User Guide - Discovery
Contents
1. Common Services Agency NHS Scotland Page 15 of 21 Specific data selections fi Level 2 New Outpatient DNAs Age Gender Location All X Full List If you wish to select a range of data that is not adjacent to one another right click on the data element s you wish to look at whilst holding down the Ctrl key This selection will cause the data to be re visualised highlighting the pertinent data based on your selection Treatment Specialty Group All Specialty All Clinic Type All Referral Source All Gender Cs Level 2 New Outpatient DNAs AgeiGender Clearing selections Location Full Lint Treatment Speciaity Group All Speciality All Clinic Type All Referral Source All To clear any bespoke selections you have made since opening a visualisation simply click any blank part of the screen within the visualisation or click on the revert Date From w April 2013 hg Kol 2i Specialty Group Clinic Type Referral Source All v All v All Treatment amp Residence Board 15 4 12 6 Selected 15 4 12 8 Age Group amp Gender chch to filter Peer Scotland all icon located on the standard toolbar at the top centre of each screen This also removes choice of HB s etc Rag Explained RAG is calculated on an interquartile rate methodology where 25 appear in the lower quartile 50 in the mid quartile and 25 in the upper quartile based on the host site and its2. NHS Lanarkshire K NHS Lothian NHS Tayside NHS Western isles Referral Source Peer Board Scotland 10 2 12 5 10 2 December 2014 Reduce DNAs Peer Peer UO By Page 12 of 21 Level 3 Person Centred Views Level 3 View 3 ale An unresricted Ele pana user wil be able to see from within their Confi data deo lofi efiistiistiis it within Discovery such as CHI zs s Individual Patient d ee ESE El Se amp available Data tables Treatment NHS Health Bourd X All Specialty Group All Specialty All User with this level of access will Clinic Types All Referral source AI have access to person identifiable byGender data This may be either at consultant level displaying data at your GMC code or by data source Click a ell in the table to view the patient rows that Did Not Attend If permitted to download data to your local device you and your organisation have the responsibility OTT View Fits of the data downloaded please SSS Vei Nh wO New ees WN i ensure you follow local information 7 governance good practice i oe View y a iiai aa Th Gander The parameters you selected in the na aa Age previous view Level 2 will be a Age Gander passed to this one e g dates _ SMD organisation etc Consultant GP Further refinement is possible by changing the parameters using the filters at the side of the
3. amp Trend 2nd tab Indicator Summary 3rd tab Control Charts 4th tab Peer Group 5th tab Version 1 2 Common Services Agency NHS Scotland z Diems NSS Discovery Level 1 Overview 6 Peremier Oy Chatoes Eat Fa Level 1 Overview Teme Parha Date Range renal Last Full Year 2015 16 WHS Row d Location Specaily NHS Board of Treatment d NHS Board Location All Specialities v New Outpatients Did Not Attends All Specialties Efficiency Rate Ratio Lower Quartile Peer Rate Ratio Peer UQ Low rates ratio desired Numerator Number of Did Not Attends Denominator Number of referrals Rate Description DNAs as a of new referrals Data Source SMROO New Outpatients Did Not Attends gt Person Centred Treatmenm Resaderne Equitable Page 7 of 21 Strategic Views Level 1 ScCorecard Lewel 1 Overview EIRA Scorecard NHS Board Time Period Date Range Treatment Level 1 Overview te ft vena Lact 4 Quarters OCT 2014 to DEC 2014 C Recigence wey amp This view can be selected by clicking on the Scorecard tab NHS Board Show By Group Show Data For IGA not Locatons Al Al Specates tected peer Lower per group too Guartile Mid Range Quartile a E When the visualisation opens you can Koani 0 All Lo use the filters across the top to make cations for All S talti your selections Group Ail IQR Effective Efficiency PGuitable
4. peers Where a target exists this is included in the visualisation so it is clear to see that even where 25 may be in the green upper quartile none of them may be achieving a target Treatment NH5 Locatic Specialty Group All A further statistical significance test is available to evaluate the host and peers against only the upper quartile peer performers This test can be accessed by clicking on the test button Metadata Key metadata is available by hovering over arrow on the right aoi hand side of the indicator in filter gt question ABCDEFGHI More detailed meta data is available via the A Z The metadata link here will take you to a fuller description collated within specific accessible online PDF documents Version 1 2 Common Services Agency NHS Scotland Efi iciency Effective Equitable Safe Timely Person Cent Specialty All Specialties Discovery Lewel 1 Timely Indicators Compatison Type limiga cpr tie i aime a Maleti al toot uE UES NSS Discovery A to Z MNOPQRS ABE 4 hour target ABE Residence Treatment or Metadata P gt Effective Qverview s sitive elated Produ EMCIEnCy UVErview h gt Equitable Overview Timely Overview p jA J TFF TYTTTT YT 3 Page 16 of 21 User access Levels Explained NSS Discovery has an underlying security model applied to it The model constrains users to certain levels of access These levels are described below All access to
