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Second National Transition Care Forum 2009 National Convention Centre Canberra 24th November 2009.

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Presentation on theme: "Second National Transition Care Forum 2009 National Convention Centre Canberra 24th November 2009."— Presentation transcript:

1 Second National Transition Care Forum 2009 National Convention Centre Canberra 24th November 2009

2 A component of : Transition Care: Innovation and Evidence (TIE) Research Program Funded by a NHMRC Program Grant University of Sydney Flinders University University of Queensland

3 Transition Care Forum 24 November 2009 Objectives of Forum: Objectives of Forum: To explore the Australian Transition Care Program – current status and future directions To explore the Australian Transition Care Program – current status and future directions To explore developments related to TC in Australia To explore developments related to TC in Australia To understand international developments relevant to transition care To understand international developments relevant to transition care To examine other aspects of ‘transition’ for older people To examine other aspects of ‘transition’ for older people Supported by a Strategic Grant awarded by the National Health and Medical Research Council

4 TimeTopicSpeaker 9:00 Introduction and Welcome Transition Care – Innovation & Evidence (TIE) Ian Cameron TIE – University of Sydney 9:20 Keynote Speaker Transition Care from an International Perspective Stuart Parker University of Sheffield UK 9:50 The future of Subacute Care in View of the National Health & Hospitals Reform Commission Report Gail Yapp Department of Health & Ageing 10:20 MORNING TEA 10:40 Does Transition Care have a future? Leon Flicker University of Western Australia 11:10 Keynote Speaker Transition Care into the Future Lesley Podesta Department of Health & Ageing 11:40 Debate: Transition Care, Rehabilitation, GEM? Is Time the Real Healer? Lesley Podesta (Department of Health & Ageing) Stuart Parker ( University of Sheffield UK) Nicole Doran (Department of Health Victoria) Leon Flicker (University of Western Australia) Craig Whitehead (TIE – Flinders University) Moderator : Sue Kurrle (TIE – Hornsby Ku-ring-gai health Service) 12:30 LUNCH & POSTERS TimeTopicSpeaker13:30 Panel: Transition Care – State Commonwealth and Service Perspectives of a Maturing Service and Current Initiatives Trudy Sutton (ACH Group) Graham Kraak (Queensland Health) Nicole Goran (Department of Health Victoria) Melinda Long (Northern Sydney & Central Coast Area Health Service) 14:30 Frailty – It’s Relevance to Transition Care Sue Kurrle (TIE – Hornsby Ku-ring-gai Health Service) 14:45 Consumer Choice and Transition Care Julie Ratcliffe (TIE – Flinders University) 15:00 Variability of Implementation & Utilisation of the Transition Care Program across Australia Craig Whitehead (TIE – Flinders University) 15:15 Transitional Care Quality Indicators Nancye Peel (TIE – University of Queensland 15:30 AFTERNOON TEA 15:50 Transition Care in Action – Assessing, Planning & Evaluation Free Papers Betty Tzouvelis (Department of Health Victoria) Trudy Sutton (ACH Group) Shanandoah Schaffers (Peninsula Health Transition Care) Mandy Beylacq (Transition Care Program, Qld) 16:30 Health Economics of Transition Care Paul Scuffham (TIE – Griffith University) 16:45 Questions on afternoon sessions Ian Cameron (TIE – University of Sydney) 17:00 Overview and Synthesis of Forum Len Gray (TIE – University of Queensland) 17:30 Close of Forum

5 Transition Care Program - Background Definition Definition “Transition Care provides short-term support and active management for older people at the interface of the acute/subacute and residential aged care sectors.” “It is goal oriented, time limited and targets older people at the conclusion of a hospital episode who require more time and support in a non hospital environment to complete their restorative process, optimise their functional capacity and finalise and access their longer term care arrangements.” Australian Government Department of Health and Ageing. The transition care program guidelines. Canberra: DHA, C736F2AACA2571E70008AA40/$File/tcpg.pdf Supported by a Strategic Grant awarded by the National Health and Medical Research Council

