Ongoing Research - Discharge Planning
Discharge planning is become increasingly important as the average time that patients stay in hospital declines. iCAHE has developed a number of tools designed for patients, carers, community service staff, medical practitioners and residential care staff. Whilst the focus of iCAHE is on allied health these tools are relevant across a range of disciplines and fields, and are suitable for most hospital discharge facilitations and post-discharge assessment
iCAHE researchers have developed five congruent, interlinked but independent survey instruments which assess the quality of discharge planning from different stakeholders perspectives (medical practitioners, residential care administrators, community service providers, patients and carers). These survey instruments have sound psychometric properties (Grimmer and Moss 2001, Graumlich et al 2008) and are recommended for use by evaluators and researchers to capture the specific elements of best practice discharge planning. These instruments can be readily scored by hand, or simple statistical analysis programs can be written to capture composite information on the specific domains of discharge planning quality represented in some of the questionnaires. These instruments have all been labelled with the acronym PREPARED (Prescriptions, Ready to re-enter community, Education, Placement, Assurance of safety, Realistic expectations, Empowerment, Directed to appropriate services). These elements reflect the core purposes of best-practice discharge planning.
The following section reports on a list of resources and publications produced from this research.
Does Allied Health Quality of care make an impact on stroke patient’s length of stay and mortality in SA Health? Work Bundle 2. Prepared for Department for Health and Ageing, South Australia
This project aimed to provide guidance for objectively measuring the impact of extended (seven days-a-week) allied health services in a manner that will inform strategic SA allied health planning processes. It was designed to evaluate the impact of quality indicator-compliant allied health (AH) services on length of stay (LOS) and mortality of stroke patients, and the marginal impact on these measures when patients were admitted during the weekend.
The findings suggest that higher compliance with evidence-based AH quality care indicators is associated with significantly reduced odds of dying in hospital, and more effective LOS. Increased compliance with quality indicators of AH-care quality for patients admitted during weekends could reduce their LOS by a half day. These findings are meaningful for the planning process towards increasing the level of compliance to indicators of AH care quality during weekend