5. NSS Discovery must be authorised by the requesting organisation s Caldicott Senior Responsible Officer SRO or appointed delegate s General NSS Discovery is hosted by NHS National Services Scotland and is only available via an N3 connection Access to NSS Discovery can only be authorised by an approved organisation s Caldicott Guardian or a recognised Senior Responsible Officer Authorisations will be handled via the NSS User Access System UAS There are 3 levels of user access available Data can be viewed from an NHS Board of Treatment Residence perspective Level 1 At this level the data is presented at an aggregate level however the data may be sensitive at a HB level Local data disclosure controls must be followed for data release sharing Peer comparisons are possible by NHS Board of Treatment Residence Specialty All NSS Discovery users can see other organisation details at this level e g NHS Aggregate Tayside can see NHS Grampian s data and visa versa level data The national Caldicott forum agreed that the S G Quest Team amp Analytical service reps can also access NSS Discovery at Level 1 Level 2 At this level the user can only view information from within their host organisation e g a NHS Lothian User can only view NHS Lothian Data Peer information will be only be provided at an aggregated peer value Due to the ability to filter on Specialty Age Sex etc there is a potential for the data at thi
6. by NHS Board of treatment or NHS Board of residence The information within NSS Discovery can help NHS Boards to review performance benchmark against peers and identify areas where resources can be targeted to address local health and care needs at the bottom of every page of the NSS Discovery website there is a NSS Discovery hyperlink This will take the user to the landing page in Discovery Access NSS Discovery Landing Page Back Workbook Before the landing page appears you will be presented with a login B Discover ms Once you have successfully logged y National Services Scotland RE E AGE E opposite will appear Information from NSS Discovery should be used with caution for day to day reporting until release of v1 0 expected to be by August 2015 _ Remember my changes Edit Background Information NSS Discovery is an information system that provides approved users with access to a range of comparative information to support performance and quality improvement Indicators within NSS Discovery can be viewed by NHS Board of treatment or residence The information within NSS Discovery can help NHS Boards to review performance benchmark against peers and identify areas where resources can be targeted to address local health and care needs This page opens up when using the link from the NSS Discovery Website It provides some basic The system is available to authorised users from 22 April 2015 The current rele
7. hand side of the server view underneath the NHS Logo it will show the screen opposite You can see descriptions of NSS Discovery here and the title is a hyperlink to these levels of data e g e Discovery takes you to the landing page which takes you to the Overview screen doughnut view e Level 1 shows you all of the eS Level Overview Level 1 workbooks oe e Level 2 shows you all of the Level 2 workbooks e Level 3 shows you all of the toy Tie Level 3 workbooks Level 2 Analytics Other options exist to search Search box By date By Tags By Favourites Recently used AtoZ Click here to find out how to use the A to Z Using your Favourites Click here to find out how to use the favourites options Bookmarks Click here to find out how to use the bookmark options Contact Us Level 3 Accident and Emerpency Patient Identifiable Information If you have any questions regarding NSS Discovery please contact the Product Support helpdesk at nss isdshis nhs net or on 0131 275 7050 Version 1 2 Page 21 of 21 Common Services Agency NHS Scotland
8. screen A table is now presented below with very specific identifiable data Clicking on a blue figure will open up the Person listing view Person Identifiable listings ee eae Table is filtered by selections on the Data Tables tab Treatment All All Specialty Group All Specialty All Clinic Type All Referral source All This visualisation now provides a by Gender person centred listing and associated details based on the indicator e g encounter date diagnosis procedure etc Version 1 2 Page 13 of 21 Common Services Agency NHS Scotland General Functionality and Icons A Z In addition to indicators which have been grouped and tagged under the six 2020 doughnuts in the Organisational View NSS Discovery will also contain a range of other indicators and dashboards not defined underneath these headings The A Z is available in every visualisation by clicking on the question Mark icon You can then browse indicators by using the letters at the top the search box or 2020 headings Peer Editing You can edit your peers using the peer tab or by clicking on the cog ri k icon el You will then be presented with your default and extended peer lists In either list click on a particular site to temporarily exclude them from the visualisations A minimum of 5 peers must be selected if you wish to be able to still be able to see the RAG status The next time you log in these
9. 0 o 1000 2000 3000 4000 5000 6000 7on 800 NA F Few Bieter Outpatient Summary Location gt Consultant GP sick to titer use F and on location name to drill New DNAs New Attendances 8 H NHS Location NHS Location GP or Consultant 6 IG j 8 2 0 E NHS Location Is 21 w 24 Page 11 of 21 The GP Practice Map shows the chosen Level 2 New Outpatient DNAs pene aon indicator and locates and denotes them Location Speciatty Group speciaty on the map ae en sis Treatment Hospital The map automatically zooms out to the Rre Tye All Referral Source All furthest data point Practice referrals to Hospital Clicking on the icons also allows you to zoom in and out You can refine the view by using the slider or lassoing the area of interest The data will update if you do this You can filter further using the standard filters across the top and the selected location value is given along with the aggregate value for the locations peers and for the NHS Board and NHSScotland amp comparisons The SIMD tab shows the indicator Level 2 Now Outpatient DNAS eee n _ pnay Group spectaty broken down into each of the five deprivation categories omnes The bar chart shows the value and the Cds Tepe All Referral Somer All grey dot shows the peer value The chosen indicator also shows the Esi board and NHSScotland values for comparison AM Full List An Al DNA Rate The other bar ch
