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Composite of participation in audits

Composite of participation in audits

Rationale

All patients should have access to prompt, high quality care across the patient pathway, in line with that set out in the national service frameworks. It states in the Priorities and Planning Framework that providers should participate fully in comparative clinical audit and take account of the results to support local and national clinical governance.

Thresholds

Legend
Band 1 - poor Fewer than 20 cases submitted to stroke audit and less than 90% data completeness for MINAP
Band 2 -
Band 3 Greater than or equal to 20 cases submitted to stroke audit or greater than or equal to 90% data completeness for MINAP
Band 4 -
Band 5 - good Greater than or equal to 20 cases submitted to stroke audit and greater than or equal to 90% data completeness for MINAP

Data source and period

Myocardial Infarction National Audit Programme (MINAP) (Financial Year 2004/05)
Sentinel Stroke Audit (Retrospective data collected Oct - Dec 2004)

Construction

Part 1 - MINAP. This part of the indicator assesses whether a trust has greater than 90% completeness for the 11 key fields in patients with an admission diagnosis of definite infarction.

Trusts should be aware that the cut off date for data to be submitted to MINAP for use in the 2004/2005 performance ratings is Friday May 27th. It is recommended that trusts do not leave their data submission until the deadline.

Part 2 - National Sentinel Audit of Stroke 2004. This part of the indicator assesses whether a trust submitted details for a minimum of 20 stroke patients admitted during the period April to June 2004.

The results from parts 1 and 2 have been combined to produce an overall score for this indicator, with each component having equal weighting.


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