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							Royal College of Physicians of Edinburgh

Scottish Stroke Collaboration Meeting

              22nd September 2010

      Queen Mother Conference Centre
Scottish Stroke Care Audit
    FUTURE PLANS
           Hazel Dodds
       Clinical Co-ordinator




                               22nd September 2010
                    2009 – 2010
               What have we achieved?
Proposed future developments
Rationalising data collection:
   Review of core datasets
   Review of definitions and data collection proformas
   Current SSCA Computer System updated to reflect changes
   Use of new dataset commenced as planned on 1st January 2010

Reducing the delays in reporting:
   Prospective data collection commenced 1st January 2010
   Production of monthly reports commenced February 2010

Creating a national database:
   November 2009 – all historical SSCA data submitted to ISD allowing easier
   management/ analysis and reporting of stroke data. Data from 2005-2010
   now held centrally at ISD
   7th February 2010 – monthly data submission commenced

Changing the annual report
   Unit-specific data to be published on website
   Sharing of best practice
                    2009 – 2010
               What have we achieved?
Objectives for six months ~ June – December 2009
Review and agreement of Core Dataset (01.01.10)
Review of definitions/ guidelines and data collection proformas (01.01.10)
Review of data collection processes/ establish prospective data collection in all centres
(01.01.10)
Development of project resources, e.g. promotional materials (ongoing)
Update SSCA Website (ongoing)
Development of Central Repository (Nov 2009 – routine monthly submission since Jan
2010)
Visit to Audit Co-ordinators/ MCNs in all centres (ongoing)
Update Centre Profiles (ongoing)
Review of existing IT systems


IT development - agree way forward and plan development of new database
Update Standard Operating Procedures
                    April – September 2010
                    What have we achieved?
Monthly Reports - presenting data/ performance against NHS QIS standards
sent to all sites
Commenced Carotid Intervention Pilot in two sites (April – September 2010)
Evaluation and revision of Patient/ Carer Information Leaflet (Easy Access)
Published 2010 National Report - 29th June 2010 – revised to include
       - Trend analysis of data from 2005-2009
       - Case studies demonstrating use of data and improvements in practice
       - Submissions from Managed Clinical Networks for stroke outlining plans
        to improve performance and delivery of stroke care in local areas
       - Submissions from partner organisations, e.g. CHSS, Stroke Association
Published first version of Public Summary 2010
Commenced development of new web based SSCA Computer System
Meetings with all Stroke MCNs to discuss performance and plans for improvement
Meetings with all Audit Coordinators
                            Future Plans

Monthly Reports – to be made available through password protected area on website
Review of all proformas/ definitions – October 2010
Carotid Intervention Pilot
     - Analysis of data and processes
     - Production of CI Pilot short report
     - Agreement on way forward
Evaluation of Public Summary 2010
Complete development of web based SSCA Computer System
Central validation of data
     - Validations built into SSCA Computer System
     - QA of submitted data centrally
     - Potential case note validation in all sites
Annual Autumn visit to all MCNs to discuss 2010 National Report and future plans
Biannual visit to Audit Coordinators
                              Future Plans
Continued update/ development of SSCA website
Continued development of additional supporting documentation, e.g. Audit
Protocol, Training Resource Pack
Early planning for 2011 National Report and Public Summary, to include:
      - Reporting against QIS standards/ trend analysis
      - Thrombolysis and Carotid Intervention
      - Case studies/ MCN contributions
Collaborative projects/ data linkage/ academic publications/ posters
for conferences
Pre-hospital data collection
Review of SIGN 118 and potential data collection from rehabilitation stroke
pathway
Reporting of outcomes data
Planning of 2011 National Meeting
              Contact Details


Email: hazeldodds@nhs.net

Telephone: ISD - 0131 275 7184 (Mon/ Wed/ Thurs)
           WGH - 0131 537 3584 (Tues)
           Mobile - 07825 933083

Website: www.strokeaudit.scot.nhs.uk
Royal College of Physicians of Edinburgh

Scottish Stroke Collaboration Meeting

              22nd September 2010

      Queen Mother Conference Centre