CRAB See the whole picture  
 
 
   

GOOD GRIEF!!!

You stare at the headline in disbelief.

Your hospital is a mortality outlier and YOU, as the medical director, are in the spotlight as one of the causes.

The Healthcare Commission have been prompted to come in and investigate. You KNOW your centre takes all the most difficult and complex cases... but how can you PROVE it?

CRAB has the answer.

pdf CRAB prospectus 473KB PDF

Copeland's Risk Adjusted Barometer (CRAB) is designed to protect clinicians when there's a genuine reputation at stake. It also provides the most accurate available analysis of clinical practice, using the methodology recommended by the Royal College of Surgeons and the major surgical associations, so that when there is a real problem you can identify the true cause and what action to take.

Crude mortality statistics based on national aggregate data don't take into account the complexities of case-mix at a local level and can result in inflammatory headlines. 

Conversely, CRAB creates a true picture of consultants' practice, adjusting for presenting risk, operation complexity and intra-operative complications.

And in the process, there are many more benefits...

Not just curbing harmful misuse of statistics, CRAB also shows where great results are being achieved so learning doesn't always have to be from mistakes.

On the financial side, CRAB helps you commission for clinical cost effectiveness by identifying the best configuration of facilities and weeding out unnecessary or inappropriate treatments.

bguk Whilst existing outcome data is sometimes mistrusted by clinicians, there are more sophisticated outcome measures being developed all the time. For example, Copeland's Risk Adjusted Barometer - based on the widely-recognised POSSUM scoring system - relies on locallycollected data (improving its accuracy) and incorporates a sophisticated analysis of a patient's presenting risk, together with an assessment of the complexity of the operation and any complications that arise during the operation. It can identify outcomes that are better than expected, as well as those that are worse, and thus can be used as an improvement tool as well as to assure clinicians and others of the standard of care being provided, and to measure productivity.
bgukl Healthcare for London - A Framework for Action report
   

And most importantly, by making healthcare performance more transparent, CRAB helps patients and communities know that your number one priority is their well-being.

CRAB is referred to in the Sir Ara Darzi report for NHS London "Healthcare for London - A Framework for Action" See box right, and paragraph 60 of the section titled "Turning the vision into reality: improving healthcare for London"

To find out more, talk to us.

 

   
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