A presentation on the Patient Level Costing (PLC) pilot results from The Manchester Burn Service was well received at the European Burns Association (EBA) meeting in Lusanne in early September 2009. The paper received and outstanding abstract award and will be published in a supplement of the BURNS journal [Cost of Burn Care in the British Isles & Service Remuneration Options. Rob Duncan and Ken Dunn]. The intention has been to model the consequences of adopting PLC as the commissioning and remuneration methodology for burns care under the Payment by Results (PbR) development within the NHS. The results from the pilot are being used to guide the design of the next version of the iBID software, due for release in early 2010.
The next version of the iBID software was considered in a meeting in Birmingham in early June with representatives from clinical teams, service commissioners and IT designers. The intention is to build on the experience from using the current version and the points made in the Study Days to build a system with greater data entry support. In addition greater flexibility is needed to reflect out-patient workload and greater detail concerning cost driving activities such as critical care and operative activity. This may lead to the database being used as the prime commissioning tool for burn care that fall within the specialised services definition agreement (see the general download section). The hope is to have the next version available for testing in early 2010.
A presentation of research results from a study combining data from the iBID and the UK TARN (UK Trauma Audit and Research Network) at the 2009 British Burn Association meeting in Belfast estimated the contribution of severe burn injury to the trauma workload of England and Wales. The results demonstrated differing rates in geographical areas but with an overall contribution between 5 and 10% in most areas [Estimating the contribution of burn-injury to the overall trauma workload. Nick Kalson, Fiona Lecky, Ken Dunn]. The paper was voted the best paper of the meeting.
Another paper was presented looking at the first 5 years of national burn injury data collection [Modelling Outcomes from the National Burn Injury Database (NBID). Steve Sutch, L Dent, Ken Dunn]. The paper looked at the factors recorded in the national database that were statistically associated with mortality or an extended length of stay (LOS) in hospital for the survivors of injury. The findings are also being used to guide the development of the next version of the iBID software.
The first International Burn Injury Database (iBID) report for 1986 – 2007 incl. was released on the 22nd May 2008 and is now available for download.
An update of the iBID development was provided for the European Burns Association in Estoril, Portugal.
Following circulation of the iBID software version 1.0 to the British Isles burn services, the system went live on the 1st April 2005.