Data type Name Data availability Comments Suggested level Availability for (& quality is immediate! your service domain) Time from referral to diagnosis for sentinel Requires coding for key Being proposed by health I if coding diagnoses measures conditions (ASD ADHD, cerebral palsy, significant conditions at least outcomes forum J III if not , for key effectiveness LD)- (median with spread) conditions Time from referral to treatment (as defined) 18 Mandated in theory for all All services should be coding I if coding RTT Effectiveness week RTT cases; requires RTT coding for RTT at least for sentinel III if not coding &need to conditions use paper tool for index conditions Efficiency Number of appointments to diagnosis for sentinel Requires diagnostic coding but Important for ASD & ADHD as I if coding diagnoses conditions simple IT calculation affects new:follow up ratio III if not Efficiency Number of appointments to discharge Simple IT calculation Derby data showed that this ? I in theory took 3 appointments & 4 if dna included for children not discharged on first contact Yields per year ASD/ADHD: If there is an ASD/ADHD lead I if coding diagnoses and per pathway i. Numbers diagnosed each year with they would be expected to ?if not efficiency& ASD/ADHD/LD i & ii require diagnostic coding keep data on numbers effectiveness ii. Number diagnosis of ASD/ ADHD was but simple IT calculation diagnosed! excluded iii requires pathway coding iii. Number of referrals falling into each of above categories (pathway yield) iv. Comparison with expected numbers and already known in background population Yields per year Other Developmental problems pathway Yields per pathway will I if coding diagnoses & per pathway i. Number where diagnosis of developmental depend upon how each (efficiency& problem confirmed and type , eggeneralised LD i& ii require diagnostic coding pathway is set up; however effectiveness ii. Number where developmental problem excluded but simple IT calculation after the first screening stages iii .No of referrals falling into each of above similar yields would be categories iii requires pathway coding expected; this needs analyzing iv. Comparison with expected & already known in conjunction with referral numbers from background population rates per pathway and known numbers in population.
Data type (& quality domain) Name Data availability Comments Suggested level is immediate! Availability for your service measures effectiveness Time from referral to diagnosis for sentinel conditions (ASD ADHD, cerebral palsy, significant LD)- Requires coding for key conditions at least (median with spread) Being proposed by health outcomes forum J I if coding diagnoses III if not , for key conditions Effectiveness Time from referral to treatment (as defined) 18 week RTT Mandated in theory for all cases; requires RTT coding All services should be coding for RTT at least for sentinel conditions I if coding RTT III if not coding &need to use paper tool for index conditions Efficiency Number of appointments to diagnosis for sentinel conditions Requires diagnostic coding but simple IT calculation Important for ASD & ADHD as affects new:follow up ratio I if coding diagnoses III if not Efficiency Number of appointments to discharge Simple IT calculation Derby data showed that this took 3 appointments & 4 if dna included for children not discharged on first contact ? I in theory Yields per year and per pathway efficiency& effectiveness ASD/ADHD: i. Numbers diagnosed each year with ASD/ADHD/LD ii. Number diagnosis of ASD/ ADHD was excluded iii. Number of referrals falling into each of above categories (pathway yield) iv. Comparison with expected numbers and already known in background population i & ii require diagnostic coding but simple IT calculation iii requires pathway coding If there is an ASD/ADHD lead they would be expected to keep data on numbers diagnosed! I if coding diagnoses ?if not Yields per year & per pathway (efficiency& effectiveness Other Developmental problems pathway i. Number where diagnosis of developmental problem confirmed and type , eggeneralised LD ii. Number where developmental problem excluded iii .No of referrals falling into each of above categories iv. Comparison with expected & already known numbers from background population i& ii require diagnostic coding but simple IT calculation iii requires pathway coding Yields per pathway will depend upon how each pathway is set up; however after the first screening stages similar yields would be expected; this needs analyzing in conjunction with referral rates per pathway and known numbers in population. I if coding diagnoses
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