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"The experience of Australian aged care workers during a trial implemen" by Esther L. Davis, Judy Mullan et al.

End of life care is an essential part of the role of Australian aged care homes (ACHs). However, there is no national framework to support aged care staff in systematically identifying residents with palliative care needs or to routinely assess, respond to, and measure end of life needs. The Palliative Care Outcomes Collaboration (PCOC) is a national outcomes and benchmarking programme which aims to systematically improve palliative care for people who are approaching the end of life, and for their families and carers. The PCOC Wicking Model for Residential Aged Care was developed and piloted in four Australian ACHs. This paper reports on the qualitative findings from semi-structured interviews and focus groups conducted with ACH staff (N = 37) to examine feasibility. Thematic analysis identified three overarching themes about the pilot: (i) processes to successfully prepare and support ACHs; (ii) appropriateness of PCOC tools for the ACH setting; and (iii) realised and potential benefits of the model for ACHs. The lessons presented valuable insights to refine the PCOC Wicking Model and enrich understanding of the potential challenges and solutions for implementing similar programs within ACHs in future. The results suggest that key to successfully preparing ACHs for implementation of the PCOC Wicking Model is an authentic and well-paced collaborative approach with ACHs to ensure the resources, structures and systems are in place and appropriate for the setting. The PCOC Wicking Model for Residential Aged Care is a promising prototype to support ACHs in improving palliative and end of life care outcomes for residents and their carers.

Australia , Australian , Palliative-care-outcomes-collaboration , Residential-aged-care , Health-personnel , Ealth-services-for-the-aged , Ursing-homes , Utcome-assessment , Alliative-care , Ualitative-research ,

"A decade of outcomes: The evolution of an australasian outcomes collab" by David Holloway, Samuel Allingham et al.

Since the establishment of the electronic Persistent Pain Outcomes Collaboration (ePPOC) in 2013, ongoing improvements in benchmarking and quality improvement activities have provided the opportunity for ePPOC to grow to support more than one hundred adult and pediatric services delivering care to Individuals living with persistent pain throughout Australia and New Zealand. These improvements straddle multiple domains, including benchmarking and indicators reports, internal and external research collaboration and the integration of quality improvement initiatives with pain services. This paper outlines improvements undertaken and lessons learned in relation to the growth and maintenance of a comprehensive outcomes registry and its articulation with pain services and the wider pain sector.

New-zealand , Australia , Persistent-pain-outcomes-collaboration , Benchmarking , Hronic-pain , Utcome-assessment , Uality-improvement , Uality-improvement-outcomes ,

"A narrative review of outcome measures used in drug and alcohol inpati" by Jing Wang, Frank P. Deane et al.

Issues: Assessing drug and alcohol inpatient withdrawal treatment programs is important, as these represent a first step of treatment among people with alcohol and drug problems. However, there are many ways of measuring outcomes making it difficult for service providers to decide which domains and methods to use. This narrative review aims to clarify frequencies of the domains and methods used to assess withdrawal treatment outcomes. Approach: We reviewed published studies that examined outcomes of inpatient drug and alcohol withdrawal treatment. The types of outcome measures used and the frequency of use were summarised. Key Findings: The review showed that assessment of withdrawal treatment outcomes goes beyond traditional abstinence measures. Outcomes mainly focus on biological and psychological outcomes, with social outcomes rarely measured. Even within outcome domains (e.g., cravings), there were many assessment methods. Implications: The review provides service providers with an outline of common outcome domains and measures. Given the importance of social functioning to recovery from alcohol and drug problems, greater emphasis on such measures is desirable. Future research could develop greater consensus on outcome measures for use in withdrawal management services to facilitate clarity around factors associated with treatment success. Conclusion: Outcome assessment in withdrawal treatment goes beyond abstinence to include holistic measurement of biological, psychological and some social outcomes; but more work needs to be done to cohere the different assessment methods and broaden the scope to include social functioning.

Drug-and-alcohol-use , Npatient-withdrawal-treatment , Utcome-assessment , Ithdrawal-treatment-outcomes ,

Electronic Clinical Outcome Assessment Market Overview, Merger and Acquisitions , Drivers, Restraints and Industry Forecast By 2026

Electronic Clinical Outcome Assessment Market Overview, Merger and Acquisitions , Drivers, Restraints and Industry Forecast By 2026

Germany , Australia , Japan , United-states , India , Argentina , Brazil , China , Italy , South-africa , Saudi-arabia , Canada

"Can publicly reported data be used to understand performance in an Aus" by Sheree Lloyd, Cynthia Cliff et al.


Abstract
Background: Despite agreement among policymakers, funders, consumers and researchers about the value of public reporting of health information, limited attention has been paid to how it can be used to understand the performance of rural hospitals. Objective: To determine whether publicly available information can be used to measure health service performance in a rural hospital. Method: The study used performance data routinely reported for public consumption in Australia. Data across four domains, multiple measures and time periods were collected to examine access and equity; efficiency and sustainability; quality, safety and patient orientation; and employee engagement. Performance of the rural hospital was examined using a visualisation tool. Results: Visualisation of multiple measures of performance over time was achievable but required a high degree of health information management skills. Conclusion and implications: Publicly reported data can be used to represent performance for a rural hospital. Timeliness, level of detail available and peer groupings of data limits optimal utility. Consumers, clinicians and health service managers wanting to understand the performance of rural hospitals will need to use significant health information management skills to gain a picture of performance. Further research in the applied use of publicly available performance data and relevant dashboards for rural hospitals is suggested.

Australia , Access , Nd-evaluation , Ealth-information-management , Ealthcare , Ealthcare-quality , Ospital-performance , Ospitals , Utcome-assessment , Erformance-measurement , Ublic-reporting-of-healthcare-data