Irish Heart Attack Audit (IHAA)
National Office of Clinical Audit (NOCA)
2012 - under governance of the HSE National Acute Coronary Syndrome Programme, governance transferred to NOCA in 2019.
Aim: To conduct audit of Acute Coronary Syndrome (ACS) care.
IHAA objectives can be found at this link: https://www.noca.ie/acs-objectives
In scope:
- Currently the IHAA collects data on all patients with an ST elevated Myocardial Infarction (STEMI), who are admitted to a percutaneous intervention (PCI) centre for Primary PCI
- Patients can be either admitted directly to a PCI centre or transferred from another hospital to the PCI centre
- Cases reported are 18 years or more.
Out of scope:
- No data is collected on patients with a Non-ST elevated Myocardial Infarction (NSTEMI) or unstable angina at this time
- All cases less than 18 years of age.
National.
All hospitals that provide a Primary PCI service, n=10.
The degree of coverage of STEMI cases is based on the number of STEMI (ICD 10 AM codes i21.0, i21.1, i21.2, i21.3) cases discharged from the PCI centres against the number of cases submitted onto the Heartbeat portal via HIPE (Hospital In-patient Enquiry) system.
The Irish Heart Attack Audit reports on data from the Heartbeat portal which 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 STEMI.
HSE Business Intelligence Unit, hospital groups, hospital managers/CEO’s, clinical teams.
Demographics, past medical history/risk factors, reperfusion timeliness (e.g. door to balloon, first medical contact to balloon), secondary prevention and outcomes.
Data dictionary not currently available online but available on request from NOCA please see www.noca.ie for contact details.
No access to individual identifiers available Nationally.
The IHAA data dictionary links to the HIPE data dictionary which includes: age and gender.
Data is taken from the medical record by audit coordinators (senior cardiology nursing staff) with permitted access and inputted into the HIPE Heartbeat 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.
If a patient is transferred to a local hospital for on-going acute STEMI care audit coordinators contact colleagues in the local hospital to access additional outcome data e.g. discharge destination.
All data must be submitted by the close of the HIPE file, usually one quarter after end of calendar year.
ICD 10 AM.
1500
Two National KPIs are reported quarterly to the HSE BIU and to the Hospital Groups – preliminary data until year end.
National report published will be published annually.
Dashboard reports due to be reported quarterly in 2022.
https://www.noca.ie/about-noca/access-to-audit-data
No.