Shared learning database
Type and Title of Submission
Monitoring of stroke care within the North West EnglandDescription:
The Advancing Quality Programme aims to improve the clinical outcomes for patients diagnosed with stroke. In improving the clinical outcomes the programme aims to reduce hospital stay, reduce readmission rates and improve overall patient experience. Twenty four Trusts within the North West of England participate in data collection and analysis for seven aspects of patients care within the first 72 hours of diagnosis of stroke.Does the submission relate to the general implementation of all NICE guidance?
YesDoes the submission relate to the implementation of a specific piece of NICE guidance?
NoFull title of NICE guidance:
CG68 - StrokeIs the submission industry-sponsored in any way?
Description of submission
Aims and objectives
Advancing Quality Aim: 1). Improve the management and care of all patients diagnosed with stroke 2). Improve clinical outcomes 3). Reduce hospital length of stay 4). Reduce readmission rates 5). Improve patient experienceContext
Advancing Quality builds on the experience and knowledge gained through the Hospital Quality Incentive Demonstration (HQID) programme launched in 2003 in the USA. HQID was proved to save lives in participating hospitals. It is now operating in more than 250 hospitals in the non profit healthcare sector in the US.Methods
Advancing Quality commenced in the North West in October 2008, with Stroke data collection and analysis commencing in October 2010. As Stroke is identified as a condition of high prevalence in the North West - there was much enthusiasm for the programme. Primary Care Trusts (PCT's) allocate a small proportion of their annual budget to support and develop the programme.Results and evaluation
The patients are identified on discharge by their ICD10 code which ensures that it is stroke patient care that is being measured. All results are available to Trusts on a monthly basis with quarterly reports issued to CEO, PCT's. Advancing Quality is now part of the local CQUIN so each Trust must achieve thresholds to recieve the allocated 0.01% of the total contract value.As the stroke programme is in it's first year (this is due to the use of ICD10 codes, currently 4 months behind realtime)cost saving etc have not been calculated.Key learning points
Work as part of a collaborative when trying to improve aspects of patients care. The use of 'speed dating' storyboards to report your progress allows other insight into your success / failure and encourages sharing of ideas. Ensure that the metrics you are to measure are clearly defined to ensure measurement of 'apples with apples'.
View the supporting material
|Job Title:||AQuA Associate|
|Organisation:||Advancing Quality Alliance (AQuA)|
|Address:||St James House|
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This page was last updated: 26 January 2012