Digital Commons Network^™

Factors Contributing To Low Readiness And Capacity Of Culturally Diverse Participants To Use The Australian National Bowel Screening Kit, Lyn Phillipson, Leissa Pitts, Julie Hall, Tameika Tubaro

Australian Health Services Research Institute

Objectives: Bowel screening is an effective way to promote early detection of bowel cancer. Culturally and linguistically diverse (CALD) people face considerable barriers to screening. This qualitative study explored perceptions towards, and usability of, Australia's national bowel screening kit with members of two migrant communities. Methods: Thirty-three people (aged 50-79 years) from Serbian and Macedonian communities in the Illawarra region in New South Wales, Australia, participated in one of five interactive focus group sessions. Sessions used innovative 'customer journey' techniques to understand participants' experience of each step of the faecal occult blood test process. Participants discussed knowledge of bowel cancer …

The An-Acc Assessment Model. The Resource Utilisation And Classification Study: Report 2, Anita B. Westera, Milena Snoek, Cathy Duncan, Karen Quinsey, Peter D. Samsa, Jennifer P. Mcnamee, Kathy Eagar

Australian Health Services Research Institute

The Australian Health Services Research Institute (AHSRI), University of Wollongong,was commissioned by the Commonwealth Department of Health (the Department) in August 2017 to undertake the ‘Resource Utilisation and Classification Study’(RUCS). This followedan earlier review of the Aged Care Funding Instrument (ACFI)1which concluded that ACFI did not reflect the care needs of residents nor did payments reflect the relative costs of providing care. The ACFI review recommended the development of a new casemix classification and funding assessment framework. The RUCS comprised four separate but closely related studies, each of which included separate data collection and analysis elements that have been synthesised …

A Funding Model For The Residential Aged Care Sector. The Resource Utilisation And Classification Study: Report 5, Jennifer P. Mcnamee, Milena Snoek, Conrad Kobel, Carol L. Loggie, Nicole M. Rankin, Kathy Eagar

Australian Health Services Research Institute

This is one of a series of reports that presents the results of an important national study commissioned by the Department of Health (the Department) to inform the development of a new funding model for residential aged care in Australia. The purpose of this report is to provide an outline of the key design features of the proposed new funding model. Also discussed are the anticipated impacts of the model for both government and the aged care sector, and a recommended approach to implementation.

Modelling The Impact Of The An-Acc In Australia.The Resource Utilisation And Classification Study: Report 4, Kathy Eagar, Jennifer P. Mcnamee, Conrad Kobel, Nicole M. Rankin, Karen Quinsey, Milena Snoek, Cathy Duncan, Peter D. Samsa, Carol L. Loggie

Australian Health Services Research Institute

A national study to develop a new methodology for determining appropriate funding for places in residential aged care homes, the ‘Resource Utilisation and Classification Study’ (RUCS), was commissioned by the Commonwealth Department of Health (the Department) in August 2017 and undertaken by the Australian Health Services Research Institute (AHSRI) at the University of Wollongong. This report is the fourth in a series, written to present the results of this important national study. Each report deals with a different aspect of the project, as described in Appendix 1. In this report, Report 4, the findings from Study Three of the RUCS …

An-Acc: A National Classification And Funding Model For Residential Aged Care: Synthesis And Consolidated Recommendations. The Resource Utilisation And Classification Study: Report 6, Kathy Eagar, Jennifer P. Mcnamee, Robert Gordon, Milena Snoek, Conrad Kobel, Anita B. Westera, Cathy Duncan, Peter D. Samsa, Carol L. Loggie, Nicole M. Rankin, Karen Quinsey

Australian Health Services Research Institute

This report syntheses and consolidates the findings presented in other reports and provides a consolidated set of recommendations.

