Royal Liverpool And Broadgreen University Hospitals NHS Trust. Advancing Quality Results October 2008 to June 2017

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1 Royal Liverpool And Broadgreen University Hospitals NHS Trust Advancing Quality Results October 2008 to June 2017

2 Royal Liverpool And Broadgreen University Hospitals NHS Trust Participation Summary Y1 Y2 Y3 Y4 Y5 Y6 Acute Kidney Injury Alcohol Related Liver Disease Chronic Obstructive Pulmonary Disease Diabetes Hip Fracture Hip or Knee Replacement Surgery Pneumonia Sepsis ,079 patients treated on the Advancing Quality clinical pathways at Royal Liverpool And Broadgreen University Hospitals NHS Trust 503,964 Key Provider participated and was reported Did not Participate Provider participated but was not eligible for reporting Focus Area Not Available - patients treated within the Advancing Quality programme

3 Glossary of Terms s set AQ periods ACS Score CPS Score Eligible for reporting For each focus area there are specified interventions that a patient should receive. These are defined and agreed by a clinical expert group and are based on national guidelines. Data is collected for each patient about each measure and this is collated and analysed. Each focus area consists of between 6 and 16 measures - the measure set. The measure set is reviewed regularly alongside new evidence and updated if required. The programme is split into defined periods in line with achievement targets and CQUINs. - the percentage of patients who received all the measures that they were eligible for. - the percentage of measures achieved. In order to be eligible for public reporting, providers must meet the following conditions: 95% ICD10 coding completeness. 95% measure completeness for the clinical focus area. Pass independent assurance audit for the clinical focus area (ended during Year 8). Retired focus area The AQ programme has retired some focus areas due to high achievement from all participants. Transitioned Focus Area The AQ programme has utilised national audits where data is available to provide benchmarking for participating organsiations.

4 Royal Liverpool And Broadgreen University Hospitals NHS Trust Latest Results Overview (January to June 2017) Current Year CPS Score Acute Kidney Injury 87% Alcohol Related Liver Disease 76% Chronic Obstructive Pulmonary Disease 58% Diabetes 68% Hip Fracture 71% Hip or Knee Replacement Surgery 92% Pneumonia 88% Sepsis 87%

5 10 Acute Kidney Injury The AKI measure set was launched in July There are 6 clinical process measures and 1 data collection measure in the AKI measure set % 87% 13% 44% 73% Y8 Y9 Y10 Y8 Y9 Y10

6 Alcohol Related Liver Disease The ARLD measure set was launched in April There are 8 clinical process measures and 3 data collection measures in the ARLD measure set % 67% 76% 24% 17% 2 Y8 Y9 Y10 Y8 Y9 Y10

7 Chronic Obstructive Pulmonary Disease The COPD measure set was launched in December 2014 and following the annual review, amendments were made from April There are currently 5 clinical process measures and 1 data collection measure in the COPD measure set % 61% 62% 58% 1 21% 27% 23%

8 Diabetes Royal Liverpool And Broadgreen University Hospitals NHS Trust - Particpating The Diabetes measure set was launched in February 2015 and following the annual review, amendments were implemented from April There are currently 10 clinical process measures in the Diabetes measure set % 6 62% 68% 22% 21% 18% 22% Y8 Y9 Y10

9 Hip Fracture The Hip Fracture measure set was launched in January There are currently 8 clinical process measures and 2 data collection measures in the Hip Fracture measure set % 81% 8 71% 16% 2 12% 6%

10 Hip and Knee Replacement The Hip or Knee Replacement measure set was launched in October 2008 and following the annual review, amendments were implemented from April There are currently 6 clinical process measures and 1 data completeness measure in this measure set % 91% 98% 99% 99% 99% 10 99% 82% 92% Oct 08- Sep 09 Oct 09- Mar 10 Apr 10- Mar 11 Apr 11- Mar 12 Apr 12- Mar 13 Apr 13- Mar 14 45% 7 93% 96% 97% 97% 97% 95% 59% Oct 08- Sep 09 Oct 09- Mar 10 Apr 10- Mar 11 Apr 11- Mar 12 Apr 12- Mar 13 Apr 13- Mar 14 Y1 Y2 Y3 Y4 Y5 Y6 Y1 Y2 Y3 Y4 Y5 Y6

11 Not reported Not reported Not reported Not reported Pneumonia The Pneumonia measure set was launched in October 2008 and following the annual review, amendments were implemented from October There are currently 5 clinical process measures in the Pneumonia measure set % 84% 91% 91% 94% 93% #N/A 89% #N/A 88% Oct 08- Sep 09 Oct 09- Mar 10 Apr 10- Mar 11 Apr 11- Mar 12 Apr 12- Mar 13 Apr 13- Mar 14 Y1 Y2 Y3 Y4 Y5 Y6 42% 64% 79% 76% 81% 8 #N/A 7 #N/A 62% Oct 08- Oct 09- Apr 10- Apr 11- Apr 12- Apr 13- Sep 09 Mar 10 Mar 11 Mar 12 Mar 13 Mar 14 Y1 Y2 Y3 Y4 Y5 Y6

12 Score Sepsis The Sepsis measure set was launched in December 2014 and following the annual review, amendments were implemented from July There are currently 8 clinical process measures and 2 data collection measures in the Sepsis measure set % 79% 82% 87% 56% 57% 65% 79%