The National Heart Failure Audit published its sixth annual report on 21 November 2013. More...
Published: Nov 21, 2013 12:00:15 AM
Acting as a 'window' into National Adult Cardiac Surgery
Audit (NACSA) data, the SCTS iData app allows users to place filters on
different types of heart surgery to generate a report showing analysis of all
heart operations in the UK between April 2008 – March 2012. Reports
provide a running total of procedures as you add each filter, with the
to generate a report at any time.
Published: Oct 29, 2013 5:41:24 PM
Another year has gone by and another MINAP Public Report has been published, providing an insight into how the NHS cares for patients with Heart Attack. More...
Published: Oct 16, 2013 11:02:43 AM
Following on from the release of patient friendly reports for Heart
Failure and MINAP, the National Adult Cardiac Surgery Audit (NACSA)
today (3 September) publishes 'UK Heart Surgery: What Patients Can Expect from their Surgeons' in partnership with the Society for Cardiothoracic Surgery (SCTS).
Published: Sep 3, 2013 8:47:16 AM
As part of the ‘Everyone Counts’ initiative, individual consultants’ results are being published, based on national clinical audit data. Two of NICOR’s national cardiac audits are amongst the 10 specialties covered, providing data in relation to adult cardiac surgery and non-surgical interventional cardiology. The work was coordinated for NHS England by the Healthcare Quality Improvement Partnership (HQIP) which commissions national clinical audit work for NHS England. More...
Published: Jun 28, 2013 10:24:28 AM
The British Society of Heart Failure has chosen to initially focus on auditing care within secondary care with a view to extending into primary care in the future.
The need to extend the scope to primary settings has also been highlighted in the Healthcare Commission Report "Pushing the Boundaries: Improving services for people with heart failure (2007)" .
The aims of audit
The audit assesses both clinical care and patient related outcomes and:
- Identifies the percentage of people admitted to hospital with heart failure who have quality of care recorded
- Describes current clinical practice in heart failure diagnosis, care and treatment and to explain variation in practice using data on patient characteristics and access to services.
- Describes the following patient outcomes: length of stay, in-hospital mortality and late mortality (up to one year post discharge).
The audit measures the quality of care for all unscheduled admissions to hospital, where the patient is discharged with a primary diagnosis of heart failure using the following codes:
I50.0 Congestive heart failure
I50.1 Left ventricular failure
I50.9 Heart failure, unspecified
I11.0 Hypertensive heart disease with (congestive) heart failure
I42.0 Dilated cardiomyopathy
I25.5 Ischaemic cardiomyopathy
I42.9 Cardiomyopathy, unspecified.
Note that elective admissions (e.g. admission for angiography or schedules pacemaker implantation) should not be included in the audit.
The most effective way of ensuring all patients treated for heart failure are included in the audit is to use discharge codes and input data from patient notes. A proforma for collecting data is available on the dataset page.
Some hospitals will initially identify patients who are referred to cardiology or HF specialist services. In addition, the coding department highlight all cases on a monthly basis. Missed cases have helped clinical teams identify patients who were not referred to the service. This information has helped to improve the referral process.
Data can aso be imported from existing IT systems (either in-house or via third party IT suppliers) to provide direct data links to the heart failure database.
Number of cases
Initially, the focus of the audit was to ensure that all Trusts were registered and submitting data. The audit now aims to capture all cases of heart failure, so hospitals should include all unscheduled admissions to hospital with a primary discharge diagnosis of heart failure. The audit will compare the number of cases submitted to the audit with expected cases (based on HES discharge data) to monitor case ascertainment.
There are a number of data entry validation checks in the audit application to ensure that contradictory and impossible data cannot be submitted (e.g. invalid dates, clinical contradictions). The audit will contact hospitals with poor data quality, for example, where 'unknown' is overused, or where core non-mandatory fields are missing. Before any outcome data is published data hospital level, preliminary analyses will be sent to all clinical leads to ensure that the data submitted to the audit is correct. However hospitals are ultimately responsible for the quality of the data that they include in the audit.
Page last modified on 17 sep 13 10:01