Webinar Q&A GIRFT session

Model Health System and GIRFT masterclass
17 August webinar

Common questions

Who can have access to the Model Health System?
This article explains who can have access, and how to request this.

How can I access the Model Health System data? I am only able to find the Model Hospital.
Click on 'Organisation' (underneath where your organisation name is displayed). Then filter by Sustainable Transformation Partnership (STP) and select the STP. You should be able to see all the organisations within your STP. More here.

Does the Model Health System work in one browser better than another?
It works on all browsers and tablets and adjusts for phones.

Is the High Volume Low Complexity (HVLC) data available in the Model Health System?
Yes, in the pathway improvement programme compartment.

How up to date is the data and what is the frequency of updates?
The data in the Model Health System is updated regularly but the frequency is dependent on the metric and data source. Some metrics are updated daily (such as urgent and emergency care), weekly (such as COVID) all the way through to annually (financial productivity). Users can see when the data was last uploaded and when the next upload should be in the data source section. 

Can you download physical reports?
You can download a whole compartment in Excel or PDF format using the ‘Download’ button. You can also download information from the interactive charts – just select ‘Options’ from the top right.

Is it possible to produce multi year SPC charts?
Statistical Process Control (SPC) should be enabled for all rate metrics once there is enough data. Ideally it’s 15 data points minimum. Multi-year SPC is possible with the data. The charts are set to draw a maximum number of data points dependent on the frequency they’re updated.

Will we have the ability to track performance within a quarter
Yes, if we have the data and it’s published in quarter

I seem to be attached to the wrong organisation. How do I change this please?
I cannot seem to amend it from the change organisation button.
Please contact our helpdesk: help@model.nhs.uk

Is it possible to benchmark against Trusts with the ‘Requiring Improvement’ Care Quality Commission (CQC) rating?
If you know the trusts, you can create your own peer group. More in these articles:

Rightcare created packs for Clinical Commissioning Groups (CCGs) - does the Model Health System do packs similar for trusts?
All the Rightcare packs have been included in the Model Health System.

Is there any information on the Model Health System about the estimated catchment areas of providers?
You can find the catchment areas of providers here: https://app.powerbi.com/view?r=eyJrIjoiODZmNGQ0YzItZDAwZi00MzFiLWE4NzAtMzVmNTUwMThmMTVlIiwidCI6ImVlNGUxNDk5LTRhMzUtNGIyZS1hZDQ3LTVmM2NmOWRlODY2NiIsImMiOjh9

GIRFT (Getting it Right First Time)

What is the definition/difference for GIRFT clinical metrics and GIRFT Gateway metric?
The Clinical metrics compartment contains the longer list of metrics that we have agreed with clinical leads to monitor for the specialty. It will contain a range of metrics for selected procedure or diagnostic code groups.

The Gateway compartment is a shorter subset of the clinical metrics, sometimes supplemented with metrics from other areas such as British Association of Day Surgery (BADS) day cases or referral to treatment waiting list data. These are deemed to be the key metrics for the speciality, and provide a good quick overview of the service. Where applicable, the clinical leads will agree GIRFT standards (benchmarks) for the Gateway metrics which is generally informed by 2019 best decile, cleaned for small numbers and adjusted to a level which should be achievable by most providers.

Are the GIRFT standards and metrics in alignment with best practice/NICE/National guidance?
The GIRFT metrics are agreed within clinical leads, and where possible/appropriate we will look to other best practice / advice to ensure that we are not out of line. As an example, we use BADS targets as standards for relevant day case metrics.

Are the GIRFT specialties mainly elective / surgical rather than non-elective / medical?
No, we are also working on medical specialties and have non-elective metrics in surgical compartments too.

Are the GIRFT metrics more designed for clinicians and service managers to use - or would you recommend that they can also be used in searching for efficiency opportunities, effective use of resources etc?
All of the above!

Will the metrics now be used during local GIRFT reviews?
Yes, we are looking to use the GIRFT Model Health System metrics in reviews.

Is there any work being done on quantification of GIRFT opportunities (e.g. cost of readmission)?
Some of the GIRFT metrics eg length of stay for high volume procedures, feed into the opportunities compartment within the Model Health System (MHS).

Will the GIRFT Gateway for diabetes be rolled out nationally soon?
We are planning to build the GIRFT compartment for diabetes soon, which will include a sub-compartment for the Gateway metrics.

Are there Radiology-specific GIRFT standards?
Not at the moment.

Are there any projects in developments for GIRFT data/metrics for Critical Care?
Not presently, as we are concentrating on workstreams with predominantly Hospital Episode Statistics (HES) based metrics. Much of our Critical Care Provider Level Report (PLR) was based on audit data, which we may look to bring into MHS in the longer term.

Where is the best practice info from GIRFT shared?
Have a look at the GIRFT best practice library: https://www.gettingitrightfirsttime.co.uk/bpl/

Can we look at data from an Operational Delivery Network (ODN) perspective, rather than STP/ICS?
Not currently, other than by creating bespoke peer groups to highlight ODN providers. However, MHS are currently developing the system to be able to present an ODN view, so this should be available within the next few months.

Where do we find details of the code groups that underpin the metrics ?
Each of our metrics contains a link to a detailed metadata document (in the “methodology” section) which contains details used to construct the metrics, such as diagnosis and procedure coding.

How do the GIRFT metrics link to the National Consultant Information Programme (NCIP)?
GIRFT creates the initial coding for metrics and these are then shared with the NCIP team. The NCIP team review the metrics to select those suitable for NCIP (eg NCIP is currently only including elective activity), and they will then also review the coding to ensure it is fit-for-purpose from an NCIP perspective. Where possible we aim to align the coding, so that metrics available at consultant level in NCIP can be viewed at Provider or system level in MHS.

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