This Special Interest article describes a multidisciplinary, interinstitutional effort to build an organized system of stroke rehabilitation and outcomes measurement across the continuum of care. This system is focused on a cohort of patients who are admitted with the diagnosis of stroke to our acute facility, are discharged to inpatient and/or outpatient rehabilitation at our free-standing facility, and are then discharged to the community. This article first briefly explains the justification, goals, and purpose of the Brain Recovery Core system. The next sections describe its development and implementation, with details on the aspects related to physical therapy. The article concludes with an assessment of how the Brain Recovery Core system has changed and improved delivery of rehabilitation services. It is hoped that the contents of this article will be useful in initiating discussions and potentially facilitating similar efforts among other centers.
Portions of this work were presented in an Educational Session at the February 2011 APTA Combined Sections Meeting in New Orleans, Louisiana. Programs in Physical Therapy (C.E.L., M.D.B.) and Occupational Therapy (C.E.L., L.T.C.) and Departments of Neurology (C.E.L., L.T.C., R.F., M.C.), Radiology (L.T.C., M.C.), and Biostatistics (J.B.), Washington University; Barnes Jewish Hospital Rehabilitation Services (M.W., J.E.); and the Rehabilitation Institute of Saint Louis (C.K., A.S.), Saint Louis, Missouri.
Correspondence: Catherine Lang; E-mail: email@example.com
The authors declare no conflict of interest.