Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, January 30, 2015

Latest Sentinel Stroke National Audit Programme (SSNAP) results show world class stroke care is achievable - UK

I'm sorry but this is not world class care. Quality of RESULTS was not measured so this is f*cking worthless. I know the bar is set extremely low for reporting about supposedly good news about stroke but we need some realism. And the realism is that;

If you just had a stroke, You are F*cking screwed

https://www.rcplondon.ac.uk/press-releases/latest-sentinel-stroke-national-audit-programme-ssnap-results-show-world-class-stro-0
The seventh report from the Sentinel Stroke National Audit Programme (SSNAP) data shows that 13 stroke services scored an ‘A’ overall for the quality of care (What about RESULTS?)they provide for patients. This is a substantial increase from the 6 services that achieved an ‘A’ in the previous report. Reaching this level is a considerable achievement, suggesting a world class service.
SSNAP is the first national stroke register in the world to collect information about the entire stroke pathway, from being admitted to hospital to the six month follow-up appointment.  SSNAP aims to improve stroke care by measuring the quality of stroke services against evidence based standards and supporting staff to make improvements. SSNAP results are updated every three months, and cover all hospitals treating stroke patients in England and Wales, together with two hospitals in Northern Ireland. It is the most comprehensive and reliable source of information about the performance of stroke services.
The audit is commissioned by the Healthcare Quality Improvement Partnership (HQIP)*, as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP).
The report published today relates to patients admitted between July and September 2014 and includes named hospital results for the entire inpatient care pathway (where the numbers of patients entered in SSNAP for this quarter make this viable). The results are available online at the SSNAP Results Portal.
Congratulations to the 13 services which have scored an ‘A’ overall. Several more would have scored an ‘A’ if they had not been marked down because of issues of case ascertainment and data compliance, both of which are problems that should be fairly easily solvable. What these latest results show is that, although the audit has set the bar very high to achieve the top score, it is achievable and we hope will encourage others to strive to improve.
As in the sixth report, it is encouraging to see some improvements in the national results for stroke care both the first 72 hours of care and in the standards and processes of care by discharge, since data collection began. The quality of data submitted to SSNAP is also improving each quarter.
The National Clinical Director for Stroke, Professor Tony Rudd, reports that SSNAP should prove invaluable in helping to shape future developments in stroke care in England, Wales and Northern Ireland. Without high quality data, improvement in clinical care is unlikely to occur.
Professor Rudd said:
Measuring the quality of care is an essential component for quality improvement. The SSNAP audit provides very high quality information that could help professionals, patients, and commissioners use and develop their services for the future.
Professor Rudd is also chair of the Intercollegiate Stroke Working Party which oversees the SSNAP.
The quality of data submitted to SSNAP, measured in terms of audit compliance, has also improved each quarter, which is essential in providing meaningful audit results. However, there remains unacceptable variation across the country. SSNAP has moved to absolute measurement of results which means that all teams are capable of showing improvement.

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