Closed pacharanero closed 3 months ago
This is related to issue #904
We need to consider how this affects KPI 5. Will an MRI that occurs just before the FPA pass the KPI? How about if the MRI is 10 years before the FPA date?
We can set a cut off? e.g. MRIs that happen in the year prior to FPA still meet the KPI. Or we can rely on the judgement of the clinicians entering the data? Presumably they'd only enter an MRI if they know it is a relevant and recent enough investigation for that CYP's epilepsy.
Alternatively, we say that we're only interested in the first year of care and won't consider MRIs prior to FPA. This may mean that some CYP that have had appropriate investigations don't meet the KPI, but we acknowledge that there are limitations to the audit design. 100% KPI attainment may not always reflect optimal care.
Thoughts? @nikyraja @coldunk
Thanks All. Have discussed this with @coldunk, and we have decided:
So I think the next steps would be to update the data validation for the MRI question to allow dates before FPA, add the not achieved yet button and then check that the KPI calculations aren't excluding dates before FPA. I don't imagine they would but it would be good to check.
Note, that this can be done after the KPI export download #895 issue has been resolved.
After discussing the above in the sprint call (10/05/24), please can we instead:
This should therefore not affect the KPI calculations. To confirm, for an eligible CYP to pass the KPI, they must 1) select 'yes' to 'Has an MRI been achieved' - selecting 'no' would be a fail 2) the input date must be within 6 weeks of request
We can add additional wording to the tooltip to clarify this for users. I will add the wording here/create another issue asap for this.
Thanks all!
I have made all those changes in a branch. Just to be sure E12 are happy with all dates (not just MRI), I would be grateful if you could confirm this table as what is needed?
Model | Date | mandatory | earliest allowable date | other flags |
---|---|---|---|---|
Registration | first_paediatric_assessment_date | Yes | date_of_birth | |
Episode | seizure_onset_date | Yes | date_of_birth | |
Syndrome | syndrome_diagnosis_date | Yes | date_of_birth | |
Comorbidity | comorbidity_diagnosis_date | Yes | date_of_birth | |
Assessment | consultant_paediatrician_referral_date | Yes | date_of_birth | |
Assessment | consultant_paediatrician_input_date | Yes | consultant_paediatrician_referral_date | |
Assessment | paediatric_neurologist_referral_date | Yes | first_paediatric_assessment_date | |
Assessment | paediatric_neurologist_input_date | Yes | paediatric_neurologist_referral_date | |
Assessment | childrens_epilepsy_surgical_service_referral_date | Yes | first_paediatric_assessment_date | |
Assessment | childrens_epilepsy_surgical_service_input_date | No | childrens_epilepsy_surgical_service_referral_date | |
Assessment | epilepsy_specialist_nurse_referral_date | Yes | first_paediatric_assessment_date | |
Assessment | epilepsy_specialist_nurse_input_date | Yes | epilepsy_specialist_nurse_referral_date | |
Investigations | eeg_request_date | Yes | date_of_birth | |
Investigations | eeg_performed_date | Yes | eeg_request_date | |
Investigations | mri_brain_requested_date | Yes | date_of_birth | |
Investigations | mri_brain_reported_date | Yes | mri_brain_requested_date | |
AntiepilepsyMedicine | antiepilepsy_medicine_start_date | Yes | first_paediatric_assessment_date | is_rescue = False |
AntiepilepsyMedicine | antiepilepsy_medicine_stop_date | No | antiepilepsy_medicine_start_date | is_rescue = False |
AntiepilepsyMedicine | antiepilepsy_medicine_start_date | Yes | first_paediatric_assessment_date | is_rescue = True |
AntiepilepsyMedicine | antiepilepsy_medicine_stop_date | No | antiepilepsy_medicine_start_date | is_rescue = True |
Management | individualised_care_plan_date | Yes | first_paediatric_assessment_date |
Thanks Simon! All of those are correct, so happy for you to merge into live.
@nikyraja @AmaniKrayemRCPCH Do we perhaps need MRI performance date to be allowable to be before the DOFPA?
@nikyraja @AmaniKrayemRCPCH Do we perhaps need to add an option for "not yet done"?
Similar to the first question, do we need these things to be able to be entered as performed before the DOFPA?