GS1 standards improving clinical effectiveness and patient safety

Keith Jones, Clinical Director of Surgery, Derby Teaching Hospitals NHS Foundation Trust

1. Ke i th Jones, Clinical Director of Sur ge r y, D e r by Te a c h i n g H o s p i ta l s NH S Fo u n d a ti o n Tr u s t
GS1 standards improving clinical effectiveness
and patient safety
12 April 2016

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GS1 standards improving clinical effectiveness
and patient safety
Derby Teaching Hospitals NHS Foundation Trust

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Clinical effectiveness
•The degree towhich a particular healthcare intervention does more good than harm
•The application of best knowl edgederived from research, clinical experience and patient
preference to achieve optimum processes and outcomes of care for patients
•The process involves a fram eworkof informing, changing and monitoring practice.

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Our world is barcodes

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FMCG
The whole system is based on:
POINT OF USE
What the customer buys
So why not the patient?

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Tracking

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Traceability
So Why Is It So Important?

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Benefits of GS1 in FMCG
•Stock contamination identified
•Traceability
•Speed

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Not in Healthcare?
PIP breast implants; The medical devices manufactured
by a French company, Poly Implant Prothèse(PIP).
French regulator (AFSSAPS) Identified the
manufacturer had used unapproved materials
which may affect their safety and performance.
Finding those patients affected?

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Traceability, Patient Safety & Data Capture
•PatientScanned and Checked
•Staff Scanned and Tracked
•Track scopes/ Instrum entati on to pati ents
-CJD & AIDS
•Tracked theatre & stock room consum pti on
-Loan sets & Surgical trays tracked
•Lot number captured –Product Recalls
•Prevented expiry wastage & Warning Flag
•Attribute cost to Scope/Instrumentation use
•Track pl anned m ai ntenance e.g. 100 uses

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Selling The Idea
How to get Clinical Engagement?
•Start the rollout in a compliant area
•Patient Safety -out of date stock
•Traceability -Instruments /implants
•Coding –Income Improvement/Reduce Cost Improvement Impact
•Automatic update of external records –implants
•Comorbidity recording –correct tariff and understanding DrFoster data

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hTrak Device Showing OPCS Codes
Already Loaded

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Coding Status

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Coding Problem

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Use Trust’s Own GS1 Codes

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How the Coders receive hTrak data

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“Big Steve”
Co-Morbidities
Recording

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Coding Impact

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Operational Changes
Changes in Clinical and Operational Practice
Addressing “false economies”

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Synergy Tray –Screw Example

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Individual And Multiple Screw Packs
Individual Screw Pack Multiple Screw Pack

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Efficiency Examples…

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Efficiency Examples…

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20 Hole Gold Plate
Or 4 X 5 Hole Gold Plates?

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Jaw Plates –Straight or Curved?

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Additional Benefits
Clinician Involvement
The ability to address Clinical variation with detailed and owned
undisputed information

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Laparoscopic Cholecystectomy Consumable Costs and
Consultant Variation
Consultant
Description
Avg
Consumable
Cost
Avg No
of
Products
Avg
No of
Staff
Avg
Minutes
No of
Procedures
Lower
Quartile
Upper
Quartile
Varianc eStd
Deviation
Mr S Lingam £285 82 5 181 1 £285 £285 £0 -
S Awad £239 74 7 127 3 £232 £250 £37 £19
Mr A Awan £231 70 6 123 6 £192 £255 £160 £59
Mr P Leeder £227 70 6 98 9 £197 £248 £146 £45
Mr Z Khan £223 70 5 100 11 £216 £235 £120 £31
A Bohra £218 69 6 93 6 £203 £238 £60 £24
Ms C Thomas £209 62 6 79 8 £192 £231 £103 £38
Mr S Iftikhar£188 64 7 90 9 £164 £224 £149 £53

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Reporting Data System

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Reporting Data System
HRG
Procedure

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Reporting Data System

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Reporting Data System, Product Analysis/Variance…

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SUI –Clinical Management

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Nerve Stimulator

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SUI –Clinical Management cont’d

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SUI –Clinical Management cont’d

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SUI –Clinical Management cont’d