Elderly Suffering Most as Malnutrition Cases Hit New High

The number of patients becoming malnourished in hospital has doubled in just three years, according to an article on the Daily Mail.

Official figures show that a record 13,500 patients fell victim to some form of nutritional deficiency last year, raising concern amongst campaigners and relatives that nurses are now too busy to carry out basic duties of care.

It has been reported that the elderly tend to be most affected by cases of malnutrition, as they are often too weak to feed themselves.

Dr Peter Carter, general secretary and chief executive of the Royal College of Nursing said that the figures are a cause for ‘serious concern’.

He commented: “Nurses want to ensure they can serve the nutritional needs of patients, however with 27,000 posts earmarked to be cut in the NHS, steps need to be taken now to provide safe staffing levels and the right level of skill to ensure nutrition is a priority in hospitals.”

Despite the Government’s planned efficiency savings forcing NHS Trusts to make cuts wherever possible, patient experience and quality of care should not be affected. Ardentia’s Service Line Reporting ensures that nurses have the correct resources to be able to provide the highest standard of care regardless of the efficiency drive.

Business Intelligence solutions like these enable nurses to monitor their own performance, allowing them to clearly identify the areas that need most attention to improve overall efficiency, provide quality care and help prevent cases of malnutrition in hospitals.

NHS Cumbria in Funding Dispute

The Times and Star has reported on how NHS Cumbria is £9m in debt following a funding dispute with the local hospital Trust.

NHS Cumbria, the county’s Primary Care Trust, had been due to break even by the end of the 2010/11 financial year, or even have a small surplus. However, after a disagreement with the local hospital Trust – over how much it is paid to treat patients at the Cumberland Infirmary and West Cumberland Hospital – it now faces extra losses of about £12m.

According to the article, managers are now looking at where additional savings can be made without affecting service delivery or quality of care. It was also reported that GPs in the county did not believe that the PCT should have to pay North Cumbria University Hospitals Trust for procedures they deemed not to be best clinical practice – these included rates of readmittance, cancellation of hospital procedures for non-clinical reasons and admissions for less than a day.

You can read the full article here.

When NHS Trusts are under pressure to generate efficiency savings without compromising the standard of care, finance managers need to first be able to identify areas of waste.

As well as using solutions like Ardentia’s Patient Level Costing software to drill down into the costs associated with each treatment, managers can also analyse patient pathways to discover why patients are in hospital in the first place, and identify those who are frequently readmitted for a reoccurring problem.

By using pathway analytics tools such as Ardentia’s Activity Flow Analytics clinicians and managers can find out where their processes are deviating from best practice. With this information to hand, Trusts can start to look for ways to make care delivery more effective, reducing avoidable hospital admissions and driving out inefficiencies.

£4bn of NHS Money to be Ring-Fenced

The Financial Times has reported on the Government’s decision to ring-fence approximately £4bn of NHS money for public health, with a significant proportion to be given to local authorities to run health prevention and promotion programmes.

The radical shift in funding from 2013 will provide a significant boost for prevention and health promotion, which could help to reduce rates of obesity, heart disease and cancer. However, the ring-fencing of the cash is likely to put added pressure on the remainder of the NHS budget.

Once again, this mounting pressure requires Trusts to ensure they are delivering care as efficiently as possible, drilling right down to patient-level to find areas where waste can be driven out and care delivery enhanced. Business Intelligence tools like those from Ardentia give finance managers the high-quality data they need to achieve this, enabling patients to receive the high standard of care they expect.

Drastic Efficiency Programme Revealed

According to an article on Pulse, GPs are to be told that they must reduce unscheduled hospital admissions by a fifth by the end of 2013 as a result of a series of Government targets to curb the number of people in hospital each year.

Ministers have formulated a drastic efficiency programme that requires GPs to deliver a 20% reduction in unscheduled admissions, as well as a 10% cut in A&E attendance, while working with hospitals to reduce length of stay by 25%.

The Department of Health believes that these targets can be met through reforms to the Payment by Results tariffs due to be announced next month and use of a new ‘clinical dashboard’ to identify patients needing preventative care.

When GPs are under pressure to curb unscheduled hospital attendances, it’s important they have access to high quality data about admissions and patient pathways so they can look at more effective ways to deliver care.

It’s believed that the NHS spends around £589m per year on cardiac, angina, CHF and COPD related admissions for patients – many of which are admitted three or more times a year and whose expenses can represent up to 25% of hospital costs.

However, by using solutions like Ardentia’s Activity Flow Analytics, GPs and clinicians can identify these patients who are being frequently readmitted due to long-term conditions. With this level of detail, they can then start to consider how to deliver more preventative care outside a hospital setting, enabling patients to better manage their condition and avoid long stays in hospital.

Only then, will GPs be able to meet the targets outlined in the efficiency programme, while maintaining the high quality care that patients expect.

Patient Level Costing Pays Off at Southampton

A case study about Southampton University Hospitals Trust’s deployment of Ardentia’s Patient Level Costing (PLC) solution has been published on Health Service Journal.

The Trust provides local hospital services to 500,000 people in Southampton and South Hampshire, as well as specialist services such as neurosciences, cardiac services and children’s intensive care to more than three million people in central southern England and the Channel Islands.

Based on an interview with the Trust’s finance manager Fiona Boyle, the case study shows how the Trust has moved from static service line reports to in-depth patient-level costing using a solution from Ardentia.

