Process measuresChange concepts

Enhancing physical activity during rehabilitation

Background to problem worth solving:• Physical activity is important for health

and well being• Stroke unit data reveals that inpatients

spend 10% of the waking day in upright activity

• In the first 6/12 of 2017, inpatients at Balmain Hospital took an average of 1260 steps and spent 9.5% of the day in upright activity

Sandeep Gupta Head of Physiotherapy sandeep.gupta1@health.nsw.gov.au 9395 2099 ECLP Cohort 18

Results

Plans to sustain change• For the next 5/12, change ideas will be implemented• Process measures will be collected and a dashboard set

up on the ward for staff and patients to view• From 1 August, data collection on the “treatment” group

will commence• Activity monitor data will be collected through this period

Plans to spread /share changePublish in scientific journal, present at conferences, add to ACI Innovation Exchange and submit for Sydney LHD Quality Awards

NSQHS + EQuIPNational Standards:

NSQHS Standards 2019

Literature review:• Clin Rehab 2014; 28: 91-101.• J Rehabil Med 2013; 45: 997-1003.• J Rehabil Med 2007; 39: 43-48.• J Stroke Cerebro Diseases 2015; 24:

1333-40.• Stroke 2015; 46:1141-46.• Stroke Research & Treatment 2014,

Article ID 591897, 7 pages. • Top Stroke Rehabil 2011; 18: 654-665.

Overall Outcome of Project: Ongoing, research to be completed by March 2019$ Cost saving • Increased therapy has been shown to reduce LOS• It is not known if increased physical activity results in

cost savings• It is possible that increased physical activity could result

in more falls and greater pain medication use