Diabetic Retinopathy Screening Service National Management Groups Meeting
Diabetic Retinopathy Screening Service National Management Groups Meeting Perth Concert Hall - 9 th Nov
Mike Black - DRS Collaborative Coordinator KPIs – what they tell us and performance management
Q 2 2011 KPI summary • Total Diabetic Population aged 12 and over on Soarian (KPI 0) = 258, 394 • Eligible population (KPI 0) = 223, 555 • Number of individuals attending screening at least once (KPI 2 -Uptake rate) = 93, 303 41. 7% • Total number of the current eligible population successfully screened (KPI 4) = 84, 500 37. 8% • Not screened or suspended = 139, 000 62. 2% • Referral to Ophthalmology = 2, 994 - 3. 3%
Q 2 2011 KPI summary Total Diabetic Population Q 2 2011 = 258, 394 14065 4136 Eligible Pop = 223, 555 24910 Temp Suspended = 24, 910 Permanently Suspended = 14065 Temporarily Unavailable = 4, 136 223555
Q 2 2011 KPI summary Eligible population as at 30 th Sept 2011 = 223, 555 37. 8% - Successfully Screened = 84, 500 62. 2% - Unscreened = 139, 055
KPI 2 – Uptake rate - Number of individuals attending screening at least once. KPI 2 Percentage Q 2 2011 50. 00% 40%45. 00% 40. 00% 35. 00% 30. 00% 25. 00% 20. 00% 15. 00% 10. 00% 5. 00% le s e W es te rn Is ys id Ta nd Sh et la y ne rk O ia n th rk na La Lo sh i re nd ig h H la s G at er G re la w go pi m ra G al V rth Fo an le y fe Fi w al lo G d an D um fri es sh A yr ay s er rd Bo ire & A rra n 0. 00%
• • • • Ayrshire & Arran 42. 60% Borders 44. 40% Dumfries and Galloway 46. 40% Fife 36. 40% Forth Valley 43. 50% Grampian 45. 10% Greater Glasgow 41. 60% Highland 39. 50% Lanarkshire 39. 60% Lothian 41. 20% Orkney 43. 50% Shetland 46. 90% Tayside 43. 30% Western Isles 42. 70% National Average - 41. 70%
• What’s the key to having a good uptake rate ? • How about a good invitation rate (Screening Invitation rate - KPI 1)
rn es te W s le Is e ys id Ta nd la et Sh y ne rk O ia n re sh i th Lo rk na nd la ig h H ow an pi sg G la La at er re G m y fe Fi al le V ra G rth Fo s er w ay rd Bo n A rra al lo G d an es fri um D & ire sh yr A KPI 1 Screening Invitation rate KPI 1 Percentage Q 1 2011 70. 00% 50% 60. 00% 50. 00% 40. 00% 30. 00% 20. 00% 10. 00%
• • • • Ayrshire & Arran 58. 00% Borders 56. 20% Dumfries and Galloway 53. 10% Fife 45. 20% Forth Valley 46. 20% Grampian 58. 30% Greater Glasgow 51. 50% Highland 49. 10% Lanarkshire 44. 60% Lothian 48. 20% Orkney 50. 30% Shetland 0. 20% Tayside 50. 10% Western Isles 48. 70% Total 50. 50%
• KPI 1 derived from – Percentage (100*INV/EP-API) • INV = patients invited at least once • EP = eligible population • API = patients attending without invitation
API Reporting Start Date Reference Date Reporting interval time Patient Invited INV = 1 INV = 0 Patient Screened API = 0 10 th Nov 2010 API = 1
• Conclusion to all this is that API rates are wrongly reported and used in KPI 1. • Proposal is to use the following equation to show invitation rate – Percentage 100 *(API+ INV) / (EP) This would result in the following changes to KPI 1 screening invitation rates
• • • • Ayrshire & Arran 58. 00% - 61. 8% Borders 56. 20% - 60. 1% Dumfries and Galloway 53. 10% - 56. 8% Fife 45. 20% - 51. 0% Forth Valley 46. 20% - 51. 9% Grampian 58. 30% - 62. 5% Greater Glasgow 51. 50% - 55. 4% Highland 49. 10% - 53. 5% Lanarkshire 44. 60% - 51. 1% Lothian 48. 20% - 53. 9% Orkney 50. 30% - 55. 1% Shetland 0. 20% - 47. 0% Tayside 50. 10% -56. 6% Western Isles 48. 70% - 55. 5% Total 50. 50% - 55. 1%
Invitation Profiles • 100% / 12 months = 8. 33% invitation rate per month (in an ideal world). • Consider profiling your invitation rates on a monthly or even weekly basis. • Your ‘Invitation Profile’ will depend on many factors related to your area.
ch ar M ry br ua Fe ry nu a Ja r r em be D ec r m be ov e N be ct o O st be r m pt e Se ug u A Ju ly ne ay Ju M il A pr 12 10 8 6 4 2 0
• Don’t forget that KPIs can also be used to enhance your invitation targeting by other categories.
• Ethnic Minorities
• Or age group
• and deprivation quintile
• To continue to increase performance of the DRS service we will use KPIs to target the use of – – SMS – Email – Voice messaging
• To summarise – KPIs are not perfect and require interpretation. – We can do more with them. – They are not being used regularly enough by Managers. – They are good for reporting success. – They are also good for reporting failure !!! – Especially when your service is under pressure. – They will be important for any future business cases.
• Questions and comments ?
- Slides: 23