- Why Ambulatory benchmarking?
- The Ambulatory Benchmarking Initiative
- The Dataset
- AROC Data Dictionaries
- Data collection forms
- Ambulatory Outcome Measures
- How to collect the ambulatory dataset
- Data compliance and audit
- Download the AROC clinical ambulatory data set & supporting documents
- Want further information?
Evolving models of care in rehabilitation, as a direct response to those in acute and sub acute care, have seen the focus shift to development of ambulatory rehabilitation services. Changes in patient acuity and demand have impacted on the rehabilitation sector, challenging providers to develop innovative models of service delivery that free up traditional inpatient care while continuing to offer quality patient outcomes.
Provision of out of hospital services presents a number of challenges to providers, including evaluation of the effectiveness of program interventions, and with a diverse range of care models across all sectors there are an equally diverse range of accompanying outcome measures.
Benchmarking allows the opportunity for comparison of similar service models and patient groups, and is invaluable to clinicians and other stakeholders in evaluating and improving models of care and service delivery.
AROC was established with a main goal of improving clinical rehabilitation outcomes by benchmarking rehabilitation providers nationally. An original objective of AROC was expansion of data collection to the non-inpatient care setting having established inpatient data collection and benchmarking. The challenge to meeting this objective in an area with such a diverse range of care and service delivery lies in standardising the information collected, including the outcome measure.
Implementation of the National Ambulatory Rehabilitation Benchmarking Initiative commenced in mid 2008.
A draft data set was developed, piloted and refined during 2007/08 with the involvement of stakeholders through representation in the AROC Scientific and Clinical Advisory Committee (SCAC). The ambulatory data set (version 1) was based on the AROC inpatient dataset, modified to include items that relate specifically to evaluating the effectiveness of ambulatory rehabilitation programs.
The ambulatory dataset was reviewed and updated in tandem with the inpatient dataset. The Version 4 AROC Dataset was implemented on 1 July 2012. Following clinical consultation the ambulatory dataset was further reviewed, with V4.1 ambulatory dataset implemented on 21 August 2017.
The AROC Ambulatory Data Dictionary (V4.1) is now available. The data dictionaries provide information about each of the data items in the AROC data bank. There are separate dictionaries for Australia and New Zealand because the codesets for some of the data items are different.
Data collection forms
A proforma Data collection form for V4.1 dataset is available. This may assist in ensuring that all the relevant data items are collected and entered. The proforma is available in Microsoft Word format, and can be modified to suit the needs of participant services as desired.
- Australian Modified Lawton’s IADL Scale - (all impairments)
- Motor Assessment Scale for Stroke – Upper Limb (items 6, 7, 8) - (stroke)
- Timed 10 Metre Walk Test - (stroke, orthopaedic)
- de Morton Mobility Index - (reconditioning)
- Mayo-Portland Adaptability Inventory-4 - (brain injury)
Facilitie can choose to:
- Enter ambulatory data directly into the AROC database using the AROC Online Services (AOS) web-based data entry functionality, or
- Enter data into their own IT systems, with the V4.1 ambulatory data items built in. Ambulatory data extracts are then uploaded regularly via the AOS, for inclusion in the AROC database.
All items in all AROC data sets are mandatory and should be collected and submitted to AROC via AROC Online Services (AOS). It is important that all uploaded data (as opposed to data entered directly into the AROC database via the data entry functionality of AOS) conform to the specified format. Therefore, if a facility is unable to collect some items in the AROC data set space for them should be included in their data extract.
All data submitted to AROC undergoes a comprehensive audit process. Data entered via AOS data entry is audited as the data is entered. After entering each patient the user will receive an audit report on screen highlighting any errors or missing data. Data uploaded to AROC via extract from another IT system will be audited on upload. Corrected data should be resubmitted to AROC via AOS.
- V4 Resources
- AROC Ambulatory Data Dictionary (V4.1)
- AROC Ambulatory Dataset (V4.1)
- Data collection form
- AROC impairment code guidelines
- AROC Ambulatory National Reports
- AROC Membership Application
P: 02 4221 4411
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