Length of Rehabilitation Episode
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
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. Clients may have one or more consecutive episodes if the condition or diagnosis changes. This could then entail a discharge for the first condition and commencement for new condition. It is common for health financing schemes to also have definitions that may be used. The length of the rehabilitation episode is the mean of the total number of episode days divided by the number of episodes. This information is mostly categorised by the ICD code or national health condition or care coding (diagnostic reference group), and generally collated for selected health conditions.
Numerator
Mean length in days of rehabilitation episodes categorised by ICD code in all facilities in the country per year (using national health coding system).
Denominator
This is a continuous variable measure. The target population is all rehabilitation episodes (inferred).
Exclusions
None
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Disaggregated by ICD code, by inpatient episodes and by nature of service, e.g tertiary hospital inpatient, outpatient, day programme placement, community delivered rehabilitation. This is also important for comparison across facilities and districts.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Method of measurement: Total number of days per episode/number of episodes. Preferred data sources: Data extracted from discharge summaries from facilities/programmes. 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 from 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)