Received a Comprehensive Discharge Care Plan Developed With the Patient and Family if Discharged From Acute Care Directly to the Community (Ie, to a Home Setting or Institutional Residential Aged Care and Not Transferred to Another Hospital, That Is, for
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Documented evidence that the patient, or the patient's family, have received a plan that outlines care in the community post discharge that has 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. The care plan should include the following information: • risk factor modification • any community services • local stroke support services • further rehabilitation or outpatient appointments • appropriate contact numbers • equipment needed. A verbal discharge formulated with a patient is not considered a care plan
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Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
The national AuSCR minimum data set includes 4 quality indicators recommended in Australian clinical guidelines
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Cadilhac DA, Andrew NE, Lannin NA, Middleton S, Levi CR, Dewey HM, Grabsch B, Faux S, Hill K, Grimley R, Wong A, Sabet A, Butler E, Bladin CF, Bates TR, Groot P, Castley H, Donnan GA, Anderson CS; Australian Stroke Clinical Registry Consortium. Quality of Acute Care and Long-Term Quality of Life and Survival: The Australian Stroke Clinical Registry. Stroke. 2017 Apr;48(4):1026-1032. doi: 10.1161/STROKEAHA.116.015714. Epub 2017 Mar 3. PMID: 28258253.