Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke
Stroke is the leading global cause of permanent disability and the second leading cause of dementia within the first year of the event. Systematic quality improvement interventions such as Audit & Feedback (A&F) can monitor and improve the performance of post-stroke care in conjunction with...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/14/2065 |
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| author | Maria Cristina De Cola Augusto Ielo Francesco Corallo Sebastiano Pollina Addario Salvatore Scondotto Alessandra Allotta Giovanna Fantaci Placido Bramanti Rosella Ciurleo |
| author_facet | Maria Cristina De Cola Augusto Ielo Francesco Corallo Sebastiano Pollina Addario Salvatore Scondotto Alessandra Allotta Giovanna Fantaci Placido Bramanti Rosella Ciurleo |
| author_sort | Maria Cristina De Cola |
| collection | DOAJ |
| description | Stroke is the leading global cause of permanent disability and the second leading cause of dementia within the first year of the event. Systematic quality improvement interventions such as Audit & Feedback (A&F) can monitor and improve the performance of post-stroke care in conjunction with the use of quality indicators (QIs). The scientific literature shows limited studies on quality improvement and QIs design for poststroke rehabilitation. In Italy, the National Outcomes Evaluation Programme (PNE) annually provides several QIs concerning the acute wards. On the contrary, indicators for quality assessment of post-acute stroke rehabilitation are not available nationwide. In recent years, the Italian Ministry of Health has funded a national network project, the aim of which is to provide and evaluate the effectiveness of A&F strategies in healthcare improvement. Part of this project is the development of a set of IQs for ischemic stroke rehabilitation used to conduct an A&F. In this study, we describe the design and development process of these QIs from administrative databases and report the results of the pilot test conducted on a small sample of Sicilian rehabilitation facilities, comparing them from 2019 to 2021. Feedback from the participating centers was mainly positive, and the quality indicators were found to be comprehensible and appreciated. However, the study highlighted the need for better adherence to indicators measuring processes of rehabilitation care. The set of quality indicators presented in this study, relevant to inpatient settings, could be considered a starting point on which to base quality improvement initiatives both nationally and internationally. |
| first_indexed | 2024-03-11T01:02:11Z |
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| id | doaj.art-ed6bffb2c74642748b87a45d5e08b04b |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T01:02:11Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-ed6bffb2c74642748b87a45d5e08b04b2023-11-18T19:33:30ZengMDPI AGHealthcare2227-90322023-07-011114206510.3390/healthcare11142065Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic StrokeMaria Cristina De Cola0Augusto Ielo1Francesco Corallo2Sebastiano Pollina Addario3Salvatore Scondotto4Alessandra Allotta5Giovanna Fantaci6Placido Bramanti7Rosella Ciurleo8IRCCS Centro Neurolesi Bonino-Pulejo, 98124 Messina, ItalyIRCCS Centro Neurolesi Bonino-Pulejo, 98124 Messina, ItalyIRCCS Centro Neurolesi Bonino-Pulejo, 98124 Messina, ItalyAssessorato della Salute, Dipartimento Attività Sanitarie e Osservatorio Epidemiologico, 90145 Palermo, ItalyAssessorato della Salute, Dipartimento Attività Sanitarie e Osservatorio Epidemiologico, 90145 Palermo, ItalyAssessorato della Salute, Dipartimento Attività Sanitarie e Osservatorio Epidemiologico, 90145 Palermo, ItalyAssessorato della Salute, Dipartimento Attività Sanitarie e Osservatorio Epidemiologico, 90145 Palermo, ItalyIRCCS Centro Neurolesi Bonino-Pulejo, 98124 Messina, ItalyIRCCS Centro Neurolesi Bonino-Pulejo, 98124 Messina, ItalyStroke is the leading global cause of permanent disability and the second leading cause of dementia within the first year of the event. Systematic quality improvement interventions such as Audit & Feedback (A&F) can monitor and improve the performance of post-stroke care in conjunction with the use of quality indicators (QIs). The scientific literature shows limited studies on quality improvement and QIs design for poststroke rehabilitation. In Italy, the National Outcomes Evaluation Programme (PNE) annually provides several QIs concerning the acute wards. On the contrary, indicators for quality assessment of post-acute stroke rehabilitation are not available nationwide. In recent years, the Italian Ministry of Health has funded a national network project, the aim of which is to provide and evaluate the effectiveness of A&F strategies in healthcare improvement. Part of this project is the development of a set of IQs for ischemic stroke rehabilitation used to conduct an A&F. In this study, we describe the design and development process of these QIs from administrative databases and report the results of the pilot test conducted on a small sample of Sicilian rehabilitation facilities, comparing them from 2019 to 2021. Feedback from the participating centers was mainly positive, and the quality indicators were found to be comprehensible and appreciated. However, the study highlighted the need for better adherence to indicators measuring processes of rehabilitation care. The set of quality indicators presented in this study, relevant to inpatient settings, could be considered a starting point on which to base quality improvement initiatives both nationally and internationally.https://www.mdpi.com/2227-9032/11/14/2065quality indicatorsischemic strokerehabilitationneurorehabilitationaudit and feedbackcare pathways |
| spellingShingle | Maria Cristina De Cola Augusto Ielo Francesco Corallo Sebastiano Pollina Addario Salvatore Scondotto Alessandra Allotta Giovanna Fantaci Placido Bramanti Rosella Ciurleo Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke Healthcare quality indicators ischemic stroke rehabilitation neurorehabilitation audit and feedback care pathways |
| title | Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
| title_full | Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
| title_fullStr | Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
| title_full_unstemmed | Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
| title_short | Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
| title_sort | development of a set of indicators for measuring and improving quality of rehabilitation care after ischemic stroke |
| topic | quality indicators ischemic stroke rehabilitation neurorehabilitation audit and feedback care pathways |
| url | https://www.mdpi.com/2227-9032/11/14/2065 |
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