The Prevalence And Protective Factors For Resilience In Adolescent Aboriginal Australians Living In Urban Areas: A Cross-Sectional Study, Christian Young, Jonathan C. Craig, Kathleen F. Clapham, Sandra Banks, Anna Williamson

Australian Health Services Research Institute

Objectives: To estimate the prevalence and determine protective factors for resilience in urban Aboriginal adolescents. Methods: Cross-sectional survey data was collected from 119 Aboriginal adolescents participating in the Study of Environment on Aboriginal Resilience and Child Health (SEARCH). Resilience was defined as having 'low-risk' Strengths and Difficulties Questionnaire scores on the total difficulties (range: 0-40) or the prosocial scale (range: 0-10). Results: Most adolescents scored in the low-risk range of the total difficulties (n=85, 73%) and prosocial scales (101, 86%). Family encouragement to attend school was associated with a 4.3-point reduction in total difficulties scores (95%CI, 0.22-8.3). Having someone to …

Patient Outcomes In Pain Management: Enterprise One Pain Management Service, 2018 Annual Report For 1 January To 31 December 2018, Megan B. Blanchard, Janelle M. White, Meredith P. Bryce, Julie A. Blacklock, Karen Quinsey, Hilarie Tardif

Australian Health Services Research Institute

ePPOC aims to assist services to improve the quality of the pain management they provide through the analysis and benchmarking of patient outcomes. In this report, data submitted for patients active during the period 1 January to 31 December 2018 are summarised to enable participating services to assess their performance and compare this with outcomes achieved by other services.

As Home Care Packages Become Big Business, Older People Are Not Getting The Personalised Support They Need, Lyn Phillipson, Louisa Smith

Australian Health Services Research Institute

The Royal Commission into Aged Care has unleashed a spate of claims of system failure within the residential aged care sector.

The Trajectory Of Functional Decline Over The Last 4 Months Of Life In A Palliative Care Population: A Prospective, Consecutive Cohort Study, Deidre Morgan, Jennifer Tieman, Samuel F. Allingham, Magnus Ekstrom, Alanna M. Connolly, David C. Currow

Australian Health Services Research Institute

Background: Understanding current patterns of functional decline will inform patient care and has health service and resource implications. Aim: This prospective consecutive cohort study aims to map the shape of functional decline trajectories at the end of life by diagnosis. Design: Changes in functional status were measured using the Australia-modified Karnofsky Performance Status Scale. Segmented regression was used to identify time points prior to death associated with significant changes in the slope of functional decline for each diagnostic cohort. Sensitivity analyses explored the impact of severe symptoms and late referrals, age and sex. Setting/participants: In all, 115 specialist palliative care …

Which Outcome Domains Are Important In Palliative Care And When? An International Expert Consensus Workshop, Using The Nominal Group Technique, Susanne De Wolf-Linder, Marsha Dawkins, Francesca Wicks, Sophie Pask, Kathy Eagar, Catherine Evans, Irene Higginson, Fliss E. M Murtagh

Australian Health Services Research Institute

Background: When capturing patient-level outcomes in palliative care, it is essential to identify which outcome domains are most important and focus efforts to capture these, in order to improve quality of care and minimise collection burden.

Aim: To determine which domains of palliative care are most important for measurement of outcomes, and the optimal time period over which these should be measured.

Design: An international expert consensus workshop using nominal group technique. Data were analysed descriptively, and weighted according to ranking (1-5, lowest to highest priority) of domains. Participants' rationales for their choices were analysed thematically.

Setting/participants …

Enabling People With Impairments To Use Airbnb, Melanie J. Randle, Sara Dolnicar

Australian Health Services Research Institute

Paid peer-to-peer accommodation networks, including Airbnb, have been accused of excluding people with impairments. This study analyses host and guest posts on the Airbnb hosting community to (1) reveal key barriers preventing people with impairments from fully participating in peer-to-peer accommodation trading, and (2) identify solutions to overcoming these barriers, using as theoretical framework the social model of disability. The key conclusion is that we may be witnessing a fundamental shift in the nature of barriers: as the growing peer-to-peer accommodation sector increases the quantity and variability of accommodation options, the primary challenge is no longer a lack of suitable …

The Aroc Annual Report: The State Of Rehabilitation In New Zealand In 2018, Tara L. Alexander, Frances D. Simmonds, Jacquelin T. Capell, Lewis J. Green

Australian Health Services Research Institute

This is the seventh comprehensive annual report describing discharge episodes from subacute inpatient rehabilitation programs provided by New Zealand facilities that are members of the Australasian Rehabilitation Outcomes Centre (AROC).

