Scottish Stroke Care Audit Driving Improvement in Practice. Iona Lancaster Anne Davidson
|
|
- Rudolph Davis
- 5 years ago
- Views:
Transcription
1 Scottish Stroke Care Audit Driving Improvement in Practice Iona Lancaster Anne Davidson
2 Scottish Stroke Care Standards 90% of all patients admitted to hospital with a diagnosis of stroke are admitted to the stroke unit on the day of admission, or the day following presentation at hospital, and remain in specialist stroke care until in-hospital stroke-related needs are met. (By day 1) 90% of patients have CT/ MRI imaging within 24 hours of admission. 90% of patients are screened by a standardised assessment method to identify any difficulty swallowing safely due to low conscious level and/ or the presence of signs of dysphagia on the day of admission before the patient is given any food/ drink or oral medication. The result of the screen/ test should be clearly documented in the patients notes. (By day 0) Aspirin is given on the day of admission or the following day for all patients in whom a haemorrhagic stroke, or other contraindication, as specified in the national audit, has been excluded. (By day 1) 80% of new patients with a stroke or TIA are seen within 4 days of receipt of referral to the neurovascular clinic. The MCN monitors the delay between arrival at the first hospital and administration of the bolus of recombinant plasminogen activator. 80% of patients receive the bolus within one hour of arrival.
3 SSCA Changing Culture Key in promoting the integration of audit findings into practice Key in prompting the development of a new stroke patient pathway for PRI Helped to change attitudes to stroke patients - patients with a stroke are now seen as a medical emergency Promoted increased staff knowledge in stroke. Setting up of a Stroke Pathway Quality Improvement Group Setting up exception reporting
4 Exception reporting Monthly (could be done daily or weekly) Looks at where we have failed to meet the standards Team pull medical, nursing and AHP records and look for the specific reason the patient/s failed e.g. This patient was on 75mg of aspirin pre admission, they were written up to have 300mg as stated in the standard however this was then withheld. The patient had also been thrombolysed. Dr Nair has followed this up with the member of medical staff involved. 2 patients failed to receive their thrombolysis within 1 hour and the reason for missing the target in both cases was a delay between CT and thrombolysis. Both these patients were admitted in the OOH period. Monthly report written and any instances where the pathway was not followed are addressed with individual staff members. Over time we have been able to identified the key issues and start to address them.
5 Role of the Acute Medical Unit AMU key to stroke Care in PRI Stroke was not a priority Exception reporting had identified the key issues in the AMU (stroke pathway not followed and stroke low priority) Needed an easy and quick way to ensure care was appropriate Team identified that they wanted an easy, see at a glance checklist of what had been done and more importantly what still needed to be done. Team developed a checklist Amended over and over
6 Creation Of Checklist
7 What has the Checklist Achieved? Helps staff focus on priorities Ability to answer queries regarding what was still to be done Assisting audit Focus on essential care bundle for Stroke patients Handover to Stroke Unit more effective
8 Improvements For Patients Safer care, evidenced based practise Patients are prioritised Quality assurance in care delivery Nurses knowledge of stroke care improved Nurses feeling empowered Transfer to Stroke Unit promptly Reduced time of patient unnecessarily remaining NBM
9 Stroke Patients Today In The AMU Staff actively promote appropriate treatment of patients thus ensuring : CT scanning occurs on day of admission swallow screen and neurological observations are prioritorised on admission and aspirin is appropriately prescribed Blood glucose monitoring undertaken Improvement in communication with Stroke Unit regarding in-patients and pending transfers Stroke unit actively pull patients into unit Feedback from the Stroke Unit which identifies staff who failed to follow the stroke patient pathway appropriately Regular stroke education for nursing staff
10 Feedback Staff feel they now have the confidence to safely look after a patient with a stroke Support from project lead in stroke care Statistics showing steady improvement
11 Future Ever evolving in correlation with national guidelines Continue to look at individual patients who fail to meet standards Open to criticism Patient feedback
12 Admission To The Stroke Unit By Day 1 Admission to the stroke unit by day Percentage Year Percentage
13 Swallow Screening Swallow screening Percentage Year Percentage
14 Brain Imaging Brain Imaging Percentage Year Percentage
15 Aspirin Aspirin Percentage Year Percentage
16 Outpatient Examination % Latest 12 months May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 % Outpatients Examination <= 4 days Quarterly Stroke Standard (Jan 2013)
17 Thrombolysis % Latest 12 months May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 % Thrombolysed <= 60 mins Quarterly Stroke Standard (Jan 2013)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with
More informationWAITING TIMES AND ACCESS TARGETS
NHS Board Meeting Tuesday 17 February 2015 Chief Officer (Acute Services) Board Paper No.15/08 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national
More informationDeveloping a care bundle for stroke. Hazel Fraser Stroke Co-ordinator NHS Fife September 2011
Developing a care bundle for stroke Hazel Fraser Stroke Co-ordinator NHS Fife September 2011 Aim to cover Background Scottish Patient Safety Programme Care bundles PDSA Challenges faced Is it working?
