- What is AROC?
- What does AROC do?
- How is AROC governed?
- How is AROC funded?
- Who is the AROC data custodian?
- Who is the AROC data Manager?
- Who were the AROC foundation members?
- Who are the current AROC members?
- What does AROC provide for members?
- How does AROC link into the broader health system?
- How can I become a member of AROC?
The Australasian Rehabilitation Outcomes Centre (AROC) is a joint initiative of the Australian rehabilitation sector (providers, funders, regulators and consumers). It commenced operation on 1 July 2002. With the support of its industry partners, AROC has been established by the Australasian Faculty of Rehabilitation Medicine (AFRM) of the Royal Australasian College of Physicians (RACP). A business plan for AROC to run as a not-for-profit self-funding organisation was developed by an AROC Planning Group, consisting of representatives from across the sector.
The purpose and aims of AROC were established as, and continue to be:
- Develop a national benchmarking system to improve clinical rehabilitation outcomes in both the public and private sectors.
- Produce information on the efficacy of interventions through the systematic collection of outcomes information in both the inpatient and ambulatory settings.
- Develop clinical and management information reports based on functional outcomes, impairment groupings and other relevant variables that meet the needs of providers, payers, consumers, the States/Commonwealth and other stakeholders in both the public and private rehabilitation sectors.
- Provide and coordinate ongoing education, training and certification in the use of the FIM and other outcome measures.
- Provide annual reports that summarise the Australasian data.
- Develop research proposals to refine the selected outcome measures over time.
AROC has its own Management Advisory Group consisting of representatives from across the sector. A Scientific and Clinical Advisory Committee was established to advise AROC on clinical and scientific issues. Stakeholders can have a direct say in the ongoing development of the Centre through their representatives on these committees.
The AFRM is the data custodian of the AROC data set. The AFRM has appointed the Australian Health Services Research Institute (AHSRI) at the University of Wollongong to manage the AROC data set on its behalf and to undertake the day to day management of AROC.
AROC was established with funding from seven foundation members. These foundation members contributed funds during AROC's establishment phase. AROC is currently funded by a combination of a Subscription model and a User Pays model. Members of AROC pay an annual subscription fee for which they receive a number of core services. AROC also provides additional services on a User Pays basis.
The AFRM established AROC and is the data custodian of the AROC data set. As the data custodian, the AFRM has the role of appointing a data manager and ensuring that the data set is appropriately managed. A representative of the AFRM chairs the AROC Management Advisory Group and members of the AFRM also contribute their clinical and scientific expertise.
The AFRM appointed the Australian Health Services Research Institute (AHSRI) at the University of Wollongong to manage the AROC data set on its behalf and to undertake the day to day management of AROC. An AHSRI representative sits on the AROC Management Advisory Group in its data manager capacity. As a legal entity, the University of Wollongong provides infrastructure and corporate support services. Through AHSRI, AROC has access to the University's Ethics Committee.
AROC commenced operation in 2002 with seven foundation members. Each foundation member appointed its own representative to the AROC Management Advisory Group. The seven foundation members were:
- Australian Government Department of Health and Ageing;
- Department of Veterans' Affairs Australia;
- NSW and Victorian Health Departments representing State/Territory health authorities and public sector rehabilitation services;
- Australian Health Insurence Association (AHIA) and the Health Insurance Restricted Membership Association of Australia (HIRMAA) representing health insurers;
- National Private Rehabilitation Group (NPRG) representing private rehabilitation hospitals and services;
- NRMA Insurance representing third party payers (accident compensation authorities and related); and
- Transport Accident Commission (TAC) representing third party payers in Victoria.
Since establishment, the majority of rehabilitation units (public and private) in Australia and New Zealand have joined AROC. In addition, each state and territory jurisdiction has joined, as have a number of other interested stakeholders. The current AROC membership list is available here.
Rehabilitation units who are members of AROC submit a prescribed data set, the AROC dataset, against each and every episode of rehabilitation they provide.
AROC receives this data, collates and analyses it, and provides twice yearly reports to submitting hospitals, payers, and other interested stakeholders. Sample reports can be viewed here.
AROC collects and reports on data from the specialist medical rehabilitation sector. This is an important role in its own right. However, rehabilitation is typically provided as part of a broader episode that may include primary, acute and home and community care. A longer term objective of AROC is to work with the relevant data management organisations to assess the feasibility of expanding the collection, or linking it to others, in order to measure and understand the role of rehabilitation within the broader health and community care systems. This is a complicated issue and will realistically take time to be addressed.
A completed application for membership can be mailed to:
c/o Australian Health Services Research Institute
Building 234 (iC Enterprise 1)
University of Wollongong
WOLLONGONG NSW 2522
AROC can also be contacted by:
Phone: (02) 4221 4411
Fax: (02) 4221 4679
TERMINOLOGY CHANGES — RESIDENTIAL CARE (AUSTRALIA)
As at 1 July 2014 the Australian Government changed the definition of residential care resulting in “low level care” and “high level care” no longer being current terminology (more details). The AROC V4 Dataset for Australia and the Australian Data Collection Forms for pathways 2, 3, 4 & 5 still have this concept in the data items “Type of Accommodation prior to the impairment”, “Interim Accommodation post discharge” and “Final Accommodation post discharge”. The ramifications of this definitional change was discussed by the AROC Scientific Clinical Advisory Committee. It was agreed that whilst AROC can’t change the V4 code set for the three affected data items mid-stream, we can introduce a new business rule that takes account of this definitional change.
New business rule for Australian facilities: All episodes admitted from or discharged to residential care from July 2014 are to be coded to residential high level care (nursing home).
NOTE: all future analyses on Australian admissions from / discharges to residential care will combine residential low level care (hostel) and residential high level care (nursing home). When the AROC V4 dataset is revised the Accommodation data items affected by this definitional change will be adjusted to include codes identifying the 4 levels of care packages at home now available, as well as residential aged care and a code identifying referral to NDIS.
- Rehabilitation Care Plan - Anywhere Hospital
- AN-SNAP Classification Version 3 (Released January 2012, NB: Rehabilitation classes are unchanged)
- AN-SNAP Calculator (Excel 2007+)
- Inpatient Clinical Data Set
- Ambulatory Clinical Data Set
- Impairment Specific Data Items
- Australian Impairment Codes
- Guidelines for Coding Impairments
- Data submission dates
- Order of Australia Award for AROC Clinical Director