Rehabilitation service delivery: audit tool for best practice

6. Responsiveness

This is one of eight audit templates that form the Rehabilitation service delivery: audit tool for best practice.

This tool enables rehabilitation services to plan and review their practice to identify areas that will improve service delivery and patient outcomes. It can also be useful for teams involved in planning and establishing new rehabilitation services.

The responsibilities of the organisation and the service need to be rated. Some of the core elements are solely organisational responsibilities. Others are rehabilitation service responsibilities or dual responsibilities.

The template is for the local health district, specialty health network, affiliated health organisation and/or the private health provider of rehabilitation services. The organisation or rehabilitation service should complete the areas in the template that have been left unshaded. The people or team may vary depending on the service model and setting. For the best result, involve a range of staff in the discussions.

Core element rating scale

N/A	0	1	2	3	4
Not applicable	Not achieved	Rarely achieved	Sometimes achieved	Often achieved	Always achieved

Instructions

After discussing each core element with members of the working group, agree on the rating, and note the evidence to support this rating.

Use the action plans to note areas for improvement, key actions and who is responsible.

For more information about the audit tool, visit: https://aci.health.nsw.gov.au/networks/rehabilitation/resources/audit-tool

6. Responsiveness

Organisation/health service: Date:

Team/s:

No.	Core elements	Organisational rating N/A 0 1 2 3 4	Service rating N/A 0 1 2 3 4	Supporting evidence
6.1	Rehabilitation service review is scheduled to take place every three to five years, at a minimum.
6.2	The following groups are involved in rehabilitation service review: rehabilitation clinicians hospital executives consumers external stakeholders, e.g. affiliated health organisations, external providers, icare. Note: Rate each sub-question separately.
6.3	Consumers are involved in the design, planning and development of new rehabilitation services.
6.4	Patient reported experience measures (PREMs) are routinely collected by the rehabilitation service.
6.5	The organisation and rehabilitation service have a documented process to follow up on results of PREMs and any other feedback received from clients and carers.
6.6	Client and carer feedback is used by the organisation and rehabilitation service to inform local quality improvement, processes and care delivery.
6.7	The organisation conducts staff surveys on a regular basis, ideally every one to two years.
6.8	Staff survey results are used to inform staff wellbeing and retention programs, quality improvement, processes and care delivery.
6.9	Organisation and hospital executives undertake leadership rounding on a regular basis.

Responsiveness action plan

Date:

Core element #	Area for improvement	Action/s	Person responsible	Due date

Published November 2023. Next review 2028. ACI/D23/3804 SHPN (ACI) 230798-6 [ACI_4923]

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