News

08Apr2019

Why risk adjustment and assessing clinical performance against case-mix should be at the heart of the new consultant oversight framework

The CQC recently identified several areas where governance systems could be strengthened by operators, one of which was the oversight of consultants. It was announced at the end of last year that former NHS England National Medical Director Sir Bruce Keogh will lead on the creation of a new framework on how consultants are overseen in independent hospitals.

 

This issue is particularly pertinent in the wake of consultant Ian Paterson’s conviction and independent inquiry into his malpractice, which…

  • 8 Apr, 2019
  • Kristian Low
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25Jan2019

HSMR, SHMI and CRAB

Mortality Review Groups are an essential part of routine clinical governance these days. They are successful thanks principally to the engagement of a large number of clinicians who are committed to improving patient care and so give up their time to attend the MRG meetings and present their specialty mortality reviews.

The detailed case note review that underpins this is undoubtedly a good way of detecting and learning from adverse events. However, it does…

  • 25 Jan, 2019
  • Kristian Low
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21Jan2019

Our global referential dataset reaches over 120 million patient records, drawn from 46 countries.

The CRAB system is now based on a global referential dataset of over 120 million patient records, drawn from 46 countries.

We continue to feed new data into this and it is growing by over 5m records per year.

Having been through extensive manual and external validation, the algorithms for surgical, medical and obstetric practice are reviewed at least annually, in relation to the global dataset, to ensure they are consistent with the latest clinical practice.

The CRAB modules provide an essential tool for…

  • 21 Jan, 2019
  • Claire Bale
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14Jan2019

The time is right for the private sector to apply global best practice to the UK market

Independent Healthcare Providers Network article – Date of publication: 11th Jan 2019

Categories: Independent Healthcare Voices

Dr Mark Ratnarajah, UK Managing Director of CRAB Clinical Informatics, looks at how healthcare data is being used around the world to drive improvements in patient outcomes and value for money.

Anyone with an eye on healthcare systems in the United States (US), Australia or New Zealand (ANZ) will know that healthcare companies are moving away from fee for service models towards value-based remuneration in recognition…

  • 14 Jan, 2019
  • Claire Bale
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22Nov2018

CRAB-Ci chosen by outstanding trust for its experience in real-time risk-adjusted indicators

CRAB Clinical Informatics has been awarded a contract with Royal Berkshire NHS Foundation Trust to deliver a set of tools supporting the trust’s clinical and operational management.

The trust had an incumbent supplier in place but was seeking to increase its clinical data analysis as part of the strategic vision moving forward. Accordingly, Royal Berkshire appointed CRAB Clinical Informatics to provide tools that will offer the trust a number of beneficial insights.

These include the ability to drill down to patient-level…

  • 22 Nov, 2018
  • Claire Bale
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21Nov2018

Value over activity – putting value at the heart of care delivery

In recent years, payment for care services in the US has shifted from a focus on quantity to quality, with the aim of making services more efficient and holding healthcare organisations accountable for the standard of care they provide. Medicare and Medicaid have begun introducing a new financial reimbursement system that sees organisations moving from activity-based pricing to value-based remuneration, paying providers based on patient outcomes and costs. In an article for the Journal of the American Medical…

16Aug2018

Increase in sepsis related deaths – the truth is in the detail

Recent reports in the media have drawn the conclusion that there has been an increase in deaths from Sepsis – a threefold increase over five years. As ever, the headline writers were basking in the glow of the latest figures from a leading expert. However, this increase needs to be put into context. Not only has there been an increase in awareness and recognition of Sepsis, which has led to more deaths being recorded appropriately, there has also…

  • 16 Aug, 2018
  • Kristian Low
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05Jul2018

With year-round winter pressure, NHS trusts exploring ways to overcome the challenge need to have a good understanding of cost and quality

BMA council chair Chaand Nagpaul recently highlighted the year-round pressure now being felt in the NHS and we know that many trusts are keeping winter pressure wards open far longer than previously.

One of the ways trusts have been able to counter the growing demand is by early recognition and appropriate care of the deteriorating patient along with efficient use of HDU/ITU units. This gives them…

  • 5 Jul, 2018
  • Kristian Low
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30May2018

Automatic triangulation, right here, right now

We’ve been working on an exciting new development which I wanted to share. The CRAB Medical module has taken a leap forward with the automatic triangulation of all 32 of the triggers in the global trigger tool (UK version).

 

Trigger tools help identify adverse effects and areas for improvement by auditing a small sample of patient notes regularly. The US Institute of Healthcare Improvement (IHI) refined this process and developed the global trigger tool to quantify adverse events more generally

using…

  • 30 May, 2018
  • Claire Bale
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27Apr2018

Let’s share learning more efficiently and effectively by using the same methodologies and improvement pathways

At CRAB Clinical Informatics we spend time with medical directors who are increasingly aware that commonly used methods of measuring quality (such as mortality indicators) can be misleading. This is because these measures do not provide the most useful insight into patient specific risk. For example, they may only use the first few diagnostic codes during a patient admission.

This view is now being echoed throughout the sector from regulators to arms-length bodies and other agencies. The result is that…

  • 27 Apr, 2018
  • Claire Bale
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26Feb2018

How we have managed to add some clarity to the cost quality debate

One of the recurring themes throughout our work with hospitals worldwide, is how to provide practical and measurable insight into the cost and quality debate. This is because much greater clarity is needed when it comes the discussions about how to improve quality of care and at the same time reduce costs.

In the past, we have relied on anecdotal evidence to justify a changing clinical practice or treatment in the belief…

  • 26 Feb, 2018
  • Claire Bale
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