The Study Day was held on the 10th of December 2009 at University Hospital of South Manchester and proved to be a useful opportunity to share ideas and aspirations concerning improvements in the current data collection software as well as some of the reports being sent back to burn services. It also proved a useful discussion group for design features going into the next version of the database software. Participants had an opportunity to consider these before the meeting and to discussed them in some detail.
There was broad agreement and consensus that the planned way forward made sense for both the burn services and for the aims and intended uses of the burn database information. Valuable additions and design features were offered and accepted with an indication that areas of further work when necessary, particularly in relation to the recording of surgical activity and aspects of physical therapy outcome measurement.
Other areas covered included the design of the recently reconfigured error and validation report (report E) with an acceptance that the new version of the software should make this report redundant as real-time validation and error checking is to be written into the software. The innovation of updating menu lists automatically from the central server was accepted as a major improvement and a way of keeping the database design contemporary and clinically valid.
A recently produced report was introduced, which is renewed each month and is an indication of the volume of data being transferred by each burn service into the database server. It was emphasised that this is now available to any registered user of the database and gives an indication of the volume of successfully uploaded data. The database currently contains approximately 66,000 records.
Throughout the discussions it was accepted that one of the major drivers for the database design has been the wish to incorporate patient level costing methodology. This will undoubtedly increase the volume of data collection but in doing so make the record a more clinically relevant indication of the care provided.
It was discussed and appreciated that acceptance of the database as a commissioning tool will be a complex matter and based on successful negotiations with a number of groups, including the NHS Payment by Results team and the data team at the NHS Information Centre.
Additionally agreement needs to be reached with Specialised Commissioning Groups (SCG) within the NHS who need to accept the information from iBID as valid commissioning currency. This is expected to be discussed at the next national group meeting in Feb 2010 and subsequently at the SCGs Directors meetings.
Burn service attendees were reminded that all of the reports produced about their services remain available using the service specific username and password previously circulated to clinical leads and available from burn network managers. If any member of staff requiring access to these reports is unable to access them, then contact their network manager for the necessary access rights.