6 policy-transition.htm

7 Transition Care Program - Background Australian Government Program, in collaboration with state governments, announced in 2004 Australian Government Program, in collaboration with state governments, announced in ,000 places with operational budget of $150 million in initial Program 2,000 places with operational budget of $150 million in initial Program Current Australian Government has committed to funding an additional 2,000 places Current Australian Government has committed to funding an additional 2,000 places Supported by a Strategic Grant awarded by the National Health and Medical Research Council

8 Total allocated & operational transition care places State/Territory as Dec 4, 2008 StateAllocated Transition Care Places Operational Transition Care Places NSW VIC570 QLD SA193 WA178 TAS6757 NT2216 ACT37 NATIONAL2,228*2,202 * 228 of these 2,228 transition care places are part of the first stage of the Rudd Labor Government election commitment – bringing the total to 4,000 by

9 Transition Care Program - Evaluation Evaluation released by Minister Elliot on 8 September 2008 Available from: hing.nsf/Content/ageing-transition-national- evaluation.htm hing.nsf/Content/ageing-transition-national- evaluation.htm The Transition Care Program provided additional treatment and care options following hospitalization that were highly valued by patients and their families. Supported by a Strategic Grant awarded by the National Health and Medical Research Council

10 Transition Care Program - Evaluation Functional improvements occurred … those who received Transition Care had fewer readmissions to hospital and were less likely to move into permanent residential aged care. The Transition Care program is relatively expensive when incremental cost effectiveness is considered. Supported by a Strategic Grant awarded by the National Health and Medical Research Council

11 Transition Care in the context of other services for older people Giles et al. Aust Health Rev 2009; 33 (4): hr_33_4_1109/ahr_33_4_572.html

12 Transition Care and other services for older people Giles et al. Aust Health Rev 2009; 33 (4):

13 Transition Care – related developments National Partnerships – Health, Health and Health Workforce Reform: Subacute care National Partnerships – Health, Health and Health Workforce Reform: Subacute care State plans are available at: l_partnership_agreements/health.aspx State plans are available at: l_partnership_agreements/health.aspx l_partnership_agreements/health.aspx l_partnership_agreements/health.aspx Plans vary from general statements, eg “ Plans vary from general statements, eg “NSW Health is committed to achieving a 20% growth in subacute activity over the four years 2009/ /13”, to statements about developments at specific sites. State based initiatives State based initiatives Supported by a Strategic Grant awarded by the National Health and Medical Research Council

14 Transition Care – International Issues Ageing populations Ageing populations United Kingdom United Kingdom Canada Canada United States of America United States of America New Zealand New Zealand Other countries Other countries Supported by a Strategic Grant awarded by the National Health and Medical Research Council

15 Other aspects of ‘transitions’ Transition issues in health and support services Transition issues in health and support services Consumers Consumers Service providers Service providers Quality indicators Quality indicators Economic aspects Economic aspects Frailty and disability Frailty and disability Supported by a Strategic Grant awarded by the National Health and Medical Research Council

16 National Transition Care Forum 2009 Packed program – keep to time Packed program – keep to time Note poster session during the lunch break Note poster session during the lunch break Where possible, opportunity for questions during the day Where possible, opportunity for questions during the day Note question session at 4.45pm. Preferably submit written questions Note question session at 4.45pm. Preferably submit written questions Enjoy the day! Enjoy the day!

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18 Transition Care Program - Background Transition care is provided at the conclusion of an inpatient hospital episode and involves short-term (up to 12 weeks) support and active management for older people Assessment and approval from an Aged Care Assessment Team is required for entry Services are designed to improve patients’ physical, cognitive and psychosocial functioning Services may include medical and nursing support, rehabilitative services, personal care and case management (including identification of longer term care options). The program is offered predominantly in the community, but also in selected subacute or residential aged care facilities. Supported by a Strategic Grant awarded by the National Health and Medical Research Council

19 Transition Care Program - Background “An average transition care episode is expensive (about $11 000). Therefore, careful consideration of the relative cost-effectiveness compared with other interface programs such as inpatient subacute services is essential” “Transition care services should be established within the context of overall regional plans for aged care, incorporating hospital acute and subacute inpatient services, and long-term” Gray L, Travers C, Bartlett H, Crotty M, Cameron I. Transition Care: Will It Deliver? Medical Journal of Australia 2008; 188: 251–253 Supported by a Strategic Grant awarded by the National Health and Medical Research Council


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