Rehabilitation Timeliness
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
To measure timeliness in a feasible way, a health condition for which there is evidence that timeliness is important should be selected. Stroke is such a condition and should be considered: it is relatively common and evidence and standards regarding the best timing for rehabilitation assessment are available. Timeliness can be operationally defined based on a national standard, for instance – for stroke it can be defined as the percentage of stroke patients who receive an assessment by a therapist within 48 hours of admission to a hospital after a stroke event.
Numerator
Number of stroke patients with therapist assessment focused on limitations in functioning within 48 hours of admission to a health facility, over specified time period.
Denominator
Total number of stroke patients in the country admitted to health facility, over specified time period.
Exclusions
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
This may be disaggregated by type of facility, geographical region, age, sex, and socioeconomic status. The time period can be altered and adapted as appropriate.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Method of measurement: Total number of stroke patients with therapist assessment within 48 hours of admission/ total number of stroke patients admitted x 100. Method of estimation/variation: Rather than use the total population of stroke patients in the country, it is possible to sample a number of facilities in the country to generate an estimate of this indicator. Preferred data sources: Data from Ministry of Health, DHMIS, health facility audits.
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)