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 Service
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»Health Care and Rehabilitation (including Community Health
Services) Listed
below are individual studies for Service Evaluation Research
in the Health Care and Rehabilitation area. Use the 
or  symbols below to view and close details
for each of the listed Studies. Alternatively, select Expand
All or Collapse All to view details
of all or none of the Studies.
Best care for older people everywhere: The toolkitYear: 2007 to present Staff: Briony Dow, Elizabeth Cyarto, Leslie Dowson, Ellen Gaffy, Betty Haralambous, Stephen Gibson, Keith Hill, Jean Tinney, Emma Renehan, Courtney Hempton, Amanda Bingham, Carolyne Jones, Kay Ledgerwood, Alana Hewitt Summary: The toolkit is an evidence based resource that contains information, resources, tools, guidelines and best practice principles for the care of older people in hospital. The toolkit’s target audience is anyone interested in improving care of older people in hospital settings. It can be used by clinicians, team leaders and people with organisation-wide responsibilities. Funding source: The Council of Australian Governments Long Stay Older Patients Initiative funded the development of The toolkit Click here to access the Best care for older people everywhere - The toolkit Best Practice in Person-Centred Health Care for Older VictoriansYear: 2004-07 Staff: Jean Tinney, Briony Dow, Leslie Dowson, Courtney Hempton, Marcia Fearn, Gihan de Mel Summary: This project aims to: • assess current practice in Victorian health services in relation to the involvement of older people and their carers in their health care, • identify current best person-centred practice, both nationally and internationally, • develop and trial resources to support the implementation of person-centred practice in Victorian health services, and • evaluate the impact of these resources on practice with clients and carers, direct service providers and service managers. There were two stages to this project. In stage one, staff working in General Medical, Rehabilitation, Geriatric Evaluation and Management wards, CRCs and Continence Clinics from 17 health services were surveyed about their current practices in relation to person-centred health care and were asked to identify current good practice initiatives in person-centred health care. The survey was developed through a literature review and consultation with older service users. The best practice initiatives identified through the survey were examined further through interviews with program managers, direct service practitioners and health service managers. A sample of clients (older people) and carers from the sites identified were invited to attend focus groups to discuss their experiences of the best practice initiatives. All the information obtained from this stage was used to develop resources to support the implementation of person-centred health care in Victorian health services, and a website of resources and initiatives was launched. In stage two the website of resources and initiatives was evaluated, along with individual person-centred projects developed by 13 health services. Also, in this stage, the survey used in stage one was re-administered in the same sections of the 17 health services initially involved. Results of the project indicate that the “Best Practice in Person-centred Health Care for Older Victorians” project, in conjunction with the “Enhancing Practice Program”, the “Improving the environment for older people in Health Services” audit tool, and the “Dementia Care in Hospitals” project, all undertaken as part of the implementation of the Improving Care Policy, had an impact on raising awareness of person-centred health care within Victorian Health Services. It may have been expected that an increase in awareness would translate into improved practice, but this was not necessarily the case. Person-centred practice relies not only on individual awareness but also on appropriate models of care, resources, education, and supportive organisational cultures. Therefore, it is important that Health Services ensure that appropriate resources are available to staff to enable them to practise health care in a person-centred manner. Funding source: Victorian Department of Human Services Project outcomes: Literature Review: Statewide Survey: To view the final report of the survey 2007, including the results, click here. PowerPoint Presentation: Help Sheets: Click here to view a help sheet on organisational support for person-centred health care. Click here to view a help sheet on getting to know the older service user. Click here to view a help sheet on sharing power and responsibilty between service providers and service users. Click here to view a help sheet on accessibility and flexibility of services and service providers. Click here to view a help sheet on environments conducive to person-centred health care. Project Progress Reports: Click here to view the Phase two report. Final Report: More Information : Click here to visit Person-centred health care website.