10. NHS ew National Services Scotland NSS Discovery User Guide Document Control Jamie Gray l 1 0 24 Apr 15 Draft User Guide Jamie Gray l 26 Apr 15 Anonymised Screen Shots Added Additional contents methodology and functionality 1 2 29 Apri5 Jamie Gray explanations added 05 May 15 Minor grammatical format changes Supporting Material User Access System User Guides http www isdscotland org Products and Services Datamarts User Support Fiona MacLeod Discovery Video Guides http www nssdiscovery scot nhs uk Info Zone Training Support NSS Discovery Team Version 1 2 Page 2 of 21 Common Services Agency NHS Scotland NSS Discovery User Guide 4 What is NSS Discovery 4 Requesting Access to NSS Discovery 5 NSS Discovery Overview Page 6 Level 1 Non Confidential Overview 7 Level 2 Potentially Disclosive Analytics 10 Dashboard Views Level W42 0 0 ccc ccececcesceseseeseseseesesecaesesevesecaeseeseaesaeseeesaeseeevnrenneees 12 Level 3 Person Centred Views 13 General Functionality and Icons 14 Methodologies Metadata 16 User access Levels Explained ccccsecccseeceeecceeeceececeeeceucecuescueesueecausesseessueesueesseesseessusensess 17 Information Governance icicinsasi5sciseswutsas6 oem ceaiuercantindwisuwindsauncsbansonTeanasahorasecundets badendusinieiertancmecenns 17 OMe TING NOMS acct E pence nce eteneieeor dated E seunoeuandeeetouuae Seutateneeseeuct
11. Person C Safe Timely zp f p8 a sivigizl i lelelezlz The scorecard presents a range of HEAT JE IHE zil 28 2 Fb gla l TRIE IE IE target indicators by RAG SEJE IE IEI iE BUE HEIFIEIE DE IEIEIE Sse eee eg el El2 al sale el 2 tia y ri 22 3 3 jig i You can click on an IQR Range and the yT TE TUTTE TTL TTT visualisation will only show the IQ range i Centre you selected e g if you click on the Red IQR legend then only those indicators o MENEE HE BEHEE F l z flagged as red will now show on the MPE visualisation Centre More information Strategic Views Level 1 Group Overview NHS NSS Discovery Level 1 Timely Overview hare Ferenbe eychenges Edi RY Ov B tioko If you selected Timely in the NSS Discovery Overview Visualisation the one with the 6 doughnuts you will be Level 1 Timely Overview oe me Treatment rs Q ee s LA fi Mont Mont O Residence presented with this visualisation The an Seen 4 WHS Board Location Specially Group Specialty parameters you selected in the previous view will be passed to this one e g dates organisation details etc NHS Board NHS Hospital Full List Specialty Group Specialty z Comparison Type Treatment NHS Hospital Inter quartile range Specialty Group All Specialty All Specialties Statistical test This group overview shows all of the Timely related i
12. access these bookmarks Lassoing Remember my chang Share View Display Options Email Copy and Faste link into your email message https viz pre prod_nhsnss scot nhs uk t Discovery vi Embed Copy and Paste HTML code to embed the view in your website lt script type text javascript src https viz pre prod Share Remember my changes January 20 My Custom Views Other Custom Views specialty TAN day Original View Default Joanna Targosz 1 500 0 imber of Referrals 00 Ors fe Level 2 New Outpatient DNAs Date From Date To Treatment Age Gender Aprit 2013 v March 2014 X Dislfass A Fe Location Specialty Group Specialty Clinic Type Referral Source All Full List All All X All X All Most if not all of the information presented within the visualisation can be lassoed To do this click the left mouse button over the set of data you wish to grab and pull the mouse across the data letting go when you have grabbed the data selected This selection will cause the data to be re visualised highlighting the pertinent data based on your selection Treatment Selected Peer Specialty Group All Specialty All Clinic Type All Referral Source All 15 4 12 8 15 4 12 6 Board Scotland Age Group amp Gender cich to fiter cbck to fitted SSF GRSSFSSSSSERSSSSTECSHSSFSSSSSSE SS SSSPRABSSLSSSSRRS SSSLRARRSLSESSSEKRR juse F and on time to drit Version 1 2
13. art shows the percentage difference between the most and least deprived by SIMD for the selected period in this example the last z ii 3 months DNA Rate Trend over time and impact analysis are ig z F available in table f Bibis Geers m deere hiiit imam ri mi Bete i ma wee ka fs mt Dashboards eae In addition to indicators which have eee ee been grouped and tagged under the six 2020 doughnuts in the Organisational View some of these may also contribute to an information Dashboard These can be topic based e g disease based target based etc Dashboards can potentially appear at SS re levels 1 2 e g e Cross Border Flow Level 1 Dashboards can be easily navigated to from the A to Z RAPID Level2 Version 1 2 Common Services Agency NHS Scotland o14 HEHE Dena of Qesddeapon HHS aard p Tem eterna fel ty Treatment Recicence Clinic Typs a Selected 9 6 Selected 12 5 Scottish Index of Multiple Deprivation SIMD TUnterence between most deprived and least deprived SIMD SIMD Table eet Selected mS Referral Source AS j Peer Board Scotland 9 3 12 4 10 0 No of DNAs aT Distance Miss E Health Board of GP Practce O NHS Ayrshire amp Arran A NHS Borders O NHS Fite O NHS Forth Valley lt NHS Grampian NHS Greater Glasgow amp Clyde X NHS Highland D gt
