Reports and releases

Review of the Nationally Funded Centres Pancreas Transplantation Program

The South Australian Department for Health and Ageing appointed Health Outcomes International (HOI) in January 2014 to undertake a review of the Nationally Funded Centres Pancreas Transplantation Program (NFC PT Program) on behalf of the NFC Reference Group.

 

The objective of the review was to conduct a comprehensive assessment of the NFC PT Program for the period 1 July 2008 to 30 June 2013 in accordance with criteria established by the NFC Program.  In addition the review was required to:

  1. Provide the NFC Reference Group with a report that includes a recommendation on the need for, and benefits of, continued service concentration under the NFC Program.
  2. Provide recommendations (where indicated) for the continuation of the service; identify national demand; determine optimal throughput for a site; and recommend the number of sites to deliver the procedure for the next three years. 
  3. Assess the progress made in implementing recommendations from 2008 Review to enhance program operations, and consider opportunities to improve patient outcomes.
  4. Recommend an appropriate price per procedure.

The review identified that the NFC PT Program was achieving excellent health outcomes which have continued to improve over time. These results are comparable to international benchmarks. PT has been demonstrated to improve the quality of life of people with diabetes, primarily by eliminating acute complications and ongoing personal burden of diabetes management. Patients reported that the transplant was life changing, and that their quality of life had improved significantly.

 

WHITE PAPER: Exploring Value Based Purchasing models

This white paper presents the key findings of a systematic review of value based purchasing research. It is intended to provide a high level summary of this research for the reader (reading time: 15 minutes).

 

The core challenge for the health care system in general is how to reduce inefficient spending while continuing to improve the quality of care.

 

Value Based Purchasing (VBP) refers to performance-based health service purchasing strategies that link financial incentives (positive or negative) to providers’ performance through the application of a set of defined measures.  In a number of international jurisdictions VBP initiatives continue to be introduced in an effort to drive improvements in quality, slow the growth of health care spending and discourage inappropriate, unnecessary, and costly care. 

 

DEVELOPMENT OF INDEPENDENT LIVING SKILLS IN YOUNG PEOPLE - An analysis of outcomes for Unaccompanied Minor Asylum Seekers and Refugees in Australia

In 2013 Life Without Barriers and Health Outcomes International (HOI) formed a partnership to undertake analysis of data in relation to children and young people who arrived in Australia as asylum seekers unaccompanied by adult family members.

 

The data analysed selected outcome measures of the services provided to these children and young people who were referred into the Community Detention or Settlement Programs. Specifically, this paper presents analysis and discussion of the data from two Life Without Barriers sources: the Life Skills Assessments (LSAs) and Exit Surveys from unaccompanied minors in either the Community Detention or the Settlement Program.

 

The analysis identified:

  • a high level of client satisfaction with the services provided by Life Without Barriers, through both the Community Detention and Settlement programs.
  • that over time there was an overall improvement across all life skill assessment domains reported by program participants and workers for both the Community Detention and Settlement services.

 

Evaluation Plan for the National Plan to Reduce Violence Against Women and their Children 2010-2022

The National Plan to Reduce Violence against Women and their Children 2010-2022 (the National Plan) was endorsed by the Council of Australian Governments (COAG) and released in February 2011. The National Plan is a long-term, 12-year strategy for achieving a significant and sustained reduction in violence against women and their children.  

 

The National Plan includes a commitment to conduct an evaluation over its 12-year lifespan, with smaller scale three-year evaluations informing the long-term evaluation. Health Outcomes International was engaged to develop an evaluation plan, to assess the progress of the National Plan in reducing violence against women and their children. The purpose of evaluating the National Plan is to determine its effectiveness as an overarching policy on an ongoing basis, to inform the focus of future directions of the National Plan and remain responsive to emerging priorities. 

 

WHITE PAPER: Implementing Smart Assistive Technologies - Organisational Perspectives

This white paper presents the key organisational influencers of successful smart assistive technology (SAT) implementations in a disability service setting (reading time: 15 minutes).

 

Assistive technologies form an important component of recent strategic and policy direction in Australia (including the NDIS), principally resulting from the available evidence indicating that access to assistive and mainstream technologies results in greater levels of engagement between people with diverse abilities.  Technological advances are occurring very quickly.  Use of SAT, when well planned and carefully implemented, can result in positive client outcomes for the elderly and for people with disabilities. Service providers have begun to embrace assistive technologies as a cost-effective means to improve the quality and safety of care, particularly in locations where appropriate staff and expertise are limited. 

 

Based on our recent experiences in Australia, which are supported by recent studies in the US, UK and Australia, we have identified 11 key influencers (categorised by external, organisational and individual influencers) of SAT implementation success.

 

Review of the Nationally Funded Centres Paediatric Heart Transplant Program

The Department of Health and Ageing appointed Health Outcomes International (HOI) in February 2013 to undertake a review of the Nationally Funded Centres Paediatric Heart Transplant Program (NFC PHT Program) on behalf of the NFC Reference Group. 

 

The objectives of the review was to conduct a comprehensive assessment of the NFC PHT Program provided by the Royal Children’s Hospital Melbourne (RCHM) for the period 2008 to 2013 in accordance with criteria established by the NFC Program.

