Meeting the Standards for Stroke Care

How do we ensure we are meeting the standards for stroke care in Australia?

Every two years MetroRehab Hospital participates in the National Stroke Foundation Rehabilitation Audit which provides information on our performance related to the Clinical Guidelines for Stroke Management (2010). The 2014 audit showed MetroRehab Hospital is excelling in the following areas:

  • Patients always received physical therapy (Physiotherapy and Occupational Therapy) at an intensity in line with national recommendations
  • Speech therapy was always provided as much as the patient could tolerate
  • Goal setting involved the patients 100% of the time with those who were able
  • Routine use of evidence-based guidelines to inform evidence based therapy

How do we measure our performance?

Throughout the year data is submitted to the Australian Rehabilitation Outcomes Centre (AROC) to compare our outcomes with national benchmarks. MetroRehab Hospital is currently ranked within the top 5 private hospitals in NSW for providing stroke rehabilitation (AROC, May 2015). The national outcome measure tool used in Australia is the Functional Independence Measure (FIM,) which measures the level of patient independence across 18 activities of daily living (e.g. eating, toileting, bathing, transfers, mobility etc).

The following graph illustrates:

  • MetroRehab Hospital achieves greater FIM change than other private facilities
  • MetroRehab Hospital markedly increased the average FIM change or functional improvement for stroke patients in 2014

Graph-StrokeFIMChange