Avoca took the data extract from a McKesson PAS for a large UK Acute Trust, covering the last two financial years. Having consolidated the data using schema and data analysis into an integral form the data was loaded into Avoca Pathway Analyser software for further scrutiny.

The results showed the trust had carried out over 1 million pounds of treatment which couldn’t be reimbursed. One treatment had 2,109 patient pathways since April 2010, 1,762 of these Patient Pathways did not follow the best practice PbR guidance. The pathways which did not follow best practice contained 8,309 additional outpatient attendances for which they received no reimbursement, costing the Trust an additional £540,000.

 Avoca have highlighted the opportunities to address this at the Trust and are now in process of agreeing the benefit realisation plan.