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V4 resources

Rehabilitation Care Plan - Anywhere Hospital

This is a proforma of an MDT plan to be used by the rehabilitation team to document a set of agreed goals and action plans/initiatives for a patient. It is best practice for the rehabilitation physician (or physician with an interest in rehabilitation) and the rehabilitation team to establish the MDT plan in collaboration with the patient (if possible) asap but at most within 7 days of admission, for the plan to be reviewed on a regular basis and kept in the patient medical record.

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AROC V4 Data Audit

This document lists all data audit checks completed on V4 data that is either uploaded to AROC through AROC Online Services OR entered directly into the AROC Online Services Data Entry System.

AROC Impairment Coding Guidelines

The AROC impairment code should reflect the primary reason for the patient’s/child's current episode of rehabilitation care. It is best practice for the impairment code to be allocated by the rehabilitation physician (or physician with an interest in rehabilitation) or an experienced clinician and it should never be allocated by a non-clinical member of staff. AROC recommends using the impairment coding guidelines, which include examples of aetiologic diagnoses that could underpin each impairment. This list is not exhaustive.

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Guideline for the collection and coding of COVID-19 AROC data

In July 2022 AROC introduced new COVID conditions impairment codes, COVID comorbidities and a COVID complication. This complements the already established AROC National COVID-19 rehabilitation adjunct data collection. AROC recommends using the guideline and decision tree below to assist in the correct coding and completion of this COVID-19 specific data.

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AROC impairment code - version mapping

The AROC impairment codes have been updated in the AROC V4 dataset in line with current clinical practice. This document lists Version 1 (previous datasets) and Version 2 (V4 dataset) impairment codes and how they have changed.

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AROC data collection process schematic

This document is a flow chart of the recommended AROC data collection process.

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Rockwood Clinical Frailty Scale

The Rockwood Clinical Frailty Scale is used to record the patient’s level of frailty prior to their injury, or exacerbation of impairment, resulting in this episode of rehabilitation care. Frailty scores are only required to be collected for episodes with AROC impairment codes 5 (amputations) and 16 (reconditioning.)

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Canadian Occupational Performance Measure (COPM)

The Canadian Occupational Performance Measure (COPM) is an individualised, client-centred outcome measure designed to capture a client’s self-perception of occupational performance over time. It is collected as part of the AROC Paediatric Ambulatory dataset.  The AROC COPM tip sheet was developed by NSW Paediatric Rehabilitation Managers and provides guidance for consistent collection and entering of COPM data.  

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Statistical Linkage Key (SLK)

The SLK581 is a 14 character key used by AROC to link a patient’s episodes of care through their rehabilitation journey. It enables linkage of episodes across settings (inpatient and ambulatory) and upstream to acute, independent of which hospital provided the care. It allows probabilistic matching of records with up to 95% accuracy and does not compromise the de-identified nature of the AROC dataset. 

If you would like further information about data linkage protocols using an SLK, the Australian Institute of Health and Welfare (AIHW) published the following report in 2005:  (pdf). This report examines the quality of the data available for undertaking statistical data linkage between programs, services and datasets and describes the protocols followed to ensure that the privacy of individuals is not compromised. It also outlines practices that allow consistent linkage procedures to be used over time and across data sets.

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Suspension of rehabilitation treatment

This document defines and explains AROC “suspensions” in detail.

The general rule is that where a patient’s rehabilitation treatment is suspended for a period, and the patient then comes back onto the same program of rehabilitation (that is, a new program is not required to be developed) then the period of absence is counted as a suspension. It does not matter how long the period of suspension of treatment is, as long as the patient comes back onto the same program of rehabilitation.

If a patient’s rehabilitation treatment is suspended for a period, and on their return, a new rehabilitation program is required, then the period of absence IS NOT counted as a suspension. Rather the patient should be discharged and a new episode commenced.

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FIM Splat Report

This is a small report that contains all of the V4 AN-SNAP classes and graphically demonstrates the average admission FIM scores for these classes.  The data used is from the latest reporting period.   (pdf)