Mental Health Benchmarking Dashboard. User Guide
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1 Mental Health Benchmarking Dashboard User Guide Version 1.0 (April 2012)
2 Contents Introduction... 3 REQUIREMENTS... 3 Software Requirements... 3 System Requirements for Adobe Flash... 3 Software Permissions... 4 Screen resolution... 5 Access... 6 General notes... 6 DASHBOARDS... 7 Overview... 7 Information tab... 7 Summary Scorecard... 8 Interpreting the Scorecard colour coding... 8 Spider Diagram Board Comparisons and Trend Analysis Combined tab Troubleshooting APPENDIX Health Board codes
3 Introduction The Mental Health Benchmarking Dashboard provides a high level performance management overview of the Adult Mental Health service in Scotland. It is derived from the Adult Mental Health Benchmarking Toolkit which is published annually on the ISD website. For comprehensive details of the indicators covered and for access to the toolkit, please refer to the Mental Health Benchmarking web page. Software Requirements REQUIREMENTS In order to view the dashboard, Adobe Flash Player needs to be installed and the appropriate permissions may need to be granted. To install Flash Player please go to or request from your IT department. Due to a known problem with compatibility, the dashboards may not work with flash player version 10.1 and you are advised to upgrade your version of flash if the dashboards do not appear on screen. The latest version of flash player is recommended for use with this tool. It is recommended that you do not run any other programs while accessing the files, as they require a fairly large amount of processing power to run. System Requirements for Adobe Flash Adobe has tested Adobe Flash Player 10.3 software extensively on the following minimum hardware configurations: Processor Memory Graphics m emory Microsoft Windows Intel Pentium GHz, Athlon or faster processor (or equivalent) 128MB of RAM Mac OS X Linux Solaris Intel Core Duo 1.33GHz or faster processor 256MB of RAM 128MB of graphics memory 1 Intel Pentium GHz, AMD Athlon or faster processor (or equivalent) 1600 MHz Sun UltraSPARC IIIi 512MB of RAM 2GB of RAM 3
4 Platform Operating systems Browsers 2 Windows Windows 7, Windows Vista, Windows XP, Windows Server 2008, Windows Server 2003 Mac OS 4 Mac OS X 10.6, Mac OS X 10.5, Mac OS X 10.4 (Intel) Linux 5 Red Hat Enterprise Linux (RHEL) 5 or later, opensuse 11 or later, Ubuntu 9.10 or later Internet Explorer 6.0 and above Mozilla Firefox 3.0 and above Google Chrome 3 Safari 4.0 and above Opera 9.5 and above AOL 9.0 and above Safari 4.0 and above Mozilla Firefox 3.0 and above Google Chrome 3 Opera 9.5 and above AOL Desktop for Mac 1.0 and above Mozilla Firefox 3.0 and above Google Chrome 3 Solaris Solaris 10 6 Mozilla Firefox 3.0 and above 1. Recommended for GPU hardware acceleration dependent features. Flash Player will use software mode for systems that do not meet the system requirements. 2. Flash Player supports browser versions listed when run on operating systems supported by the browser vendor. 3. Beginning with Flash Player 10.2, Flash Player is integrated as part of Google Chrome. 4. ATI Rage 128 GPU does not support full-screen mode with hardware scaling. 5. Only Advanced Linux Sound Architecture (ALSA) is supported. Systems using OSS/ESD will not play audio. Only GTK2-based browser versions are supported. 6. Content protection using Adobe Flash Access is not available on this platform. For more details/updates please go to Software Permissions To ensure access to any linked documents available, you may have to give Adobe Flash Player permission to access the web page location. Instructions on how to do this are given below. Go to the Flash player setting Manager accessed by the following link Flash Player Global security settings. Select global security settings from the left hand menu if you are not already in the security panel, select edit locations, add locations and paste in the following link: ( Benchmarking-Project/) then click confirm. You may have to log off your computer and log back on again to ensure the permissions are updated. 4
5 Click to select Global Security Settings panel Click on Edit locations and then select Add location Copy and paste web address stated above into the trust this location box and click confirm Screen resolution In order to experience the optimum viewing of the tool, the recommended screen resolution is 1024x768 for a 15 screen or 1280x1024 for a 17 screen. If the tool appears too small or too big on screen, temporarily adjusting the screen resolution may correct this. To temporarily change screen resolution go to start settings - control panel display settings tab and move the 5
6 slider to the appropriate setting. Don t forget to note the original screen size so you can change it back if you wish. Access The Mental Health Benchmarking Dashboard is accessed via a password protected area on the ISD website: Project/Data/Mental-Health Once logged in click on the dashboard link and the tool will open in a new full screen window. The dashboard may take a few minutes to fully load, depending on the speed of your computer. General notes These data are released for management purposes and have not been adjusted to conform with Office of National Statistics Guidance on Disclosure Control. The tables may contain disclosive cells (cells with small numbers which might enable an individual patient or member of staff to be identified, perhaps with the aid of further knowledge of the topic) and should not be published without further consideration of the contents in light of the guidance. < 6
7 Overview DASHBOARDS The indicators are split into 3 categories: Community, Inpatient and Staffing. A separate tab on the dashboard is available to view data for each category. Each tab is structured in the same way to include a summary scorecard, a spider diagram, trend analysis and a board comparison chart. There is also an Information tab and a Combined tab for creating a user defined spider diagram. Information tab This tab provides a brief description of all the indicators included in the dashboard and the defined direction of performance for each. Also included in this tab are links to this User Guide, the Definitions and Sources manual and a link to the Adult Benchmarking Toolkit from which much of the data included in the dashboard is taken. 7
