Implementation of the Assessment for Rehabilitation Tool for Northern Hospital Acute Stroke interdisciplinary discharge planning

Ms Camille Meredith1

1The Northern Hospital, Epping, Australia

Abstract: 

Aim: The National Clinical Guidelines for Stroke Management (2017) recommend the use of the Assessment for Rehabilitation Tool (ART) to assess patients for rehabilitation post stroke. Our aim was to implement the Assessment for Rehabilitation Tool (ART), during stroke case conferences at The Northern Hospital (TNH), to provide a framework to facilitate consistent, collaborative discharge planning amongst allied health and the interdisciplinary stroke team. Method: A retrospective audit of medical progress notes provided baseline data regarding the consistency of TNH stroke interdisciplinary case conference documentation, recommendations for rehabilitation, and patient length of stay. A post implementation audit of progress notes was conducted to measure changes in discharge documentation and length of stay. Qualitative data regarding the impact of the ART on interdisciplinary collaboration in discharge decisions was captured via staff surveys. Results: Preliminary findings from pre-post ART implementation audit and staff survey indicate 1) an increase in the consistency of documentation of interdisciplinary case conferences and the decision making for discharge planning 2) increased staff satisfaction due to improved collaboration and problem-solving between interdisciplinary team members. Significance of findings to allied health:  Implementation of the ART tool brings The Northern Health Acute Stroke team discharge planning practices into line with recent National Clinical Guidelines for Stroke Management  (2017). Furthermore the preliminary findings suggest that this collaborative model empowers allied health staff to positively influence patient journey post-acute stroke.

Biography: 

Camille Meredith graduated from Flinders University Adelaide in 2012. She has worked as an acute care Speech Pathologist for over five years where she has developed a passion for the management of dysphagia and communication disorders in stroke and neurology caseloads.