Social And Emotional Developmental Vulnerability At Age Five In Aboriginal And Non-Aboriginal Children In New South Wales: A Population Data Linkage Study, Anna Williamson, Alison Gibberd, Mark Hanly, Emily Banks, Sandra Eades, Kathleen F. Clapham, Kathleen Falster

Australian Health Services Research Institute

Background: Early childhood social and emotional development underpins later social, emotional, academic and other outcomes. The first aim of this study was to explore the association between child, family and area-level characteristics associated with developmental vulnerability, amongst Aboriginal and non-Aboriginal children in their first year of school. The second aim was to quantify the magnitude of the social and emotional developmental inequalities between Aboriginal and non-Aboriginal children and the extent to which differences in socioeconomic disadvantage and perinatal characteristics explained this inequality.

Methods: This retrospective cohort study used cross-sectoral data linkage to identify and follow participants from birth …

Aroc Impairment Specific Report, Stroke Report, Inpatient-Pathway 3, January 2018-December 2018, Tara L. Alexander, Frances D. Simmonds, Jacquelin T. Capell, Lewis J. Green

Australian Health Services Research Institute

No abstract provided.

Aroc Impairment Specific Report, Spinal Cord Injury, Inpatient-Pathway 4, January 2018-December 2018, Tara L. Alexander, Frances D. Simmonds, Jacquelin T. Capell, Lewis J. Green

Australian Health Services Research Institute

No abstract provided.

Emerging Role Of The Australian Private Health Insurance Sector In Providing Chronic Disease Management Programs: Current Activities, Challenges And Constraints, Joanna Khoo, Helen M. Hasan, Kathy Eagar

Australian Health Services Research Institute

Objective: This study explored the current activities of a sample of Australian private health insurance (PHI) funds to support the care of people living with chronic conditions, following changes to PHI legislation in 2007 permitting funds to cover a broader range of chronic disease management (CDM) services.

Methods: A qualitative research design was used to gather perspectives from PHI sector representatives via semistructured interviews with eight participants. The interview data were analysed systematically using the framework analysis method.

Results: Three main types of activities were most commonly identified: (1) healthcare navigation (2) structured disease management and health …

Electronic Persistent Pain Outcomes Collaboration Annual Data Report 2018, Hilarie Tardif, Megan B. Blanchard, Karen Quinsey, Meredith P. Bryce, Janelle M. White, Julie A. Blacklock, Kathy Eagar

Australian Health Services Research Institute

ePPOC is a program that aims to improve services and outcomes for people experiencing persistent pain. It involves specialist pain services collecting a standard set of information to measure outcomes for their patients as a result of treatment. Pain services use the information to triage, monitor and plan treatment for individual clients, and also send non-identifiable information to ePPOC for analysis. The results of these analyses are fed back to participating services every six months, allowing pain management services to assess their results, and compare their patients, services and outcomes to other pain management services. ePPOC also uses the information …

Aroc Impairment Specific Report On Stroke, Inpatient-Pathway 3, July 2018-June 2019, Tara L. Alexander, Frances D. Simmonds, Jacquelin T. Capell, Lewis J. Green

Australian Health Services Research Institute

No abstract provided.

A Profile Of Patients Receiving Palliative Care In Nsw And Act For January - June 2019, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Le-Tisha T. Kable, Linda M. Foskett, Sabina P. Clapham, Barbara A. Daveson

Australian Health Services Research Institute

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 5,873 patients who received palliative care in NSW and ACT during January to June 2019 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care.

A Profile Of Patients Receiving Palliative Care In Western Australia For January - June 2019, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Tanya Pidgeon, Natalie Joseph, Linda M. Foskett, Sabina P. Clapham, Barbara A. Daveson

Australian Health Services Research Institute

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 4,181 patients who received palliative care in Western Australia during July to December 2018 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care.

A Profile Of Patients Receiving Palliative Care In Queensland For January - June 2019, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Claire Christiansen, Anna Mcpherson, Linda M. Foskett, Sabina P. Clapham, Barbara A. Daveson

Australian Health Services Research Institute

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 4,625 patients who received palliative care in Queensland during January to June 2019 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care.

A Profile Of Patients Receiving Palliative Care In South Australia For July - December 2018, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Tanya Pidgeon, Natalie Joseph, Linda M. Foskett, Sabina P. Clapham

Australian Health Services Research Institute

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 1,903 patients who received palliative care in South Australia during July to December 2018 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care.

A Profile Of Patients Receiving Palliative Care In Australia For July - December 2018, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Linda M. Foskett, Sabina P. Clapham

Australian Health Services Research Institute

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 23,333 patients who received palliative care during July to December 2018 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care.

