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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:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 7a-Proportion of stroke patients with a documented care plan prior to hospital separation
METeOR identifier:Help on this term627823
Registration status:Help on this termHealth, Candidate 14/03/2017
Description:Help on this term

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.

Rationale:Help on this term

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:Help on this termClinical care standard indicators: acute stroke Health, Candidate 14/03/2017
Outcome area:Help on this termTransition from hospital care Health, Candidate 14/03/2017

Collection and usage attributes

Computation description:Help on this term

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:

  • risk factor modification – smoking cessation, diet low in fat and sodium and high in fruits and vegetables, increased regular exercise, adherence to medication and reduced alcohol consumption
  • community services
  • stroke support services
  • further rehabilitation or outpatient appointments
  • appropriate contact numbers (NSF 2013a)
  • equipment needed.

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.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

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.

Denominator:Help on this term

Number of patients with a final diagnosis of acute stroke separated from hospital.

Comments:Help on this term

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).

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this term

N[NN]

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

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

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