
Quality and Outcomes Research Unit - improving care delivery using data analysis.
The Quality and Outcomes Research Unit at University Hospital Birmingham NHS Foundation Trust has grown from a close collaboration between information analysts and clincians in co-ordinating the acquisition, merging and analysis of new and existing health information. Initial work was for patients undergoing cardiac surgery but the aim is to extend to all units in the trust. Real benefits for patients are accruing, for example, a new "care bundle" for patients undergoing coronary artery bypass surgery and an analysis of the effects of social deprivation on cardiac surgery outcomes.
The pressure on prison clinicians is immense; each day on average there are 8200 consultations, about 90% of prisoners have diagnosable mental health problems and 24% have injected drugs at some time. Prisoners are highly mobile, too, with 170,000 transfers a year between establishments.
SystmOne Prison is helping staff make great strides in improving care by making the prisoners' electronic clinical records available immediately on transfer. This enables efficient health screening and ensures the patient record builds over time. CSC has rolled out the system to 70% of prisons in the North, East and Midlands of England - an achievement that has received little recognition to date.
This project provides clinicians across Liverpool with shared access to patients' medical records, supporting the PCT's aim of keeping patients out of hospital wherever possible and providing continuity of care by well-informed clinicians. The change is being managed in three stages: the first uses EMIS Web to facilitate new services including an A&E diversion service and a new anti-coagulation service. The second, now underway, provides access to GP records for existing services via EMIS Web. The third will see the creation of centres where systems used by acute trusts and community services are integrated with primary care systems and national applications such as the Electronic Prescription Service.