Quality statement 4 Early rehabilitation – Indicator 4c: Treatment for a Denominator: Proportion of patients with a final diagnosis of stroke. rehabilitation goal commencing Denominator during an acute hospital admission criteria: Inclusions Patients diagnosed with stroke Definitional attributes (I61.x, I62.9, I63.x and 164).a Name: Proportion of patients with a final Care type = ‘1’ (acute care).b diagnosis of stroke who undergo treatment by a therapist for an Exclusions identified and documented Stroke patients who decline rehabilitation goal during their rehabilitation, return to pre-morbid acute hospital admission. function, are in a coma and/or unresponsive (not simply drowsy), Rationale: Rehabilitation is effective in or where there are limitations of reducing stroke impairment and in therapy (i.e. advance care directive preventing complications. is enacted and/or the patient is on Collection and usage attributes a palliative care pathway).1 Computation: (Numerator ÷ denominator) x 100 Setting: Hospital. Proportion of patients with a final Numerator: Comments: The rehabilitation goals should be diagnosis of stroke who undergo determined jointly by the patient treatment for an identified and their family, and undertaken by rehabilitation goal during their a qualified health professional with acute hospital admission. expertise in the particular impairment. The rehabilitation Numerator goals should be documented.1 Inclusions criteria: Patients diagnosed with stroke Reference (I61.x, I62.9, I63.x and 164).a 1. Australian Stroke Coalition Rehabilitation Working Group. Care type = Assessment for Rehabilitation: Pathway and ‘1’ (acute care).b Tool 2012. Melbourne, Australia.c Exclusions Nil. a ICD-10-AM (9th edition). b METeOR identifier: 491557. c Available at: .
Quality statement 4 – Early rehabilitation Indicator 4c: Treatment for a rehabilitation goal commencing during an acute hospital admission Definitional attributes Name: Proportion of patients with a final diagnosis of stroke who undergo treatment by a therapist for an identified and documented rehabilitation goal during their acute hospital admission. Rationale: Rehabilitation is effective in reducing stroke impairment and in preventing complications. Collection and usage attributes Computation: (Numerator ÷ denominator) x 100 Numerator: Proportion of patients with a final diagnosis of stroke who undergo treatment for an identified rehabilitation goal during their acute hospital admission. 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: Proportion of patients with a final diagnosis of stroke. Denominator criteria: Inclusions Patients diagnosed with stroke (I61.x, I62.9, I63.x and 164).a Care type = ‘1’ (acute care).b Exclusions Stroke patients who decline rehabilitation, return to pre-morbid function, are in a coma and/or unresponsive (not simply drowsy), or where there are limitations of therapy (i.e. advance care directive is enacted and/or the patient is on a palliative care pathway).1 Setting: Hospital. Comments: The rehabilitation goals should be determined jointly by the patient and their family, and undertaken by a qualified health professional with expertise in the particular impairment. The rehabilitation goals should be documented.1 Reference 1. Australian Stroke Coalition Rehabilitation Working Group. Assessment for Rehabilitation: Pathway and Tool 2012. Melbourne, Australia.c a ICD-10-AM (9th edition). b METeOR identifier: 491557. c Available at: .
Acute-Stroke-IndicatorSpecification.docx