 

Specific areas of focus included the following:

  • Performance of the NFC program (with specific analysis of access, outcomes achieved, quality and safety, teaching, training and research, cost, service demand, risk management, clinical practice)
  • The future of the NFC program in terms of new clinical practice and technologies, equity of access, assessment of demand and patient throughput and PHT target population
  • Program costing (specifically procedure costing and funding, care pathway costs, drivers of cost, benchmarking of costs, cost effectiveness of PHT)

 

EVALUATION OF THE EFFECTIVENESS OF THE COMMUNITY ADVISORY COMMITTEES TO BOARDS OF VICTORIA PUBLIC HEALTH SERVICES

The establishment of the Boards of the Metropolitan Health Service Networks in August 1995 resulted in a perceived loss of community representation that was addressed by the Metropolitan  Health Planning Board recommending each Health Service Network establish a Community  Advisory Committee (CAC) to advise its Board. It became a statutory requirement that each Metropolitan Health Service establish a CAC as part of a strategy of consumer information and participation. Under the legislation, CACs are advisory only and have no executive powers. 

 

An evaluation of the effectiveness of CACs was stipulated in the original CAC Guidelines (Department of Human Services 2002). In 2007, the Department of Human Services called for an evaluation of the CACs to ensure that an independent evaluation of the processes, immediate and long-term outcomes of CACs, both metropolitan and regional, was undertaken.

IMPLEMENTING SUPPORTIVE CARE GUIDANCE PROJECT-PRIORITY AREAS RESEARCH REPORT

In March 2010, the Ministry of Health (Ministry) published the Guidance for Improving Supportive Care for Adults with Cancer in New Zealand’. The Ministry subsequently contracted Health Outcomes International (HOI) to undertake a targeted stocktake of supportive cancer care in New Zealand and to develop a prioritised Implementation Plan. The following is a report of research conducted with respect to the priority areas of the Guidance as identified by the sector.  

THE IMPACT OF HIV/AIDS IN NSW- MORTALITY, MORBIDITY AND ECONOMIC IMPACT

Health Outcomes International, in association with The National Centre in HIV Epidemiology and Clinical Research was commissioned to undertake a review of the impact of HIV/AIDS in NSW on mortality, morbidity and economic impact. The intention of this study is to examine the costs and benefits arising from the NSW response to HIV/AIDS and to comment on future strategies to maximise the health and economic impact of the program. 

 

 

REVIEW OF THE MULTICULTURAL MENTAL HEALTH AUSTRALIA (MMHA) PROJECT

The Department of Health and Ageing (DoHA) engaged Health Outcomes International (HOI) to undertake a review of the Multicultural Mental Health Australia project. 

 

The overall aim of the review is to determine the appropriateness, effectiveness and efficiency of the Project. In doing so, the review aims to determine whether MMHA is: 

- Achieving the outcomes that were originally identified;
- Internally structured in a manner whereby the responsibilities and decision making process is clear, ethical and transparent;
- Operating appropriately, effectively and is sustainable under the current model; and
- Identifying appropriate priorities and scope of work for future consideration 

EVALUATION OF QUEENSLAND ILLICIT DRUG DIVERSION INITIATIVE (QIDDI) POLICE DIVERSION PROGRAM

Health Outcomes International (HOI) and Turning Point Alcohol and Drug Centre were contracted by Queensland Health to conduct an evaluation of the Police Diversion Program. A parallel evaluation was also conducted by HOI with respect to the Court Diversion component of QIDDI.

 

The evaluation methodology for PDP comprises two discrete components:
- A System Impact Study (SIS) involving police and treatment services; and

- A Diversion Outcomes Study (DOS) (involving 240 diversion clients).

 

Health Outcomes International undertook the System Impact Study and sub-contracted Turning Point Alcohol and Drug Centre to conduct the Diversion Outcomes Study.

RETURN ON INVESTMENT IN NEEDLE AND SYRINGE PROGRAMS IN AUSTRALIA

Health Outcomes International (HOI), in association with the National Centre for HIV Epidemiology and Clinical Research (NCHECR), was engaged by the Department of Health and Ageing to undertake a study into the economic effectiveness (or return on investment) of needle and syringe programs (NSPs) in Australia. 

 

The study seeks to analyse the effectiveness of needle and syringe programs in preventing transmission of HIV, and hepatitis C (HCV) in Australia from 1991 to the end of 2000. The study then uses these findings to calculate the return on investment  from NSPs from 1991 to 2000.

EVALUATION OF THE INDIVIDUAL PSYCHOSOCIAL REHABILITATION AND SUPPORT SERVICES (IPRSS) PROGRAM

SA Health appointed Health Outcomes International (HOI) on 10 May 2010 to undertake an evaluation of the Individual Psychosocial Rehabilitation and Support Services (IPRSS) program.  

 

The evaluation aims to build a strong evidence base for the provision of best practice psychosocial rehabilitation and support services in South Australia and specifically sought to:
- assess whether the IPRSS program was implemented as planned
- determine whether consumer outcomes were optimised
- improve IPRSS program arrangements and performance
- inform future service planning, delivery and funding and make recommendations regarding specific aspects of the service that require review or development

EVALUATION OF RAPID ASSESSMENT UNITS IN SPECIALIST MEDICAL COLLEGES

In February 2006, the Department of Health and Ageing (the Department) engaged Health Outcomes International (HOI) Pty Ltd, to undertake an evaluation of the Rapid Assessment Units (RAUs) that was piloted in Specialist Medical Colleges. The RAUs have been implemented to increase the effectiveness and efficiency of the assessment process for overseas-trained Area of Need (AoN) Specialists and overseas-trained specialists (OTS) seeking specialist recognition to practice in Australia, to address workforce shortages rapidly.

EVALUATION OF THE PSYCHIATRIC TRIAGE SERVICE, DEPARTMENT OF HUMAN SERVICES VICTORIA

The Department of Human Services (DHS) Victoria engaged Health Outcomes International (HOI) Pty Ltd to undertake an evaluation of Southern Health’s Psychiatric Triage Service (PTS). The PTS is the only example in Victoria of a centralised specialist mental health triage service based on a call centre model.