January 2012 - Sandwell & West Birmingham Hospitals

SWBTB (1/12) 286 (a)
Appendix 1
ACUTE STROKE AND TIA RECONFIGURATION PROJECT BENEFITS
Benefit to be
Realised Operational Definition Target performance
Performance
measurement
Stroke
associated
mortality rates at
SWBH will be
reduced
Levels of long
term disability
related to stroke
will be reduced,
increasing
independence
and levels of
functioning in the
stroke population
Mortality rates for those
affected by stroke and
treated at SWBH will be
reduced from current
levels
Mortality rates will
reflect good practice
and deliver on a par
with national best
practice standardised
rates
Using Dr Foster
Intelligence to
monitor stroke related
mortality rates
Measuring rates of
Activities of Daily Living
(ADLs) on discharge and
follow up
Levels of disability to
reflect national good
practice and
benchmarked against
standardised national
rates
Using approved tool
such as Bartel Index
The Trust will
provide Stroke
services which
comply with
WMQRS
The Trust will
deliver consistent
high quality care
specific to Stroke
All stroke patients will be
admitted directly to a
stroke bed, with imaging
on route to the ward,
within 4hrs of arrival at
hospital
All stroke patients will be
assessed daily by a
specialist consultant
clinician for stroke
Consistently deliver
expected quality
standards in relation
to stroke services for
multidisciplinary care
as defined by
WMQRS. 24/7 Stroke
service including
thrombolysis. Optimal
use of beds with
reduced length of
stay
All stroke patients will
receive up to 0-72hrs
of continuous
monitoring in
hyperacute
environment
according to clinical
need.
Clear patient
pathways with
consistent and timely
stroke assessment
and admission
criteria. Number of
stroke patients who
are admitted to
hospital but not to a
specilist stroke bed
within 4hrs.
Consistent delivery of
acute care bundles
for stroke which are
monitored through
implementation of a
Daily ward round
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