MONITORING / BUSINESS AS USUAL ACTIVITY Organised stroke services Island Stroke National Service Measures Q4 2016-17 The SI Stroke measures reveal the minimum standard is not being achieved in all SI DHBs. Three centres are achieving. See tables on following page for 80% of all stroke patients to be cared for in organised stroke unit further information. 1 DHB Hospital Numerator Denominator (all Percent cared There has been in-depth analysis of Invercargill stroke service by MOH. Local team stokes bleeds, & for in organised – being supported by Stroke workstream in developing a plan to address weaknesses. unspecified) stroke service In Q4, DHBs are 0% with the proportion of those referred to community SDHB Dunedin 0 13 61 0 rehab who are seen face to face within 7 days of inpatient discharge this is – Invercargill 0 5 50 0 due to their community service not meeting the minimum standard. See tables Dunstan 0 2 11 0 on the following page for further information. Oamaru 0 0 8 0 CDHB Christchurch 195 27 210 82 CHALLENGES Ashburton 0 2 5 0 Thrombolysis WCDHB Grey Base 92 11 1 11 NMDHB Nelson 0 6 27 0 Blenheim 0 0 16 0 SCDHB Timaru 97 28 6 23 8 % of acute ischaemic stroke patients thrombolysed DHB Hospital Numerator Denominator Percentage (excludes thrombolysed 2 bleeds) SDHB Dunedin 2 61 3% Invercargill 0 50 0% Dunstan 0 11 0% Oamaru 0 8 0% CDHB Christchurch Data not yet received 210 0% Ashburton 0 5 0% WCDHB Grey Base 0 11 0% Nelson 27 15%
MONITORING / BUSINESS AS USUAL ACTIVITY Organised stroke services 1 The SI Stroke measures reveal the minimum standard is not being achieved in all SI DHBs. Three centres are achieving. See tables on following page for further information. There has been in-depth analysis of Invercargill stroke service by MOH. Local team being supported by Stroke workstream in developing a plan to address weaknesses. In Q4, DHBs are 0% with the proportion of those referred to community rehab who are seen face to face within 7 days of inpatient discharge – this is due to their community service not meeting the minimum standard. See tables on the following page for further information. CHALLENGES Thrombolysis 2 Island Stroke National Service Measures Q4 2016-17 80% of all stroke patients to be cared for in organised stroke unit DHB Hospital Numerator Denominator (all stokes – bleeds, & unspecified) Percent cared for in organised stroke service SDHB Dunedin 0 13 61 0 Invercargill 0 5 50 0 Dunstan 0 2 11 0 Oamaru 0 0 8 0 CDHB Christchurch 195 27 210 82 Ashburton 0 2 5 0 WCDHB Grey Base 11 1 11 92 NMDHB Nelson 0 6 27 0 Blenheim 0 0 16 0 SCDHB Timaru 28 6 23 97 8 % of acute ischaemic stroke patients thrombolysed DHB Hospital Numerator Denominator (excludes bleeds) Percentage thrombolysed SDHB Dunedin 2 61 3% Invercargill 0 50 0% Dunstan 0 11 0% Oamaru 0 8 0% CDHB Christchurch Data not yet received 210 0% Ashburton 0 5 0% WCDHB Grey Base 0 11 0% Nelson 27 15%