Reports and releases


Court Services Victoria (CSV) appointed Health Outcomes International(HOI) in December 2015 to undertake an evaluation of the Conciliation Conferencing Model (CCM) implemented in the Children’s Court in Victoria.

The CCM was introduced as a referral option by the Children’s Court in 2011 to ensure a less adversarial approach to deciding child protection matters and to facilitate constructive and informed engagement amongst relevant parties.  This evaluation was precipitated by impending amendments to the Children, Youth and Families Amendment (Permanent Care and Other Matters) Act 2014[1] which commenced in March 2016.

[1]     Children’s Court Victoria “Amendments to CYFA Act NR.61 OF 2014 – Summary for Court Officials and Court Users” available at


In this white paper we consider domestic, family and sexual violence and its prevention, including evidence for community based prevention strategies. Greater success in prevention initiatives was associated with being theory based, engaging communities (and including both male and female leaders), contextualisation and adaptation to gender, promoting training and education, addressing structural factors, being long term and taking an ecological approach. One evidence review supported DFV prevention programs that were women-centred, focused on advocacy, social support and in-home visitation

Recovery Oriented Care and People with Mental Disorders with Complex Care Needs

This is a HOI Discussion Paper on Recovery Oriented Care and service integration for people with mental disorders by Director Samantha Battams. It discusses evidence on coordinated housing and other support needs, including health service provision, and the importance of intersectoral collaboration across services.

Discussion Paper: Future Reform - An Integrated Care At Home Program To Support Older Australians

HOI welcomed the opportunity to provide the Australian Government with feedback and recommendations on how future reform can best support older Australians to remain living at home and in their communities.  HOI’s submission was in responses to the government’s discussion paper “Future Reform – an integrated care at home program to support older Australian’s”.




Independent Review of the transition and alignment between adolescent/youth and adult mental health services in Queensland

HOI was engaged to review the Alignment and Transition Arrangements between Adolescent and Adult Mental Health Services in Queensland. A comprehensive review of the national and international literature on alignment and transition arrangements between adolescent and adult mental health service systems was undertaken to identify best practice approaches with consideration to the Queensland context and to produce evidence based report for improving the transition adolescents moving into adult mental health services.



The Environmental Analysis Discussion Paper and Review Final Report with policy recommendations was publicly released in July 2017 and the government is currently considering recommendations. The final report is here:



Emerging Issues for NDIS: A Health Outcomes International Discussion Paper


This is a HOI Discussion Paper on emerging issues for the National Disability Insurance Scheme by Associate Director Samantha Battams. The NDIS is an important step towards the realisation of the rights of people with disability enshrined in the UN Convention on Persons with Disability. Many issues are apparent with its implementation, including access and equity issues, demand/supply, costing, and accountability and monitoring. These issues are explored within this paper, with recommendations for future consideration.

Research Impact Assessment: A Health Outcomes International White Paper


This brief HOI white paper by Associate Director Samantha Battams considers factors to enable measurement of research impact, the concept of project spread, tools for project evaluation and organisational change strategies which may need to be taken into account for the full realisation of research impact.

New appointment supports further growth for HOI

One of Australia’s leading health and social services management consulting firm, Health Outcomes International (HOI) is delighted to announce the addition of a new Senior Consultant to strengthen its consulting services.

Vanessa Heading. Vanessa  has over 10 years’ experience in the South Australian public sector, in human resource management and medical education and training. She was most recently the Accreditation Manager with the South Australian Medical Education and Training Unit and  led projects and programs to improve junior doctor training and education in South Australia. Prior to this Vanessa was a Senior HR Consultant with the Department of Health providing leadership in times of transition and change and fostering collaborative working relationships with a wide range of professionals. Vanessa has experience in establishing new processes and systems, quality accreditation, change management, evaluation and human resource management.

Public Mental Health Policy, Mental Health Promotion, and Interventions Which Focus on the Social Determinants of Mental Health

HOI’s Associate Director Samantha Battams’s ‘Frontiers in Public Mental Health’ guest editorial on mental health, the right to health, potential challenges for the NDIS meeting the needs of people with psychiatric disability and areas for future research: 

New appointments support HOIs growth

One of Australia’s leading health and social services management consulting firm, Health Outcomes International (HOI) is delighted to announce the addition of three senior staff to strengthen its consulting services.

Paul Zadow (Director).  Paul has worked across the health and community services sector for over 30 years and is joining HOI in the role of Director. Paul’s has extensive experience in service planning, costing and funding, evaluation and assessment of the operational and financial efficiency across a range of health service settings including the acute, aged care, pharmaceutical, drug and alcohol as well as the community focussed sectors.