More informationAyrshire and Arran NHS Board
Paper 12 Ayrshire and Arran NHS Board Monday 9 October 2017 Planned Care Performance Report Author: Fraser Doris, Performance Information Analyst Sponsoring Director: Liz Moore, Director for Acute Services
More informationWAITING TIMES AND ACCESS TARGETS
NHS Board Meeting Tuesday 21 April 2015 Chief Officer (Acute Services) Board Paper No.15/17 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national
More informationSPSP Medicines. Prepared by: NHS Ayrshire and Arran
SPSP Medicines Prepared by: NHS Ayrshire and Arran Medication Reconciliation: Story so far MR happening in primary care, acute adult, paediatrics and mental health Started in acute then mental health,
More informationCorporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,
Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter Ending 31 December 2015 Publication date 23 February 2016 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3 Results
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationCHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04.
PPC1: ACCESS AND COMMUNICATION Element B: Access and Communication Results Item 1: Visits with assigned PCP Continuity data is reviewed each month at our Office Redesign Committee (ORDC). The data is collected
More informationSSNAP data: What are the benefits? Tony Rudd
SSNAP data: What are the benefits? Tony Rudd Without the audit data services would not have improved 2001 2005 2007 2010 2013 What does SSNAP measure? Organisation of care (measures structure) Clinical
More informationKentucky Sepsis Summit. August 2016
1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute
More informationSheffield Teaching Hospitals NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust @seamlesssurgery Seamless Surgery Team Sheffield Teaching Hospitals NHS Foundation Trust July 2017 PROUD TO MAKE A DIFFERENCE PROUD TO MAKE A DIFFERENCE
More informationEmergency Department Waiting Times
Publication Report Emergency Department Waiting Times (formerly Accident & Emergency Waiting Times) Quarter ending 30 June 2011 Publication date 30 August 2011 A National Statistics Publication for Scotland
More informationNSS Information and Intelligence report.
NSS Information and Intelligence 2017 report. NHS National Services Scotland/Crown Copyright 2017 Brief extracts from this publication may be reproduced provided the source is fully acknowledged. Proposals
More informationImproving Care, Delivering Quality Reducing mortality & harm in Welsh Ambulance Services NHS Trust
National Learning Session - 10 th June 2011 Improving Care, Delivering Quality Reducing mortality & harm in Insert name of presentation on Master Slide Reducing Mortality & Harm in the Welsh Ambulance
More informationJANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days)
AND CORRESPONDING DATES FOR JANUARY AND FEBRUARY 2018 JANUARY 2018 ( work days) Deadline* 12-27 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 Benefit Hold ** 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 1-11 Mailing
More informationASPIRE. Allied Health Professions Supporting and Promoting Improvement, Rehabilitation and Enabling Others ADVANCED PRACTICE SPECIALIST GENERALIST
ASPIRE Allied Health Professions Supporting and Promoting Improvement, Rehabilitation and Enabling Others ADVANCED PRACTICE SPECIALIST GENERALIST ENABLING OTHERS AHP Strategy 2017 2021 CONTENTS Introduction
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationEnlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):
Enlisted Professional Military Education FY 18 Academic Calendar Table of Contents STAFF NON-COMMISSIONED OFFICER ACADEMIES: SNCO Academy Quantico SNCO Academy Camp Pendleton SNCO Academy Camp Lejeune
More informationDischarge and Follow-Up Planning. Presented by the Clinical and Quality Team
Discharge and Follow-Up Planning Presented by the Clinical and Quality Team After today s training you will be able to: Identify and summarize important information about discharge planning Have adequate
More informationQuality Management Report 2017 Q2
Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance
More informationReview of Stroke (Acute Phase) and TIA Services
Review of Stroke (Acute Phase) and TIA Services Mid Staffordshire Health Economy Visit Date: 6 th December, 2011 Report Date: February 2012 WMQRS Mid Staffs Stroke Final Report V1 20120214.Doc 1 IDEX Introduction...
