Acute stroke clinical care standard indicators: 7a-Proportion of patients with a final diagnosis of acute stroke provided with a documented care plan prior to separation from hospital, 2019-
Indicator Attributes
Identifying and definitional attributes | |
Metadata item type: | Indicator |
---|---|
Indicator type: | Indicator |
Short name: | Indicator 7a-Proportion of patients with a final diagnosis of acute stroke provided with a documented care plan prior to separation from hospital |
METEOR identifier: | 719120 |
Registration status: | Australian Commission on Safety and Quality in Health Care, Qualified 09/09/2019 |
Description: | 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. |
Indicator set: |
Collection and usage attributes | |
Computation description: | 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. The numerator includes patients for whom there is documented evidence that the patient, or the patients’ family, have received a plan that outlines their care in the community post discharge. The plan should have been developed with input from both the multi-disciplinary team and the patient, or in situations where the patient is no longer able to make decisions, with the family or significant other. The care plan should include the following information:
The document should not be cofused with a discharge care plan that is a communication tool between hospital staff and other health professionals (e.g. GP’s). The document should be provided to the patient and/or their carer prior to the patient being separated from hospital (Stroke Foundation 2017). Both the numerator and denominator exclude stroke patients separated from hospital refusing a care plan. Presented as a percentage. |
---|---|
Computation: | (Numerator ÷ denominator) x 100 |
Numerator: | 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: | Number of patients with a final diagnosis of acute stroke separated from hospital. |
Comments: | The Australian Stroke Coalition recommends the use of the My stroke care plan. |
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 2017. Clinical guidelines for stroke management. Melbourne: Stroke Foundation
|