Irish National Audit of Stroke (INAAS)
National Office of Clinical Audit (NOCA).
2012 - under governance of the HSE National Stroke Programme, governance transferred to NOCA in 2019.
Aim: To conduct audit of stroke care including clinical care and service organisation.
INAS objectives can be found at this link: https://www.noca.ie/audits/inas-objectives
In scope:
- All hospitals that provide acute stroke services, n=24
- All patients with principle diagnosis ICD 10 AM codes i61 (haemorrhagic stroke), i63 (Ischaemic stroke), i64 (stroke unspecified) or with a hospital acquired diagnosis (HADx) of ICD 10 AM codes i61, i63, i64
- All cases reported are >16 years of age
- For inclusion in the INAS National report each hospital must have >80% of their stroke cases submitted to the stroke audit portal.
Out of scope:
- Hospitals who do not provide acute stroke services
- All cases
National. All hospitals that provide acute stroke services, n=24.
Coverage is based on discharges within the calendar year for example 1/1/22-31/12/22. The percentage of patients with ICD 10 AM codes i61, i63, i64 discharged from each of the 24 hospitals who have >80% of those cases with additional clinical audit data submitted to the stroke audit portal within the HIPE system by the close of the HIPE file (normally closed by 31/3/23).
The Irish National Audit of Stroke is a web based system that uses the HIPE portal infrastructure. It audits against agreed standards and guidelines and reports on outcomes for patients with stroke.
HSE Business Intelligence Unit, hospital groups, hospital managers/CEO’s, clinical stroke teams.
Demographics, emergency care timeliness (e.g. Door to Imaging, Thrombolysis, Thrombectomy), stroke unit care, secondary preventions, outcomes, health and social care professional dataset.
Data dictionary not currently available online but available on request from NOCA
No access to individual identifiers available Nationally.
The INAS data dictionary links to the HIPE data dictionary which includes age and gender.
Data is taken from the medical record by audit coordinators (senior nursing staff) with permitted access and inputted into the HIPE stroke audit portal.
Data can be entered while the patient is an in-patient and completed on discharge. Data entry is requested to be complete within the quarter following discharge from hospital.
All data must be submitted by the close of the HIPE file, usually one quarter after end of calendar year.
ICD 10 AM.
6,000
Three KPIs reported quarterly to the HSE BIU and to the Hospital Groups – preliminary data until year end.
National report published annually.
Dashboard reports due to be reported quarterly in 2022.
https://www.noca.ie/about-noca/access-to-audit-data
No.