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Stroke and Stroke Rehabilitation: Rehabilitation Services Ordered

Percentage of patients aged 18 years and older with a diagnosis of ischemic stroke or intracranial hemorrhage for whom occupational, physical, or speech rehabilitation services were ordered at or prior to inpatient discharge OR documentation that no rehabilitation services are indicated at or prior to inpatient discharge

Date Reviewed: April 7, 2014

Measure Info

NQF 0244CMS 036NQF Endorsement Removed
Measure Type: 
Process
Measure Steward: 
American Academy of Neurology
Clinical Topic Area: 
Stroke

Care Setting: 
Inpatient
Data Source: 
Claims
Electronic Health Records
Registry

NQF 0244: “Stroke and Stroke Rehabilitation: Rehabilitation Services Ordered” ACP recognizes the value of post-stroke rehabilitation as a clinical practice. However, ACP does not support this measure. The underlying evidence to support it is of low quality and relates mainly to care in stroke units and not to individual rehabilitation services. It is also not clear that the ordering of services predicts their provision or quality. Finally, local conditions, such as the availability of rehabilitation services, are beyond the clinician’s control but can have an unintended and spurious impact on measured clinical performance.