fully established and use little agency look less efficient than under established areas with a large agency bill. This is perverse and is driving some very odd/dangerous ideas in our trust as to where savings can be made.

    15 votes
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  6. 12 votes
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  7. Drilldown into the Potential productivity Opportunity

    It would be useful to be able to drill down into the Potential Productivity Opportunity (PPO).

    Whilst this is available at specialty level, it doesn’t seem possible to get into a more granular level of detail about how it is made up. I had been wondering if we could do a pareto-type analysis of this, e.g. if a specialty has a PPO of £2m and this is built up across 40 HRGs, could we drilldown and identify a small number of HRGs which make up the majority of the PPO, and then focus on those. However we’d need to be…

    12 votes
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    0 comments  ·  All compartments  ·  Flag idea as inappropriate…  ·  Admin →

    Thank you very much for your suggestion. In the new release of ‘Model Hospital 2.0’ PPO has been replaced by what we hope is a slightly improved version called ‘Opportunities’, based on Cost per Weighted Activity Unit (WAU). Although we still can’t break this down all the way to HRG level, each Opportunity page, accessible from the new homepage, includes featured and supporting metrics highlighting areas that might be driving the overall opportunity. We will continue to refine opportunities as we develop the data and functionality underpinning it.

    More information regarding the new opportunities can be found here: http://feedback.model.nhs.uk/knowledgebase/articles/1867129-opportunities

    Best wishes,
    Model Hospital team

  8. Show specialty cost per WAU on a single chart

    As an analyst I would like to be able to view a single chart which demonstrates my overall cost per WAU split by specialty

    12 votes
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  9. Productivity levels - comparison data

    It would be very useful to have expected productivity levels per PA session for the respective services (could be based on national guideline/case mix etc) for both outpatient activity (split new and follow up) also Inpatient and Day Case activity.

    12 votes
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  10. Please define WTE consultant

    Does WTE pertain to 1 person that could be doing 10PAs or 14 or does it pertain to 10 PAs total work. To see if a service is efficient we need to compare output per PA not output per person listed on ESR

    10 votes
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    1 comment  ·  All compartments  ·  Flag idea as inappropriate…  ·  Admin →
  11. Amend Staffing Compartment Calculation

    ESR data has been used to reflect the staffing by specialty however the way specialties have been defined is by "Area of Work". This is not a mandatory ESR field and often staff in a specialty come under differing areas of work eg administration.

    Internally we use cost centers. When we compare our departmental staff to your breakdown of our staff they are significantly different - eg T&O in the model hospital reports 70.8 FTE, we actually have just over 123 FTE. Therefore an inaccurate view of a specialty which we therefore cannot benchmark against other trusts.

    8 votes
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  12. 8 votes
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    1 comment  ·  Paediatrics  ·  Flag idea as inappropriate…  ·  Admin →
  13. Please could you include staff turnover within all Clinical Service Lines?

    Please could you include staff turnover within all Clinical Service Lines?

    8 votes
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  14. 7 votes
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  15. 7 votes
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  16. Remove duplication of costs and opportunities across service lines

    For our data there are a number of overlaps in the cost and opportunities shown for each service line.

    As an example with Gen Surg there is the national specialty of General Surgery but also F/G HRG's. These F/G HRG's also then also reported in the lines for other services where this activity is reported in refernce costs (in our case gastro, gen med, elderly etc..)

    We also see the costs and opportunity for 503 (Gynaecological Oncology) in both the Obs and Gynae service line and the Cancer Services data.

    7 votes
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  17. Consider ways to display workforce data for general surgery and general medicine

    As a Carter Lead I am interested in how ESR data can be better utilised to add value in clinical specialties. Often staff are assigned under general surgery and general medicine rather than their specific specialty, this can make it difficult to get an accurate picture of productivity at a specialty level.

    7 votes
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  18. 7 votes
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  19. 6 votes
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  20. Include data on litigation rates

    It would be helpful to be able to see information on litigation costs and claims under each clinical specialty

    6 votes
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    2 comments  ·  Compartment Development  ·  Flag idea as inappropriate…  ·  Admin →
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