Understanding And Preventing Avoidable Readmissions: Development Of A Patient Centered And Disease Specific Screening Tool
Funder
National Health and Medical Research Council
Funding Amount
$100,000.00
Summary
This study aims to develop a screenings tool to prevent unplanned re-admissions, based on specific patient centred and disease specific factors. We will include index admission data (367,782 in 2015) of five MACH hospitals. The cohort will be divided into a group for index derivation and a group for internal validation. Variables on patient and admission characteristics are based on literature. After internal validation we will validate the tool externally and implement it in clinical practice
SAFETY, EFFECTIVENESS OF CARE AND RESOURCE USE AMONG AUSTRALIAN HOSPITALS (SAFER HOSPITALS)
Funder
National Health and Medical Research Council
Funding Amount
$1,084,271.00
Summary
Global concern exists about the safety and quality of health care. Our study will, for the first-time in Australia, evaluate how often untoward outcomes such as adverse events, deaths, and readmission occur after hospital care, how they vary among hospitals that may suggest disparities in quality, and the costs to the health system. The findings will prioritise targets for quality improvement, lead to better monitoring methods, and inform clinical and policy intervention to improve care.
Alice Springs Hospital Readmission Prevention Project
Funder
National Health and Medical Research Council
Funding Amount
$124,608.00
Summary
The Alice Springs Hospital Readmission Project is a collaboration between Alice Springs Hospital and the Baker IDI in Central Australia. Recurrent readmissions can lead to hospital overcrowding and remove a person from their community. The project will investigate whether a tailored discharge planning and case management approach for adult patients with complex chronic disease is beneficial in reducing recurrent readmissions to hospital and facilitating engagement with primary care services.
Preventing Hospital Readmission In A Regional Australian Hospital Setting
Funder
National Health and Medical Research Council
Funding Amount
$565,695.00
Summary
Hospitals face high levels of emergency presentations and demand for inpatient care particularly for Aboriginal Australian people from remote communities. Readmissions lead to overcrowded emergency departments and poorer patient outcomes. We will evaluate the efficacy of a multidimensional case-based management intervention linking hospital and primary health in a regional Australian hospital with the aim of reducing hospital readmission and improving patient outcomes.
Dynamic Prediction Of Hospital Length Of Stay, Readmission, And Death
Funder
National Health and Medical Research Council
Funding Amount
$322,821.00
Summary
Healthcare systems are under increasing pressure to improve the appropriateness and effectiveness of current patterns of care. The aim of this project is to develop a dynamic predictive method that, at any time during hospitalisation, calculates days expected to be in hospital, days expected to live and days expected until next hospitalisation. Rapidly identifying patients at most risk has great potential to improve the quality of care and reduce avoidable harm and costs associated with admissio ....Healthcare systems are under increasing pressure to improve the appropriateness and effectiveness of current patterns of care. The aim of this project is to develop a dynamic predictive method that, at any time during hospitalisation, calculates days expected to be in hospital, days expected to live and days expected until next hospitalisation. Rapidly identifying patients at most risk has great potential to improve the quality of care and reduce avoidable harm and costs associated with admission.Read moreRead less
Exercise Self-management To Improve Long-term Functioning And Prevent Falls After Hip Fracture.
Funder
National Health and Medical Research Council
Funding Amount
$848,478.00
Summary
Up to 20,000 older Australians suffer hip fractures each year. Many people don't fully recover. We have designed a self-management training program which incorporates individualised exercise prescription. This novel program is designed for people who have completed usual treatment and rehabilitation for hip fracture. We will conduct a well-designed randomised controlled trial to test the effects of this program on disability, falls and hospital readmissions and to assess its cost-effectiveness.
A Supervised Exercise Programme Following Hospitalisation For Heart Failure: Does It Add To Disease Management?
Funder
National Health and Medical Research Council
Funding Amount
$730,966.00
Summary
Congestive heart failure (CHF) is a common, disabling condition. Outcomes are improved by a post-hospital disease management programme (DMP) including education, support and followup from a team of nurses, doctors and other health professionals. This study looks at whether adding a supervised exercise programme to a DMP can reduce death rates and hospital stays, and improve physical function and depression in patients with a recent hospital stay for CHF.
A Population Based Study Of The Use Of Acute Hospital Services By Elderly People Living In Residential Care.
Funder
National Health and Medical Research Council
Funding Amount
$127,000.00
Summary
This project will be the first population based Australian study to describe the pattern of utilisation of acute hospital services by elderly people living in residential care. It will provide much needed information on which to base health policy decisions relating to the acute care needs of the most frail elderly members of our community. Within a context of an ageing demographic profile of the Australian population, it is essential that the dynamic interplay between acute care services and th ....This project will be the first population based Australian study to describe the pattern of utilisation of acute hospital services by elderly people living in residential care. It will provide much needed information on which to base health policy decisions relating to the acute care needs of the most frail elderly members of our community. Within a context of an ageing demographic profile of the Australian population, it is essential that the dynamic interplay between acute care services and the residential aged-care sector be elucidated, both for current service provision and for better prediction of future service requirements. This study will make use of existing linked health data sources in WA to achieve the following aims: 1. To provide health service planners with information about the rates, patterns, causes, outcomes and costs of acute emergency department and in-patient hospital services for elderly persons living in residential care in Perth, Western Australia. 2. To develop a population model to determine future acute hospital requirements for elderly persons living in residential care. 3. To estimate the potential impact of alternate modes of integration of acute and long-term care on the utilisation of acute hospital services by hostel and nursing home residents.Read moreRead less
Comparing Pneumococcal Vaccines In A High Risk Population: A Randomised Controlled Trial Of Immunogenicity, Safety And Impact On Carriage Of Pneumococcal Conjugate And Polysaccharide Vaccines In Infants In Papua New Guinea
Funder
National Health and Medical Research Council
Funding Amount
$1,042,670.00
Summary
Pneumococcal disease is a major cause of pneumonia and meningitis in infants in developing countries in particular resulting in an estimated 800,000 deaths each year. This project will study how well pneumococcal vaccines perform in 260 high-risk infants in Papua New Guinea. We will examine how well the vaccines stimulate protective immunity and reduce babies carrying the pneumococcal bacteria in their nose and how long this immunity lasts for. The study will inform global immunisation policy.
Financial crises, volatility and sovereign ratings: Do ratings really matter when they are needed most? The stability of Australian financial markets during the Asian financial crisis is a major economic success story. Subsequently, an important policy objective has been in enhancing the capacity of the financial infrastructure in regional financial markets to reduce their exposure to such crises. Recent financial market turmoil dramatically underscores the need to better understand the full myr ....Financial crises, volatility and sovereign ratings: Do ratings really matter when they are needed most? The stability of Australian financial markets during the Asian financial crisis is a major economic success story. Subsequently, an important policy objective has been in enhancing the capacity of the financial infrastructure in regional financial markets to reduce their exposure to such crises. Recent financial market turmoil dramatically underscores the need to better understand the full myriad of factors that feed into this challenging concern. One critical area of debate is whether or not rating agencies play a calming role. This project will deliver insights that aid development of the financial infrastructure to cope better with such crises and retain investor confidence.Read moreRead less