Percentage of Stroke Patients Who Are Discharged From Acute Care Without Rehabilitation Referrals in Place
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Numerator
Stroke patients who are discharged from acute care without rehabilitation referrals in place
Denominator
Stroke patients who are discharged from acute care
Exclusions
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Some acute care hospitals provide combined acute and rehabilitation stroke units, where patients progress to being ready to start rehabilitation, and may not actually move beds, or change locations. This information could be found in patient records through primary chart audit. Many performance measures require primary chart audit of inpatient rehabilitation records. Quality of documentation (good or poor) by rehabilitation staff will impact validity of these measures. The Canadian Institute for Health Information has a database known as the National Rehabilitation Reporting System. This database includes data on inpatient rehabilitation encounters to designated rehabilitation beds. It is mandated in some provinces to submit data to the National Rehabilitation Reporting System; in other provinces, it is optional. The National Rehabilitation Reporting System (NRS) has information on an estimated 80% of all inpatient rehabilitation encounters in Canada and can distinguish stroke cases from other rehabilitation patients by diagnosis. Duration or intensity of services by rehabilitation professionals requires a chart review or consistent use of reliable workload measurement tools implemented locally or regionally. Workload measurement systems are a key source of data and information on intensity and frequency of services, but these are not consistently or widely implemented in Canada. Use of such systems should be encouraged in addition to the NRS. Registry of the Canadian Stroke Network
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
Heart and Stroke Foundation of Canada. Delivery of Inpatient Stroke Rehabilitation. In: Rehabilitation and Recovery following Stroke [Internet]. 6th ed. 2019. Accessed May 2023. Available from: www.strokebestpractices.ca/recommendations/stroke-rehabilitation/delivery-of-inpatient-stroke-rehabilitation.
Link to Measurement Tools
Registry of the Canadian Stroke Network (Not available)