Case Study – Strategic IT Innovations Lead to Enhanced Diabetes and NDH Management in Hillingdon

Strategic IT Innovations Lead to Enhanced Diabetes and NDH Management in Hillingdon

Introduction

In Hillingdon, managing diabetes and NDH (Non-Diabetic Hyperglycaemia) across PCNs presented a unique set of challenges, particularly in meeting complex clinical targets and managing patient care efficiently. Primary Care IT was tasked with implementing solutions to improve outcome both financially and in patient health management.

Background/Challenge

The management of diabetes and NDH required stringent adherence to KPIs across all practices within PCNs. Previous systems were insufficient for tracking these indicators effectively, leading to potential lapses in patient care and financial discrepancies.

The goals set for this initiative were to:
– Enhance the monitoring and reporting of diabetes and NDH care processes
– Provide a robust system for achieving and exceeding regional healthcare targets
– Maximise financial returns through efficient management and claims for provided care.
– Improve patient health outcomes by ensuring consistent and thorough care delivery.

Solution

Primary Care IT developed a comprehensive strategy that included:

  • Customised Dashboards on OneAnalytics: These tools provided real-time insights into individual and collective practice performance, enabling proactive management and adjustments.
  • Automated Alerts and Protocols: Streamlined the identification and management of patient care activities, ensuring all necessary procedures were followed and appropriately documented.
  • Monthly Performance Narratives: Offered ongoing support and actionable insights to continuously improve care delivery and meet KPIs effectively.

Outcome

  • Enhanced Patient Care: Achieved higher health check rates and better management of treatment targets, contributing to an estimated additional 1,414 years of healthy life for patients across the federation.
  • Clinical and Financial Outcomes: Practices not only met but exceeded KPIs, with significant increases in the identification and management of diabetes and NDH, leading to improved patient outcomes and increased healthcare savings.
  • Operational Efficiency: Streamlined processes reduced the workload on healthcare providers, allowing for better patient interaction and care.
  • Increased Revenue: The targeted interventions led to an additional income of £106,742.49 for diabetes and £81,783.44 for NDH across the PCNs.

Conclusion

This case study exemplifies how targeted digital innovations by Primary Care IT can transform the management of complex health conditions such as diabetes and NDH, leading to substantial benefits in patient care, operational efficiency, and financial performance.

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