Diabetic Retinopathy Screening Study Day – 4th Nov 2008

2010 Key Performance Indicators and Reports

Mike Black

Collaborative Coordinator

Diabetic Retinopathy Screening Study Day – 4th Nov 2008

• 24 Key Performance Indicators• Grouped in 5 main reports • Definitions are all in the Manual

http://www.ndrs.scot.nhs.uk/Manual/Docs/KPI2007final.pdf

Diabetic Retinopathy Screening Study Day – 4th Nov 2008

• Screening Uptake (KPI 0,1,2,3,4,5,6)• Screening Performance (KPI 0,7A,7B,7,8,9)• Screening Outcomes (KPI 0,10,11,12,13)• Ophthalmology. Performance. (KPI 0,14,15,16,17) • Grading Internal QA (KPI 18,19,20,21)

Diabetic Retinopathy Screening Study Day – 4th Nov 2008

• Before looking at the detail of the reports it’s worth reminding you how they are defined…

Diabetic Retinopathy Screening Study Day – 4th Nov 2008

Populations

Deceased

Not Diabetic

Patient merge

Total Population

Loss of Vision

Terminal illness

Opted out

No Active CHI

Unfit

Under Age

Screening Population

Ophthalmology Care

Temp Unavailable

Eligible Population

In or ready for workflow

Diabetic Retinopathy Screening Study Day – 4th Nov 2008

Dates

KPI Date

Reference Date

Reporting Start Date

Reporting Interval

time

10th Nov 2010

Diabetic Retinopathy Screening Study Day – 4th Nov 2008

Screening Episodes

- Photography, Slit Lamp and Ophthalmology

Screening outcomes are defined as one of the following:• Rescreen in 12 months• Rescreen in 6 months• Refer to Ophthalmology• Refer to Slit Lamp• Retain under Ophthalmology Review

Diabetic Retinopathy Screening Study Day – 4th Nov 2008

Successful Screening

Unsuccessful Screening is when

Patient attended + outcome is recorded +

R6 for at least one eye (without referable grade in the other eye)

Successful Screening is when

Patient attended + outcome is recorded +

patient is not unsuccessfully screened

DNA’s are neither successful or unsuccessful!

Diabetic Retinopathy Screening Study Day – 4th Nov 2008

Annual Successful Screening Rate - KPI 3

The proportion of the Eligible Population who have been Successfully Screened by slit lamp or photography at least once within a period of 12 months prior to the Reference date

Eligible on the KPI date In or Ready for Workflow or Temp suspended for reason temp unavailable

Attended with an outcome and not R6 for either eye (in the absence of referable grade)

Not Ophthalmology

Counting people not episodes

10th N

Diabetic Retinopathy Screening Study Day – 4th Nov 2008

Remember - although we will be able to produce these they are not our official reporting system until 1st April 2011.

10th Nov 2010

Diabetic Retinopathy Screening Study Day – 4th Nov 2008

Lets look at some report examples….

10th Nov 2010