14. ase of NSS Discovery is a Beta version We therefore recommend that you use Discovery in a limited manner until your local Heath Board awareness session has been concluded background information about NSS Discovery along with a hyperlink also below to the NSS Discovery Organisational Overview www NsS Discovery scot nhs uk Version 1 2 Common Services Agency NHS Scotland The awareness sessions will take place from late May to July 2015 across Scotland This is to give users time to familiarise themselves with the system ahead of attending a local session We expected the release of NSS Discovery Version 1 0 to be by August 2015 NSS Discovery is a Collaboration between NHSScotland the Scottish Government and NHS National Services Scotland NHS NSS Accessing NSS Discovery When you click on the Login link below you will be presented with the NSS Discovery Level 1 Overview You should select your NHS Board and appropriate location from the dropdown filters to render a data visualisation You can then choose to view the information from a Treatment or Residence perspective by using the radio button at the top of the Login click here to go to the Discovery Beta System Page 4 of 21 Requesting Access to NSS Discovery Only authorised individuals logged into a secure N3 network will be able to access to the data held within NSS Discovery To request access to NSS Discovery select the link below to
15. blue have indicators sitting underneath them 2020 doughnut groupings filter across the top of the A Z If you only wish to search indicators that sit underneath a particularly 2020 heading doughnut you can simply do this by clicking on the grouping filter at the top of the page Simply click on the required grouping e g Timely and the screen refreshes to only show indicators that reside underneath the timely doughnut This same principal applies to filtering indicators by Residence Treatment Dashboard etc Search box option Version 1 2 Page 20 of 21 Common Services Agency NHS Scotland If you are unsure of the specific indicator name or where it may reside within Discovery you may wish to try searching using the search box so for example you can search by word Group or product National Efficiency amp Productivity Scorecard NEPS Alternative Navigation Options Server View If you click on the NHS gt SCOTLAND NHS Scotland logo located in the top left hand side of all m visualisations it will take you to the K F E workbooks view This view shows afl h F of the current workbooks held withi NSS Discovery If you see the view ypu want you can just click on it and if you have the correct access it wil open up the visualisation Other options exist here to e Goto projects view Search Projects View if you click on the word Projects located in the top left
16. e other health board data at this level e g NHS Tayside can see NHS Grampian s data and visa versa At this level the user can only view information from within their host organisation e g a NHS Lothian user can only view NHS Lothian data The information is calculated using crude rates with Peer information being provided at an aggregated peer value Due to the ability to filter on Specialty Age Sex etc there is a potential for the data at this level to be disclosive and user caution should be exercised Level 3 Confidential At this level the data is presented in tabular form and confidential person identifiable information can be obtained at this level When a number is selected in the table person centred listings of the selected cohort are returned Access at this level can be further restricted by your health board Caldicott to authorised General medical Council GMC codes or across appropriate data sources Information perspectives Data within NSS Discovery can be viewed from a treatment perspective HB of Treatment Treatment or from a population perspective HB of Residence The option to Residence change between these information views is available from every visualisation at Level 2 by the use of the filter on the top row NSS Discovery Overview Page You will be presented with the NSS Discovery Overview Page NSS Discovery Level 1 Overview 1 Select your NHS Board 2 Select your location 3 S
17. e the title you will notice a star icon this allows you to favourite this workbook so you can quickly access it from your favourites list By favouriting this view you will see it appears on your favourites list which is accessed from the star on the right hand side Back Workbook Back Button Underneath the title you have the Back and Workbook buttons which will navigate to the previous view or show you the workbook view in Tableau server Help Button EUSA The help button located in the top right of every screen allows you to search for help documents on the Tableau web site If you select your user name you can access user preferences which will allow changing your password adding in your email address and configuring your start page etc Eai pare In the next row of icons there is a share button located directly underneath the NHS Scotland icon which allows you to send the current view via email to another colleague or embed the view in another web page Remember my changes Remember my changes The Remember my changes feature is a key feature in that it allows you to bookmark any view and save for later use so you don t need to make the selections again Tooltips If you hover over data within each of the visualisations a tooltip will appear which will provide additional detail that will help explain Version 1 2 Page 18 of 21 Common Services Agency NHS Scotland Scorecard amp Me
18. elect your time period This will now cause the visualisation to update based on your selections The time period defaults to the last 4 quarters You can change this to Last 3 months Last Full Year financial Yr Year to date Calendar Yr More information Version 1 2 Page 6 of 21 Common Services Agency NHS Scotland Level 1 Non Confidential Overvie 1 Non Confi Overview The top level view within the Non confidential overview is the NSS Discovery Overview which shows the 6 doughnuts which represent key aspects from the NHSScotland 2020 vision They are intended to present a quick temperature test denoted by their Red Amber Green RAG status of the overall organisation at certain points in time based on each of the doughnut groupings A range of filters across the top of the visualisation allow the user to change parameters this covers dates information perspectives Treatment or population views locations and specialties If you hover over any doughnut segment you will be provided with the underlying metadata If you hover over the word in the centre of the doughnut and then click on the link you will be taken to a Level 1 view of the underlying indicators e g Click on Timely to view them in more detail in the Group Overview Most if not all indicators at this level can be viewed by selecting one of the following tabs Group Overview 1st tab Map
