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Table 1 STAAR-SA potential project outcomes

From: An integrated knowledge translation approach to address avoidable rehospitalisations and unplanned admissions for older people in South Australia: implementation and evaluation program plan

Work packages

Outcome details

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