Audits and Evaluations

iCAHE is actively involved in the production of  audits and evaluations for industry. This includes developing tools for auditing and evaluating clinical practice and research evidence. Below are our audit and evaluations by year.

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. 

2014

The evaluation of the clinical supervision e-learning courses. Prepared for Department for Health and Ageing, South Australia

With increasing recognition for quality and safety in health care, there has been renewed focus on structure (the setting in which health care is delivered), process (how health care is provided) and outcome (the end result of health care). Structural elements relates to aspects such as facilities and equipment required to provide care, qualifications and competencies of providers and administrative aspects of health care. Process elements include technical (such as best practice achieved through support, mentoring and ongoing performance appraisal) and functional (communication and patient centeredness) aspects of care. Outcome elements include health outcomes (such as mortality, impairment, quality of life) and organisational and health system outcomes (cost, satisfaction).

 The objectives of the evaluation were to:

  1. Evaluate the accessibility of the clinical supervision e-learning courses
  2. Evaluate the attitudes, knowledge and skills about clinical supervision
  3. Evaluate the structure, content and presentation of the clinical supervision e-learning courses 

ASPIRE for quality: a new evidence-based tool to evaluate clinical service performance in South Australian Local Health Networks. Prepared for Allied and Scientific Health Office Department of Health, South Australia

A detailed consolidation of this report may be found here

This report describes the conceptualisation, development, and evaluation of an evidence-based performance evaluation system (ASPIRE) that can be used by allied health practitioners to assess their clinical service performance. The main objectives are to scope potential systems/models that can be used to deliver the following:

  • Embedded understanding of how to evaluate performance and productivity of clinical services in local health networks (LHNs) by Allied Health in line with contemporary key SA Health and LHN plans and strategies
  • Embedded understanding of how to promulgate the results of evaluation to achieve business change (including resources such as templates/toolkits)
  • Increased levels of evaluated Allied Health services in LHNs
  • Increased instances of Allied Health service improvement resulting from such evaluation
  • A suite of measures such as key performance indicators, clinical indicators, outcomes, inputs and outputs accessible to allied health to evaluate and improve their clinical services
  • To recommend one system/model including a robust system of evaluation of the model, in consultation with the Chief Allied and Scientific Health Advisor or delegate
  • To pilot the recommended system/model in a controlled area (e.g. Division, Department) within a LHN
  • To report results to the Allied and Scientific Health Office with detailed recommendation for further phases/rollout as appropriate

2013

The Evaluation of an Allied Health Professional Support Program. An audit prepared for the Cunningham Centre, Queensland Health

The purpose of this evaluation was to evaluate the success (or otherwise) of the Allied Health Professional Support Program, and to formulate recommendations for the future directions of this program. The research questions that this evaluation addressed were:

  1. What level of awareness do allied health professionals in Queensland Health have of the Allied Health Professional Support policy, training activities and ‘how-to’ guides provided by the Allied Health Professional Support Program?
  2. Are the policy, training sessions and ‘how-to’ guides accessible to allied health professionals within Queensland Health?
  3. How effective has the Allied Health Professional Support Program been in assisting allied health professionals to participate in desired levels of professional support activities?
  4. What has been the impact on allied health professionals and their workplaces across Queensland of engagement in professional support activities?
  5. What are the barriers and enablers to participation in professional support activities by allied health professionals within Queensland Health?
  6. What is the quality of professional support activities completed by allied health professionals in Hospital and Health Services across Queensland Health? 

Building a complexity competent workforce project: Evidence informed development of a tool to screen for decline. A technical report prepared for the Southern Adelaide Local Health Network

Early identification and subsequent timely intervention older people has been reported as effective in improving health outcomes, as appropriate and timely community services can be put in place to Facilitate ongoing independent community living. Many risk factors for decline are potentially modifiable with community support interventions, or comprehensive geriatric assessment and management which target those most likely to benefit. It is in this context, support workers and allied health assistants can play a vital role in early detection of decline in elderly people. While support workers and allied health assistants could play an important role the early detection and timely intervention for decline, they need to be supported with adequate training, establishing competencies, support mechanisms (such are supervision and mentoring) and tools to detect decline. Provision of tools to detect decline may enable support workers and allied health assistants to accurately detect those elderly people who may be at risk of decline.

iCAHE performed a two stage investigation: a rapid review followed by tool development. The aim of this rapid review was to identify currently available tools from the literature which can be used by assist support workers and allied health assistants to accurately detect decline in older people.

Evaluation Kit for the Allied Health in Children Centre’s Program. Prepared for SA Health and the Department of Education and Child Development, Government of South Australia.

SA Health contracted iCAHE (The International Centre for Allied Health Evidence) in July 2011 to assist in the development of evaluation tools for the Allied Health in Children’s Centre Program. Firstly, a review was conducted from July 2011 until mid September 2011, of the existing evaluation methodology of the program, in order to revise existing evaluation tools. As a result of the review, iCAHE recommended taking 6 months to collaboratively work with Allied Health staff and their managers in the Children’s Centres, to establish improved evaluation protocols and tools which appropriately capture the outcomes of the site specific services and the contexts in which these services are delivered.

The Trial Evaluation Kit has been the result of this collaborative planning process and is was presented to the Allied Health staff of the program in January 2012, in preparation of the trial implementation of the evaluation during School Term 1, 2012. The Kit contained the agreed research tools and processes, which have been trailed in School Term 1 (February – April 2012).

Areas of study and research

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