A Profile Of Patients Receiving Palliative Care In Nsw And Act For July - December 2018, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Gaye L. Bishop, Linda M. Foskett, Sabina P. Clapham

Australian Health Services Research Institute

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 5,588 patients who received palliative care in NSW and ACT during July to December 2018 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care.

A Profile Of Patients Receiving Palliative Care In Western Australia For July - December 2018, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Tanya Pidgeon, Natalie Joseph, Linda M. Foskett, Sabina P. Clapham

Australian Health Services Research Institute

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 3,813 patients who received palliative care in Western Australia during July to December 2018 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care.

Patient Outcomes In Palliative Care In Australia: National Report For July - December 2018, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Linda M. Foskett, Sabina P. Clapham

Australian Health Services Research Institute

The Australian palliative care sector is a world leader in using routine clinical assessment information to guide patient centred care and measure patient and family outcomes. Providers of palliative care are commended for their commitment to excellence in delivering evidence-based, patient-centred care by using the routine Palliative Care Outcomes Collaboration (PCOC) assessment framework and contributing patient data toward national outcome measurement and benchmarking. PCOC acknowledges the dedication and willingness of clinicians to improve the care of patients, their families and caregivers. The information collected is not just data - it represents the real-life outcomes of over 40,000 Australians who die …

Patient Outcomes In Palliative Care - Victoria, July - December 2018, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Jane F. Healey, Linda M. Foskett, Sabina P. Clapham

Australian Health Services Research Institute

The Australian palliative care sector is a world leader in using routine clinical assessment information to guide patient centred care and measure patient and family outcomes. Providers of palliative care are commended for their commitment to excellence in delivering evidence-based, patient-centred care by using the routine Palliative Care Outcomes Collaboration (PCOC) assessment framework and contributing patient data toward national outcome measurement and benchmarking. PCOC acknowledges the dedication and willingness of clinicians to improve the care of patients, their families and caregivers. The information collected is not just data - it represents the real-life outcomes of over 40,000 Australians who die …

How Australian Residential Aged Care Staffing Levels Compare With International And National Benchmarks, Kathy Eagar, Anita B. Westera, Milena Snoek, Conrad Kobel, Carol L. Loggie, Robert Gordon

Australian Health Services Research Institute

The Centre for Health Service Development, part of the Australian Health Services Research Institute (AHSRI) at the University of Wollongong, was commissioned by the Royal Commission into Aged Care Quality and Safety (the Commission) to undertake this analysis of international and national staffing profiles for residential aged care services in order to better understand how staffing can be improved in Australia. The key activities for the project include a literature review on international and national models of staffing in residential aged care facilities and use of data from the Resource Utilisation and Classification Study (RUCS) (Eagar et al. 2019) to …

Patient Outcomes In Palliative Care - South Australia, July - December 2018, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Tanya Pidgeon, Natalie Joseph, Linda M. Foskett, Sabina P. Clapham

Australian Health Services Research Institute

The Australian palliative care sector is a world leader in using routine clinical assessment information to guide patient centred care and measure patient and family outcomes. Providers of palliative care are commended for their commitment to excellence in delivering evidence-based, patient-centred care by using the routine Palliative Care Outcomes Collaboration (PCOC) assessment framework and contributing patient data toward national outcome measurement and benchmarking. PCOC acknowledges the dedication and willingness of clinicians to improve the care of patients, their families and caregivers. The information collected is not just data - it represents the real-life outcomes of over 40,000 Australians who die …

Patient Outcomes In Palliative Care - Nsw And Act, January - June 2019, Alanna M. Connolly, Samuel J. Burns, Samuel F. Allingham, Le-Tisha T. Kable, Linda M. Foskett, Sabina P. Clapham, Barbara A. Daveson

Australian Health Services Research Institute

The Australian palliative care sector is a world leader in using routine clinical assessment information to guide patient centred care and measure patient and family outcomes. Providers of palliative care are commended for their commitment to excellence in delivering evidence-based, patient-centred care by using the routine Palliative Care Outcomes Collaboration (PCOC) assessment framework and contributing patient data toward national outcome measurement and benchmarking. PCOC acknowledges the dedication and willingness of clinicians to improve the care of patients, their families and caregivers. The information collected is not just data - it represents the real-life outcomes of over 40,000 Australians who die …