19. ens 18 Scorecard amp Methodology DeSCIIPtiONS ccccccecccceeeeceeeeceeeeeseeeeseeeesseeeesaeeeseeeesseeesseeeesseeeeas 19 EXDlanavlOnOl EA A ee E A E E E E E was 20 Alternative Navigation Options cccccceecccseececeseeceeeececeseeeeeseeesseeeeseeeesseeessueetseeeesaeeesseeeesaess 21 Contact Us 21 Version 1 2 Page 3 of 21 Common Services Agency NHS Scotland NSS Discovery User Guide This document is a draft user guide for NSS Discovery its purpose is to aid the user to navigate NSS Discovery and understand some of the core functionality that exists within the tool The images contained within this guide have been modified to ensure they do not contravene Information Governance principles There is a standard icons section within this document which describes the main icons within NSS Discovery At the end of the document there is a section which describes the core functions and methodologies to further aid your understanding If you wish to provide feedback regarding the NSS Discovery user guide or the NSS Discovery tool please email your comments to NSS Discovery nhs net What is NSS Discovery NSS Discovery is an information system that provides access to approved users data access is dependant upon the individual users authorised level of access to a range of comparative information indicators to support benchmarking performance and quality improvement Indicators within NSS Discovery can be viewed
20. er values are preferred the visualisation accounts for this and shows it in the same order You can see this by looking at A amp E waits which is a higher the better indicator and DNAs which is lower the better Each location within your peer group is then categorised based on their position relative to the best and worst quartiles Significance Testing To support further interpretation we have included a statistical test which will test whether the selected point is statistically significantly better or worse than the upper quartile To do this select the radio button marked statistical test The visualisation will then change to show whether the selection is statistically better or worse The colour coding and tooltip will change to show you the result of the test You can then toggle back to the quartile view to compare This will allow you to make a more informed judgment about whether further investigation is warranted In NSS Discovery there is an SPC Chart Statistical Process Control Chart option to aid the user in understanding variation over time for chosen measure In the SPC chart that there is upper and lower control limits Rules can be attached for each indicator to indicate where a violation has occurred A violation is where a data point exceeds the control limits set and the relevant data point s will turn red to indicate the violation s Trends upward or downward will be indicated by turning the respective data
21. ice is appropriately password locked if you have the option of downloading data to a local device then you and your organisation will have the responsibility for the security and governance of this data NSS strive to ensure that the information it holds and uses as part of authorised business processes is appropriately secured in line with NHSScotland information governance policies procedures guidelines and best practice NSS has a risk management approach to this process and have completed privacy impact and system security risk assessments Where risks were unacceptable these have been appropriately addressed Both these assessments will be regularly reviewed by the appropriate business teams in conjunction with NSS Information Governance Leads Version 1 2 Page 17 of 21 Common Services Agency NHS Scotland The computer and network infrastructure that NSS Discovery uses to provide the service has been risk assessed as part of an in depth vulnerability test by an approved third party where this had raised risks and or weaknesses these have been addressed and re tested to ensure the highest level of security of the service is provided Use of the words data and information are interchangeable ore Functions Standard Functionality Favourites button Firstly at the top left hand corner you of every screen you will see the NHS Scotland Icon Next to that is the title of the screen you are looking at Besid
22. io desired wd Scotland Outpatient DNA Rate it will take you ABE 4 hour target TETE o AA Numerator Number of Did Not Attends more detailed view of it in the gt to a more detailed view of it in the ad Denominator Number of referrals pW 253 er a al m AGE Te Rtimites Level 2 view Rate Description DNAs as a of new referrals Gestation at Booking Ti By B6 0 New Outpatients Did Not Attends B eeecem ood 125 102 42 5 Version 1 2 Page 8 of 21 Common Services Agency NHS Scotland A R The D icon also indicates relevant links to other related data If you selected Outpatient DNA Rate in the Group Overview Visualisation tab 1 you will be presented with this visualisation on the 2 Tab Map amp Trend view The parameters you selected in the previous tab will be passed to this one e g dates organisation etc This view presents the data by Locations Peers on Map with RAG status references RAG trend over time by month quarters If you selected Outpatient DNA Rate in the Group Overview Visualisation you will be presented with this visualisation The parameters you selected in the previous view will be passed to this one e g dates organisation etc This view presents the data Within the specific NHS Board Locations e Provides upper quartile and average reference points e Opportunities analysis e Breakdo
