Acute stroke clinical care standard indicators: 3a-Proportion of patients with a final diagnosis of acute stroke who have documented treatment in a stroke unit, 2019-

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:Indicator 3a-Proportion of patients with a final diagnosis of acute stroke who have documented treatment in a stroke unit
METeOR identifier:719052
Registration status:Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019
Description:

Proportion of patients with a final diagnosis of acute stroke who have documented treatment in a stroke unit at any time during their hospital stay, in the reference Local Hospital Network (LHN) or other stroke network.

Indicator set:Clinical care standard indicators: acute stroke Australian Commission on Safety and Quality in Health Care, Standard 03/11/2020

Collection and usage attributes

Computation description:

Both the numerator and the denominator include patients with a final diagnosis of acute stroke.

For the numerator, a ‘stroke unit’ is defined as care provided in a hospital ward with the following minimum elements:

  • co-located beds within a geographically defined unit
  • dedicated, multidisciplinary team with members who have a special interest in stroke or rehabilitation
  • a multidisciplinary team that meets at least once per week to discuss patient care
  • the team has access to regular professional development and education relating to stroke (Stroke Foundation 2019).

There are two types of stroke units that treat acute stroke patients:

  1. Acute stroke unit, which accepts patients acutely but separates patients early (usually within 7 days).
  2. Comprehensive stroke unit, which accepts patients acutely but also provides rehabilitation for at least several weeks.

Each model has a service provided in a discrete ward or dedicated beds within a larger ward, with a specialised multidisciplinary team with allocated staff for the care of patients with stroke. The numerator includes patients admitted to either type of stroke unit.

Presented as a percentage.

Computation:

(Numerator ÷ denominator) x 100

Numerator:

Number of patients with a final diagnosis of acute stroke who separated from hospital with documented evidence of treatment in a stroke unit at any time during their acute hospital stay.

Denominator:

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

Representational attributes

Representation class:Percentage
Data type:Real
Unit of measure:Episode
Format:

N[NN]

Source and reference attributes

Submitting organisation:

Australian Commission on Safety and Quality in Health Care

Reference documents:

National Stroke Foundation 2019. Acute stroke services framework. Melbourne: National Stroke Foundation