Are Clinical Registries Actually Used? The Level of Medical Staff Participation in Clinical Registries, and Reporting within a Major Tertiary Teaching Hospital

Dwyer, Alison; McNeil, John J

doi:10.24083/apjhm.v11i1.245

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…A review at a Melbourne tertiary health service that participated in over 40 clinical registries notes that although there was 'very high level of medical staff participation in Clinical Registries, there is a lack of systematic reporting of Registries data into quality committees beyond unit level'. 18 With limited information regarding how health services may systematically seek to maximise the quality improvement benefits that arise from effective organisational use of clinical registry data, this case study provides an example of a health service's development of a more structured approach.…”

Section: Introductionmentioning

confidence: 99%

Maximising the value of clinical registry information through integration with a health service clinical governance framework: a case study

Ahern

Feiler²,

Sdrinis³

2020

Aust. Health Review

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This initiative sought to identify unit participation in clinical registries within a large metropolitan health service and to develop approaches to integration of registry reporting within the organisational clinical governance framework to maximise potential quality improvement benefits. The initiative, led by the Medical Services Department at Alfred Health, initially involved identifying health service participation in clinical registries via a range of mechanisms, including one-on-one meetings with clinical registry investigators. In conjunction with the Clinical Governance Unit, tools to summarise and track clinical registry information at Alfred Health over time were developed and piloted. Alfred Health identified 69 clinical registries in which its units participated. These were heterogeneous in terms of clinical area and purpose, as well as the nature and frequency of reporting. Engagement with clinicians led to the establishment of a registry interest group, a calendar of clinical quality registry reports, and a guideline and reporting template and dashboard. Clinician engagement and medical leadership were critical to the development of this initiative. The reporting tool and dashboard have had initial success, with long-term success ultimately being measured by the routine incorporation of registry outcomes into clinical governance reporting over time. What is known about the topic?Health service clinical governance systems require the collection, analysis and ongoing monitoring of clinical performance and quality improvement information. These data may be from internally derived clinical indicators or from external datasets, such as clinical registries. However, although clinical registries have traditionally provided information at the unit level, mechanisms to systematically incorporate these clinical measures into health service clinical governance systems have been lacking. What does this paper add?This paper provides a case study of the steps taken by one large health service to identify, engage clinicians and incorporate disease-specific clinical registry indicators into its organisational clinical governance framework. It highlights the complexity of the task through the time taken to identify, translate and summarise key clinical information into a format suitable for organisational committee reporting. What are the implications for practitioners?This paper highlights to health service managers the importance of initial and ongoing engagement of clinicians in the development of a shared approach to organisational use of clinical registry data. It outlines potential steps that can be taken within a health service to engage clinicians in sharing registry information, and processes that can assist in systematically incorporating registry information into actionable organisational-level reporting as part of clinical governance.

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Section: Introductionmentioning

confidence: 99%

Maximising the value of clinical registry information through integration with a health service clinical governance framework: a case study

Ahern

Feiler²,

Sdrinis³

2020

Aust. Health Review

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Clinical Governance and Risk Management for Medical Administrators

Dwyer

2018

Textbook of Medical Administration and Leadership

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Are clinical registries an effective tool for hospital health services to address unwarranted clinical variation?

Bessen

O'Callaghan

2023

HIM J

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Objective: To map clinical registries within the Central Adelaide Local Health Network (CALHN); and to identify how these registries were currently used for addressing unwarranted clinical variation in care. Method: An online survey was sent to all Heads of Units (HoUs) within CALHN. The survey addressed participation, type of data, reporting processes and use of the clinical registries for research, quality assurance (QA), quality improvement (QI) and clinical variation in health care. Results: Twenty-six HoUs responded (26%); 25 contributed to a clinical registry (96%); all provided data to more than one registry, but only 34.6% had an existing financial and governance arrangement with the network. Health outcomes were the most common datapoints; 77% of all data were collected manually; and 38.5% of data analysis was risk adjusted. Access to aggregated data varied across the registries; and 65.4% of reports included benchmarks and outliers. Clinical registries were used for research in 65.4%, and QA and QI in 73.1 and 69.2%, respectively. Most used external comparators and measured clinical variation, but there was marked inconsistency in the exploring clinical variation, improving care and reporting activities. Conclusion: Based on this sample, clinical registries within CALHN did not currently appear to be a reliable resource to consistently address unwarranted clinical variation but were shown to be valuable resources for research and quality initiatives at a high level. Further research is required to facilitate effective integration of clinical registries with administrative and quality systems.

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Are Clinical Registries Actually Used? The Level of Medical Staff Participation in Clinical Registries, and Reporting within a Major Tertiary Teaching Hospital

Cited by 3 publications

References 12 publications

Maximising the value of clinical registry information through integration with a health service clinical governance framework: a case study

Maximising the value of clinical registry information through integration with a health service clinical governance framework: a case study

Clinical Governance and Risk Management for Medical Administrators

Are clinical registries an effective tool for hospital health services to address unwarranted clinical variation?

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