Outcome Measures for Stroke
Alan Willson
Director of Research and Development NLIAH
Supporting NHS Wales to Deliver World Class Healthcare
All Wales Stroke Services Improvement Collaborative
CHKS Data: Mortality Index
I Chart of Mortality Index by Date
All Wales Jan 2007 to Dec 2008
Jan-07
120
Jul-08
Individual Value
110
UC L=109.67
100
90
80
_
X=74.46
70
60
50
40
LC L=39.26
30
Ja
n
-0
7
M
a
0
r-
7
M
a
0
y-
7
0
lu
J
7
S
e
p
-0
7
0
vo
N
7
Project: Untitled; Worksheet: Worksheet 1; 23/03/2009 13:15:54; NT
Slide 2
Ja
n
-0
8
Date
M
a
0
r-
8
M
a
0
y-
8
Ju
l-
8
0
S
e
p
-0
8
o
N
0
v-
8
All Wales Stroke Services Improvement Collaborative
Mortality Index: All Wales compared with
Royal Devon and Exeter Foundation Trust
Boxplot of All wales Stroke Patient Risk Adjusted Mortality v Royal Devon and Exeter Foundation NHS Trust
100
90
Index
80
70
60
50
40
30
Mortality Inde x
Slide 3
Pe e r Ave rage _1
All Wales Stroke Services Improvement Collaborative
CHKS Data for Average Length of Stay
I Chart of Average Length of Stay
All Wales Jan 2007 to Dec 2008
32.5
UC L=30.94
Individual Value
30.0
27.5
25.0
_
X=22.68
22.5
20.0
17.5
15.0
Ja
LC L=14.42
0
n-
7
M
a
0
r-
7
M
a
0
y-
7
lJu
0
7
S
e
0
p-
7
o
N
0
v-
Project:
Slide
4 Untitled; Worksheet: Worksheet 1; 23/03/2009 13:05:22; NT
7
Ja
0
n-
8
Date
M
a
0
r-
8
M
a
0
y-
8
J
ul
0
8
S
e
0
p-
8
o
N
0
v-
8
All Wales Stroke Services Improvement Collaborative
ALOS: All Wales compared with
Royal Devon and Exeter Foundation Trust
Boxplot of All wales Stroke Patient Averagle Length of Stay v Royal Devon and Exeter Foundation NHS Trust
30
Days
25
20
15
10
Ave ra ge Le ngth of Sta y
Slide 5
Pe e r Ave ra ge _2
All Wales Stroke Services Improvement Collaborative
CKHS Data for Readmission Rates
I Chart of Readmission Rate
All Wales Jan 2007 to Dec 2008
UC L=11.054
11
Individual Value
10
9
_
X=8.291
8
7
6
5
6
5
LC L=5.529
5
na
J
07
M
7
-0
r
a
M
7
-0
y
a
J
7
-0
l
u
S
7
-0
p
e
7
8
8
8
-0
-0
-0
-0
r
v
y
n
a
a
Ja
No
M
M
Project: Untitled; Worksheet: Worksheet 1; 23/03/2009 13:05:27; NT
Slide 6
Date
lJu
08
S
8
-0
p
e
8
-0
v
No
All Wales Stroke Services Improvement Collaborative
Readmission Rates- All Wales compared with
Royal Devon and Exeter Foundation Trust
Boxplot of All wales Stroke Patient Readmission within 28 days Rate v Royal Devon and Exeter Foundation NHS Trust
12
10
%
8
6
4
2
0
R e a dm ission R a te
Slide 7
Peer
All Wales Stroke Services Improvement Collaborative
CHKS Data- Discharge to UPR
I Chart of Discharge to Usual Place of Res by Date
All Wales Jan 2007 to Dec 2008
Ja n-07
80
Jul-08
UC L=78.85
Individual Value
75
70
_
X=65.13
65
60
55
LC L=51.41
50
Ja
0
n-
7
M
a
0
r-
7
M
a
0
y-
7
0
lu
J
7
S
e
0
p-
7
o
N
0
v-
7
Project: Untitled; Worksheet: Worksheet 1; 23/03/2009 13:17:17; NT
Slide 8
Ja
0
n-
8
Date
M
a
r-
0
8
M
a
0
y-
8
0
lu
J
8
S
e
0
p-
8
o
N
0
v-
8
All Wales Stroke Services Improvement Collaborative
% discharged to UPR: All Wales compared with
Royal Devon and Exeter Foundation Trust
Boxplot of All wales Stroke Patient Discharge to Usual Place of Residence Rate v Royal Devon and Exeter Foundation NHS Trust
65
60
%
55
50
45
40
Discha rge to Usua l P la ce of R e s
Slide 9
P e e r Ave ra ge