The Quality in Acute Stroke Care (QASC) Audit Education
Mark Longworth and Anna Lydtin Agency for Clinical Innovation and Nursing Research Institute
Why do we have to audit?
To evaluate the impact of the project on clinical practice change
Audit periods:
• Pre-implementation
• Three months post-
implementation
National Stroke Foundation Collaboration
• Following consultation with the QASC Trialists questions relating to fever, sugar and swallowing dysfunction (FeSS indicators) have been added to NSF Clinical Audit in 2013 for the first time
• The QASC Implementation Project will use the same FeSS indicators as those in the NSF Clinical Audit
When do we have to audit?
• All medical records for this project are audited in January 2014
• Pre 1 Jul 2012 - 31 Dec 2012
• Post 1 Nov 2013 – 31 Dec 2013
Pre-implementation
• If your stroke service participated in the 2013 NSF clinical audit no further data needs to be collected, if your site agrees for the project to access this data (See consent form in pack)
Pre-implementation (only relevant if your site did not take part in 2013
NSF clinical audit)
• Medical records of 40 consecutive patients
admitted and discharged between 1 Jul 2012 and 31 Dec 2012 are to be audited
• Specific ICD10 codes
Post-implementation
• Medical records to be audited will be patients
admitted to the stroke service from 1 Nov 2013 to 31 Dec 2013 (Max 40)
• Medical records to be audited: Primary diagnosis of stroke
• Exclusion criteria includes patients with primary diagnosis of subarachnoid haemorrhage, subdural and extra-dural haematoma and transient ischaemic attack
Are we financially supported for audit?
• Yes - funding has been secured to support audit participation that will be paid to your stroke services at $32/ hour and is anticipated to take no more than 20 hours
Important Medical Record Audit Facts:
• If it’s not documented in the notes it did not
happen
• Use consecutive admissions
• Start at allocated date
• We ask that each site audit up to 40 case
notes, if your site does not have that number of admissions enter the number you do have for the given timeframe post implementation
• Use data dictionary which gives definitions
Audit-FAQ
• How do I get hold of the correct medical
records?
• When do I need to order medical records?
• Who do I speak to if I have difficulties getting
hold of medical records?
• Where can I find help?
• Please return NSF consent form via email
qasc@acu.edu.au or fax 02 8382 3782
by the 31st of July 2013
Where to find help:
• NSF Audit Training Tools: http://strokefoundation.com.au/health-
professionals/clinical-guidelines/national-stroke- audit/national-stroke-audit-training-tool/
Any Questions?