Older Person Friendly Health Service Environments: Development and trial of an audit toolYear: 2005-06 Staff: Kirsten Black, Joan Nankervis, Melita Guimmarra Summary: The purpose of this project is to develop a resource which identifies the critical ways to create older person friendly health service environments, based on an analysis of existing guidelines and good practice. The resource is targeted specifically to staff and management of all generalist public health services in Victoria (that work with older people). The resource is designed to assist staff and management identify "easy to achieve" changes and recommend long term, more difficult changes. Changes identified would then be used to inform the development of project briefs for builders, architects and health care interior designers. The project resources have been designed for use
in inpatient and centre based health services including: Funding source: Victorian Department of Human Services Click here to access the final resource. Rehabilitation after stroke literature review: Current evidence and future directionsYear: 2005 Staff: Keith Hill, Briony Dow, Dr Julie Bernhardt (NSRI), Dr Fary Khan (RMH RPC) Summary: The Continuing Care Unit and the Senior Medical Advisor's Unit of the Department of Human Services in conjunction with an Expert Advisory Group convened from the field is developing a Stroke Care Strategy for Victoria. The initial phase of this work is to produce a discussion paper that will be distributed to key stakeholders for consideration and comment. As part of the strategy development process,
NARI was contracted to undertake a review of the current Australian
and international literature to identify evidence based best practice
in the delivery of stroke care in sub-acute settings (in-patient and
ambulatory). Specific constraints on this review were that it focus
on: Funding source: Victorian Department of Human Services Reports:
The literature review is available from the Department of Human Services
/ Stroke Care Strategy web site, link here
.... Screening for Coeliac disease in the sub-acute hospital populationYear: 2004-05 Staff: Jasmin Morey, Victorian Tan (RMH), Bob Anderson (Walter and Eliza Hall Institute), Allan McLean Summary: This is a joint project between NARI, the Royal Melbourne Hospital and the Walter and Eliza Hall Institute. In recent years, screening tests for Coeliac Disease have been developed which have a high level of sensitivity and specificity, and can be performed on a venous blood sample. This provides the opportunity to perform an initial screening test for Coeliac Disease without invasive endoscopy and biopsy procedures. The project aims to test the hypothesis that, given a population frequency of between 1/75 and 1/300 for Coeliac Disease, it is likely that there will be subclinical disease in older people, presenting with chronic fatigue, anemia, gastro-intestinal complaints, fractures, and vitamin deficiencies causing neuromuscular dysfunction. The clinical question is whether the frequency of Coeliac Disease in the subacute hospital population is high enough to warrant routine screening.
Southern Grampians Glenelg Rehabilitation Program EvaluationYear: 2003-07 Staff: Briony Dow, Joan Nankervis, Kirsten Moore, Jaya Pinikahana, Sue Hunt Summary: The
Victorian Department of Human Services (Barwon Region) and five rural
health services have developed an innovative rehabilitation program
designed to meet the unique needs of rehabilitation clients living in
the Southern Grampians and Glenelg regions of Victoria. NARI conducted
an evaluation of the program that included: Funding source: Victorian Department of Human Services Reports: Phase 1 report is available here
.... Phase 3 report is available here
....
Cognitive Dementia and Memory Services (CDAMS) Clinics - WorkshopsYear: 2004 Staff: Betty Haralambous, Marcia Fearn Summary: NARI facilitated 2 workshops for CDAMS co-ordinators. The purpose of the workshops was to examine recommendations from a review of CDAMS Clinics, identify how these can be incorporated into Best Practice Guidelines and to develop a 3 year strategic plan. Funding source: Victorian Department of Human Services Service Guidelines for Victorian Continence Clinic ServicesYear: 2004 Staff: Fiona Bremner Summary: NARI
was commissioned by the Victorian Department of Human Services to seek
feedback from experts in the field on a DRAFT best practice guideline
document and to finalise the document given the feedback provided. Funding source: Victorian Department of Human Services Reports:
The report "Continence Clinic Service Guidelines" is available
here
.... Outcome Measurement for Victorian Continence Clinic ServicesYear: 2004 Staff: Fiona Bremner, Melita Taylor Summary: NARI facilitated a field test of various outcome measures as identified within the Continence Outcome Measurement Suite Project DRAFT report, to further determine their clinical acceptability and practicability for use within Victorian Continence Clinic services. The recommendations identified were as follows:
Funding source: Victorian Department of Human Services Reports:
A copy of the "Outcome Measurement for Victorian Continence Clinic
Services" report is available here
.... Evaluation of Home-based Rehabilitation in VictoriaYear: 2002-04 Staff: Briony Dow, Kirsten Moore, Fiona Bremner, Marcia Fearn Summary: This project aimed to describe and evaluate the range of home-based rehabilitation services available in rural and metropolitan Victoria and to compare outcomes for clients using these services with those using inpatient rehabilitation. A best practice framework for home-based rehabilitation was also developed. Eight rehabilitation teams participated in focus groups and seven participated in client data collection. One hundred and sixty-four clients and 75 carers took part in the study including the completion of outcome measures at 3 time points (admission and discharge to the service and 3-month follow-up) and interviews with a sub-sample of 32 clients and 14 carers participated in interviews. The study found that clients and carers require a mix of hospital, home and centre-based rehabilitation that is able to respond to their needs and preferences at each phase of the rehabilitation continuum. Funding source: Victorian Department of Human Services Reports:
The final report "Evaluation of home-based rehabilitation in Victoria"
is available here
