Quality Improvement Service

An end to end clinical care review product

Quality Improvement (QIS) is a service which combines proven clinical best practice, data collection, software, analytics and workshops.

QIS is the only end to end clinical care review product in the UK looking at care pathways across a range of clinical focus areas. By analysing patient data from medical records and by benchmarking patient progress, QIS produces reports to enable healthcare providers to standardise quality practice. This has been proven to enable better patient care, save lives, reduce length of hospital stay, results in fewer re-admissions and has lowered costs.

Processing 300,000 encounters a month

45,000,000 patients securely analysed

+20,000 hours of expert analysis a year

Saves Lives

Proven reduction of all cause mortality, peer-reviewed evidence in New England Journal of Medicine.

Saves Money

Proven cost-effectiveness using QIS, peer-reviewed in Health Economics.

Quality of Care

Benefits to patients, hospitals and clinicians across the North West, North East and South East England.

Saves Time

Reducing length of stay, re-admissions and increasing throughout of surgical patients.

Features

Quality Improvement (QIS) is a service which combines proven clinical best practice, data collection, software, analytics and workshops. QIS is the only end to end clinical care review product in the UK looking at care pathways across a range of clinical focus areas. By analysing patient data from medical records and by benchmarking patient progress, QIS produces reports to enable healthcare providers to standardise quality practice. This has been proven to enable better patient care, save lives, reduce length of hospital stay, results in fewer re-admissions and has lowered costs.

Reductions in Mortality

The graph below demonstrates a 2.9% reduction of age standardised mortality in pneumonia in the North West of England over the lifetime of the QIS programme.

Reductions in Variability in Performance

The graphs below provide an analysis of improvement and gaps between best performing organisations and less well performing organisations over one year of activity. They show a narrowing of the gap in the clinical areas.

For Healthcare Providers

Using online data collection and reporting tools to gather patient information and measure clinical performance QIS analyses the data and the adherence of clinicians to their chosen care regime (e.g. Administration of drug X in time Y). QIS also produces statistical analyses showing changes in trends and any outliers, and incorporates quarterly collaborative meetings to discuss the results of the reports and any changes to practice that may arise from the analysis.

Clinical Focus Areas

Currently, QIS serves 10 Clinical Focus Areas including: Sepsis, acute myocardial infarction, coronary artery bypass grafting, dementia, first episode psychosis, pneumonia, heart failure, stroke, hip and knee surgery, acute kidney injury and chronic obstructive pulmonary disease. Additional areas are being developed and can also be designed at the request of Healthcare Providers.

Opportunities

QIS can provide cost savings for trusts by reducing length of stay, reducing re-admissions and increasing throughout of surgical patients.

Coverage

To date QIS has processed over 35 million patient records across more than 250 NHS Trust hospitals, mental health trusts and independent healthcare providers and is most extensively used throughout the North West and South East coast regions of England. Coverage is now being extended to all other areas covered by the NHS.

Implementation

 Patient data is entered into the secure site and is assigned to different clinical focus areas using defined rule sets and ICD-10 coding. In conjunction with NHS Secondary Uses Service discharge (SUS) data, QIS provides analysis (including Consultant, Ward or Hospital performance and Missed Opportunities) allowing in-depth study of practice and monitoring of quality improvement from individual clinicians to entire trusts or organisations. The clinical areas addressed by QIS cover the four “biggest killers” in modern medicine. Clear improvement in patient care and outcome has been shown in UK organisations using QIS (and as reported in internationally published studies including the New England Journal of Medicine), and these improvements can be replicated by participating trusts.

 

Delivery

Clarity solutions are based on a combination of detailed scientific studies, pragmatic and careful observation of people in action and iterative prototyping. We deliver:

 

  • an understanding of the market, the client’s objectives, the technology and any perceived constraints
  • new concepts, focused on the customers who will use them and the customer experience
  • evaluation and refined prototypes in quick iterations
  • provision of continuing support and development

Our project management is backed up by quality accreditations: we have our N3 connection active; ISO 27001:2005 (Information Security Management Systems) and are certified by the British Standards Institute (BSI).

Team

Our team includes the best people in their respective fields. Clinicians including doctors, nurses, pharmacists and pharmacologists working alongside researchers, software developers and informaticians to deliver a quality service.