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SINAP Results First Quarterly Public Report. July 2010 – June 2011 admissions. An interactive slideshow allowing you to click on links to take you to the key indicators that you want to see.

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sinap results first quarterly public report

SINAP Results First Quarterly Public Report

July 2010 – June 2011 admissions

An interactive slideshow allowing you to click on links to take you to the key indicators that you want to see.

For example, you can click on a key indicator link on the next page to take you to its description. Then you can click on “Graph” to see a graph of national figures for that indicator.

contents
Contents

Key Indicator 7

Annual data

Quarterly data

Key Indicator 8

Number of patients

Key Indicator 9

Key Indicator 1

Key Indicator 10

Key Indicator 2

Key Indicator 11

Key Indicator 12

Key Indicator 3

Key Indicator 4

Average of 12 KIs

Key Indicator 5

Box plots

Feedback

Key Indicator 6

slide3

Annual data July 2010 – June 2011

  • The above table shows key indicators 1-6 across all hospitals, with the number (and percentage) of patients who received each standard.

Next part of table

Contents

slide4

Annual data July 2010 – June 2011

  • The above table shows key indicators 7-12 across all hospitals, with the number (and percentage) of patients who received each standard. It also shows the average of the 12 key indicators.

Previous part of table

Contents

slide5

Quarterly data April – June 2011

  • The above table shows key indicators 1-6 across all hospitals, with the number (and percentage) of patients who received each standard.

Next part of table

Contents

slide6

Quarterly data April – June 2011

  • The above table shows key indicators 7-12 across all hospitals, with the number (and percentage) of patients who received each standard. It also shows the average of the 12 key indicators.

Previous part of table

Contents

key indicators
Key indicators
  • Number of patients scanned within 1 hour of arrival at hospital
    • This is for stroke patients only. Patients who were already in hospital at the time of stroke are not included, as arrival time is irrelevant here. This indicator is for Accelerating Stroke improvement (ASI) Metric 4 (and is also linked to NICE Quality Standard 2).

Graph

Contents

key indicators1
Key indicators
  • Number of patients scanned within 1 hour of arrival at hospital

Information

Contents

key indicators2
Key indicators
  • Number of patients scanned within 24 hours of arrival at hospital
    • This is for stroke patients only. Patients who were already in hospital at the time of stroke are not included as arrival time is irrelevant here. This indicator is for ASI Metric 4.

Graph

Contents

key indicators3
Key indicators
  • Number of patients scanned within 24 hours of arrival at hospital

Information

Contents

key indicators4
Key indicators
  • Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours)
    • This is based on stroke patients who arrived out of hours. Out of hours means the patient arrived after 6pm or before 8am Monday-Friday, or at the weekend or on a Bank Holiday. Patients who were already in hospital at the time of stroke are not included as arrival time is irrelevant here. This indicator is used to distinguish hospitals which have well organised direct admission to stroke units 'out of hours'.

Graph

Contents

key indicators5
Key indicators
  • Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours)

Information

Contents

key indicators6
Key indicators
  • Number of patients seen by stroke consultant or associate specialist within 24 hours
    • This is for stroke patients only. Patients already in hospital at the time of stroke are included (onset time would be the ‘0’ hour here, whereas for newly admitted patients the ‘0’ hour is the time of arrival at hospital).

Graph

Contents

key indicators7
Key indicators
  • Number of patients seen by stroke consultant or associate specialist within 24 hours

Information

Contents

key indicators8
Key indicators
  • Number of patients with a known time of onset for stroke symptoms
    • This is based on stroke patients only. It includes patients who were already in hospital at time of stroke. This is included as a key indicator to reward those services which are putting effort into establishing the onset time for more of their patients. Also, it contributes to higher quality and more useful data, as more standards can be measured according to onset time.

