Functioning Change

Identifying Attributes

Care Settings
Rehabilitation Care
Country
World Health Organization
Publishing Organisation
World Health Organization (WHO): Rehabilitation Indicator Menu
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Functional Change

Defining Attributes

Definition

The difference between the average functioning assessment score at admission (or commencement) and at discharge (or completion of the rehabilitation episode) for patients with the same health condition. This excludes patients that had an incomplete stay (e.g. discharge to acute care or self-discharged). For comparisons and aggregation across facilities, the same functioning assessment instrument per health condition should be used. The health condition (group) may include spinal cord injury, traumatic brain injury, burns, major multiple trauma, amputation, stroke, acute inflammatory demyelinating polyneuropathy. This indicator could be measured where inpatient specialised rehabilitation is delivered: this is a setting with dedicated rehabilitation beds, which contributes to having a defined rehabilitation episode.

Numerator

The difference between the client's average functioning assessment score at admission and at discharge, by health condition.

Denominator

This is a continuous variable measure. The target population is all rehabilitation clients in a health condition group.

Exclusions

None

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Disaggregation by health condition, geographic region.

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Preferred data source: RHIS. Other possible data sources: Service records, or national body charged with reporting on rehabilitation including facilities outside ministry of health district HMIS (such as private facilities or other ministries).

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

World Health Organization (WHO). Rehabilitation indicator menu. 2nd edition. 2023. Accessed September 2023. Available from: www.who.int/publications/i/item/9789240076440

Technical Specifications
Link to Measurement Tools

Routine Health Information Systems (WHO standard facility indicator "Functioning change")

Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025