Criteria and Indicators for Centers of Clinical Excellence in Stroke Recovery and Rehabilitation: A Global Consensus Facilitated by ISRRA

Neurorehabilitation and Neural Repair, 2024 · DOI: 10.1177/15459683231222026 · Published: February 1, 2024

Simple Explanation

This study aimed to establish globally relevant criteria for identifying Centers of Clinical Excellence (CoCE) in stroke recovery and rehabilitation. The intent is to guide service development, focus research, and promote global networks to improve stroke care standards worldwide. Criteria and indicators were developed collaboratively by international experts and consumer groups, focusing on optimal outcomes, research culture, and collaboration with stroke survivors.

Study Duration

Not specified

Participants

20 recovery and rehabilitation experts from 10 countries and 5 consumer groups

Evidence Level

Not specified

Key Findings

1
Seven key criteria for CoCE were identified and ranked, including optimal outcomes, research culture, and inter-professional working.
2
Measurable indicators were developed for each criterion to assess the quality of stroke rehabilitation services.
3
The criteria emphasize a patient-centered approach and the importance of involving people living with stroke and their carers in the rehabilitation process.

Research Summary

This study defines key criteria and measurable indicators for Centers of Clinical Excellence (CoCE) in stroke recovery and rehabilitation. The criteria and indicators are designed to be globally applicable and drive improvements in stroke care by focusing on optimal outcomes, research culture, and collaborative practices. The findings contribute to a better understanding of clinical excellence and provide a framework for centers to benchmark and develop their services.

Practical Implications

Service Development

The criteria and indicators can guide healthcare organizations in developing and refining their stroke rehabilitation services to achieve excellence.

Global Collaboration

The framework facilitates global networks and partnerships between centers to share expertise and improve stroke care standards worldwide.

Quality Improvement

The measurable indicators provide a tool for assessing and monitoring the quality of stroke rehabilitation services, promoting continuous improvement.

Study Limitations

1
The criteria and indicators are yet to be fully tested and implemented in diverse settings.
2
Not all global regions were equally represented in the development process.
3
The practical capacity of the indicators to support organizations in achieving clinical excellence remains unproven until utilized by stroke centers.

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