As a Comprehensive Stroke Center, our team has learned through years of experience and trial and error that data collection done at the point of care is pivotal in providing the best care to our stroke population. We are able to capture all of our times accurately, find problems in processes immediately, view our results in real time, and make improvements quickly as necessary. INSTOR is the only data collection/analysis registry our Stroke Section uses.
Amberlea Elliott, R.N., B.S.N., Manager, Heart and Vascular Services, Mercy Hospital, Oklahoma City, OK
As is true of any registry/database, the successful implementation of INSTOR depends on accurate data collection and subsequent data entry. Each institution may continue to collect data as they currently do (which typically results in data scattered within the electronic medical record (EMR). However, retrospectively abstracting the necessary information from the EMR has proved tedious, expensive, and sometimes incorrect or even futile. Experience at both Primary and Comprehensive Stroke Centers that use a concise standardized data sheet (e.g., Data Summary Sheet, ED Data Sheet, Angio Suite Data), has shown that this system allows fast, thorough and accurate data entry into INSTOR with minimal effort.
Learning from Experience. Interventional Cardiology faced the data and performance improvement challenge of STEMI (ST-Elevation in Myocardial Infarction) two decades ago and solved it with Point-Of-Service concurrent data documentation and continuous process improvement. Similar to STEMI, and unlike other tools that track patients undergoing non-emergent therapies over extended periods (e.g. cancer, diabetes, Congestive Heart Failure, etc.), INSTOR’s strategic function is to optimize a very different therapeutic process: the emergency treatment of stroke. Acute ischemic stroke occurs in a brief time period in limited locations, an ideal situation for concurrent data collection. INSTOR was specifically designed to use limited but defined data points, perform complex analyses, and then provide powerful quality improvement and clinical outcomes information in easily understandable graphic formats. This concurrent analysis then facilitates ongoing process improvement.
Using Data Constructively. As opposed to other tools, INSTOR intentionally avoids collecting information that does not directly contribute to process improvement for the emergency treatment of stroke (e.g., referral to rehab, smoking cessation, extraneous lab work, etc.). Using a minimal amount of defined data points, INSTOR analyzes and presents over 250 performance and clinical outcomes reports in real-time with instantly printable timelines.
As you consider INSTOR and how best to implement data collection and documentation at your institution, this Data Management Overview provides a comprehensive look at advantages and disadvantages of various approaches and further explains how INSTOR makes data entry easy.