More informationNSS Information and Intelligence. Scottish Stroke Improvement Programme report.
NSS Information and Intelligence Scottish Stroke Improvement Programme 2018 report. NHS National Services Scotland/Crown Copyright 2018 Brief extracts from this publication may be reproduced provided the
More informationCompliance Division Staff Report
Compliance Division Staff Report Polygraph Advisory Board Meeting Tuesday, September 26, 2017 Public Outreach Compliance Division routinely attends annual industry meetings held by TALEPI (Texas Association
More informationStandardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017
Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning
More informationGoverning Body. TITLE OF REPORT: Performance Report for period ending 31st December 2012
- Governing Body DATE OF MEETING: TITLE OF REPORT: Performance Report for period ending 31st December 2012 KEY MESSAGES: We are responsible for securing improvements in the quality of care and health outcomes.
More informationNHS performance statistics
NHS performance statistics Published: 8 th February 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August 2016
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August By: Terry Dentoni, MSN, RN, CNL, SFGH Chief Nursing Officer 1. Professional Nursing..1 2. Emergency Department
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS MEETING HELD MAY 2011
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST K EXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS MEETING HELD MAY 2011 Subject Supporting TEG Member Author Status 1 Pharmacy and medicines management
More information2013 National Report
2013 National Report Stroke Services in Scottish Hospitals NHS National Services Scotland/Crown Copyright 2013 Brief extracts from this publication may be reproduced provided the source is fully acknowledged.
More informationSTATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018
STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 Main Findings March 2018: Critical Care Beds There were 4,064 adult critical care beds available
More informationNHS Performance Statistics
NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationNHS Lanarkshire. Local Report ~ November Stroke Services: Care of the Patient in the Acute Setting
NHS Lanarkshire Local Report ~ November 2005 Stroke Services: Care of the Patient in the Acute Setting NHSScotland Regional Breakdown 13 12 15 1 NHS Argyll & Clyde 2 NHS Ayrshire & Arran 3 NHS Borders
More informationSystem enablers practical aspects Chair Lesley Anne Smith
System enablers practical aspects Chair Lesley Anne Smith Time Topic Room Optional lunchtime sessions, numbers limited to 50 per room, catering provided in the room 13.15 QI Harris Level 1 Service Users
More informationHealth Board Report INTEGRATED PERFORMANCE DASHBOARD
AGENDA ITEM 4.2 27 th January 2016 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact
More informationNottingham University Hospitals Emergency Department Quality Issues Related to Performance
RCCG/GB/14/123 Nottingham University Hospitals Emergency Department Quality Issues Related to Performance Introduction NUH have failed to meet the 95% 4 hour wait standard for a number of consecutive months.
More informationAnn Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program. Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence
Ann Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence Background Outline Innovative strategies to develop
More informationAyrshire and Arran NHS Board
Paper 6 Ayrshire and Arran NHS Board Monday 11 December 2017 SPSP Update: Acute Adult Programme Author: Laura Harvey, QI Lead for Acute Services, Person Centred & Customer Care Sponsoring Director: Liz
More informationQuality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals
Quality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals DMC Harper- Hutzel Hospital The DMC is an 8 facility academic medical center Harper-Hutzel is
More informationBOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS
BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BE IT RESOLVED, by the Mayor and Borough Council of the Borough of Roselle,
More informationMBQIP Measures Fact Sheets December 2017
December 2017 This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1RRH29052, Rural Quality
More informationNational Trends Winter 2016
National Trends Winter 216 About the National Trends data This report presents a unique and real-time view of trends within temporary nursing including bank and agency usage. The data used has been drawn
More informationSummarise the Impact of the Health Board Report Equality and diversity
AGENDA ITEM 4.1 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact Details for further
More informationA Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust
A Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust Health Visiting Local Picture Population of approx 21,000 under 5s 10 Health Visitor Teams across the borough New model of
More informationCriteria Led Discharge Pilot NHS Ayrshire and Arran Lorna Loudon, Linsey Stobo, Fraser Doris Implementing CLD in Scotland
Criteria Led Discharge Pilot NHS Ayrshire and Arran Lorna Loudon, Linsey Stobo, Fraser Doris Implementing CLD in Scotland 18.3.15 Whole System Patient Flow Improvement Programme 1 Background Project Team
More information2012 National Report
12 National Report Stroke Services in Scottish Hospitals NHS National Services Scotland/Crown Copyright 12 Brief extracts from this publication may be reproduced provided the source is fully acknowledged.
