Functioning Change Over Episode
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Average total change in the functioning assessment score from admission or commencement to discharge or completion of the rehabilitation episode. An episode is defined as care provided by the health care facility or provider for a specific medical problem, condition, or diagnosis, from commencement to completion or discharge from care.
Numerator
Average (mean) change in functioning from initial rehabilitation assessment to discharge.
Denominator
This is a continuous variable measure. The target population is episodes with functioning assessment score at admission or commencement as well as at discharge or completion of the rehabilitation episode.
Exclusions
None
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
By ICD code, or other national health condition or care coding. This information enables comparisons across facilities that support clinical benchmarking. This information can be analysed alongside average length of episode to provide information related to efficiency of services.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Method of measurement: The total of the change in functioning from initial rehabilitation assessment to discharge/ total episodes, disaggregated by health condition group. Preferred data sources: Data extracted from discharge summary by facility or programme. Facility level reporting system through the Ministry of Health DHMIS, or national body charged with reporting on rehabilitation including facilities outside Ministry of Health DHMIS (such as private facilities or other ministries).
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Not applicable
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
World Health Organization (WHO). Rehabilitation indicator menu: a tool accompanying the Framework for Rehabilitation Monitoring and Evaluation (FRAME). 2019. Accessed December 2022. Available from: apps.who.int/iris/handle/10665/330955. World Health Organization (WHO). Guidance on the analysis and use of routine health information systems: rehabilitation module. 2022. Accessed December 2022. Available from: www.who.int/publications/i/item/9789240050242.
Technical Specifications
Rehabilitation indicator menu 2019: apps.who.int/iris/handle/10665/330955. Guidance on the analysis and use of routine health information systems:rehabilitation module 2022: www.who.int/publications/i/item/9789240050242
Link to Measurement Tools
Rehabilitation Indicator Menu tool for Rehabilitation Monitoring and Evaluation (FRAME) to enable countries to adopt core indicators & select and adopt relevant expanded indicators. (Not Applicable)