With PLC deployed, the Trust’s clinicians and finance staff can drill down further to interrogate data and get the specific information needed to help deliver real improvements, change and increased profitability.

In addition, Ardentia’s solution has enabled staff to compare reference costs with actual costs of treatment at a patient level, helping them meet the requirements of NHS Monitor.

Click here to read the full case study on HSJ and find out more about Southampton’s deployment of PLC.

Health Boards Urged to Accurately Compare Costs

A report has concluded that health boards should improve the way they compare costs to tackle budget constraints.

According to the Press Association, Holyrood’s Public Audit Committee has asked the Scottish Government to explain how it will address the issue, following an investigation into orthopaedic services.

MSPs investigated the service after a report from public spending watchdog Audit Scotland found the NHS could save about £2 million a year if boards stopped purchasing hip and knee joints from different suppliers.

The committee also urged the Government to improve the quality of data collection and investigate why orthopaedic cases increased by only 12% despite a rise in funding and a 49% increase in consultant numbers.

Committee convener Hugh Henry said: “NHS boards did not appear to be able to accurately compare their costs and productivity with other NHS boards to identify how savings and efficiencies could be realised – this information is vital given future budget constraints.”

At Ardentia, we also believe that having access to high quality financial data is vital to enable managers to make informed business decisions. With Business Intelligence tools, managers and clinicians can drill down into the costs associated with each treatment, ensuring inefficiencies are driven out in the right places to improve care delivery and patient experience.

It’s only by having this level of detail that Trusts can deliver the level of savings proposed by the Government while ensuring care does not suffer as a result.

Ardentia’s RiO Adapter

The British Journal of Healthcare Computing and Information Management (bjhc&im) has published the story about the launch of Ardentia’s RiO adapter.

The adapter, which is an interface to the RiO Patient Administration System (PAS) from CSE Servelec, has been designed to help mental health trusts undertake more in-depth, enterprise-wide reporting to meet NHS requirements and enable effective business planning.

With thousands of people across the NHS using the RiO mental health electronic records system to manage service user records, Ardentia’s RiO adapter enables this information to be used in wider reporting on service user care and business management issues.

The adapter maps data from the RiO PAS into Ardentia’s HealthWare data warehouse, and also has the potential to integrate with other data warehouses.

Click here to read the full article on bjhc&im.

New Approach for Measuring Death Rates

E-Health Insider has reported on how the NHS is to introduce a new standardised method for measuring death rates from April 2011.

The review group set up to examine the Hospital Standardised Mortality Ratio (HSMR) in the wake of the scandal at Mid Staffordshire NHS Foundation Trust said last week that the HSMR should be replaced.

Plans have been published for a Summary Hospital-Level Mortality Indicator (SHMI) that the Department of Health says will be subject to rigorous independent testing before its introduction next year.

The SHMI will calculate the deaths of admitted patients in all care settings except specialist hospitals, and will include deaths occurring up to 30 days after discharge.

However, the Department of Health has said that the new method should not be used as a “standalone indication of quality or to rank hospitals in crude league tables”.

At Ardentia, we also believe there are other factors that can be used to measure a hospital’s performance, such as service quality and overall efficiencies. With Ardentia’s HealthWare Performance Manager, Trusts can work alongside Key Performance Indicators (KPIs) to define exactly what needs to be achieved, ensuring high performance levels are maintained to enhance patient experience.

By taking into consideration other performance indicators, Trusts have a more comprehensive picture of where adjustments need to be made to improve care delivery.

Ardentia’s News in Brief

The story about North Staffordshire Combined Healthcare NHS Trust’s planned deployment of a data warehouse and reporting tools from Ardentia has been covered by E-Health Insider.

The Trust will deploy Ardentia’s HealthWare data warehouse, Cassius web reporting and Mental Health Reporting modules over the next six months, with a view to business managers and clinicians using the data from Spring next year.

The solutions will be key in facilitating trust-wide access to clinical data, allowing clinicians and managers to make more informed decisions to further improve healthcare provision and optimise financial management.

You can read the full article here.

The launch of Ardentia’s RiO adapter has also been featured on E-Health Insider. The solution, which is an interface to the RiO Patient Administration System (PAS) from CSE Servelec, is designed to help mental health trusts undertake more in-depth, enterprise-wide reporting.

The adapter maps data from the RiO PAS into Ardentia’s HealthWare data warehouse, and also has the potential to integrate with other data warehouses. By implementing the solution, clinicians and managers have a unified business intelligence platform to undertake more comprehensive trust-wide analysis, allowing them to prepare for the wider adoption of service line management and reporting in mental health trusts.

You can read the full article here.

Ardentia Helps Trusts Pseudonymise Data and Meet National Requirements With New Solution

With all NHS Commissioners and providers of NHS commissioned care required to complete the implementation of pseudonymisation by March 2011, Ardentia has introduced a new solution to help Trusts meet these guidelines and avoid ICO penalties.

The pseudonymisation tool generates pseudonyms to remove key identifiers that may associate a treatment pathway with a particular individual, enabling Trusts to carry out secondary use of patient data in a legal, safe and secure manner.

The tool easily integrates with Ardentia’s data warehouse as well as other Microsoft SQL data warehouses, meaning it can be used by a majority of Trusts to help implement the necessary changes and meet the requirements set by the Information Commissioner’s Office (ICO). In addition, Trusts can use the tool without having to purchase other Ardentia solutions.

Read the full article on eHealth News to find out more about our pseudonymisation solution.