Discharge Planning

2016

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 

2015

Summary of Evidence for Allied Health Extended Care. Prepared for Department for Health and Ageing, South Australia

In Australia, there is wide spread recognition that the traditional and historical models of care need to be reviewed, adapted and renewed to meet the emerging challenges and needs of the 21st century health system. As one of the three pillars of health, allied health professions, working in partnerships with medicine and nursing, can make a significant positive contribution to the new models of care. An area where allied health can play a critical role is in extending it to after hours, weekend etc. Historically much of the allied health professions were constrained to work within the “traditional” work hours and limited on-call services provided on an ad-hoc and opportunistic basis. In recent times, there has been some emerging evidence to indicate that there may be benefits to the health professional, patient and the health system overall through an allied health extended care model.

Using a pragmatic approach, and in collaboration with Allied & Scientific Health Office, iCAHE purposively identified literature from a range of sources which provided an overview of the processes and outcomes from allied health extended care initiatives from across the world.

Areas of study and research

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