Stroke is one of the top three conditions requiring rehabilitation in Queensland public hospitals. National Stroke Foundation (NSF) Clinical Audit data suggests that 52 per cent of acute stroke patients who survive to discharge in Australia currently receive some form of rehabilitation. Little is known about current need. However, available evidence suggests significant variation and gaps in access.
Pathways to and through rehabilitation following acute stroke are complex and poorly understood, particularly in the community sector in Queensland where there is no systematic data regarding community rehabilitation. Multiple different rehabilitation options and configurations are available across Queensland sites and there is a great need to identify optimal service configuration to enable maximum service efficiency and effectiveness.
The Queensland Statewide Stroke Clinical Network has developed a platform of systematic data collection in acute stroke through the Australian Stroke Clinical Registry (AuSCR), which is hosted within the integrated data collection solution – the Australian Stroke Data Tool (AuSDaT). AuSDaT enables data collection at any point along the continuum; linked to AuSCR data which includes community outcomes.
The Building Efficient and Equitable Pathways to and through Rehabilitation after Stroke (BEEPRS) project provides a unique opportunity to systematically map current processes and pathways of assessment, referral and provision of rehabilitation through to patient reported outcomes. The resulting information will enable for the first time, a mechanism to establish service gaps in rehabilitation; and inform the most efficient and effective means for configuring rehabilitation services to meet needs and maximise flow from acute hospitals through rehabilitation to the community. This approach and data can then be used to inform similar investigation in the other major rehabilitation diagnosis related groups in Queensland.