Acute stroke clinical care standard indicators: 7a-Proportion of stroke patients with a documented care plan prior to hospital separation
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 7a-Proportion of stroke patients with a documented care plan prior to hospital separation|
|Registration status:||Health, Candidate 14/03/2017|
Proportion of patients with a final diagnosis of acute stroke, with evidence that a documented plan for their ongoing care in the community was developed with and provided to the patient and/or their carer prior to separation from hospital.
A range of interventions have been shown to reduce the risk of another stroke and are outlined in the Clinical guidelines for stroke management (NSF 2010). A written care plan should address all relevant lifestyle modifications. The plan aims to encourage self-management strategies to assist the patient in maximising their recovery from stroke.
|Indicator set:||Clinical care standard indicators: acute stroke Health, Candidate 14/03/2017|
|Outcome area:||Transition from hospital care Health, Candidate 14/03/2017|
Collection and usage attributes
Both the numerator and the denominator include patients with a final diagnosis of acute stroke. The final diagnosis is made at the hospital where the patient is admitted for the acute phase of management of their stroke.
Both the numerator and the denominator only include patients separated to their usual residence, own accommodation or welfare institution following the acute episode of care (i.e. where Episode of admitted patient care—separation mode, code N = 9 Other). Welfare institutions include prisons, hostels and group homes providing primarily welfare services.
For the numerator, the care plan should be developed by a multidisciplinary team and include the following information:
It should be provided to the patient and/or their carer prior to the patient being separated from hospital (NSF 2010).
Both the numerator and denominator exclude stroke patients separated from hospital refusing a care plan.
Presented as a percentage.
(Numerator ÷ denominator) x 100
Number of patients with a final diagnosis of acute stroke with evidence that a documented plan for their ongoing care in the community was developed with, and provided to, the patient and/or their carer prior to separation from hospital.
Number of patients with a final diagnosis of acute stroke separated from hospital.
This indicator is part of the National Stroke Foundation (NSF) clinical audit (NSF 2013b).
The Australian Stroke Coalition recommends the use of the My stroke care plan (NSF 2013a).
|Unit of measure:||Episode|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
ACHS (Australian Council on Healthcare Standards) 2012. ACHS Clinical indicator users’ manual 2012. Sydney: ACHS
NSF (National Stroke Foundation) 2010. Clinical guidelines for stroke management. Melbourne: NSF
NSF 2013a. My stroke care plan. Melbourne: NSF
NSF 2013b. National stroke audit: acute services clinical audit report. Melbourne: NSF