The success of SSNAP depends on complete and timely data being submitted so that there is rapid turnaround of reporting to facilitate change.
High audit compliance is a prerequisite to ensure that the data are complete, of high data quality and produced as close to the time the patients were admitted or discharged as possible. Individual teams are provided with a weighted audit compliance score to provide a context in which to interpret their process of care results and identify areas of improvement.
The audit compliance score includes measures of high usage of “unknown” data items, in particular the elements of the NIHSS. In response to feedback from post-acute teams, some measures of speed of data entry and data transfer have been added to ensure that these teams are able to complete their sections in a timely way so that the rapid turnaround of results can be maintained.
See a full breakdown of Audit Compliance scoring below:
Category | Contribution | Measure | Cohort |
NIHSS at arrival | 15% | NIHSS at arrival fully complete | 72h |
NIHSS 24h | 10% | NIHSS 24h after thrombolysis/thrombectomy is fully complete | 72h |
Transfers | 20% | Records which are ready to transfer and have been transferred to next team | Transfer |
Number of days from patient transferred to next team to when the record is transferred on the webtool | All teams | ||
Patients who were recorded as discharged with either ESD or CRT in Q7.7 or Q7.8, and transferred to an ESD or CRT on the webtool | All teams | ||
Data entry | 20% | Number of days from when patient is admitted/onset to when the record is started | 72h |
Number of days from when the patient is discharged from the team's care to when the record is locked to discharge | Inpatient discharge | ||
Ethnicity is known | 72h | ||
72h measures | 15% | Reason for no swallow screen within 4h is known | 72h |
Reason for no swallow screen within 72h is known | 72h | ||
Reason for no OT assessment within 72 is known | 72h | ||
Reason for no PT assessment within 72 is known | 72h | ||
Reason for no SALT communication assessment within 72 is known | 72h | ||
Reason for no formal swallow assessment within 72 is known | 72h | ||
Post-72h measures | 20% | Reason for no rehabilitation goals is known | All teams |
Development of urinary tract infection is known | 7-day | ||
Receipt of antibiotics for pneumonia is known | 7-day | ||
Reason for no urinary continence plan is known | 7-day | ||
Reason for no OT assessment by discharge is known | Inpatient discharge | ||
Reason for no PT assessment by discharge is known | Inpatient discharge | ||
Reason for no SALT communication assessment by discharge is known | Inpatient discharge | ||
Reason for no SALT swallow assessment by discharge is known | Inpatient discharge | ||
Reason for no psychologist assessment by discharge is known | Inpatient discharge | ||
Reason for no orthoptist assessment by discharge is known | Inpatient discharge | ||
Reason for no mood screening by discharge is known | Inpatient discharge | ||
Reason for no cognition screening is known | Inpatient discharge | ||
Reason for no vision screening is known | Inpatient discharge | ||
Patients discharge home and living alone is known | Inpatient discharge | ||
Number of social service visits is known | Inpatient discharge | ||
Number of carer visits is known | Inpatient discharge | ||
Number of carers is known | Inpatient discharge | ||
Patient asked for consent by inpatient discharge | Inpatient discharge |