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The impact of a spinal best practice tariff on compliance with the British Spine Registry
AIMS: The British Spine Registry (BSR) was introduced in May 2012 to be used as a web-based database for spinal surgeries carried out across the UK. Use of this database has been encouraged but not compulsory, which has led to a variable level of engagement in the UK. In 2019 NHS England and NHS Imp...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The British Editorial Society of Bone & Joint Surgery
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009900/ https://www.ncbi.nlm.nih.gov/pubmed/33739139 http://dx.doi.org/10.1302/2633-1462.23.BJO-2020-0182 |
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author | Habeebullah, Awais Rajgor, Harshadkumar Dhirajlal Gardner, Adrian Jones, Morgan |
author_facet | Habeebullah, Awais Rajgor, Harshadkumar Dhirajlal Gardner, Adrian Jones, Morgan |
author_sort | Habeebullah, Awais |
collection | PubMed |
description | AIMS: The British Spine Registry (BSR) was introduced in May 2012 to be used as a web-based database for spinal surgeries carried out across the UK. Use of this database has been encouraged but not compulsory, which has led to a variable level of engagement in the UK. In 2019 NHS England and NHS Improvement introduced a new Best Practice Tariff (BPT) to encourage input of spinal surgical data on the BSR. The aim of our study was to assess the impact of the spinal BPT on compliance with the recording of surgical data on the BSR. METHODS: A retrospective review of data was performed at a tertiary spinal centre between 2018 to 2020. Data were collated from electronic patient records, theatre operating lists, and trust-specific BSR data. Information from the BSR included operative procedures (mandatory), patient consent, email addresses, and demographic details. We also identified Healthcare Resource Groups (HRGs) which qualified for BPT. RESULTS: A total of 3,587 patients were included in our study. Of these, 1,684 patients were eligible for BPT. Between 2018 and 2019 269/974 (28%) records were complete on the BSR for those that would be eligible for BPT. Following introduction of BPT in 2019, 671/710 (95%) records were complete having filled in the mandatory data (p < 0.001). Patient consent to data collection also improved from 62% to 93%. Email details were present in 43% of patients compared with 68% following BPT introduction. CONCLUSION: Our study found that following the introduction of a BPT, there was a statistically significant improvement in BSR record completion compliance in our unit. The BPT offers a financial incentive which can help generate further income for trusts. National data input into the BSR is important to assess patient outcome following spinal surgery. The BSR can also aid future research in spinal surgery. Cite this article: Bone Jt Open 2021;2-3:198–201. |
format | Online Article Text |
id | pubmed-8009900 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The British Editorial Society of Bone & Joint Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-80099002021-04-01 The impact of a spinal best practice tariff on compliance with the British Spine Registry Habeebullah, Awais Rajgor, Harshadkumar Dhirajlal Gardner, Adrian Jones, Morgan Bone Jt Open Spine AIMS: The British Spine Registry (BSR) was introduced in May 2012 to be used as a web-based database for spinal surgeries carried out across the UK. Use of this database has been encouraged but not compulsory, which has led to a variable level of engagement in the UK. In 2019 NHS England and NHS Improvement introduced a new Best Practice Tariff (BPT) to encourage input of spinal surgical data on the BSR. The aim of our study was to assess the impact of the spinal BPT on compliance with the recording of surgical data on the BSR. METHODS: A retrospective review of data was performed at a tertiary spinal centre between 2018 to 2020. Data were collated from electronic patient records, theatre operating lists, and trust-specific BSR data. Information from the BSR included operative procedures (mandatory), patient consent, email addresses, and demographic details. We also identified Healthcare Resource Groups (HRGs) which qualified for BPT. RESULTS: A total of 3,587 patients were included in our study. Of these, 1,684 patients were eligible for BPT. Between 2018 and 2019 269/974 (28%) records were complete on the BSR for those that would be eligible for BPT. Following introduction of BPT in 2019, 671/710 (95%) records were complete having filled in the mandatory data (p < 0.001). Patient consent to data collection also improved from 62% to 93%. Email details were present in 43% of patients compared with 68% following BPT introduction. CONCLUSION: Our study found that following the introduction of a BPT, there was a statistically significant improvement in BSR record completion compliance in our unit. The BPT offers a financial incentive which can help generate further income for trusts. National data input into the BSR is important to assess patient outcome following spinal surgery. The BSR can also aid future research in spinal surgery. Cite this article: Bone Jt Open 2021;2-3:198–201. The British Editorial Society of Bone & Joint Surgery 2021-03-19 /pmc/articles/PMC8009900/ /pubmed/33739139 http://dx.doi.org/10.1302/2633-1462.23.BJO-2020-0182 Text en © 2021 Author(s) et al. https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Spine Habeebullah, Awais Rajgor, Harshadkumar Dhirajlal Gardner, Adrian Jones, Morgan The impact of a spinal best practice tariff on compliance with the British Spine Registry |
title | The impact of a spinal best practice tariff on compliance with the British Spine Registry |
title_full | The impact of a spinal best practice tariff on compliance with the British Spine Registry |
title_fullStr | The impact of a spinal best practice tariff on compliance with the British Spine Registry |
title_full_unstemmed | The impact of a spinal best practice tariff on compliance with the British Spine Registry |
title_short | The impact of a spinal best practice tariff on compliance with the British Spine Registry |
title_sort | impact of a spinal best practice tariff on compliance with the british spine registry |
topic | Spine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009900/ https://www.ncbi.nlm.nih.gov/pubmed/33739139 http://dx.doi.org/10.1302/2633-1462.23.BJO-2020-0182 |
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