Functioning Change
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
None
Stratifications
Disaggregation by health condition, geographic region.
Collection and Reporting Attributes
Type of Data Collection
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
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
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
Rehabilitation indicator menu 2023 2nd edition: www.who.int/publications/i/item/9789240076440/ Routine Health Information System (RHIS): www.who.int/publications/m/item/routine-health-information-systems--rehabilitation-toolkit--information-sheet
Link to Measurement Tools
Routine Health Information Systems (WHO standard facility indicator "Functioning change")