Page 183 - Hospital Authority Convention 2017
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Parallel Sessions



                PS5.3     Collaborative Service Programmes                     09:00  Room 423 & Room 424

               The Continuous Quality Improvement Project on Allied Health Services for Stroke and Hip Fracture
               Rehabilitation – Promoting Outcome-driven Service
               Wu K                                                                                                HOSPITAL AUTHORITY CONVENTION 2017
               Allied Health Grade Department, Hospital Authority Head Office, Hong Kong

               Objectives
               To develop a standardised method and minimal data set for surveying the service process and outcome of Allied Health (AH)
               services in stroke and hip fracture rehabilitation for promotion of outcome-driven service.

               Methodology
               Two time-limited standardised surveys (three-month for stroke; two-month for hip fracture) were conducted to gather data
               on AH service process and outcome for patients who have received stroke and hip fracture rehabilitation services. Data was
               captured via AH e-forms accessible in Clinical Management System (CMS). The data scope of the survey was standardised
               by  pre-defined  minimal  data  sets  which  were  developed  based  on  international  clinical  guidelines  and  locally  validated
               measures. The functional domains include movement, self-care, nutrition, cognition, emotion and community re-integration.
               Moreover, swallowing and communication were included for stroke; pain was included for hip fracture rehabilitation. Data was
               provided voluntarily by staff of the following services: clinical psychology, dietetics, medical social services, occupational
               therapy, physiotherapy, prosthetics and orthotics and speech therapy.

               Results
               Data  of  4,252  stroke  and  2,052  hip  fracture  patients  (CQI  samples)  were  electronically  captured.  The  age  and  gender  of
               patients from the CQI samples were compared to non-CQI samples (2,036 stroke and 643 hip fracture patients).

               Results indicated that AH service data is crucial in service planning, stratification and performance monitoring, these include:
               (1) understanding profile of patients served in various settings; (2) using specific indicators for triage purpose to facilitate
               patient flow and provision of appropriate care; and (3) identification of good practice.

               Conclusions
               The minimal data sets developed in this project may serve as exemplars for identification of similar data sets for other clinical
               conditions. The working structure, buy-in process and way of data reporting have served as prototypes for building up
               collaborative platforms among AH services for development of outcome-driven service. The results support the development
               of an integrated electronic documentation system for rehabilitation services to facilitate data accessibility for clinical use.  Wednesday, 17 May











































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