NELA eNewsletter - 28th Edition June 2016

National Emergency Laparotomy Audit

Second NELA Patient Report Publication

The NELA Project Team is delighted to announce the Second NELA Patient Report will be released on Tuesday, 5th July 2016; the Patient Report will be published on the Reports page of our website here.

The members of the NELA Project Team have spent the last few months working hard on analysing the over 23,000 patient cases that were collected during Year 2 of the Patient Audit. It will report on specific process and outcome measures, including mortality, by breaking down results on a hospital level, as well as explaining how processes have changed from Year 1 to Year 2.

Just like for our first Patient Report, the Year2 report will be an online report, published on the NELA website. To download a copy of the report we've published please visit our reports page on the day of publication - here.

Other additional reports and documents accompanying the Full Report will also be made available in due course on the reports page of the NELA website.

Patient Data Collection

Data collection and entry continues at pace, as we enter the 8th month of Year 3 of the patient audit. The project team are pleased with the on-going hospital participation and would like to thank all those who are contributing to the audit.
As ever we ask you to ensure you are entering all qualifying procedures on to the NELA webtool. A number of participating hospitals are still falling behind slightly on the data collection and entry process and a portion of qualifying procedures are as a result not making their way onto the database.

You'll have noticed that since the beginning of Year 3 the rating system for the monthly Hospital Progress Lists has changed. In order to be rated 'Green' your site will now have to have a case ascertainment rate of 80% or above. The NELA Project Team is making a massive push this year to increase its overall case completion rate to 80% and we very much need your help to do so. Remember NELA is an on-going audit and now more than ever hospitals should be making sure that every single qualifying procedure taking place is being entered onto the web tool and the patient data is being completed.

Should you have any questions regarding the best way to capture and enter patient data for NELA or to increase engagement in the audit at a local level, please don't hesitate in contacting the NELA helpdesk.

Quality Improvement Dashboard

As always, we would like to strongly urge web tool users to take advantage of the Quality Improvement Dashboard available on the online web tool. The QI Dashboard is the easiest way to see how you're performing in meeting key process measures and how your performance compares to that of the national average. By using the date-range function you're able to isolate your Year 2 or Year 3 results so as to get an idea of what to expect from the upcoming Patient Audit Report. The QI Dashboard feeds back information on the following key measures:

• Interval from decision to operate to arrival in theatre
• Preoperative documentation of risk
• Consultant Surgeon present in theatre
• Consultant Anaesthetist present in theatre
• Consultant Surgeon & Consultant Anaesthetist present in theatre
• Direct postoperative admission to critical care for all patients
• Direct postoperative admission to critical care for high-risk patients

Upcoming Events Featuring NELA Speakers

The following events will also feature members of the NELA Project Team speaking about and answering questions on the audit:

Association of Coloproctology of Great Britain and Ireland (ACGBI) Annual General Meeting
4-6 July 2016, Edinburgh
Iain Anderson (NELA Clinical Advisor) Speaking

Additional Useful Tools on NELA Website

Guide for calculating observed/expected mortality ratio - Instructions for calculating how your hospital's in-patient mortality rate compares to the expected mortality based on preoperative risk assessment
Outlier Policy - Sets out the process by which participating hospital performance will be assessed and the process the NELA Project Team will follow to manage any hospital that is found to fall outside the expected range of performance and therefore flagged as an outlier
Patient and Organisational Audit Action Plan - Provides an action plan to assist hospital sites in ensuring they are meeting all recommendations laid out in the NELA Patient and Organisational Reports
Set of Slides - A PowerPoint presentation focusing on the key findings of the NELA Organisational Report and how the report strongly emphasises the need for patient data to be collected and analysed
Top Tips - List compiled of some of the most useful and effective advice that was sent into us by a number of the top performing NELA sites
Frequently Asked Questions - Constantly updated FAQs reflect the most common and recent queries we receive from hospital staff and web tool users
Help Box Text - Provides additional assistance for filling in each of the data collection questions and can also be found on the web tool by clicking on the 'H' button to the right of every question
Proforma - A PDF copy of the latest Proforma, the online data collection questionnaire, that can be printed and filled out with patient information in real time, making it then easier to transfer all the information onto the online web tool
Updated Inclusion & Exclusion Criteria
NELA Poster & Leaflet - To publicise the audit amongst staff and patients in the hospital
OPCS Labels - For procedure items in the NELA dataset
Process Outcome Measures
Organisational Audit Link to Standards

Certificate of Participation

To receive your copy of the NELA Certificate of Participation please contact your hospital's Local Administrator to request that a certificate be issued for you.

Organisational Audit Report

To download a copy of the full NELA Organisational Report as well as the Executive Summary please click here.

Sign up to receive the NELA newsletter

The NELA project team will be regularly publishing a newsletter informing those interested and/or participating in the audit on the latest developments.

If you would like to receive the newsletter for regular updates please sign up to the mailing list here.

NELA Twitter

The National Emergency Laparotomy Audit has launched its own twitter account. This will provide updates, news and links to important information on the NELA website. You can follow us @NELANews

Key dates

• Complete: Organisational audit
• Jan 2014: 1st year of data collection for patient audit commenced
• May 2014: Organisational Audit Report published
• Dec 2014: 2nd year of data collection for patient audit commenced
• June 2015: First Patient Report published
• Dec 2015: 3rd year of data collection for patient audit commenced
• July 2015: Second Patient Report to be published
• Dec 2015: 3rd year of data collection for patient audit commenced
• July 2016: 3rd Report Published (2nd Patient Audit)
• Autumn 2016: Data collection for Second Organisational Audit
• Dec 2016: 4th year of data collection for patient audit commenced

Contact info:

If you have any questions or would like to contact the project team email -