Proportion of patients with a final diagnosis of acute stroke provided with a documented care plan prior to separation from hospital. Both the numerator and the denominator only include patients separated to their usual residence, own accommodation or welfare institution following the acute episode of care. Welfare institutions include prisons, hostels and group homes providing primarily welfare services.

Number of patients with a final diagnosis of acute stroke with evidence that a documented plan for their ongoing care in the community was developed with, and provided to, the patient and/or their carer prior to separation from hospital. The plan should have been developed with input from both the multi-disciplinary team and the patient, or in situations where the patient is no longer able to make decisions, with the family or significant other. It should include risk factor modification – smoking cessation, diet low in fat and sodium and high in fruits and vegetables, increased regular exercise, adherence to medication and reduced alcohol consumption community services stroke support services further rehabilitation or outpatient appointments appropriate contact numbers equipment needed. The document should not be confused with a discharge care plan that is a communication tool between hospital staff and other health professionals (e.g. GP's). The document should be provided to the patient and/or their carer prior to the patient being separated from hospital.

Number of patients with a final diagnosis of acute stroke separated from hospital.

Stroke patients separated from hospital refusing a care plan.

This set of indicators has been developed to assist with local implementation of the Acute stroke clinical care standard.

Indicators are intended to support local quality improvement activities

meteor.aihw.gov.au/content/719120