Supporting work practices, improving patient flow and monitoring performance using a clinical information management system

Poulos, Christopher J.; Gazibarich, Boris M; Eagar, Kathy

doi:10.1071/ah070s79

Cited by 15 publications

(14 citation statements)

References 10 publications

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“…Another Australian study has also reported the waiting time for acute hospital patients assessed as ready for rehabilitation to be admitted – 67% were admitted within 1 day and 77% within 2 days, which was slightly better than our results. A study in Canada reported a relationship between shorter delays for transfer to rehabilitation and a shorter rehabilitation LOS .…”

Section: Discussioncontrasting

confidence: 82%

Reducing the length of stay for acute hospital patients needing admission into inpatient rehabilitation: a multicentre study of process barriers

New

Andrianopoulos

Cameron

et al. 2013

Internal Medicine Journal

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Section: Discussioncontrasting

confidence: 82%

Reducing the length of stay for acute hospital patients needing admission into inpatient rehabilitation: a multicentre study of process barriers

New

Andrianopoulos

Cameron

et al. 2013

Internal Medicine Journal

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“…Use should be made of systems for the early identification 15 and referral of patients appropriate for rehabilitation 24 …”

Section: Proposals To Improve the Organisation And Delivery Of Rehabimentioning

confidence: 99%

Functional improvement of the Australian health care system — can rehabilitation assist?

New

Poulos

2008

Medical Journal of Australia

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Summary Strategies for managing increasing health system demand have focused on the acute sector and chronic disease management in the community, with little attention on the role of rehabilitation. There were over 53 000 inpatient rehabilitation episodes in Australia in 2006. We argue that rehabilitation can improve patient flow and outcomes in acute care if engaged early. The effectiveness of rehabilitation can be enhanced by increasing the intensity of therapy and developing models of rehabilitation that provide alternatives to inpatient care. Factors that reduce the efficiency of rehabilitation services include the location of many services in small, stand‐alone hospitals without acute support; the lack of options for managing younger people with acquired disability in the community; and deficiencies in government programs for the supply of aids, equipment and home modifications. Improving the organisation of rehabilitation services should improve access to acute and rehabilitation inpatient beds, improve patient outcomes and reduce costs.

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“…5 In addition, this knowledge will set the baseline for examining the impact of any implemented change, 4 such as introduction of an electronic information system. [6][7][8] Furthermore, such details are important in informing public policy or managerial decision on staffing levels, 9 either for newly built aged care facilities or existing facilities in which resident case mix has changed.…”

Section: Introductionmentioning

confidence: 99%

Time spent on daytime direct care activities by personal carers in two Australian residential aged care facilities: a time–motion study

Qian¹,

Yu²,

Hailey³

et al. 2014

Aust. Health Review

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Objective. To examine the time, frequency and duration of each direct care activity conducted by personal carers in Australian residential aged care homes. Methods. A time-motion study was conducted to observe 46 personal carers at two high-care houses in two facilities (14 days at Site 1 and 16 days at Site 2). Twenty-three direct care activities were classified into eight categories for analysis. Results. Overall, a personal carer spent approximately 45% of their time on direct care, corresponding to 3.5 h in an 8-h daytime shift. The two sites had similar ratios of personal carers to residents, and each resident received 30 min of direct care. No significant differences between the two sites were found in the time spent on oral communication, personal hygiene and continence activities. Personal carers at Site 1 spent significantly less time on toileting and mobility activities than those at Site 2, but more time on lunch activity. Although oral communication took the longest time (2 h), it occurred concurrently with other activities (e.g. dressing) for 1.5 h. Conclusions. The findings provide information that may assist decision makers in managing the operation of highcare residential aged care facilities, such as planning for task allocation and staffing. AbstractObjective. To examine the time, frequency and duration of each direct care activity conducted by personal carers in Australian residential aged care homes.Methods. A time-motion study was conducted to observe 46 personal carers at two highcare houses in two facilities (14 days at Site 1 and 16 days at Site 2). Twenty-three direct care activities were classified into eight categories for analysis.Results. Overall, a personal carer spent approximately 45% of their time on direct care, corresponding to 3.5 h in an 8-h daytime shift. The two sites had similar ratios of personal carers to residents, and each resident received 30 min of direct care. No significant differences between the two sites were found in the time spent on oral communication, personal hygiene and continence activities. Personal carers at Site 1 spent significantly less time on toileting and mobility activities than those at Site 2, but more time on lunch activity. Although oral communication took the longest time (2 h), it occurred concurrently with other activities (e.g. dressing) for 1.5 h.Conclusions. The findings provide information that may assist decision makers in managing the operation of high-care residential aged care facilities, such as planning for task allocation and staffing.

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Supporting work practices, improving patient flow and monitoring performance using a clinical information management system

Cited by 15 publications

References 10 publications

Reducing the length of stay for acute hospital patients needing admission into inpatient rehabilitation: a multicentre study of process barriers

Reducing the length of stay for acute hospital patients needing admission into inpatient rehabilitation: a multicentre study of process barriers

Functional improvement of the Australian health care system — can rehabilitation assist?

Time spent on daytime direct care activities by personal carers in two Australian residential aged care facilities: a time–motion study

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