A Binding Personalised, Rehabilitation and Sector Transition Plan Is Provided at Discharge

Identifying Attributes

Care Settings
Rehabilitation Care
Country
Iceland, United Kingdom, Channel Islands and Isle of Man, Ireland, Portugal, Switzerland, Netherlands, Germany, Czechia, Slovakia, Hungary, Croatia, Slovenia, Serbia, Kosovo, North Macedonia, Greece, Norway, Sweden, Denmark, Finland, Estonia, Latvia, Lithuania, Ukraine, Moldova, Romania, Bulgaria, Türkiye, Georgia, Azerbaijan, Cyprus, Kyrgyzstan
Publishing Organisation
European Stroke Organisation and SAFE Stroke Alliance for Europe, Stroke Services Tracker
Type of Quality Indicator
Process
IOM Quality Dimension
Efficiency
Domain
Accessibility

Defining Attributes

Definition

Percentage of patients with a binding personalised, rehabilitation and sector transition plan is provided at discharge

Numerator

Total number of patients with a binding personalised, rehabilitation and sector transition plan provided at discharge

Denominator

Total number of patients in the program

Exclusions
Use of Risk Adjustment
No
Risk Adjustments
Stratifications

None

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

National coordinators within each country are responsible for uploading national summary data for reporting. Data are collected from registries, administrative data, and via individual site contact depending on the country.

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Publicly reported at the country level (actionplan.eso-stroke.org/kpi/kpi-11).

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

Evidence Source

European Stroke Organisation and SAFE Stroke Alliance for Europe, 2021, Stroke action plan Europe 2018-2030, SAP-E report, actionplan.eso-stroke.org/wp-content/uploads/2023/05/SAP-E2021report.pdf

Link to Measurement Tools
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
Yes
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
23 July 2025