Care Tool/Quality Indicators, Section GG: Self-Care: This assessment has been shown to have a strong positive correlation with the Functional Independence Measure (Harmon & Sonagere, 2023; Li et al., 2022). It is a feasible method of obtaining improvements with independence in self-care skills for a multitude of conditions, including stroke. Recommend the care tool is assessed on a weekly basis in addition to evaluation and discharge.

Canadian Occupational Performance Measure (COPM): The COPM is an effective tool that measures an individual's perceptional performance and satisfaction with self-care, productivity, and leisure. For the purpose of inpatient rehab, it is recommended that the COPM be modified to exclude productivity and leisure, as these are often areas of life that are not targeted due to the severity of deficits. The entire COPM should be completed at evaluation and discharge, and the modified COPM measuring self-care should be performed weekly. The COPM is limited for individuals with aphasia.   

Box and Blocks: A quick, relatively inexpensive test that assesses gross-manual dexterity. Easy to administer and replicate (Desrosiers et al., 1994). It may be more effective than other upper extremity tests that require more fine motor dexterity, and it allows for greater sensitivity of results concerning improvements that might be seen within inpatient rehab.

Berg Balance Scale (BBS): Balance is essential for independent occupational performance. The BBS has strong validity and reliability, can be completed within a reasonable timeframe, and correlates well with walking or functional mobility (Miyata et al., 2022). 

Ten-Meter Walk Test: A valid and reliable assessment to measure walking speeds over short distances. Walking speed has been shown to be a good indicator of how safely someone can functionally ambulate throughout the community (Sanchez-Ganzalez et al., 2023). 

Six-Minute Walk Test: A submaximal test to assess aerobic capacity and endurance regarding an individual's fitness. The 6MWT has excellent reliability and validity and is a good indication of safe or unsafe community functional mobility for people with neurological damage (Fulk et al., 2008).     

Montreal Cognitive Assessment (MoCA): A screening tool for neurocognitive disorders. The MoCA has strong validity, reliability, and moderate predictive strength toward ADL dependence with scores <26/30, especially scores in executive function sections of the test (Abzhandadze et al., 2019; Durant et al., 2016; Zietemann et al., 2018 ).   

Alternative to the MoCA: 

Activity Measure of Post Acute Care Cognitive Section (AMPAC-cog). This assessment tool is simple and time-effective. It has been evaluated for concurrent validity with other sensitive tests, such as the MoCA (Casey et al., 2023), recommended if MoCA is unavailable or infeasible for the site.