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

Stockley RC 1 , Walker MF 2 , Alt Murphy M 3 , Azah Abd Aziz N 4 , Amooba P 5 , Churliov L 6 Show all authors , Farrin A 7 , Fini NA 8 , Ghaziani E 9 , Godecke E 10 , Gutierrez-Panchana T 11 , Jia J 12 , Kandasamy T 13 , Lindsay P 14 , Solomon J 15 , Thijs V 16 , Tindall T 17 , Tippett DC 18 , Watkins C 1 , Lynch E 13

Affiliations 

  • 1 Stroke Research Team, School of Nursing and Midwifery, University of Central Lancashire, Preston, UK
  • 2 School of Medicine, University of Nottingham, Nottingham, UK
  • 3 Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Rehabilitation Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
  • 4 Department of Family Medicine, Medical Faculty, National University of Malaysia (UKM), Bangi, Malaysia
  • 5 Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  • 6 Melbourne Medical School, The University of Melbourne, Melbourne, VIC, Australia
  • 7 Clinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK
  • 8 Physiotherapy Department, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia
  • 9 Department of Physical and Occupational Therapy, Copenhagen University Hospital-Bispebjerg and Frederiksberg Hospital and Department of Brain and Spinal Cord Injury, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark
  • 10 School of Medical and Health Sciences, Edith Cowan University and Sir Charles Gairdner Osborne Park Health Care Group, Joondalup, WA, Australia
  • 11 Clinica Alemana Universidad del Desarrollo, Concepción, Chile
  • 12 Department of Rehabilitation, Huashan Hospital Fudan University, Shanghai, China
  • 13 Caring Futures Institute, Flinders University, Adelaide, SA, Australia
  • 14 Heart and Stroke Foundation of Canada, Toronto, ON, Canada
  • 15 Centre for Comprehensive Stroke Rehabilitation and Research, Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India
  • 16 Department of Medicine University of Melbourne, Department of Neurology Austin Health, Florey Institute of Neuroscience and Mental Health, Parkville, VIC, Australia
  • 17 Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK
  • 18 Departments of Physical Medicine and Rehabilitation, Neurology, and Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, MD, USA
Neurorehabil Neural Repair, 2024 Feb;38(2):87-98.
PMID: 38212946 DOI: 10.1177/15459683231222026

Abstract

BACKGROUND: The aim of the International Stroke Recovery and Rehabilitation Alliance is to create a world where worldwide collaboration brings major breakthroughs for the millions of people living with stroke. A key pillar of this work is to define globally relevant criteria for centers that aspire to deliver excellent clinical rehabilitation and generate exceptional outcomes for patients.

OBJECTIVES: This paper presents consensus work conducted with an international group of expert stroke recovery and rehabilitation researchers, clinicians, and people living with stroke to identify and define criteria and measurable indicators for Centers of Clinical Excellence (CoCE) in stroke recovery and rehabilitation. These were intentionally developed to be ambitious and internationally relevant, regardless of a country's development or income status, to drive global improvement in stroke services.

METHODS: Criteria and specific measurable indicators for CoCE were collaboratively developed by an international panel of stroke recovery and rehabilitation experts from 10 countries and consumer groups from 5 countries.

RESULTS: The criteria and associated indicators, ranked in order of importance, focused upon (i) optimal outcome, (ii) research culture, (iii) working collaboratively with people living with stroke, (iv) knowledge exchange, (v) leadership, (vi) education, and (vii) advocacy. Work is currently underway to user-test the criteria and indicators in 14 rehabilitation centers in 10 different countries.

CONCLUSIONS: We anticipate that use of the criteria and indicators could support individual organizations to further develop their services and, more widely, provide a mechanism by which clinical excellence can be articulated and shared to generate global improvements in stroke care.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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