Outcome | Measures |
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Time-efficiency | • Total time of allied health stroke assessments • Time from admission to enactment of social work referral • Time from admission to commencement of allied health intervention/rehabilitation • Occasions of face-to-face service with AHPs (occupational therapy, physiotherapy, speech pathology, social work) • Number of referrals to AHPs (occupational therapy, physiotherapy, speech pathology, social work) where no intervention or further assessment is indicated • Number of patients who received allied health assessment but had a negative stroke diagnosis on MRI • Time from admission to discharge from allied health (occupational therapy, physiotherapy, speech pathology) • Length of hospital stay |
Cost savings | • Economic evaluation to determine difference in utilisation of hospital resources, such as bed space and AHP time |
Quality of care (patient safety) | • Total number of adverse events during the hospital admission that may be related to allied health input (falls, extension of stroke, aspiration pneumonia, pressure injuries) • Missed allied health referrals (other than those due to a change in condition) • Failed discharge, defined as unplanned readmission within 30 days not related to a new episode of care |
Quality of care (compliance to national stroke guidelines) | • Time from admission to allied health assessment (occupational therapy, physiotherapy, speech pathology) • Time from admission to commencement of allied health intervention (occupational therapy, physiotherapy, speech pathology) • Time from admission to mobility assessment • Time from admission to communication assessment |
Utility of the novel TINSA | • Number of sections attempted/completed on the novel TINSA • Number of “stop and refer” prompts used on the novel TINSA • Number of allied health referrals identified from the novel TINSA |
Patient and staff satisfaction | • Patient satisfaction survey • Staff satisfaction survey • Staff focus group |
Staff trust and confidence | • Staff interprofessional trust surveys • Staff confidence surveys (pre/post competency training) • Staff building confidence surveys (monthly intervals) |
Patient outcomes at 3-months from hospital admission | • EQ-5D-3L as a measure of quality of life • Modified Rankin Scale (MRS) as a measure of disability • Health event questions pertaining to community falls, hospital readmissions, help from family/friends, formal support services. |