Document control Doc ID version Developed/Changed by Discussed/Approved by Date of Approved 0.1 The report template was initiated by Mai Eames, Amalia Savini & the GOAS team Project Steering Committee at the meeting on 23/04/18 30/04/2018 0.2 The 1st draft report was developed by Mai Eames, Veronica Thomsett, Gurudev Kewalram, Debbie Lee & Amalia Savini Discussed at the GOAS weekly project team meetings from 9 May – 15 June, 2018 The final draft report was sent to the Project Steering Committee members June 22 , 2018 1.0 The final draft report was reviewed by the Project Steering Committee Members At the meeting held on Jun 25, 2018 July 9, 2018 2.0 The final draft report was discussed and revised by the GOAS project team and key members to address feedback received July 4, 2018 Aug 6, 2018 3.0 Report finalised and uploaded to Brisbane North PHN website Aug 21, 2018 4.0 The final report was finalised and sent to the Brisbane North PHN CEO and the MNHHS Chief of Executive by the Project Steering Committee Chairs Aug 22, 2018 Name & Position Organisation Date Developed by Mai Eames, GOAS Project Manager Aged Care Project Lead Amalia Savini, Evaluation and Reporting Officer Brisbane North PHN 09/05 – 22 /06/2018 Gurudev Kewalram, Geriatrician Rhonda Mead, Nursing Director Veronica Thomsett, External Services Facilitator Debbie Lee, GOAS Geriatrician Brooke Chadwick, Business Manager Internal Medicine Services, the Prince Charles Hospital Approved by GOAS Project Steering Committee members and co-chairs 25/06- 06/08/18 Submitted to Abbe Anderson, Chief Executive Officer Brisbane North PHN 13/08/2018 Shaun Drummond, Chief Executive Metro North Hospital and Health Service 13/08/2018 Enquiries: Please send to Mai Eames, Aged Care Project Lead, GOAS Project Manager
Collaboration (2), Governance (2) Outcome (28) Effectiveness (20), Efficiency (7) & equity (1) Details in the Evaluation Plan. Cost analysis: cash & capacity creation /Focus group results Project docs Objective2/Activity To provide clinical support & education package for RACF staff in the early identification and management of the deteriorating residents by: Developing & implementing a training & education plan on clinical pathways Obtaining post training feedback from RACF staff Increased awareness, clinical skills and knowledge of how to recognise & manage acutely unwell residents Objective3/Activity To strengthen clinical networks and cross-sector collaboration between RACFs, GPS, QAS, BNPHN & TPCH by: Establishing trust and seamless communication Facilitating skills and knowledge sharing across the care continuum by providing strong clinical leadership & adequate support Increase awareness among all stakeholders re the service Streamlined referral process Increased involvement of GPs & QAS in referral process Objective4/Activity To conduct a robust evaluation of the pilot service & project by: Developing and implementing the evaluation plan Analysing survey responses Conducting a return on investment exercise Reporting on the evaluation findings Process, Outcome, Sustainability & Collaboration evaluated and recommendations for sustainability provided Relevant & valid Info & data collected Evaluation designed and supported by all stakeholders Evaluation framework Evaluation tools Survey results Cost-benefit analysis TPCH & BNPHN Sep17 to Jun, 18 Figure 8: GOAS Logical Framewor
elements scored 100% (Factor 1) supporting sustainability. Stakeholders reported if there was a seven day service / after hours service it would be utilised Challenges were evident in securing long term funding for the project within the context of an activity based funding environment Replicability and transferability 98 per cent of stakeholders supported the service to be expanded across Metro North and 87 per cent agreed the GOAS would be suitable to be replicated at other hospitals or on a larger scale. Table 22: Reported Replicability and transferability GPs Stakeholders/ Service providers Agree the service to be continued and expanded across Metro North 94% 98% Agree that GOAS is transferable to other hospitals or replicated on a larger scale 94% 97% Source: GP Survey n=39 , Stakeholder survey n=57 The GOAS demonstrated many of the factors for replicability and transferability including developing capacity and having a strategy to ensure experience and findings are shared. Figure 39: Replicability and transferability Source: Steering committee survey follow up n=24 The project steering committee, GPs and stakeholders reported the following factors as being critical to replicating the project successfully: Collaboration Commitment and collaboration from key stakeholders Buy in from the RACF management GP engagement Communication with all stakeholders Support from stakeholders Co-ordination with local ED Promotion/capacity building Network before official launch Promotion at least three months prior Education of pathways prior to going live Education amongst GPs and private practice about the availability Governance Good governance structure Adequate medical officer staffing and geriatrician oversight Timely and effective medical/clinical care The right people (GOAS clinicians)