All patients that are considered applicable for therapy at any point during their stay, must be recorded as applicable for therapy. For patient-centred results the patient must be considered to require therapy by at least one inpatient team the patient has been seen by, whereas for team-centred results the patient must be considered to require therapy by the specific team.
SSNAP reports on the number of patients reported as requiring each type of therapy and measures this against the number of patients we would expect to see as eligible according to current literature, this is to ensure that all patients considered eligible for therapy are included within SSNAP and to reduce the possibility of only those patients that receive good care being reported. The number of patients considered applicable for therapy varies across each type of therapy.
80% of patients are considered eligible for Occupational Therapy
85% of patients are considered eligible for Physiotherapy
50% of patients are considered eligible for Speech and Language Therapy
Overall therapy domain score is derived from four key indicator, for example for occupational therapy the indicators are as follows:
5.1 Percentage of patients reported as requiring occupational therapy
5.2 Median number of minutes per day on which occupational therapy is received
5.3 Median % of days as an inpatient on which occupational therapy is received
5.4 Compliance (%) against the therapy target of an average of 25.7 minutes of occupational
therapy across all (Target = 45 minutes x (5/7) x 0.8 which is 45 minutes of occupational therapy x 5 out of 7 days per week x 80% of patients)
A score is assigned for each key indicator which is used to determine the overall domain score.
Low percentages of patients reported as requiring therapy negatively impact overall domain scores, both percentage of patients reported as requiring therapy and the compliance indicator are measured against the number of patients reported as applicable. It is therefore imperative to include all patients considered eligible at any point during their stay, even if the patient is unable to tolerate the therapy for some duration of their stay, to exclude such patients would have a negative impact on overall domain scores.
If a patient does not require therapy in the first 72 hours but subsequently requires input you should answer, in Section 3, "no assessment in first 72 hours" and for the reason for not assessing within 72 hours you should selected "patient had no relevant deficit". You can reflect the fact that they did later need therapy in Section 4 of the (post-72h) dataset.