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Resources > Blog > Making the most of SSNAP

SSNAP Blog - Making the most of SSNAP

Making the most of SSNAP

This article is designed to highlight key SSNAP resources, reports and tools that SSNAP users may not have previously used or been aware of. These tools and reports can be used to aid data entry and review, allowing teams to: track results in real-time; identify records that need actioning; and analyse data locally. The key purpose is to allow teams to explore and understand their own data and use this to improve data entry and the quality of stroke care provided by your team.
6-month assessment statistics
Clinical > 6 month assessment > Your team 6 month assessment statistics

Check your real-time 6-month aggregate results. Track the number of patients with a complete and locked 6-month follow-up and look more specifically into the results, including how these were performed, Modified Rankin scores, and medication being taken post-stroke.
Real-time indicators
Clinical > Patient records > Change 'View' to 'Indicators'

Feedback and review mechanism that enables you to identify trends in performance and quickly find patients who have not achieved specific acute care processes. Boxes are colour-coded for every patient to show whether an indicator has been achieved.
DIY Analysis tool
Support > DIY Analysis Tools > Download "DIY data analysis tool"

This tool provides teams with SSNAP data analysis for key measures. It has been designed to aid local reporting and to help teams identify data submission issues and to improve audit compliance and case ascertainment in reporting. Teams can use the DIY analysis tool to run their own reports outside of reporting quarters. Teams can view SSNAP data for locked record over any time frame chosen.
Unlocked records report
Clinical > Reports > Unlocked records

The report allows teams to find records that have not been locked at various stages of the pathway, including records with complete sections 1-3 and not locked to 72h, records not locked to 72h 3 days after onset/arrival, records not locked to discharge 40 days after onset/arrival, and many more. This can be used to encourage more communication between teams on SSNAP to ensure all records are fully locked regardless of which team currently holds the record. The report can be searched by team over any time frame chosen.
Transferred record report
Clinical > Reports > Transferred records

This report allows teams to find records that have been transferred to the team or have been transferred by the team. This can be used to check which records have been transferred to the team helping identify records that may have been missed by the team or have been incorrectly transferred. The report can be searched by team over any time frame chosen.
Participation report
Clinical > Reports > Participation

This report has been designed to allow teams to track their case ascertainment during a reporting period. This allows teams to identify how many records need entering and locking on SSNAP to prevent negative adjustment of the overall SSNAP score. 

The results shown in this report are only for guidance. They are not a substitute for the statistical analysis carried out centrally by SSNAP and used to calculate case ascertainment for each reporting period. Due to the many patient care pathways, it is not possible to replicate our calculations on the participation report. The report may or may not accurately reflect your case ascertainment.  
Health economics tool
Homepage > Health Economics

In collaboration with NHS England, SSNAP have developed a tool to derive and report patient-level estimates on the cost of stroke care. These tools illustrate the opportunity to save health and social care costs for your cohort of patients and provide financial management information to complement quality of care information from SSNAP. SSNAP have produced health economics tools for Early Support Discharged (ESD) and thrombolysis – these tools can be used to calculate the costs and benefits of increasing the percentage of patients discharged with ESD and the percentage of patients treated with thrombolysis in your team or area.
Best practice tariff tool
Support > DIY Analysis Tools > Download "Best Practice Tariff (BPT) Tool for 2018 - version 4.3"

The acute stroke care BPT is designed to generate improvements in clinical quality in the acute part of the patient pathway. It does so by incentivising key components of clinical practice. The aim is to reduce unexplained variation in clinical quality and spread best practice. SSNAP provide an Excel based tool to enable individual providers to export their own data and assess compliance against each BPT component. The tool allows teams to export their own data and calculate whether or not each patient is eligible to receive each of the three components of the BPT.
Results portfolio
Results > Clinical > National > Download "Results Portfolio"

The full Results Portfolio contains a wealth of data beyond the scoring summary and key indicators. Some examples of useful data are included below:  

Gender (F3.1-F3.5)
  • Male/female split
Age (F4.1-F4.29)
  • Median age
  • Percentage aged over 80 years
  • Median female age
  • Median male age
Thrombectomy (G19.1-G29.18)
  • Percentage receiving thrombectomy
  • Median time from onset to puncture
  • Median time from onset to completion
  • Median time from clock start to puncture
Treatment for intracerebral haemorrhage (ICH) (G20.1-G20.8)
  • If ICH, systolic blood pressure on arrival (less than or equal to 150 mmHg and greater than 150 mmHg)
  • Median systolic blood pressure on arrival
  • Mean Systolic blood pressure on arrival
 Urinary tract infection (J25.1-J25.7)
  • Urinary tract infection in the first 7 days from clock start (yes/no/not known)
Pneumonia (J26.1-J26.7)
  • Antibiotics for newly acquired pneumonia in the first 7 days from clock start (yes/no/not known)
Palliative care (J29.1-J29.9)
  • Percentage with palliative care decision after 72h
  • Percentage with end of life pathway if palliative care decision after 72h
Intermittent Pneumatic Compression (IPC) (J35.1-J35.11)
  • Patients who have IPC applied at any point (yes/no/not known)
  • Median length of time IPC applied for
  • Mean length of time IPC applied for
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