More informationCollaboration Between Radiology and Utilization Management to Reduce Inappropriate MRI Orders and Patient Wait Times. Problem/Goal
Collaboration Between Radiology and Utilization Management to Reduce Inappropriate MRI Orders and Patient Wait Times A. Chang, C. Hyun, N. Mehta, S. Kim, M. Grube, M. Blair, A. Yi VA Loma Linda Healthcare
More informationTransitions in Care. Discharge Planning Pathway & Dashboard
Transitions in Care Discharge Planning Pathway & Dashboard Scott Jarrett Executive Vice President and Chief of Clinical Programs Humber River Hospital Carol Hatcher Vice President Clinical Programs Humber
More informationTele Stroke ( Telemedicine in Practice)
Tele Stroke ( Telemedicine in Practice) Site Royal Surrey County Hospital East Surrey Hospital Frimley Park Hospital NHS Foundation Trust Ashford and St Peter's Hospital NHS Trust Epsom Hospital Surrey
More information1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, December 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. November 2013-2320 RN VACANCY RATE: Overall 2320 RN
More informationReducing Elective Waits: Delivering 18 week pathways for patients. Programme Director NHS Elect Caroline Dove.
Reducing Elective Waits: Delivering 18 week pathways for patients Programme Director NHS Elect Caroline Dove What I will cover 1. Why 18 Weeks is different 2. Where are we now 3. New models of delivery
More informationScottish Stroke Care Audit National Report
Scottish Stroke Care Audit 2010 National Report Stroke Services in Scottish Hospitals Data relating to 2005-2009 NHS National Services Scotland/Crown Copyright 2010 Brief extracts from this publication
More informationThe Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 24 June 2013 Title: Executive Summary: Action Requested: Report of: Author: Contact Details: Resource Implications: Public or Private:
More informationUrgent & Emergency Care Strategy Update
RCCG/GB/17/144 Urgent & Emergency Care Strategy Update 1. Introduction The purpose of this paper is to provide assurance on the effective delivery to date of our urgent and emergency care strategy within
More informationWorkflow. Optimisation. hereweare.org.uk. hereweare.org.uk
Workflow Optimisation Dr. Paul Deffley & Jaivir Pall Clinical Lead & Commercial Lead About Here Not-for-profit social enterprise Membership organisation (our members are local GPs, Practice Managers, Practice
More informationUrgent Care Short Term Actions to Improve Performance
To: Trust Board From: Chief Operating Officer Date: March 2017 Healthcare standard Title: Urgent Care Short Term Actions to Improve Performance Author/Responsible Director: Michael Woods / Andrew Prydderch
More informationThe New Clinical Research Landscape Incentives, Opportunities and Support Offered by the NIHR
The New Clinical Research Landscape Incentives, Opportunities and Support Offered by the NIHR 1 September 2011 Dr Jonathan Gower Assistant Director CCRN The National Institute of Health Research - A real
More informationClinical Governance report prepared for NHS Lanarkshire Board Report title Clinical Governance Corporate Report - October 2015
Page 1 of 22 Print :15/1/215 Page 2 of 22 Print :15/1/215 Quality Ambition: Safe NHS Lanarkshire aims to be the safest health and care system in Scotland with no avoidable deaths, reduction in avoidable
More informationA collaborative approach to Specialist Palliative Care and the difference this is making in Dudley
A collaborative approach to Specialist Palliative Care and the difference this is making in Dudley Dr Joanne Bowen, Dudley Foundation Trust Nicole Woodyatt, Macmillan Cancer Support The Midhurst Macmillan
More informationMINISTRY/LHIN ACCOUNTABILITY AGREEMENT (MLAA) MLAA Performance Assessment Dashboard /10 Q3
MINISTRY/LHIN ACCOUNTABILITY AGREEMENT (MLAA) MLAA Performance Assessment Dashboard - 29/1 Q3 README The 29/1 MLAA Dashboard has been designed to reflect various reporting fiscal periods as well as the
More informationNHS performance statistics
NHS performance statistics Published: 14 th December 217 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationWAITING TIMES AND ACCESS TARGETS
NHS Board Meeting Tuesday 17 December 2013 Lead Director (Acute Services Division) Board Paper No 13/60 Recommendation: WAITING TIMES AND ACCESS TARGETS The NHS Board is asked to note progress against
More informationPlease place your phone line on mute.
