Work packages | Outcome details |
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WP1 Risk profile | Risk profiling tools for hospitalisation. For each of the following outcomes, the time is measured from either date of completion of aged care eligibility assessment (cohort 1) or date of entry into permanent residential aged care (cohort 2). - Time to unplanned hospitalisation after entry into the relevant cohort - Time to ED encounter - Time to death |
WP2 Evaluation framework | For each out-of-hospital care service: - Cost per unplanned hospitalisation - Cost per bed day saved (includes the costs for hospitalisation, emergency department presentations and primary care) - Consumer/carer experience - Mortality - The extent to which the program reaches the intended target group - Variations in implementation of the program between different population recipients |
WP3 Implementation and evaluation outcomes | - Establishment of a network of people working in out-of-hospital care in SA - Formation of linkages across LHNs, primary care settings, and non-government aged care providers - Increased adherence to a core set of quality process indicators for transitions in care for older people - Improved quality of care transitions - Increased capability for quality improvement |