Rehabilitation Services Assessed
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of adult patients diagnosed with ischaemic stroke or spontaneous intracerebral haemorrhage or subarachnoid haemorrhage, who are assessed for the need for rehabilitation services and following assessment, results used to recommended appropriate level of rehabilitation care is documented.
Numerator
Number of patients aged 18 years and older with a diagnosis of ischaemic stroke or spontaneous intracerebral haemorrhage or subarachnoid haemorrhage who were assessed for the need for occupational, physical, and/or speech rehabilitation services at or prior to acute inpatient discharge AND Following assessment, documentation that results were used to recommend appropriate next level of care; either ambulatory or home-based rehabilitation, or referral to long-term care hospital (LTCH), inpatient rehabilitation facility (IRF), skilled nursing facility (SNF), or home health agency (HHA) or documentation that no rehabilitation is necessary
Denominator
Number of patients aged 18 years and older with a diagnosis of ischaemic stroke or spontaneous intracerebral haemorrhage or subarachnoid haemorrhage.
Exclusions
Exclusions are removed from the denominator: Patient elected hospice services within 48 hours of admission Patient documentation indicates no noted rehabilitation needs Death during acute inpatient Discharged/transferred to another acute care facility (comprehensive stroke centre, another acute hospital). Patient declined treatment including left against medical advice
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Data not currently routinely collected
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
American Academy of Neurology (AAN). Rehabilitation Services Assessed. Accessed August 3, 2023. Available from: www.aan.com/practice/rehabilitation-services-stroke-vascular-neurology-quality-measure.
Latorre JGS, Flanagan S, Phipps MS, Shenoy AM, Bennett A, Seidenwurm D. Quality improvement in neurology. Stroke and Stroke Rehabilitation Quality Measurement Set update. 2017;89(15):1619-26.
American Academy of Neurology (AAN). Stroke and Stroke Rehabilitation: Qualiyt Measurement Set Update. Accessed August 3, 2023. Available from: www.aan.com/siteassets/home-page/policy-and-guidelines/quality/quality-measures/15strokeandrehabmeasureset_pg.pdf.