Inpatient Rehabilitation Clients Reporting an Improvement of Pain at Discharge
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of clients reporting pain on admission who reported either less pain or no pain on the discharge assessment.
Numerator
Number of clients who reported pain on admission and who reported either less pain or no pain on the discharge assessment (inferred).
Denominator
Number of clients who reported pain on admission (inferred).
Exclusions
Records are excluded where 59A = Client Unable to Answer on the admission and/or discharge assessment.
Use of Risk Adjustment
Risk Adjustments
Stratifications
Rehabilitation Client Groups.
Data Attributes
Type of Data Collection
Data Collection Methods
The indicator is calculated based on the Pain Score: the sum of the scores from data elements 59B (Intensity of Pain/Discomfort) and 59C (Activity Limitation Due to Pain/Discomfort). The score ranges from 4 to 9, where 4 is severe pain with most activities restricted and 9 is mild pain with no activity restrictions. This indicator is calculated using all records for which Presence of Pain (59A) = Yes on admission, and where the difference between Pain Score on admission and Pain Score on discharge is positive (i.e., a smaller number on admission than on discharge).
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
National Rehabilitation Reporting System.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Canadian Institute for Health Information (CIHI). NRS eReports - Report Interpretation Guidelines. Accessed August 3, 2023. Available from: www.cihi.ca/sites/default/files/document/nrs-ereports-manual-2017-en-web.pdf.
Canadian Institute for Health Information (CIHI). NRS Inpatient Rehabilitation Clients Reporting an Improvement of Pain at Discharge. Accessed August 3, 2023. Available from: www.cihi.ca/en/inpatient-rehabilitation-clients-reporting-an-improvement-of-pain-at-discharge.
Technical Specifications
Quality indicator details: www.cihi.ca/sites/default/files/document/nrs-ereports-manual-2017-en-web.pdf Data stratified by Rehabilitation Client Group: www.cihi.ca/en/inpatient-rehabilitation-clients-reporting-an-improvement-of-pain-at-discharge