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Improving end-of-life choices for aged care residents: Delivering the right care, at the right time, in the right place and by the right people

Conference Paper


Abstract


  • Aims: Australian aged care services commonly lack palliative care expertise to provide complex care at end of life and there is fragmentation in care as people transition across settings. The Palliative Care Outcomes Collaboration (PCOC) delivers a successful program in the specialist palliative care sector to support the systemic measurement and improvement of patient outcomes. The aim of this paper is to report on the design phase of an evaluation to examine the impact and feasibility of PCOC in a residential aged care (RAC) setting. Methods: A research collaboration, established between PCOC, the Illawarra Retirement Trust (IRT) and the Centre for Health Research Illawarra Shoalhaven Population (CHRISP), developed the evaluation design. As part of this collaboration a working group, informed by an expert panel, adapted and tailored the PCOC program for a RAC setting, developed an evaluation framework and organised the necessary IT infrastructure. Results: The PCOC program designed for the RAC setting includes: 1) A PCOC training program for aged care staff; 2) Routine collections of the PCOC tools to assess and monitor residents; and 3) Care delivery protocols triggered by the PCOC assessments. The evaluation framework includes a convergent mixed methods design, comprising a suite of qualitative and quantitative measures that will be used to assess the impact and feasibility of the program, while the IT infrastructure is an important component enabling collection and extraction of relevant data.Conclusion: This collaborative cross-industry approach represents a promising step toward enhancing palliative and end-of life-outcomes, and experiences of care in the RAC sector. The findings from this evaluation will contribute valuable information to the planning of a national roll out of PCOC to other Australian aged care providers.

Publication Date


  • 2019

Citation


  • E. Davis, G. Bishop, A. Reed, S. Clapham, D. Webster, J. Mullan, V. Westley-Wise, B. Daveson, A. Connolly, J. Green & K. Eagar, "Improving end-of-life choices for aged care residents: Delivering the right care, at the right time, in the right place and by the right people", The Palliative Care Outcomes Collaboration Outcomes & Benchmarking Conference. (2019)

Abstract


  • Aims: Australian aged care services commonly lack palliative care expertise to provide complex care at end of life and there is fragmentation in care as people transition across settings. The Palliative Care Outcomes Collaboration (PCOC) delivers a successful program in the specialist palliative care sector to support the systemic measurement and improvement of patient outcomes. The aim of this paper is to report on the design phase of an evaluation to examine the impact and feasibility of PCOC in a residential aged care (RAC) setting. Methods: A research collaboration, established between PCOC, the Illawarra Retirement Trust (IRT) and the Centre for Health Research Illawarra Shoalhaven Population (CHRISP), developed the evaluation design. As part of this collaboration a working group, informed by an expert panel, adapted and tailored the PCOC program for a RAC setting, developed an evaluation framework and organised the necessary IT infrastructure. Results: The PCOC program designed for the RAC setting includes: 1) A PCOC training program for aged care staff; 2) Routine collections of the PCOC tools to assess and monitor residents; and 3) Care delivery protocols triggered by the PCOC assessments. The evaluation framework includes a convergent mixed methods design, comprising a suite of qualitative and quantitative measures that will be used to assess the impact and feasibility of the program, while the IT infrastructure is an important component enabling collection and extraction of relevant data.Conclusion: This collaborative cross-industry approach represents a promising step toward enhancing palliative and end-of life-outcomes, and experiences of care in the RAC sector. The findings from this evaluation will contribute valuable information to the planning of a national roll out of PCOC to other Australian aged care providers.

Publication Date


  • 2019

Citation


  • E. Davis, G. Bishop, A. Reed, S. Clapham, D. Webster, J. Mullan, V. Westley-Wise, B. Daveson, A. Connolly, J. Green & K. Eagar, "Improving end-of-life choices for aged care residents: Delivering the right care, at the right time, in the right place and by the right people", The Palliative Care Outcomes Collaboration Outcomes & Benchmarking Conference. (2019)