8 Summary Scorecard The summary scorecard table for each category displays the current value for the relevant time period for each indicator by Health Board. Clicking on a Health Board within the scorecard table will automatically display the spider diagram for that particular board and will also highlight their position in the Board Comparison chart for the selected indicator. Interpreting the Scorecard colour coding There are three categories of performance direction for each indicator as highlighted on the Information tab and also at the bottom of each column in the Scorecard table: High values are desirable values higher than the Scottish mean are desirable Low values are desirable values lower than the Scottish mean are desirable No direction no defined direction of performance i.e. desirable performance could mean either high or low values depending on interactions with other factors. 8
9 To illustrate these, the Scorecard uses colour coding and symbols to distinguish between the three categories. Clicking on the Interpretation button on each tab displays a summary of the key used: No preferred direction of performance is defined. Colour coding is based on statistical differences from the Scottish mean. High values are desirable. Value is coded green if it is greater than the Scottish mean or within one standard deviation lower. Values more than one standard deviation lower than the mean are colour coded from yellow to red. The direction of the arrow indicates whether the value is above or below the Scottish mean. Low values are desirable. Value is coded green if it is less than the Scottish mean or within one standard deviation higher. Values more than one standard deviation greater than the mean are colour coded from yellow to red. The direction of the arrow indicates whether the value is above or below the Scottish mean. 9
10 Spider Diagram The spider diagram chart shows the Board s performance compared to the Scottish mean and upper quartile for all indicators. The closer the result is to the outside of the diagram, the better it is; results closer to the centre are less positive. A value of 1 on the chart highlights that the indicator is performing at the Scottish upper quartile. The diagram can be enlarged by clicking on the check box at the top right of the screen. Please note that all Staffing indicators are defined as having no defined direction of performance but for illustration purposes in the spider diagram they are assumed to be high is desirable. This can be changed in the Combined tab by creating a user defined spider diagram. For graphical representation of the spider diagram the delayed discharges upper quartile calculation excludes NHS Boards with a value of 0 per 100,000 population. 10
11 Board Comparisons and Trend Analysis The Board comparison chart shows the performance of each Board by indicator. The indicator is selected using the button list in the centre of the screen. Note that this also controls the display of the Trend analysis chart. The currently selected Board will be highlighted in red on the comparison chart. The Board comparison and Trend Analysis charts can also be enlarged by clicking on the check box at the bottom right of the screen. Due to the change from NHS Board of Residence to NHS Board of Treatment, when costs indicators are selected a comparison is available showing a trend for both Board of Treatment and Board of Residence. Additional information on the indicator selected can be obtained by clicking on the link at the bottom of the screen. This will display detailed data from the Adult Mental Health Benchmarking Toolkit. 11
12 Combined tab This tab allows the user to create their own spider diagram populated with any of the indicators from the Community, Inpatient or Staffing categories. Step 1 Step 2 Step 1: Set the preferred direction of performance for those indicators where no performance direction has been defined. Step 2: Choose the list of indicators to be plotted on the spider diagram. Indicators can be selected by double clicking on the indicator within the left hand box, clicking on the arrow or by dragging from the left hand box to the right hand box. Click on the Confirm button to create the spider diagram. Please note that it is recommended that a minimum of 5 and a maximum of 13 indicators are selected. When choices are confirmed click Show Spider Diagram. 12
13 Step 3 Step 3: Select the Health Board to view using the drop down menu. The table at the bottom displays the actual values for the indicators and Health Board selected in comparison to the Scottish mean and upper quartile. The direction of indicators can be changed in this window also and the chart and table will change accordingly. To change the setup of the spider diagram click Reconfigure to return to the previous screen. Example:NHS Forth Valley, Mental Health Officers (Low values are desirable, defined by user) The table in the screenshot above shows the Scottish mean of 13.2, Scottish upper quartile of 12.4 for Total Mental Health Officers per 100,000 population and 9.9 for NHS Forth Valley. This is reflected in the spider diagram where the board rate sits beyond the Scottish mean and upper quartile indicating desirable performance. If the user changed the direction of Mental Health Officers to High then NHS Forth Valley s rate in the diagram would move closer to the centre of the diagram indicating a less positive value. 13
14 Troubleshooting Problem Unable to log in to view tools Adobe flash error message when accessing part of the tool (problem with add on) Tool does not load properly Time out error message Image cut off on screen Solution Check you have registered for access. Contact Update flash to latest available version Due to known errors with dashboard loading flash player version 10.1 is not recommended. Make sure you do not have flash player 10.1 as the dashboards do not work with this version. Desktop System may not meet flash requirements See adobe website for relevant system requirements System too slow loading. Ensure you have no other programs running at the same time Low resolution screen either use scroll bars or change screen resolution go to start - settings - control panel display and change resolution as appropriate If you continue to experience issues accessing the data, please contact NSS.Benchmarkingproject@nhs.net, detailing the exact problems you are experiencing. 14
15 Health Board codes APPENDIX Code A B F G H L N R S T V W Y Z D NHS Board NHS Ayrshire & Arran NHS Borders NHS Fife NHS Greater Glasgow & Clyde NHS Highland NHS Lanarkshire NHS Grampian NHS Orkney NHS Lothian NHS Tayside NHS Forth Valley NHS Western Isles NHS Dumfries & Galloway NHS Shetland Golden Jubilee National Hospital 15
16 16
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