Quality statement 4 Early rehabilitation – A rehabilitation needs and goals are assessed by staff trained in rehabilitation patient’s within 24–48 hours of admission to the stroke unit. Rehabilitation is started as soon as possible, depending on the clinical condition and their preferences. patient’s Indicator 4a: Assessment for criteria: Inclusions Patients diagnosed with stroke rehabilitation by a physiotherapist (I61.x, I62.9, I63.x and 164).a within 24–48 hours of Care type = ‘1’ (acute care).b hospital admission Exclusions Definitional attributes Nil. Name: Proportion of patients with a final Denominator: Patients with a final diagnosis of diagnosis of stroke with a stroke who were admitted documented physiotherapy to hospital. assessment within 24–48 hours of Denominator presentation to hospital.1 Inclusions criteria: Rationale: Early physiotherapy assessment is Patients diagnosed with stroke an important and clear starting (I61.x, I62.9, I63.x and 164).a point to the acute care Care type = ‘1’ (acute care).b assessment, management, rehabilitation, and discharge Exclusions planning process. If applied Patients who refuse the systematically, early allied health assessment/decline rehabilitation. assessment should improve the Setting: Acute/Hospital. appropriateness of the ongoing inpatient and discharge care This indicator has been slightly Comments: needs.1 Physiotherapy modified from the Australian assessment is a good indicator of Council on Healthcare Standards rehabilitation activity. indicator used as part of the Collection and usage attributes previous Stroke Foundation Acute Services Audit which specifies an Computation: (Numerator ÷ denominator) x 100 assessment within 48 hours of hospital admission. Total number of patients with a Numerator: final diagnosis of stroke with a Rehabilitation assessment by a documented physiotherapy physiotherapist is associated with assessment within 24–48 hours of improved patient outcomes.2 presentation to hospital. Numerator a ICD-10-AM (9th edition). b METeOR identifier: 491557.
Quality statement 4 – Early rehabilitation A patient’s rehabilitation needs and goals are assessed by staff trained in rehabilitation within 24–48 hours of admission to the stroke unit. Rehabilitation is started as soon as possible, depending on the patient’s clinical condition and their preferences. Indicator 4a: Assessment for rehabilitation by a physiotherapist within 24–48 hours of hospital admission Definitional attributes Name: Proportion of patients with a final diagnosis of stroke with a documented physiotherapy assessment within 24–48 hours of presentation to hospital.1 Rationale: Early physiotherapy assessment is an important and clear starting point to the acute care assessment, management, rehabilitation, and discharge planning process. If applied systematically, early allied health assessment should improve the appropriateness of the ongoing inpatient and discharge care needs.1 Physiotherapy assessment is a good indicator of rehabilitation activity. Collection and usage attributes Computation: (Numerator ÷ denominator) x 100 Numerator: Total number of patients with a final diagnosis of stroke with a documented physiotherapy assessment within 24–48 hours of presentation to hospital. Numerator criteria: Inclusions Patients diagnosed with stroke (I61.x, I62.9, I63.x and 164).a Care type = ‘1’ (acute care).b Exclusions Nil. Denominator: Patients with a final diagnosis of stroke who were admitted to hospital. Denominator criteria: Inclusions Patients diagnosed with stroke (I61.x, I62.9, I63.x and 164).a Care type = ‘1’ (acute care).b Exclusions Patients who refuse the assessment/decline rehabilitation. Setting: Acute/Hospital. Comments: This indicator has been slightly modified from the Australian Council on Healthcare Standards indicator used as part of the previous Stroke Foundation Acute Services Audit which specifies an assessment within 48 hours of hospital admission. Rehabilitation assessment by a physiotherapist is associated with improved patient outcomes.2 a ICD-10-AM (9th edition). b METeOR identifier: 491557.
Acute-Stroke-IndicatorSpecification.docx