UK needs to leverage data to renew stroke aftercare

Stroke is the only leading cause of complex disability, and long-term thinking about stroke aftercare is important in relieving pressure on health and social care.

The NHS Long-Term Plan positions stroke aftercare as an important priority for improvement. However, ongoing data say that by 2025, thrombolytic therapy will be performed to ensure the best performance in Europe to increase the number of patients reviewed for recovery needs (29% to 90%). Meet showing that the promise is unlikely.

The stroke pathway has seen significant improvement over the last decade. These include the introduction of hyperacute stroke units, improved brain imaging, rapid thrombolytic therapy, and game-changing thrombotomy. However, these interventions can be compromised by the inability to recognize opportunities to help post-stroke people return to a productive life.

Stroke treatment is an area of ​​significant improvement in the United Kingdom. Mortality has halved in the last two decades, but stroke remains the number one cause of complex disability. In addition to this, recent studies on the 5-year survival rate of the Stroke Association remain low.

The Stroke Association estimates that 100,000 people in the UK suffer stroke each year and two-thirds of survivors are discharged with disabilities. Currently, there are 1.2 million stroke survivors living in the UK, with an estimated cost of the medical and care sector of £ 26 billion annually. This cost is expected to triple by 2035.

Missing part of stroke pathway

Providing rehabilitation and aftercare is an important part of the care pathway, but it is often not limited to stroke care and is often the most lacking in support and resources.

This is not unique to the UK, and US clinicians have similar problems. After the patient has left the acute situation provided with the latest interventions, medications and technological advances, the same level of attention has not been paid to after discharge. In many cases, the long-term effects are unknown and the health condition deteriorates significantly.

Stroke Aftercare: Wrong Thinking

Within the system, there is a fundamental idea that the priority is on acute care management, and what happens after that is not so important. As a system, crisis response is generally exceptional, and innovation and resources tend to focus on this stage of the patient’s journey. But there are few strategies. And the funding treadmill is perpetuated by continuously concentrating investment on acute interventions. However, if a more strategic view of the entire care channel is not taken, it is clear that the cost-benefit is inadequate.

Failure to provide effective rehabilitation immediately after an acute episode can reduce an individual’s functional mobility and normal life. If this failure results in higher costs for medical and care systems, lower financial productivity, and the loss of the patient’s ability to live independently, the cost of social care can increase. ..

Actual data masking

The data currently collected typically identifies episodes of readmission patients as new cases, rather than the system recognizing and counting as readmissions. This could often mask the failure of rehabilitation and the ongoing support provided and prevent further problems.

No association with comorbidity was found, and more and more people are dying in the first 6 months after stroke, not as a result of stroke. In other words, we are overlooking opportunities to influence results in other ways.

The cost of high quality rehabilitation can be repaid over time, but the immediate cost pressure of the system means that rehabilitation is not funded as a priority and may reduce patient outcomes. ..

Balance the funding model

So what should the road be from here? The key to achieving the right balance is to assert the need for more use of the data and provide evidence for building a business case. There are specialists and clinicians looking for evidence to lead responsibility and balance the funding model.

The Mount Sinai Health System in the United States has solicited a randomly selected sample of people enrolled in a remote monitoring program. Of the samples, 90% had a crisis that could have been intervened by the healthcare system. Without follow-up, these crises would never have been caught.

Cardiff and Vale in Wales are currently experimenting with systems that combine data rather than episodes into patients to track readmissions and the journey of the patient’s entire healthcare system. The results of the data provide interesting insights into chronic illnesses and help to change the understanding of where healthcare providers are putting money.

The role of data and digital in stroke aftercare

You can also see the role of the digital platform used for virtual rehabilitation. There are many ways to do this, and the growth of digital care technology in local governments should be used to support and approve these changes throughout the healthcare system. As an example, Visionable’s platform can identify poor health early and prevent serious problems such as readmissions. As people wait longer for care, this early warning is important to avoid harm to the patient.

There is a real opportunity to change the way we approach rehabilitation pathways and track results. As the NHS embarks on structural changes in the earthquake in 2022, this dialogue should really appeal to the new integrated care system and its integrated care board.

Through system-wide commissioning, you have the opportunity to balance your investment, provide transformation, and provide a true path across, including more robust rehabilitation services. Enhancing real-time data collection and ensuring that money reaches patients can make a significant difference not only in public wallets, but also in people’s quality of life.

UK needs to leverage data to renew stroke aftercare

Source link UK needs to leverage data to renew stroke aftercare

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