Explore our dataset resources, download case studies, access the Australian-modified Client-Centred Rehabilitation Questionnaire and navigate frequently accessed links.
Tools & resources
The AN-SNAP classification Version 4
The Australian National Subacute and Non-Acute Patient (AN-SNAP) Version 4 classes for all Rehabilitation (inpatient and ambulatory, adult and paediatric) as well as GEM are available from the first link below. Please note this is a subset of the full set of classes taken from Appendix 4 of the AN-SNAP Classification Version 4 User Manual. For information about how these classes were derived or to see the full AN-SNAP Version 4 classification, please refer to the Final Report or the User Manual or the IHPA website.
- Download the AN-SNAP Version 4 classes for Rehabilitation & GEM (subset from Appendix 4 of the User Manual, pdf)
- Access the IHPA website on Subacute and non-acute care
- Download the AN-SNAP Classification Version 4 Final Report (Released July 2015, pdf)
- Download the AN-SNAP Classification Version 4 User Manual (Released July 2015, pdf)
- Access the AN-SNAP Grouper for V3 & V4 - QuickSnap
- Download the AN-SNAP Calculator for V3 & V4 for Excel 2007+ (Last updated September 2020, xlsx)
- Download the V4 AN-SNAP Explained (Released January 2012, pdf)
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.
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 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.
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.
AROC data collection process schematic
This document is a flow chart of the recommended AROC data collection process.
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.)
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: AIHW: Karmel R 2005. Data linkage protocols using a statistical linkage key. AIHW cat. no. CSI 1. Canberra: AIHW (Data Linkage Series no. 1) (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.
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.
Case studies, AM-CCRQ & information series
- Quality improvement case studies
- Australian Modified Client-Centred Rehabilitation Questionnaire (AM-CCRQ)
- Information series
The case studies are from AROC members who have undertaken a quality initiative that has resulted in improved processes of rehabilitation care and/or improved outcomes for patients. These services are willing to share their achievements and learnings with other AROC members.
The case studies are available for AROC members. Access the case studies after completing the Request for Quality Improvement Case Studies survey.
The following case studies are now available:
- FIM it Good, Shoalhaven District Memorial Hospital
- Improving LOS and FIM efficiency, Echuca Regional Health
- Length of Stay Project, Hornsby Ku-ring-gai Health Service
- Rehabilitation Nurse Assessors, St Vincent's, Melbourne
- Clinical Documentation Manager, Epworth Rehabilitation, Victoria
If you or someone from your service has undertaken a quality improvement initiative that has resulted in improved processes or outcomes and you would like to submit a case study please contact AROC. If you have any feedback or comments regarding the case studies, please email your feedback to AROC.
The AM-CCRQ is a patient-reported questionnaire about inpatient rehabilitation. It is a useful tool for collecting patients’ perceptions of their rehabilitation experience (rather than satisfaction). The AM-CCRQ comprises 31 items scored on a five-point Likert scale ranging from ‘strongly agree’ (1) to ‘strongly disagree’ (5) e.g. Q1. The rehabilitation staff and I decided together what would help me. Seven items also have a ‘does not apply’ (DNA) response option. The 31 items can be grouped into 7 subscales covering decision-making, education, outcome evaluation, family involvement, emotional support, continuity/coordination and physical comfort. Collecting information like this directly from patients can assist in the review of clinical processes to ensure quality service delivery.
The AM-CCRQ, administration protocol and data entry tool are available for use, free of charge. If you would like to access these or would like further information please complete the Australian Modified Client-Centred Rehabilitation Questionnaire survey or email AROC directly.
Related journal articles:
- Australasian Rehabilitation Outcomes Centre (AROC) (2018) Measuring the rehabilitation client's experience: The Australian modified client-centred rehabilitation questionnaire (AM-CCRQ). Journal of the Australasian Rehabilitation Nurses Association, 21 (1): 29-30.
- Fisher M, Pryor J, Capell J, Alexander T and Simmonds F (2018) The psychometric properties of a modified Client-Centred Rehabilitation Questionnaire in an Australian population. Disability and Rehabilitation DOI:10.1080/09638288.2018.1494214
- Capell, JT, Alexander T, Pryor J, Fisher M (2020). Patient reported experience of inpatient rehabilitation in Australia. Patient Experience Journal 7(3): 49-57. DOI: 10.35680/2372-0247.1424
The AROC Information series are short publications providing a general overview of a range of topics of interest using the AROC dataset. Each publication is designed around a couple of key questions and their answers, with key messages from the data provided where pertinent. As always we welcome any feedback on the information series. Please send us your feedback via email.