23. log into the NSS User Access System UAS https useraccess nhsnss scot nhs uk Please follow the link below to the UAS user guide provided to assist you with logging into UAS and creating your NSS Discovery access request http www isdscotland org Products and Services Datamarts User Support The UAS allows you to register for a username and password if you do not have UAS login details You will be sent two e mails one with your username and one with a temporary password please change this password as soon as possible using the link provided in the e mails Once registered with the UAS you will be able to create a request to access NSS Discovery Within the UAS you can select Request New Access from the left hand menu this will open the Request window where you can select Discovery tableau from the available dropdown menu follow this by selecting the Access type and User type When your request has been submitted the UAS will notify the appropriate Authoriser who will consider your request to access NSS Discovery You should retain your username amp password to enable you to use the UAS in the future and to access NSS Discovery Access to NSS Discovery will be reviewed every 6 months for those who have access to person identifiable data levels 2 and 3 NSS Discovery will be reviewed annually for those with level 1 access It is the responsibility of each organisation to ensure only authorised individuals have acce
24. ndicators within NSS Discovery along with their RAG status in relation to a target and or their peers It shows their current value against their peers for the chosen time period and j i Date t Dale 1 previous period fl Level 1 Timely Overview ia Jr Group Overview Month Month Residence Discovery Level 1 Timely Indicators Selected Peer Board Scodand Trend h h Ss LLE Araig e 60 ea You can change the information being WHS Board Location Specialty Group Specialy presented by cha nging the filters across NHS Board 7 NHS Hospital i Specialty Group Specialty the top Date From Date To Treatment Level 1 Timely Overview oe BETA Group Overview October v December 2014 Residence The biggest dot data point always j i NHS Board Locati Special represents the chosen location Hovering oar ocation New Outpatients Did Not Atende aa over any dot will result in a tooltip NHS v al NHS M Specialties 7 appearing with key information about Comparison Type RatelRatio 9 5 Mid range the selected data Treatment NHS Greater Glasgow amp Clyde Rank 10 of 15 locations Interquartle range Specialty Group All Specialty All Specialties Statistical test Peer RatelRatio 10 21 Ko If you click on the D icon at the end Peer UQ Target 7 0 of the row far right of the indicator e g Discovery Level 1 Timely Indicato 5 ates rat
25. ote there m tons including original location selected in order to calculate must be 1OR S tats cal test Located at the top centre of every visualisation at every level within NSS Discovery E g gt Takes you to the AtoZ Index Metadata and the NSS Discovery and other relevant external WebPages with more Contextual information Hover over this icon to see Level navigation options within NSS Discovery je Wanay fe Cc JJ Wn a gt a gt lt WV a gt gt Cc O E a ok Q a gt ct a gt Page 14 of 21 Share Visualisation s It is possible to share your visualisations with Colleagues via email or by embedding the visualisation within your own website This can be done by ohare clicking on the Share icon located in the top right hand side of the screen Again there should be an IG health warning here that it is the user responsibility to ensure they share information only with others authorised to see the data and it is their responsibility to ensure the correct email address is entered Bookmarking It is possible to save specific views and or permutations which you have selected that you may wish to view again To do so create a bookmark and name the selection as you see fit click on Remember my changes at the top right hand side of the toolbar and type in the bespoke name of your bookmark Click on this in future to view and quickly
26. points red when there is an observable trend across at least 5 relevant data points Hovering over any data point will cause a tooltip for that data point to appear with the relevant metadata to present Again the standard filters appear at the top of the screen to allow you to filter the data This shows the dispersion of the chosen site measured against its peers all plotted against the average the central line The large dot is the site you have selected Version 1 2 Page 19 of 21 Common Services Agency NHS Scotland Again hovering over any data point will cause a tooltip for that data point to appear with the relevant metadata to present Again the standard filters appear at the top of the screen to allow you to filter the data Overview Page Doughnut s In order to render a visualisation you must firstly 1 Select your NHS Board 2 Select your location This will now cause the visualisation to update based on your selections You can now choose to change the Specialty default which is all to only select a single specialty Any selections made here will again re render the visualisation You can also view the data across different time periods It currently defaults to the last 4 quarters You have the option in the dropdown to change this to e Last 3 months e Last Full Year Financial Yr e Year to date Calendar Yr N B as the data that makes up this visualisation is a blend from a number of different da
