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HDS-23 Data Details

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HDS-23 Increase the proportion of adult stroke survivors who are assessed for and/or referred to rehabilitation services.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Get With the Guidelines-Stroke
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
96.2 (2009)
Target: 
Not applicable
Target-Setting Method: 
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Target-Setting Method Justification: 
The current measurement exceeds 95%, making it difficult to measure progress. The workgroup proposes tracking solely for informational purposes.
Numerator: 

Number of adult stroke survivors who were assessed for and/or referred to a stroke rehabilitation program at discharge

Denominator: 

Number of adult stroke survivors

Comparable Healthy People 2010 Objective: 
Not applicable
Data Collection Frequency: 
Periodic
Methodology Notes: 

    Stroke survivors include persons diagnosed with ischemic stroke, subarachnoid hemorrhage, intracerebral hemorrhage based on ICD-9-CM codes 433.x, 434.x, 436, 430.x, 431.x, 432.x.

    Inclusion - patients with diagnosed ischemic or hemorrhagic stroke. Exclusion - patients who died in-hospital, left the acute hospital against medical advice, discontinued care, or were missing a discharge code or date or those transferred in from another acute care facility or out to another acute or specialty were excluded because of inability to confirm eligibility for an acute assessment of rehabilitation, ineligible diagnoses (non-stroke or TIA).

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2015, this objective became measurable. The objective text was modified from "Increase the proportion of adult stroke survivors who are referred to a stroke rehabilitation program at discharge" to "Increase the proportion of adult stroke survivors who are assessed for and/or referred to rehabilitation services." These changes were made to better align with current data collection and performance metrics.

References

Additional resources about the objective

  1. Prvu Bettger JA, Kaltenbach L, Reeves MJ, Smith EE, Fonarow GC, Schwamm LH , Peterson ED. Assessing stroke patients for rehabilitation during the acute hospitalization: findings from the get with the guidelines-stroke program. Arch Phys Med Rehabil 2013; 94(1):38-45.