As part of its information services to its stakeholders, the NJR provide three key ‘Feedback’ services:
NJR Clinician Feedback is a secure, surgeon-only website that enables surgeons to compare and contrast their clinical practice with that of their colleagues at a local, regional and national level. In 2015/16 a number of enhancements were deployed on to the system, and more are planned for implementation in 2016/17.
2015/16: A key development last year was the implementation of the ‘Primary Procedure Status Report’ which was launched at the BOA Congress. The Primary Procedure Status Report uses three endpoints: ‘Still Viable’, ‘Patient Deceased’, and ‘Revised’. Users are able to apply a number of filters to the report and download the outputs to either screen, or as a pdf file or csv file. One surgeon at the BOA estimated that the report had saved him a month’s work for a hospital-led clinical audit on a particular brand and size range of device implanted into a specific patient demographic: the report took less than a minute to provide the required data.
In October 2015, surgeon-level Price Benchmarking reports for the EMBED services were also added to the service. These reports are only available to those surgeons whose Trust has subscribed to the EMBED service. For further information about EMBED reports, please see the section ‘Price Benchmarking’.
2016/17: A number of service enhancements are also planned for the next year. These include:
NJR Supplier Feedback is a secure online subscription service for manufacturers and suppliers of orthopaedic implants. The service is not designed for marketing purposes, but is designed to help suppliers with post-market surveillance.
In addition to providing data about the use of implants in primary procedures, NJR Supplier Feedback enables suppliers to access data about the use of their own implants in revision and revision of revision procedures. Data is available for all joint types.
A number of different services are available dependent upon the subscription level, including an Implant Quality Monitoring (IQM) service which provides pre-formatted reports on individual implants and patient reported outcomes. Any device supplier wishing to register for a subscription service or to find out more about what the service provides should contact the NJR Service Desk.
NJR Management Feedback provides hospital-level reports to Trust, Health Board, and independent sector company Chief Executive and Medical Directors.
The service currently issues an Annual Clinical Report which provides a summary of the activity and outcomes of each hospital within a trust or private company. Those trusts that provide implant pricing information to the NJR were provided with the Price Benchmarking INFORM report and, from October 2015, EMBED reports were made available to those trusts who paid a subscription. Paying for the EMBED service means that surgeons within the trust are provided with surgeon-level EMBED reports, made available through NJR Clinician Feedback. For more information about INFORM and EMBED, please see the section ‘Price Benchmarking’.
More changes to the Annual Clinical Report are planned for 2016/17, including additional funnel plots, replacing the ‘Red, Amber, Green’ status with more easily read thermometer plots, making the funnel plots more readable, quarterly updates of the ‘counts’ and data quality reports, and six-monthly updates to the funnel plots.
Introduction to NJR Reports
Executive summary
Annual progress
NJR website
NJR Surgeon and Hospital Profile
Beyond Compliance
Orthopaedic Data Evaluation Panel
NJR 13th Annual Report 2016
Online Appendices Committee Composition - NJR 13th Annual Report 2016
Online Appendices Committee Terms of Reference - NJR 13th Annual Report 2016
Online Appendices Papers and Publications - NJR 13th Annual Report 2016
Prostheses used in hip, knee, ankle, elbow and shoulder replacement procedures 2015
Trust-, Local Health Board- and unit-level activity and outcomes 2015