27. s level to be disclosive Access Information Non Confi Data Overview Potentially Disclosive Data Analytics not disclosure controlled Level 3 At this level the user will be able to access all patient identifiable data for their host Non organisation e g all the Host Board data held within NSS Discovery all data types specialties Further Horizontal security can be applied at the request of the host organisations Caldicott or SRO only one of these restrictions can be applied but data types can be singly or as a combination of the data type s Confidential Data Individual level Data Patient Identifiable GMC Medics can be restricted to only see records that have their GMC number attached Data contains CHI Data Type The user can be constrained to only see data from a particular data source or combination of sources e g Inpatients amp Outpatients but not allowed to see Maternity or Mental Health data Information Governance NSS Discovery is a management information system and is not intended to be used for public consumption Once you log into the NSS Discovery service you are responsible for ensuring there is no unauthorised access to your NSS Discovery session e g anyone unauthorised cannot see the data on your computer screen do not share your username and password with anyone else if leaving your computer access device unattended please ensure the dev
28. ss to NSS Discovery and when a member of staff no longer requires the access it is the responsibility of the organisation to notify NSS to request that the users access be disabled Logging into NSS Discovery When the NSS Discovery application opens you will be required to enter the username and password provided to you by the UAS Logging In Users will be asked to enter their username and password on the log in page NHS p SCOTLAND Enter your usemame and password A sevice has requested you to authenticate yourself Please enter your username and password in the form below R Username f Password Login Problems logging in Contact the Customer Support Desk on 0131 275 TITT If login has been successful you will be taken to the landing page Further information on Information Governance in relation to NSS Discovery can be found here http www nssNSS Discovery scot nhs uk Info Zone Training Support Version 1 2 Page 5 of 21 Common Services Agency NHS Scotland NSS Discovery Access amp Information Levels Below is an explanation of the access and information perspectives within NSS Discovery Access Levels A comprehensive explanation of these levels can be found in the security section At this level the data is presented at an aggregate level and calculated using standardised rates Peer comparisons are possible by NHS Scotland Board of Treatment Residence Specialty All Discovery users can se
29. ta sources the submission dates for the data will vary e g A amp E waiting times are submitted monthly but Maternity is submitted on a 4 monthly basis This will therefore result in some information showing and other information not showing dependant upon the date selections you make Explanation of the A Z The A Z contains the entire list of indicators within Discovery whether or not they sit under a doughnut dashboard or are stand alone or all of the above The A Z is accessible from the head icon from any level within Discovery To access it simply hover over the head icon and click on the A Z hyperlink to open the A Z Using the A Z Alphabetical listings of Indicators All of the indicators are listed from top to bottom in alphabetical order irrespective or where the indicators reside within Discovery Using the grey scroll bar to the right hand side allows you to view all the way down the alphabetical list Clicking on this icon HO at the far right hand side of the indicator causes a pop up to appear with hyperlinks to relevant metadata the visualisation the indicator appears on etc Alphabetical filter across the top of the A Z Another way to search and filter indicators alphabetically is to use the alphabetical filter at the top of the page Simply click on a letter of the alphabet e g E and the screen refreshes to only show indicators within Discovery that begins with E N B only letters highlighted in dark
30. ters Date From Data Ta ae you select in the previous view will be fi e a a HO fe passed to this one e g dates Location spectaty Group Spatial organisation etc ma G Fum L am Al tpectattes Chart Typa This view allows those with a more Treatment NHS Indicator New Outpatients Did Not Attends TPE Chaat statistical perspective to view the SEEE ESEA R AE information in a way they are more comfortable with e g as either a SPC Chart or Funnel Plot You can change the information presented within the chart plot by changing the filters running across the top Funnel Plot The large dot is your chosen location the smaller ones are your peers More information SPC Chart There are upper and lower control limits P Level 1 Timely Overview S Yasin EA p O sal Rules can be attached for each indicator ancl aa om A to indicate where a violation has et sieas _ EE occurred A violation is where a data TE A a P Treatment NHS Indicator New Outpatients Did Not Attends EE sap point exceeds the control limits set and VENNOOT Oe See the relevant data point s will turn red to indicate the violation s Trends upward or downward will be indicated by turning the respective data points red when there is an observable trend across at least 5 relevant data points More information 2 Potentially Disclosive Analytics Views Most if not all indica
31. that appear can be further filtered by hovering above the top line of data in each column and then clicking on the or icons that appear Clicking on the provides a further level of breakdown Clicking on the rolls the data back up Version 1 2 Common Services Agency NHS Scotland Date From fi Level 2 New Outpatient DNAs Treatment x Residence kd tt BERA Agel Gender October 2014 Dacember 2014 Location Specialty Group Specialty Clinic Type Referral Source am Full List Am Am Am Am Treatment NHS Selected Peer Board Scotland Specialty Group All Specialty All Clinic Type All Referral Source All 10 1 102 10 1 10 2 Gender ease to ener Age Group amp Gender icaza to fater FEMALE MALE FEMALE Reng DEDEDE ET DNA Rate J o 00 04 Gees a SEtoe0 O7 O07 9047070 DNA Rate Trend Age Gender Table ae Quse tand on Ome oe lt I Selected eee Peer UQ dis 2014 Os 10 1 10 2 7 0 Sas 3 2 50 00 Date From Das Ta Trani Level 2 New Outpatient DNAs o Traman Consultant GP April i014 December 2014 aain Specialty Group Specialty Clink Type Referral Source Usa chart to fitter Location An ym am jam Treatment NHS Board Scotland Specialty Group All Specialty All Clinic Type All Referral Source All 12 10 0 Location Consultant GP ok ic Sider check ia biker HS Te g 0 0 B E 1 100 mos MH 4
