Included: all patients are included unless:
- the patient refused,
- the patient is medically unwell for entire admission
- the patient has no impairments
- the patient is considered to have no rehabilitation potential for all teams the patient is seen by within the first 5 days of clock start AND it has been decided either in the first 72 hours or by discharge that the patient is for palliative care.
Excluded: patients who refused, have no impairments, or are medically unwell for the entire admission are excluded. Patients considered to have no rehabilitation potential for all teams the patient is seen by within the first 5 days of clock start and where it has been decided either in the first 72 hours or by discharge that the patient is for palliative care are also excluded from this indicator. |
Numerator = the number of patients who have rehabilitation goals agreed within 5 days of clock start.
Denominator = all the applicable patients in the cohort. Patients who are applicable but did not have rehabilitation goals are included in the denominator.
To calculate whether a patient is included in the numerator:
For newly arrived patients, the difference between the first date rehabilitation goals agreed (Q 6.10) and the date of arrival (Q 1.13) must be greater than or equal to 0 days and less than or equal to 5 days.
For patients already in hospital at the time of their stroke (Q 1.10 is ‘Yes’), the difference between first date rehabilitation goals agreed (Q 6.10) and the date of symptom onset (Q 1.11) must be greater than or equal to 0 days and less than or equal to 5 days.
Cohort percentage:
For team-centred | For patient-centred |
N/A | All patients eligible in the patient-centred 72h cohort |
Example
Patient W onset in hospital on the 4th January. The patient was for palliative care within 72h and the reason no goals were set was because the patient was deemed to have no rehabilitation potential. Patient W was therefore excluded from this indicator.
Patient X arrived (clock start) at hospital on 1st January. They had rehabilitation goals agreed on by 4th January. Patient X has achieved the indicator because 1stJanuary – 4th January = 3 days.
Patient Y arrived (clock start) at hospital on 2nd January. They had rehabilitation goals agreed on by 10th January. Patient Y has not achieved the indicator because 2nd January – 10th January = 8 days.
Patient Z arrived (clock start) at hospital on 3rd January. They did not have rehabilitation goals set because of organisational reasons.
Therefore the cohort percentage is 0.33 or 33% or