Modelling the impact of the AN-ACC in Australia.The Resource Utilisation and Classification Study: Report 4

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 are presented. The purpose of the casemix profiling study covered in this report was to develop a national casemix profile of residents in residential aged care facilities in Australia, to identify any differences in resident casemix by facility type (i.e. by location, ownership type and size), and to model and test the likely financial impact of implementing the blended payment model nationally. To do so, a nationally representative sample was used to model patterns of resident need and to investigate the funding implications of a new payment model based on resident casemix

AMP second national workshop. Asthma Management Program

Powerpoint presentation presented at the Asthma Management Program: Second National Workshop, Stamford Plaza Sydney Airport Hote

Methods for specifying the target difference in a randomised controlled trial : the Difference ELicitation in TriAls (DELTA) systematic review

Peer reviewedPublisher PD

Incidence of self-reported brain injury and the relationship with substance abuse: findings from a longitudinal community survey

<p>Abstract</p> <p>Background</p> <p>Traumatic or serious brain injury (BI) has persistent and well documented adverse outcomes, yet 'mild' or 'moderate' BI, which often does not result in hospital treatment, accounts for half the total days of disability attributed to BI. There are currently few data available from community samples on the incidence and correlates of these injuries. Therefore, the study aimed to assess the 1) incidence of self-reported mild (not requiring hospital admission) and moderate (admitted to hospital)) brain injury (BI), 2) causes of injury 3) physical health scores and 4) relationship between BI and problematic alcohol or marijuana use.</p> <p>Methods</p> <p>An Australian community sequential-cohort study (cohorts aged 20-24, 40-44 and 60-64 years at wave one) used a survey methodology to assess BI and substance use at baseline and four years later.</p> <p>Results</p> <p>Of the 7485 wave one participants, 89.7% were re-interviewed at wave two. There were 56 mild (230.8/100000 person-years) and 44 moderate BI (180.5/100000 person-years) reported between waves one and two. Males and those in the 20-24 year cohort had increased risk of BI. Sports injury was the most frequent cause of BI (40/100) with traffic accidents being a greater proportion of moderate (27%) than mild (7%) BI. Neither alcohol nor marijuana problems at wave one were predictors of BI. BI was not a predictor of developing substance use problems by wave two.</p> <p>Conclusions</p> <p>BI were prevalent in this community sample, though the incidence declined with age. Factors associated with BI in community samples differ from those reported in clinical samples (e.g. typically traumatic brain injury with traffic accidents the predominate cause). Further, detailed evaluation of the health consequences of these injuries is warranted.</p

Standardising measures of functional dependency: a unifying concept for understanding needs and outcomes of older Australians and people with disabilities

Powerpoint presentation presented at HIC 2011: the transformative power of innovation, Brisban

Testing the ACCOM: Research and Results

Ageing Well at Home: Measuring the Impact of Community Care for Older People, is a research project funded by the Australian Research Council. The aim of the research project is to develop, test and validate the 24 Australian Community Care Outcomes Measure (ACCOM) an outcome measurement tool for use in the community aged care sector. This paper will present and discuss the results of the field testing of the ACCOM that occurred between late 2015 and mid-2016. The project involved four Home Care Package providers in NSW, involving 43 case managers. One of the key innovative features of the ACCOM is that it collects both consumer \u27self\u27 rated and case manager rated outcome measures. Any contrast between these highlight potential areas in the care plan that may require a review. Initial results show a high level of agreement between consumer and case manager ratings across the eight domains of the ACCOM. The inclusion of functional, health and demographic data in the ACCOM enables a sophisticated analysis of the interrelationship between these factors and outcomes in the context of community care. The ACCOM data also enables service providers to demonstrate to potential consumers that they have a robust and transparent mechanism for engaging consumers in both directing care planning and reviewing care outcomes. The potential for further research into the application of the ACCOM with special needs groups and the development of a carer aspect to the ACCOM will be discussed. Based on lessons learnt from this trial and from established national health outcome centres at the Australian Health Services Research Institute at the University of Wollongong, a long term vision for the establishment of a National Outcome Centre for Community Care will be proposed