32. thodology Descriptions This view is called the scorecard view and it s really just an alternative overview but it does provide additional detail that you don t get with the doughnuts This could be where personal preference comes into it as some people may prefer the more minimal look of the doughnuts whereas others will prefer the extra detail that the scorecard provides Either way both views give a fairly high level overview of the system and allow you to pinpoint areas of further interest If you prefer this view as your default you can use the bookmarking feature to set this as your default rather than the doughnuts There is a lot of flexibility with this view By switching between the location and specialty view it allows you to generate very specific scorecards for each location or each specialty against all the indicators within the system Again the bookmarking feature could be useful here The colour coding applied uses the same methodology as we saw previously in comparison to your peers You may want to focus on the red squares as they indicate potentially poorer comparison compared to your peers Inter Quartile Range IQR The RAG methodology used is NSS Discovery is based on the calculation of quartiles within your peer group Any location that is performing within the best quartile is classified as green and any within the worst quartile will be red Direction of performance is accounted for in this method i e whether higher or low
33. tors at this level can be viewed by Age Gender 1 tab Consultants GP 2 tab GP Practice Map 3 tab SIMD 4 tab Peer Group 5 tab These cuts views of the data are possible by selecting the appropriate tab at the top of the visualisation Version 1 2 Page 10 of 21 Common Services Agency NHS Scotland The Age Gender tab shows the chosen indicator you have selected at the Overview doughnut view or from the Group Overview at Level 1 or from another navigation point A Z and breaks it down by a Male female split It shows the gender breakdowns by standard age bands and provides peer comparisons along with board and NHSScotland comparisons It overlays targets aggregate peers values and shows trend over time This information is also provided in a table which highlights an impact value which would need to be achieved to reach the target or Upper quartile The Consultant GP tab shows the chosen indicator and breaks it down by NHS Board locations and provides aggregated peer comparisons along with board and NHSScotland comparisons It breaks down the indicator by consultant GP activity shown in the scatterplot to the right hand side Locations can be filtered by using the scroll bar and individual or groups of clinicians can be selected by lassoing the required data points The parameters you select in the previous view will be passed to this one e g dates organisation etc The tables
34. will have defaulted back to the fully inclusive list Clicking on the binoculars icon amp at the top right will present navigation options to the user Standard Icons f Navigational URL s Export to PDF CSV Revert all selections back to default Pause automatic data updates fu Refresh page Help takes you to the A to Z Index Metadata and the NSS Discovery and other relevant external WebPages with more Contextual information Version 1 2 Common Services Agency NHS Scotland 2502 NSS Discovery A to Z ABCDEFGHI MNOPQRS Efficiency Effective Equitable Safe Timely Person Centred Search case sensitive Residence Treatment Other Dashboards Related Deoa vvvrvrvyvryvvVvVyVvFVvVrVvVrVvVvVYVY VS Treatment F U i Residence Level A Level 1 Timely Overview Treatment AA Gia Peer Group Residence CAS NHS Board Location HHS Greater Glasgow amp Clyde Glasgow Royal Infirmary hd Full List Peer Group Default list Extended list Default list Peer Group for Glasgow Royal Infirmary Glasgow Royal Infirmary Aberdeen Royal infirmary Nenewells Hospital Royal Infirmary Of Edinburgh At Little France Southern General Hospital Western infirmary Gartnavel General Select Locations to view Exclude Keep Only options for Peer Group Borders General Hospital include original location in Keep selection To get the full list back use the revert all option above Please n
35. wn of the selected site s by speciality with site selected average e Aggregate peer average are denoted by grey dots on each specialty and as a grey line across all of the specialities for comparison Version 1 2 Common Services Agency NHS Scotland Comnmarifon Tyne Further Navigation Options ASE 4 hour target Cross Boundary Flow Analysis Data Completeness i Treatment Hospital Specialty Group All Specialty All Within NHS Board NHS Locations E a a 7 C a a m_i A spark line represents change over time The blue line represents your chosen location and the grey line represents the aggregate peer value Click on the magnifying glass icon to navigate to Level 2 this is only possible if you have access approval from your NHS Board approver Key Display D Swer Quartile I Upper Quartile Quart E Mid range Monti Trend icator Summary Indicator New Outpatients Did Not Attends Peer Comparison NHS U Peer Locations i 7 8 9 B To achieve UQ reduce No of Did Not Attends by J Specialties olick to filter Selected Average g H PE Peer Average j y LOOL EET Era hf kg 8 8s amp Bb Y 8 83 Page 9 of 21 Control Charts If you selected Outpatient DNA Rate Funnel Chart shows your chosen location big dot against your selected peer values in the Group Overview the parame
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