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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 13<br />

19. The Medical Director has written to all Service Line Clinical leads instructing them to:<br />

• Ensure that all doctors have access to record keeping training.<br />

• Audit Clinical Record Keeping St<strong>and</strong>ards <strong>and</strong> present to departmental Clinical<br />

Governance meetings.<br />

• To provide assurance to the Safety <strong>and</strong> Quality Committee.<br />

The Medical Director will review these actions through performance meetings.<br />

20. In preparation for the transition to eNotes the Interim Records Strategy Lead is reviewing how<br />

Clinical Letters are stored across the <strong>Trust</strong>. These documents must be captured in order to store<br />

an accurate historic record on the patient’s electronic notes.<br />

21. The Director of Planning <strong>and</strong> Site Services <strong>and</strong> Interim Records Strategy Lead presented to the<br />

Medical Education Committee (MEC) in May 13 to update on the eNotes strategy. This was well<br />

received by the clinicians with offers of support.<br />

Information Security<br />

22. There has beeen a st<strong>and</strong>ardisation of External Storage Devices. All future purchases of USB pen<br />

drives <strong>and</strong> external hard drives will be limited to a product range featuring always-on encryption<br />

which negates the risk of staff purposefully or inadvertently disabling data encryption. The<br />

devices also offer greater compatibility <strong>and</strong> are easier to use.<br />

26. <strong>Plymouth</strong> ICT Shared Service are now deploying the AirWatch Mobile Device Management<br />

solution to <strong>Trust</strong> issued iPads <strong>and</strong> mobile devices. Mobile Device Management is essential to<br />

enable the secure use of consumer devices in business <strong>and</strong> clinical settings. It will also act as an<br />

enabler for any future ‘Bring Your Own Device’ initiative which the <strong>Trust</strong> may wish to explore.<br />

AirWatch is part of the longer term ICT strategy to provide flexibility to choose devices best suited<br />

to the intended task <strong>and</strong> enable mobile access to clinical <strong>and</strong> business applications.<br />

Data Quality of Electronic Patient Records<br />

23. The Data Quality Steering Group benchmarks the quality of the data submitted to the Secondary<br />

Use Service (SUS) using the national SUS Data Quality Dashboard. Patients should be<br />

identified using their <strong>NHS</strong> number; with varying compliance targets based on national<br />

achievement for 3 different categories. The <strong>Trust</strong> continues to achieve these targets in 12/13.<br />

<strong>NHS</strong> Number Categories National Target – Month<br />

12<br />

<strong>Trust</strong> Achievement – Month<br />

12<br />

Admitted Planned Care 99.1% 99.1%<br />

Outpatient 99.3% 99.3%<br />

ED 94.9% 97.1%<br />

24. Similarly, the recording of a patient’s GP Practice must meet national targets, which the <strong>Trust</strong> is<br />

currently exceeding in all areas with the exception of the ED, but the Data Quality team are<br />

implementing a plan to achieve this. The <strong>Trust</strong> is achieving the Outpatient Attendance Outcomes<br />

target, but further improvement will be delivered when the eOutcomes solution is released by the<br />

Clinical Admin Programme.<br />

25. The one outst<strong>and</strong>ing indicator is the population of the Patient Pathway Identifier, when this is<br />

populated on SUS, PHNT have the potential to be top of the Data Quality ratings for all <strong>Trust</strong>s in<br />

the old South West SHA area. This improvement is on the list of priorities for the Software<br />

Development team.<br />

26. A draft Data Quality strategy has been created <strong>and</strong> will be implemented alongside the Clinical<br />

Administration Review. The implementation of the strategy will ensure that the responsibility <strong>and</strong><br />

accountability for data quality is understood <strong>and</strong> built into the new roles. Alongside this,<br />

appropriate administration training will be delivered <strong>and</strong> the Data Quality function will provide ongoing<br />

support <strong>and</strong> performance monitoring of Data Quality indicators.<br />

6

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