Criteria and Indicators for Centers of Clinical Excellence in Stroke Recovery and Rehabilitation: A Global Consensus Facilitated by ISRRA.
Rachel C Stockley, Marion F Walker, Margit Alt Murphy and 17 others
PMID 38212946WHAT IT FOUND
Seven consensus criteria for stroke rehabilitation centers were agreed, led by outstanding rehabilitation, then research culture, patient partnership, knowledge exchange, leadership, education, and equitable access.
Key findings
01Seven criteria for Centers of Clinical Excellence in stroke recovery and rehabilitation were agreed and ranked, with delivering outstanding rehabilitation for optimal outcome placed first.
02A Center of Clinical Excellence is defined as a network of linked services across the stroke pathway, not necessarily one site or building.
03The criteria are aspirational and their practical capacity to support excellence remains unproven; user-testing is underway in 14 centers in 10 countries.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
This is a consensus statement, not a patient treatment study; no patient outcomes were measured. The criteria are deliberately aspirational, and their practical capacity to support excellence remains unproven. User-testing is underway in 14 centers in 10 countries, so the indicators have not yet been tested in practice. Managers, administrators, policy makers, and neuropsychologists were not represented. Countries from Central America, Eastern Europe, and parts of Asia were not represented. Surveys were in English, and translation relied on bilingual group members and facilitators. The number of individual consumer group participants is not stated.
The easy way to misread this
Do not read the seven criteria as proof that a center meeting them improves stroke recovery. They are aspirational consensus recommendations, and their practical capacity to support excellence remains unproven until user-testing in 14 centers in 10 countries is complete.