We will begin the MaRISS Coordinator Call shortly Please place your phone line on mute. 8/26/2016 2 Overview Missing data Correct dates on Baseline NIHSS Form 24 hour window for consent CRF Forms What
More informationIssue 5: January 2015
A trial to evaluate an extended rehabilitation service for stroke patients EXTRAS News Issue 5: January 2015 Happy New Year from the EXTRAS co-ordinating centre! Here is some more EXTRAS news to share.
More informationThe Case for Optimal Staffing: A Call to Action
The Case for Optimal Staffing: A Call to Action 2015 ANCC National Magnet Conference October 7, 2015 2:30 3:30pm Session C721 Mary Jo Assi, DNP, RN, NEA BC, FNP BC Director of Nursing Practice and Work
More informationLet Hospital Workforce Data Talk
Let Hospital Workforce Data Talk A Data Visualisation Exercise Health & Biosecurity Yang Xie yang.xie@csiro.au HIC, 08-Aug-2017 THE AUSTRALIAN E-HEALTH RESEARCH CENTRE Healthcare Marketplace: the big picture
More informationA must have for any GP surgery. It is like having our own Social Worker, CAB, Mental Health Worker all rolled into one who will chase up patients on
A must have for any GP surgery. It is like having our own Social Worker, CAB, Mental Health Worker all rolled into one who will chase up patients on the phone and even go out to their houses if needed
More informationSOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST
SOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST CLINICAL SERVICES POLICY & PROCEDURE (CSPP No. 19) STROKE CARE POLICY AND PROCEDURES September 2016 DOCUMENT INFORMATION Author: Dave Sherwood Assistant
More informationHealth Board Report INTEGRATED PERFORMANCE DASHBOARD
AGENDA ITEM 4.4 2 nd March 2016 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact
More informationSafety in Mental Health Collaborative
NHS Tayside Safety in Mental Health Collaborative Improving Safety in Mental Health Programme Aims supported by an Improvement Advisor: Dr Noeleen Devaney Support 4 UK organisations to: reduce harm improving
More informationClinical Audit for Improvement: HQIP update
Clinical Audit for Improvement: HQIP update Mirek Skrypak @MirekSkr Associate Director for Quality and Development National Clinical Audit and Patient Outcomes Programme Healthcare Quality Improvement
More informationBOARD OF DIRECTORS PAPER COVER SHEET. Meeting Date: 1 st December 2010
BOARD OF DIRECTORS PAPER COVER SHEET Meeting Date: 1 st December 2010 Agenda Item: 9 Paper No: E Title: Management of Pressure Ulcers Purpose: For Information Summary: This paper provides a report on the
More informationA View from a LHIN Breakfast with the Chiefs
A View from a LHIN Breakfast with the Chiefs Matthew Anderson Chief Executive Officer October 22 nd, 2008 To change the world To change the world To change the world 6 Months of Learning The good news
More informationOutline. The HEAT target for stroke unit care Early swallow screen Early access to brain scanning
Outline The HEAT target for stroke unit care Early swallow screen Early access to brain scanning More later from Andrew Farrall Early use of aspirin Bundles of care Early access to TIA clinics HEAT target
More informationMonthly and Quarterly Activity Returns Statistics Consultation
Monthly and Quarterly Activity Returns Statistics Consultation Monthly and Quarterly Activity Returns Statistics Consultation Version number: 1 First published: 08/02/2018 Prepared by: Classification:
More informationNHS Electronic Referrals Service. Paper Switch Off an update Digital Health Webinar 4 May 2018
NHS Electronic Referrals Service Paper Switch Off an update Digital Health Webinar 4 May 2018 Aims of Session Introductions and refresh of Paper Switch Off Sharon Wilson Implementation manager NHS Digital
More informationSutton Homes of Care Vanguard Programme
Sutton Homes of Care Vanguard Programme An Innovative End of Life Care model for care homes Kings Fund Conference 6 th December 2016 Corinne Campion, Clinical Nurse Specialist, Supportive Care Home Team
More informationIssue 4: October 2014
A trial to evaluate an extended rehabilitation service for stroke patients EXTRAS News Issue 4: October 2014 What has been happening since our last newsletter in March 2014.? 1. New study centres Four
More informationApril Clinical Governance Corporate Report Narrative
April 14 - Clinical Governance Corporate Report Narrative ITEM 7B Narrative has been provided where there is something of note in relation to a specific metric; this could be positive improvement, decline
More informationANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010
ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010 Objective Action Desired Output / Monitor and manage all those at risk of stroke and, refer as appropriate to smoking cessation services,