The following publications in the AROC Information Series are now available:
- Download Inpatient rehabilitation for older people in Australia, February 2020 (pdf)
- Download Inpatient rehabilitation for older people in New Zealand, February 2020 (pdf)
- Download Impact of Dementia on Inpatient Rehabilitation Outcomes, August 2019 (pdf)
- Download Equity of Access to Inpatient Rehabilitation Services in Australia, May 2019 (pdf)
- Download Equity of Access to Inpatient Rehabilitation Services in New Zealand, May 2019 (pdf)
- Capell JT, Alexander T, Pryor J, Fisher M (2020). Patient reported experience of inpatient rehabilitation in Australia. Patient Experience Journal 7(3): 49-57. DOI: 10.35680/2372-0247.1424
- Fisher M, Pryor J, Capell J, Alexander T, Simmonds F (2020). The psychometric properties of a modified client-centred rehabilitation questionnaire in an Australian population. Disabil Rehabil 42(1):122-129. DOI: 10.1080/09638288.2018.1494214
- Australian Rehabilitation Outcomes Centre (AROC) (2018) Measuring the rehabilitation client’s experience: The Australian modified client-centred rehabilitation questionnaire (AM-CCRG). Journal of the Australasian Rehabilitation Nurses Association, 21:1 29-30.
- Wu J, Faux SG, Harris I, Poulos CJ and Alexander T (2016) Record linkage is feasible with non-identifiable trauma and rehabilitation datasets. Australian and New Zealand Journal of Public Health, 40 (3): 245-249.
- Turner-Stokes L, Vanderstay R, Stevermuer T, Simmonds F, Khan F and Eagar K (2015) Comparison of rehabilitation outcomes for long term neurological conditions: A cohort analysis of the Australian Rehabilitation Outcomes Centre Dataset for adults of working age. PLoS ONE, 10 (7): e0132275.
- Australasian Rehabilitation Outcomes Centre (AROC) (2014) Australasian Rehabilitation Outcomes Centre. Journal of the Australasian Rehabilitation Nurses Association, 17 (3): 26-28.
- Street L (2014) Frequently Asked Questions about FIM. Australian Rehabilitation Nurses Association, 17 (1): 21-22.
- Poulos CJ, Eagar K, Faux SG, Estell JJ and Crotty M (2013) Subacute care funding in the firing line. Medical Journal of Australia, 199 (2): 92-93.
- Hordacre BG, Stevermuer T, Simmonds F, Crotty M and Eagar K (2013) Lower-limb amputee rehabilitation in Australia: analysis of a national data set 2004-10. Australian Health Review, 37 (1): 41-47.
- Turner-Stokes L, Sutch S, Dredge R, Eagar K (2012) International casemix and funding models: lessons for rehabilitation. Clinical Rehabilitation, 26 (3): 195-208.
- Green J and Gordon R (2007) The development of Version 2 of the AN-SNAP casemix classification system. Australian Health Review, 31 (Supplement 1): S68-S78.
- Green J, Eagar K, Owen A, Gordon R and Quinsey K (2006) Towards a measure of function for home and community care services in Australia: Part 2 – evaluation of the screening tool and assessment instruments. Australian Journal of Primary Health, 12 (1): 82-90.
- Poulos C, Eagar K and Poulos R (2007) Managing the interface between acute care and rehabilitation — can utilisation review assist? Australian Health Review. 31 (Supplement 1): S129-S139.
- Subacute Inpatient Rehabilitation Across a Range of Impairments: Intensity of Therapy Received and Outcomes, 8th World Congress of the International Society of Physical and Rehabilitation Medicine (ISPRM).
- AROC – The Australasian Rehabilitation Outcomes Centre – the Impact of Twelve Years of Longitudinal Data Collection and Outcome Benchmarking, 8th World Congress of the International Society of Physical and Rehabilitation Medicine (ISPRM).
- Using AROC Data to Compare Outcomes for Older People in Public and Private Rehabilitation Units, AFRM Presentation 2014.
- AROC Intensity of Therapy Project, AFRM Presentation 2013.
- Initial analysis of newly added data items. Do they provide insights of value? AFRM Presentation 2013.