Page 183 - Hospital Authority Convention 2017

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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