Services

In practice, a consulting engagement will usually encompass multiple services rather than be wholly contained in any one discrete area. However the following topics will give you an overview of the scope of our services and subject matter expertise.

Patient Blood Management (PBM) is a standard of care that departs from product focused transfusion in favour of patient focused, evidence based practice. An overwhelming body of evidence exists in the literature showing that transfusion is associated with poorer patient outcomes, adverse events, and increased costs. In 2013, the Joint Commission and the American Medical Association released a report identifying red blood cell (RBC) transfusion as one of five overused treatments. Studies have shown up to 60% of transfusions may be inappropriate.

One study found transfusion increased average length of stay by 2.5 days, had an increased odds ratio of death of 1.7 and an increased odds ratio of infection of 1.9. Hospital charges were over $17000 USD higher. An Australian study estimated the increased hospital cost of RBC transfusion to be $77 million in one year across a five hospital health service, which suggests a large financial incentive for reducing unnecessary transfusions.

Standard 7 of the Australian National Safety and Quality Health Service Standards requires that hospitals have systems in place to ensure safe and appropriate prescribing and use of blood and blood products, and that they are consistent with national evidence-based guidelines.

A Good Data System is Essential

As a standard of care, the principles of Patient Blood Management must become part of standard practice. Embedding PBM into an institution involves extensive change management – and this is heavily dependent upon having timely and accurate data. How can you change practice if you don’t know what your practices are? It is essential to target variation in care, assess compliance with national guidelines, and measure the impact of your initiatives (a key stage of the six sigma process).

HealthBench site icon

We can assess your reporting and provide assistance with enhancing your capabilities. We can even develop a complete Patient Blood Management reporting framework, linking laboratory and transfusion data with patient outcomes data. We can also help with research and study design, and all aspects of implementing a PBM program in your hospital – not just data.

Please contact us to find out how we can help you today.

 

For more information on PBM, please see the National Blood Authority website.

When planning where you’re going, it helps to know where you are.

With its diverse and complex business needs, healthcare can present a challenging Business Intelligence landscape. A third party review can ensure you identify your requirements and any deficiencies to be addressed in order to meet those needs. We meet with your key stakeholders, conduct gap analyses, review your capabilities, and make technical, structural, strategic, and operational recommendations.

We help you find the right direction, and give you a roadmap to get there. 

You don’t have to go to many hospital boardroom meetings before you hear the word efficiency. You’ve probably heard terms like the National Efficient Price. But are your reporting and analysis services efficient? Are you responsive to the needs of your organisation? Are you helping your hospital provide efficient, high quality care?

Please contact us to find out how we can help you today.

“Innovation is crucial to the continuing success of any organisation” – but what exactly is innovation? We would say it’s about being proactive, thinking outside the box, and being creative in finding solutions. The willingness to attempt things others might think are impossible also helps too.

We specialise in creating powerful innovative reporting tools that change the way you view your clinical activity. Do you have a unique requirement, complex data model that needs to be simplified, or just need a fresh perspective? We can bring new ideas to your situation.

Please contact us to find out how we can help you today.

Many systems go into building a great data warehouse, but ultimately what matters most is the content – and that the data is both current and correct. You need a good structure that includes a solid foundation along with the right “building blocks” that allow you to design, create, and extend powerful data models. Doing this can equip you with the tools you need for faster development later.

However, spending a lot of time on Big Design Up Front needs to be balanced with a tactical approach to deliver on urgent business requirements right now. You don’t need to get the technical systems right from the beginning, but it is crucial to get the data right.

We take a balanced strategic and operational approach to designing and building reporting systems, with a big focus on verifiable information you can have confidence in. Because nobody likes wrong figures.

Please contact us to find out how we can help you today.

 

 

Any organisation committed to continuous improvement understands the importance of benchmarking. Peer comparison allows you to identify best practice, learn from others’ experiences, and implement changes to address service deficiencies.

Under Activity Based Funding, public hospitals should be even more interested in benchmarking as they seek to reduce length of stay, improve safety & quality, and achieve National Efficient Price.

We are committed to helping you understand and implement benchmarking, and are both supportive of and complementary to the Health Roundtable. We can help you use data for both internal and external benchmarking. Do you know your areas of strength and weakness? Do you know which hospitals have better outcomes for key high cost and/or volume DRGs, and which of their initiatives you can implement?

Please contact us to find out how we can help you today.

Healthcare presents some unique data modelling challenges, and we have extensive experience in meeting these with Microsoft SQL Server. We can help you with all aspects of your implementation, from installation through to complete development of a data warehouse.

In addition to undertaking technical work in the areas listed below, we also offer education & training services. If you are in the process of adopting SQL Server, or encouraging more staff to write their own queries, you may be interested in a tailored training course in SQL development. For those wanting to create multidimensional models, we can teach you how to get started with SQL Server Analysis Services, and help with modelling complex scenarios.

Please contact us to find out how we can help you today.

  • SQL Server Integration Services
  • SQL Server Analysis Services
  • SQL Development
  • Query analysis & debugging
  • Advanced scripting

 

 

 

In July 2008, a condition-onset flag was added to the ICD-10-AM specification, allowing hospital-acquired complications to be differentiated from comorbidities present on admission in routinely coded administrative data.

To help analyse this flag, the Australian Centre for Economic Research on Health (under sponsorship by the Australian Commission on Safety and Quality in Health Care) developed a classification system to provide a meaningful way of grouping complications into 17 classes and 145 subclasses. This is known as the Classification of Hospital Acquired Diagnoses (CHADx).

We have expert knowledge on the CHADx specification, its use, and technical implementation. We can advise you on the best way to start reporting with CHADx, and its suitability for different purposes. We can also tailor an implementation to your specific needs and casemix in order to overcome some of the limitations of the original specification.

Please contact us to find out how we can help you today.

 

Please note that the Commission’s CHADx webpage is no longer available, however a copy can be found on archive.org for historical reference.

A lot of myth and misinformation exists surrounding Activity Based Funding and what it actually means for both clinicians and hospital executives. The model itself is relatively simple and easily understood, but it can have profound implications.

Do you know which areas are the least and most efficient? Do you know where your greatest potential savings lie? Reducing length of stay across the board will have some success, but an understanding of how you can use data and peer benchmarking will help you adopt a smarter, more targeted approach. There may be initiatives that are easy to implement and will give you a far greater reward.

Please contact us to find out how we can help you today.