Graph

Contents

key indicators9
Key indicators
  • Number of patients with a known time of onset for stroke symptoms

Information

Contents

key indicators10
Key indicators
  • Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72 hours where applicable
    • This is for stroke patients only. Patients already in hospital at the time of stroke are included. This is used as a key indicator as it is a measure which looks at whether hospitals are involving carers/relatives.

Graph

Contents

key indicators11
Key indicators
  • Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72 hours where applicable

Information

Contents

key indicators12
Key indicators
  • Number of patients who had a continence plan drawn up within 72 hours where applicable
    • This is for stroke patients only. This includes patients already in hospital at the time of stroke. The management of continence is consistently highlighted by patients as being one of the most important aspects of care.

Graph

Contents

key indicators13
Key indicators
  • Number of patients who had a continence plan drawn up within 72 hours where applicable

Information

Contents

key indicators14
Key indicators
  • Number of potentially eligible patients thrombolysed
    • Eligible patients are those with infarction; aged 80 and under; whose onset of stroke to arrival at hospital time was less than 3 hours or who had their stroke in hospital; who did not refuse treatment; and who were not contra-indicated due to co-morbidity, medication or another reason. This is linked to NICE Quality Standard 3.

Graph

Contents

key indicators15
Key indicators
  • Number of potentially eligible patients thrombolysed

Information

Contents

key indicators16
Key indicators
  • Bundle 1: Seen by a nurse and one therapist within 24 hours and all relevant therapists within 72 hours (proxy for NICE Quality Standard 5)
    • This is for stroke patients only. This includes patients already in hospital at the time of stroke. This is linked to NICE Quality Standard 5 but does not have 'documented multidisciplinary goals agreed within 5 days' which is part of the NICE Quality Standard. (This is because this is outside of SINAP’s 72 hour remit).

Graph

Contents

key indicators17
Key indicators
  • Bundle 1: Seen by a nurse and one therapist within 24 hours and all relevant therapists within 72 hours (proxy for NICE Quality Standard 5)

Information

Contents

key indicators18
Key indicators
  • Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate
    • This is for stroke patients only. This includes patients already in hospital at the time of stroke.

Graph

Contents

key indicators19
Key indicators
  • Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate

Information

Contents

key indicators20
Key indicators
  • Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival
    • This is for stroke patients only. Patients who were already in hospital at the time of stroke are not included as arrival at hospital time is irrelevant here. This is ASI Metric 2 (and is also linked to NICE Quality Standard 3).

Graph

Contents

key indicators21
Key indicators
  • Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival

Information

Contents

key indicators22
Key indicators
  • Bundle 4: Patient given antiplatelet within 72 hours where appropriate and had adequate fluid and nutrition in all 24 hour periods
    • This is for stroke patients only. This includes patients already in hospital at the time of stroke.

Graph

Contents

key indicators23
Key indicators
  • Bundle 4: Patient given antiplatelet within 72 hours where appropriate and had adequate fluid and nutrition in all 24 hour periods

Information

Contents

average 12 key indicators
Average 12 Key Indicators
  • This is an unweighted average (mean) of the key indicators.
  • This is a guide for benchmarking across all hospitals.
  • This average may also provide a useful indication of how the stroke service is performing over time.

Graph

Contents

slide33

Average 12 Key Indicators

Information

Contents

slide34

Contents

Key to box plots

slide35

Key to the box plots

Median*

(the ‘middle’ value)

Anomalies: these are data values that are significantly outside the data range and are hence discounted from statistical calculations.

Lowest* value of the data range

Highest* value of the data range

Upper quartile*

(75 percentile)

Lower quartile*

(25 percentile, i.e. the value at 25% of the ordered data set)

*Excluding anomalous data values

Box plots

Contents

feedback
Feedback
  • We are keen to have feedback on this presentation, and particularly if you have used it for quality improvement purposes.
  • Please send feedback to: sinap@rcplondon.ac.uk
  • For more information, please visit:
  • www.rcplondon.ac.uk/sinap

Contents