More informationthequalitypost in this issue Get Out of Your Comfort Zone Edward Tufte s Principles for Effective Presentations Get Out of Your Comfort Zone
thequalitypost Edward Tufte s Principles for Effective Presentations Get Out of Your Comfort Zone Multidiciplinary Care for COPD Going Above and Beyond Division Incentive Metrics Monthly Quality Improvement
More informationNHS Borders Feedback and Complaints Annual Report
NHS Borders Feedback and Complaints Annual Report 2016-17 1 Introduction NHS Borders Feedback and Complaints Annual Report 2016-17 is a summary of the feedback provided by the complaints, comments, concerns
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter ending 30 September 2012 Publication date 27 November 2012 A National Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Key
More informationDepartments to Improve. February Chad Faiella RN, Terri Martin RN. 1 Process Excellence
Coordination of Multiple Departments to Improve ED Throughput February 2011 Chad Faiella RN, Terri Martin RN 1 Agenda OhioHealth information Grant Medical Center facts Bed assignment process Key takeaways
More informationINCLUSION CRITERIA. REMINDER: Please ensure all stroke and TIA patients admitted to hospital are designated as "Stroke Service" in Cerner.
ACUTE STROKE CLINICAL PATHWAY The clinical pathway is based on evidence informed practice and is designed to promote timely treatment, enhance quality of care, optimize patient outcomes and support effective
More informationIntegrated Performance Report
Integrated Performance Report M06 September 2014 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Allsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An
More informationChange Management at Orbost Regional Health
Change Management at Orbost Regional Health Our change management journey 1 Medication Change System Meds at Beds 2 The slightly exaggerated before process 3 Project Goals The purpose of the Meds at Beds
More informationStakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from
Strategic Plan 27 Executive Summary The following is a summary of the information shared in this Operations Review and Plan. This plan highlights operational achievements and challenges, clinical outcomes
More informationBoard Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing January 2018 (December 2017 data)
Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing January 2018 (December 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author:
More informationAchieving Operational Excellence with an EHR a CIO s Perspective
Achieving Operational Excellence with an EHR a CIO s Perspective Phyllis Schuck, SPHR CIO of Pinehurst Surgical HIT Session 6.02 Thursday, March 29, 2007 Pinehurst Surgical Organization Overview Founded
More informationCardiff and Vale University Health Board. Stroke Delivery Plan / Progress Report September 2017
Stroke Delivery Plan / Progress Report September 2017 1. Overview (CaV UHB) has made progress during the past year in the following areas: - Thrombolysis improvement both in the number of eligible patients
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter ending 30 June 2011 Publication date 30 August 2011 A National Statistics Publication for Scotland Contents Contents... 1 About ISD... 2 Official Statistics...
More informationNHS Ayrshire & Arran Adverse Event Management: Review of Documentation Supplementary Information Requested by NHS Ayrshire & Arran
NHS Ayrshire & Arran Adverse Event Management: Review of Documentation Supplementary Information Requested by NHS Ayrshire & Arran April 2013 Background In February 2012, the Scottish Information Commissioner
More informationRedesign of Front Door
Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager
More informationYear. Figure 5.2
3 1997 2 1998 1 Time (Year) 1999 2 1 21 2 22 3 23 14E 16E 18 16W 14W 12W 1W 8W Figure 5.1 Copyright 211 John Wiley & Sons, Inc. 4 3 Niño 3 Index Niño 4 Index 2 Deg C 1 1 2 3 195 1955 196 1965 197 1975
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter ending 31 December 2011 Publication date 28 February 2012 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3 Results
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter ending 31 March 2012 Publication date 29 May 2012 A National Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Key points...
More informationALBERTA TRANSPORTATION North Central Region Edson Area Instrumentation Monitoring Results
ALBERTA TRANSPORTATION North Central Region Edson Area Instrumentation Monitoring Results Fall 1 Section D Data Presentation Site NC3: Hwy :3 Lazy S -15 -.5.5 15 LEGEND Initial 1 Sep 1 Sep -75-37.5 37.5
More informationOperational Excellence: Lean
Operational Excellence: Better Service By Working Smarter Lean Lean is a production practice that considers the expenditure of resources for any goal other than the creation of value for the end customer
More information