Specialised Respiratory Quality Dashboard Measure Number Domain Description & Provenance Difficult asthma RESP01 RESP02 RESP03 RESP04 RESP05 RESP06 Interstitial Lung Disease RESP07 Name of KPI Numerator Denominator Time from receipt of referral to first outpatient time from referral to Number of first appointment outpatient appointments % patients with a specialist centre (LIST) from denominator, Number of patients diagnosis who have an agreed written number who have with specialist management plan - no source agreed written centre diagnosis management plan Proportion of patients on specialised service caseload with a record on the BTS Severe asthma registry within 3 months of entry to the service % patients with a specialist centre diagnosis receiving bone protection as per service specification Rate of exacerbations (worsening of symptoms requiring initiation or doubling of oral corticosteroids for at least 3 days) within last year for all patients on caseload Proportion of patients with a clinically significant improvement in asthma related QoL (as per JUNIPER AQLQ or ACQ7) following entry to the specialised service Frequency Numerator Data Source Denominator Data Source Quarterly Trust Trust Quarterly Trust Trust Quarterly BTS BTS Quarterly BTS BTS Quarterly BTS BTS Quarterly BTS BTS % of referrals discussed at ILD MDT (as per from denominator, service specification) within 3 months of first number of referrals assessment in the specialised service discussed as ILD MDT within 3 months of first assessment Median time to death from first diagnosis (if time from first possible) diagnosis to death Number of first Quarterly assessments during previous quarter Trust Trust Number of deaths Quarterly HES HES RESP09 % patients with IPF having full Lung Function TBC Tests (as per service specification) within 3 months of first assessment TBC Quarterly ? HES ? HES RESP10 % patients with IPF having full LFTs (as per service specification) annually Quarterly Trust Trust RESP08 Target Notes further guidance needed - not for first data collection RESP11 Complex home ventilation RESP12 RESP14 Mean/median interval between emergency TBC admissions for respiratory deterioration of IPF patients on caseload TBC % of patients receiving home ventilation From denominator, requiring emergency admission for a number of patients respiratory cause per year requiring emergency admission for a respiratory cause % of patients receiving home ventilation with a From denominator, recorded annual arterial blood gas number with recorded measurement annual arteral blood gas measurement Number of patients receiving home ventilation Quarterly ? HES ? HES Trust Trust Trust Trust further guidance needed - not for first data collection Annual Number of patients receiving home ventilation Annual ROCR/OR/2230/001MAND