Transcript Document

The SAVI Approach
GMCCSN
GMCCSN Support/Facilitation
Data Flows
Acute Trust
Acute Trust Enter
Data on SINAP
Monthly SINAP Export
Sent to GMCCSN Via
Secure FTP
BAU Reports
Received by Acute
Trusts
GMCCSN
Exports
Transferred to
Data Warehouse
Monthly Business as
Usual (BAU) Reports
Generated
BAU Reports
Analysed for Service
Improvement
Advancing
Quality (AQ)
SINAP Export
Utilised for AQ
Returns*
*only for trust that have agreed this process with Advancing Quality
Milestones
1. Engagement
2. SINAP Pilot
3. Registration
4. MOUs
5. Data sharing
6. User Group
7. Reporting requirements
8. In-house reports
9. Commissioning of BAU reports
10. User Acceptance
Requirements
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Network working groups bringing together
clinicians and managers
Regional collaboration – SQUIRE & AQ
North West Regional CQUINs
NICE Quality Standards (draft 1)
Network Minimum Dataset
Accelerating Stroke Improvement
Benefits
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Monthly service data – holds a “mirror” to service
Highlighting of outliers / best practice
Data quality
Regional and national benchmarking
Networking between data & audit facilitators
Clinical governance – e.g. tPA eligibility
Pathway & service model review / challenge
Assess service impact e.g. <6hr thrombolysis, <24hr
cut off
Targeted awareness raising
Next steps
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Link outcome data to 6 month reviews
Highlight trends – e.g. relationship between
discharge destination and timely PT / OT?
Targeted improvement through Knowledge
Management sessions – clinically led
Address pathway issues / non-compliance
Link to TIA data for key outcome measures
Link to ONS data for stroke mortality
Type of Stroke
% of
Patients
No. of
Patients
% of
Patients
No. of
Patients
% of
Patients
No. of
Patients
% of
Patients
No. of
Patients
% of
Patients
No. of
Patients
% of
Patients
No. of
Patients
% of
Patients
No. of
Patients
% of
Patients
No. of
Patients
% of
Patients
No. of
Patients
45
5
90
10
33
4
89
11
24
3
89
11
31
9
78
23
18
6
75
25
30
8
79
21
26
8
76
24
45
4
92
8
252
47
84
16
50
100
37
100
27
100
40
100
24
100
38
100
34
100
49
100
299
100
Infarction
Primary intracerebral
haemorrhage
Total
Total
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Type of Stroke - All
Admissions
Door to Needle
Door to Needle
Patient Audit Number
XXX
YYY
ZZZ
AAA
Hospital Arrival Time
24/06/2010 05:55:00
30/10/2010 23:45:00
01/12/2010 13:10:00
23/12/2010 20:15:00
Time of Thrombolysis
24/06/2010 08:50:00
31/10/2010 01:45:00
01/12/2010 15:30:00
23/12/2010 22:50:00
Elapsed Time (Minutes)
175
180
140
155
Onset to arrival
Arrival to 1st Brain Scan
Arrival to 1st Brain Scan - Exceptions
Patient Audit Number
AAA
BBB
CCC
DDD
EEE
FFF
GGG
HHH
III
JJJ
KKK
LLL
MMM
Hospital Arrival Time
11/05/2010 23:30:00
18/05/2010 12:00:00
25/05/2010 11:55:00
26/06/2010 23:30:00
27/06/2010 19:00:00
08/07/2010 20:15:00
19/07/2010 20:55:00
09/08/2010 21:10:00
27/08/2010 15:56:00
20/10/2010 10:10:00
26/10/2010 04:15:00
29/10/2010 22:40:00
19/11/2010 23:30:00
Time of First Brain Scan
12/05/2010 08:45:00
18/05/2010 19:50:00
26/05/2010 11:50:00
27/06/2010 09:25:00
28/06/2010 11:20:00
09/07/2010 08:00:00
20/07/2010 09:25:00
10/08/2010 15:05:00
28/08/2010 11:38:00
20/10/2010 21:10:00
26/10/2010 15:35:00
30/10/2010 13:30:00
20/11/2010 16:45:00
Elapsed Time (Minutes)
555
470
1435
595
980
705
750
1075
1182
660
680
890
1035
Any questions?
Contact Information
Name: Kate Ritchie
Job Title: Quality Improvement Manager
Email: [email protected]
Tel:
0161 426 9190
Visit: www.gmccsn.nhs.uk