This chapter addresses the ongoing management issues by offering some management guidelines for transitioning the project from developing the business case to maintaining a successful program.
Data were not available from all networks for every diagnosis, except for pneumonia, but the incidences of the Intego network, the Transition project and the Weekly Returns Service are within the same range.
The Transition project uses the ICPC, the Weekly Returns Service uses the ICD coding system, the Continuous Morbidity Registration an adapted version of the E list and the Intego network an extensive own list, but we recoded all diagnoses according to the ICPC-2 for analysis.
Surveys by both the Transition Project and the University of Hong Kong have shown that a growing number of people here identify themselves as Hong Kong residents rather than Chinese.
FDs recording data for the Transition Project were trained to record RfEs according to the definitions above and the recommendations in the ICPC book, reflecting the patient's symptoms and requests as expressed.
By collecting International Classification of Primary Care (ICPC) coded EMR data as part of the Transition Project from Dutch and Maltese databases (using the EMR TransHIS), data mining algorithms can empirically quantify the relationships of all presenting reasons for encounter (RfEs) and recorded diagnostic outcomes.
The prime minister needs to figure out how to engineer the transition, and then sell the project to the British public.
These gates also provide the review metrics for ensuring successful transition and integration of the project into the next stage.
The CMR reports higher incidences for pneumonia as the other three registrations: in children aged 0 – 4 years, the yearly incidence is 27 30 per 1000 patients, as compared to 18.3 in the Transition project, 18.1 in our present study based on Intego and 15.7 in the Weekly Returns Service (the latter is based on children from 1 4 years old).
Another outlier is the very high incidence of meningitis in children under the age of one, reported by the UK Weekly Returns Service: 9.4 infections per 1000 children per year, as compared to a yearly incidence of 1.4 per 1000 in Intego and 1.3 per 1000 in the Transition project, both based however on children from 0 to 4 years old.
