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JRCALC Conference 2004 10 th November 2004. Royal College of Physicians PowerPoint Presentation
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JRCALC Conference 2004 10 th November 2004. Royal College of Physicians

JRCALC Conference 2004 10 th November 2004. Royal College of Physicians

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JRCALC Conference 2004 10 th November 2004. Royal College of Physicians

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  1. JRCALC Conference 200410th November 2004. Royal College of Physicians Mark Cooke BMedSci(Hons) MScNational Clinical Effectiveness Manager Ambulance Service Association

  2. Move towards National Audit • 2002/4 ~ 1st ever national audit within NHS Ambulance Services • Patients presenting with ST Elevation/?AMI ~ Over 13,000 patients • 2002/4 ~ National audit of prehospital thrombolysis • 92% in 60 mins ~ Mean ‘call to needle’ = 40 mins • 2003/4 ~ 1st ever national audit of ‘OoH Cardiac Arrest’ in NHS • Over 22,000 patients in first 6 months • 2003/4 ~ National Audit of Benzyl Penicillin (2 yrs combined data) • Report in Jan 2005

  3. National Audit of Thrombolysis • 24/31 Services now providing thrombolysis • 4 more services planning introduction before end 2004 • GMAS and LAS evaluating alternative approaches to revascularization • Over 1300 patients thrombolysed to date • 1070 patients during last 12 months

  4. National Audit of Thrombolysis

  5. National Audit of Thrombolysis 1349

  6. Clinical Performance Indicators • Documented clinical care provided • JRCALC v3 • Like for like benchmarking • Identification of best practice • Areas for development ~ transferable lessons

  7. Clinical Outcome Measures • Mortality as hard measure of performance • PIAG approval / MINAP / ASA / CCAD / DH • Access to patient outcome data • Development of ambulance outcome database (ASA/MINAP) • Lotus Notes • Fully funded as part of DH Funding to ASA

  8. Ambulance Service Performance • Now possible to collect more useful information • A better and more useful indicator of ambulance service performance that reflects patient care • 1. Speed of response • 2. Clinical Care Provided • 3. Clinical Outcome (alive/dead)

  9. What’s Next?National Audit of PAIN Management2005/2006 ASA/JRCALC Workplan • Patient Survey • Pain Assessment • Documentation • Use of pain scores • Pain Management • Use of analgesia

  10. Conclusions • The shift towards national audit and standards • Working with senior key partners, DH, MINAP, HCC, NICE • Engaging with member services • Major headway made • Milestones ~ National Benchmarking • Priorities in line with national policy/guidance • NSFs (CHD, Older People, Children) • NICE

  11. International Developments Cochrane Collaboration Dedicated Prehospital and Emergency Health Field Details at www.cochranepehf.org Or information flyers available here today

  12. Thank you ?