.... Outcome measures for rehabilitation and aged care Stage 2Year: 2001-02 Staff: Peteris Darzins, Fiona Bremner, Robyn Smith Summary: This project investigated the clinical and administrative implications of implementing tools that measure handicap into inpatient rehabilitation services around metropolitan and rural Victoria. The two tools investigated were the Handicap Assessment and Resource Tool (HART) and the Functional Autonomy Measuring System (SMAF). These tools were identified from the first phase of the project as having potential administrative and clinical advantage if used in supplement to the current measurement approach. The HART was found to have found to have greater clinical advantage than the SMAF. It was found in most cases to structure existing clinical practice, improve service accountability and assist with patient flow through the continuum of care. Funding source: Victorian Department of Human Services Reports:
The final report "Outcome Measures in Rehabilitation - Phase Two"
is available here
.... Outcome measures for rehabilitation and aged care Stage 1Year: 1999-2001 Staff: Robyn Smith, Peteris Darzins, Colin Steel, Kate Murray, Deborah Osborne, Belinda Gilsenan Summary: This project NARI investigated issues related to current outcome measurement in Victorian rehabilitation and sub acute services. Outcome measurement was seen as necessary in a service environment valuing evidence based practice. Current outcome measurement was identified as inadequately reflecting the outcome for most rehabilitation clients. The World Health Organisation's International Classification of Function, Disability and Health was identified as a useful framework to guide future measurement of outcome. Clinicians identify effort expended in the reduction of participation restriction (handicap) in addition to the reduction of activity limitation, (disability) that is not being captured in the current outcome measurement framework. Tools that measure handicap were explored. The Handicap Assessment and Resource Tool (HART) and the Functional Autonomy Measuring System (SMAF) were identified as requiring further research for their potential administrative and clinical benefits. Funding source: Victorian Department of Human Services Reports:
The report "Outcome Measures in Rehabilitation" is available
here
.... Regional Rehabilitation Consultancy Service project for the Barwon South West RegionYear: 1999-2000 Staff: Joan Nankervis, Robyn Smith, Freda Vrantsidis, Frances Lentini Summary: This project was undertaken to inform the process of redevelopment of rehabilitation services in Victoria. The aim of the project was to work with rehabilitation providers and other key service providers in the Barwon South West region to explore the practicalities of developing and implementing a system for a regional rehabilitation consultancy and liaison service. The objective was to build on the existing service system, strengthen communication, referral, support and data sharing in an effort to improve access to appropriate services and rehabilitation outcomes for people who require rehabilitation. Funding source: Geelong General Practitioners Association Rehabilitation Services in VictoriaYear: 1999-2000 Summary: This project involved surveying and mapping rehabilitation services in Victoria. The first of two surveys were sent to over 150 health service providers, both public and private. A follow-up survey seeking clinical and service use information was sent to more than 200 organisations. The data gathered, which identifies services provided, client attributes and staff profiles, will be used by the Department's Expert Rehabilitation Working Party to assist in service planning and re-development. Funding source: Victorian Department of Human Services Specialist Clinics - Stage 2Year: 1999 Summary: The DHS has targeted non-inpatient, specialist aged care clinics for development. This includes services such as Pain Management Clinics, Continence Clinics, CDAMS Clinics and Falls and Mobility Clinics. This project mapped existing services, considered the epidemiological, demographic, geographic and service context factors, and proposes a plan for clinic development. Funding source: Victorian Department of Human Services Evaluation of the Home Rehabilitation Service for North West Hospital Rehabilitation ProgramYear: 1997-98 Summary: This clinical research study aimed to compare the outcomes for clients/carers receiving Home Rehabilitation Services with a group of clients/carers receiving usual inpatient care. It was a large scale study which involved a broad range of outcome measures, and interviews with both client and carer at three time points during the rehabilitation episode of care. Specialist Clinic Services - Stage 1Year: 1998 Summary: The focus of this project was on specialist multi-disciplinary Pain Clinics and Falls and Balance Clinics. It involved the development of program guidelines, clinical performance indicators and assessment guides. This was achieved by working in conjunction with clinical experts. Development of a Generic Brief and Resource Guidelines for Community Rehabilitation CentresYear: 1998 Summary: The Generic Brief provides a policy context and activity outline for the work of CRCs. Incorporating service descriptions and architectural information, the Generic Brief provides the blueprint for redevelopment or construction/operation of a CRC. The Resource Guidelines project involved extensive service mapping and a large data collection involving all Victorian CRCs in order to establish the current level of service provision and propose the level and distribution required to meet future demand. Post-Acute Care Re-admissions for North Western Health Care NetworkYear: 1998-99 Summary: This project aimed to explore factors which underpin unplanned readmission to hospital for post acute care clients and then to recommend strategies to reduce avoidable, unplanned re-admissions. In depth case studies which include medical record review, interviews with hospital and community service providers, the client/carer and the post acute care staff were the central data source for the study. Development of Clinical Indicators for Community Rehabilitation Centres (CRC)Year: 1996-97 Staff: Robyn Smith Summary: This project involved the development of key clinical performance indicators for use by the staff of CRCs when evaluating the process of clinical care. Consultation with CRC staff was critical in the development of the measures and pilot testing in twelve centres in Victoria. This model has been adopted for a range of other DHS services. Funding source: Victorian Department of Human Services Aids and Appliances: (DHS, Western Metro)Summary: This was a qualitative study using focus groups and individual interviews to investigate the use by older people with a disability of home aids, appliances and modifications. The outcomes had an impact on policy and service provision practice in the areas of equipment assessment and issue. |
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