- Aims to improve the quality of stroke care by auditing stroke services against evidence based standards.
- Whole pathway: acute to community based care.
SSNAP will provide regular, routine, reliable data:
–
to benchmark services
national and regionally
–
to monitor progress against
a background of change
–
to support clinicians in
identifying where improvements are needed, lobbying for change and celebrating
success
–
to empower patients to ask
searching questions.
SSNAP will be the single source of data for stroke.
–
SSNAP will provide the data
for all other statutory data collections including the NICE Quality Standard
and Accelerating Stroke Improvement (ASI) metrics.
–
SSNAP will be the chosen
method for collection for stroke measures in the NHS Outcomes Framework and the
CCG Outcomes Indicator Set (formerly known as the Commissioning Outcomes
Framework or COF).
SNAP SLT questions to be filled out for each
patient
1. Was the patient
considered to require SLT at this point in their admission?
2.
On how many days did the patient
receive SLT.
3.
How many minutes of SLT did the
patient receive in total – pulled of EPR.
4.
Date communication first assessed
by SLT.
5.
Time communication first assessed
by SLT.
6.
If no communication assessment by
discharge what was the reason?
7.
Date of formal swallow assessment
by SLT or other dysphagia trained professional.
8.
Time of formal swallow assessment
by SLT or other dysphagia trained professional.
9.
If no formal swallow assessment
by discharge what was the reason?
10. Date rehab goals agreed.
11. If no goals, what was the reason (keep reasons for not seeing
patients/ completing goals etc.).
Reflection
1. Think of
a recent therapy session or event.
I was asked to fill in SNAP data for SLT patients over the
last three months (backdated).
2. Describe
the session/experience
I leafed through patients’ files and asked SLT’s if they
remembered information relating to first contacts etc. In the notes we had not
written in which contact was the initial contact so it was difficult to find
the initial contact time/ date. I keep weekly timetables of the patients I see/
activities I do but throw these away every week so I had not saved this
information and needed to retrieve it from EPR.
3. What did
this session make you feel?
I felt stressed and concerned because I needed to provide
accurate data for the audit.
5. What has
this session has taught you?
- To write down the date of the initial swallowing/ communication assessment, date of goal setting, reasons for not assessing/ treating a patient, time spent with a client and what time they were seen in a hardback diary which I then keep.
- To regularly review the goals and outcomes of patients I see.
- To keep a file with summaries of patient goals, outcomes, therapy and assessment so that I can audit my performance in the future.
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