eatyourpeas
commented
3 weeks ago No problem @nikyraja This will have implications for KPI 1, KPI_2 and KPI 3 though
KPI 1
"""
1. `paediatrician_with_expertise_in_epilepsies`
% of children and young people with epilepsy, with input by a ‘consultant paediatrician with expertise in epilepsies’ within 2 weeks of initial referral
Calculation Method
Numerator = Number of children and young people [diagnosed with epilepsy] at first year AND (who had [input from a paediatrician with expertise in epilepsy] OR a [input from a paediatric neurologist] within 2 weeks of initial referral. (initial referral to mean first paediatric assessment)
Denominator = Number of and young people [diagnosed with epilepsy] at first year
"""KPI 2
"""2. epilepsy_specialist_nurse
% of children and young people with epilepsy, with input by epilepsy specialist nurse within the first year of care
Calculation Method
Numerator= Number of children and young people [diagnosed with epilepsy] AND who had input from an Epilepsy Specialist Nurse by first year
Denominator = Number of children and young people [diagnosed with epilepsy] at first year
"""KPI 3
"""3. tertiary_input
% of children and young people meeting defined criteria for paediatric neurology referral, with input of tertiary care and/or CESS referral within the first year of care
Calculation Method
Numerator = Number of children (
[less than 3 years old at first assessment] AND [diagnosed with epilepsy]
OR (number of children and young people diagnosed with epilepsy who had [3 or more maintenance AEDS] at first year) OR
(Number of children less than 4 years old at first assessment with epilepsy AND (has generalised myoclonic seizures OR has focal myoclonic seizures)) OR
(number of children and young people diagnosed with epilepsy who met [CESS criteria] ) AND had
[evidence of involvement of a paediatric neurologist] OR [evidence of referral or involvement of CESS]
Denominator = Number of children [less than 3 years old at first assessment] AND [diagnosed with epilepsy] OR (number of children and young people diagnosed with epilepsy who had [3 or more maintenance AEDS] at first year )OR (number of children and young people diagnosed with epilepsy who met [CESS criteria] OR (Number of children less than 4 years old at first assessment with epilepsy AND (has generalised myoclonic seizures OR has focal myoclonic seizures))
"""How do you want the queries restructured? I guess if we do this we have to recalculate everyone in the database?
nikyraja
Please can the 'date seen' field for 1) paediatrician with expertise, 2) paediatric neurologist and 3) ESN (under Milestones section) be made non-mandatory? Example screenshot below:
There will be instances where CYP are referred to a paediatrician/neurologist/ESN but are not seen within the first year (or before the data submission deadline). Currently, we mandate a 'date seen' for each professional and the record cannot be completed unless a date is entered.
This has somehow slipped through out testing and has strangely only just been raised by a user. We feel that this is very common in practice though, and it may be because the majority of data entry is occurring now before the deadline and the cohort are completing their year of care now that this problem is arising.
I would be open to having a button that says 'not achieved yet' that overrides the 'date seen' field. However, we need this actioning asap so that users can complete records before the January 2025 deadline, so I feel making the field non-mandatory may be the quicker and best option for now?