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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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Autores principales: Habeebullah, Awais, Rajgor, Harshadkumar Dhirajlal, Gardner, Adrian, Jones, Morgan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Editorial Society of Bone & Joint Surgery 2021
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.
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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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