Table 1. Family of measures.

Measure type	Measure	Method of data collection
Target (outcome)	Average number of days from referral to rehab admission	Obtained for each referral from an internal database and were verified for reliability from audits of patient intake charts
Target (high-level process)	Average number of days from referral to decision
Balancing	Intake coordinator’s workload (number of hours spent on the intake process per patient referral)	Self-tracked and documented by the intake coordinators
	Average satisfaction level of intake coordinators	Reported on a 1–5 scale (5=very satisfied and 1=very dissatisfied) via a 1-question survey for each referral after a rehab decision is communicated
	Average satisfaction level of community hospital with the intake process	Self-reported on a 1–5 scale (5=very satisfied and 1=very dissatisfied)
Fidelity (referral checklist)	% Referrals in which checklist was completed by the referring hospitals	Collected by the intake coordinators, who reviewed the referral checklist for completeness and accuracy during the intake process.
	% Referrals that were appropriate for ABI rehab
Fidelity (standard work)	% Referrals for which standard work was followed	Collected on a tracking sheet completed by the intake coordinators for each referral from community hospitals.
	% Referrals reviewed ≤1 business day of receipt
	% Intake assessment completion ≤5 business days from the referral review
	% Case review between intake coordinator and ABI physician ≤2 business days from the intake assessment completion

Fidelity measures were reported as a percentage of referrals received per month. Balancing measures were collected once before the change ideas were introduced and monthly afterwards.

ABIacquired brain injury