Dr Kathryn Zeitz (Associate Director).  Kathryn most recently was the Executive Director, Mental Health Directorate for the Central Adelaide Local Health Network, and prior to this she was the Executive Director, Culture & Consumer Experience, for the same organisation leading organisational development, service improvement programs. Kathryn is an accomplished leader and strategic thinker with strengths in health service planning, strategic planning, and program review and evaluation.

Dr. Samantha Battams (Associate Director).  Samantha has over 20 years’ experience in the health and community service sectors, in strategic planning, project and program management, research and consultancy and tertiary education. She was most recently Public Health Program Director and Associate Professor at Torrens University. She has completed consultancy assignments in Australia and Switzerland, for state and national governments and NGOs. Samantha has extensive experience in research, systematic reviews, policy development and stakeholder engagement and management, particularly in public health, mental health and alcohol and other drugs sectors.

IHPA Mental Health Costing Study

Health Outcomes International, as part of a consortium, was engaged by the Independent Hospital Pricing Authority (IHPA) in February 2014 to undertake a mental health costing study to inform the development of the Australian Mental Health Care classification system.

The consortium delivered a final report and accompanying patient/client level dataset. The final report was released in February 2016 and is publicly available using the link below. 

IHPA subsequently released a new classification for mental health, known as the Australian Mental Health Care Classification (AMHCC). The new classification will improve the clinical meaningfulness of the way that mental health care services can be classified. On 25 February 2016, the Pricing Authority approved the AMHCC Version 1.0. The AMHCC will be implemented on a best endeavours basis from 1 July 2016 ahead of pricing from 1 July 2017.

Exciting Times Ahead: with a new appointment and expansion of HOI

Health Outcomes International (HOI) is delighted to announce that it is strengthening its portfolio of services and leadership team by appointing Ian Rouse as Associate Director, HOI.


Ian has a Doctor of Philosophy, an Adjunct Professorship in Health Informatics and is a consultant in health, education and change management. Until December 2015, Ian was Professor and Dean of the College of Medicine, Nursing and Health Sciences at Fiji National University – a position he held for nearly 7 years until deciding to return to Melbourne.


Ian is a welcome addition to the HOI team bringing over 25 years of experience and knowledge in epidemiology and health statistics; information planning and management; health policy and planning; and public health.


As part of our growth trajectory, HOI will be expanding operations in Melbourne. Ian Rouse will take leadership in establishing HOI in the Melbourne market and exploring global collaborations and opportunities for business development.

Information Management and Analytics Service

Health Outcomes International (HOI) is pleased to announce the appointment of Andrew McAlindon to head up HOI’s “Information Management and Analytics” business.


Andrew has over 25 years of experience in delivering improved business outcomes across a number of industry sectors including health care, public sector government agencies, education, utilities, aged-care and non-government organisations.


He has an extensive knowledge of the Australian health care system and has an excellent understanding of the current health reforms in the Acute, Out-of-hospital and Aged Care sectors.  In addition he has extensive knowledge of the operation of government at all levels.


Andrew’s appointment will strengthen HOI’s capabilities in the analysis of linked health data, outcomes measurement, activity based funding, data quality and business improvement.

Stocktake and analysis of Commonwealth-funded aged care workforce activities

Over the last 3 years the Department of Social Services’ Aged Care Workforce Fund (ACWF) has funded a variety of aged care workforce development activities. The Department has also provided support to other specific workforce measures targeted toward the needs of specific groups, such as Aboriginal and Torres Strait Islander people and people living in rural and remote areas. Aged care workforce activities allow the Australian Government to support initiatives that encourage training and knowledge transfer, capacity building, innovation and reform to improve the quality of aged care by expanding the skills of the aged care workforce. The increasing demand and competition among sectors (such as the disability workforce) for appropriately skilled and qualified workers with comparable or related skill sets creates an environment in which Governments must make the most effective and efficient use of public resources. 

Therefore, the Department has determined that it is timely and appropriate to conduct a stocktake of recent Commonwealth-funded aged care workforce activities, in order to assess the current range of approaches and objectives to building the aged care workforce as a whole.

The objective of this project was to conduct a stocktake of all Commonwealth-funded aged care workforce activities over the last three years to ensure that these activities and initiatives are delivering a cohesive approach that meets the needs of the aged care workforce. This project was to be undertaken in the context of an increasing demand for a skilled aged care workforce in light of a rapidly growing aged population, and linkages to the disability workforce, as development of the National Disability Workforce Strategy and implementation of the National Disability Insurance Scheme progresses.

The project involved:

  • Incorporation of the development of a stocktake framework that guided the conduct of, and provided the focus for the stocktake to ensure the aims of the stocktake were comprehensively addressed
  • A workforce analysis matrix was undertaken to analyse workforce characteristics, demand and expected skill set. 
  • Synthesis and analysis of information and data collected from the desktop review and stakeholder consultations was undertaken. Stakeholder consultation strategy included a combination of teleconference and face-to-face interviews, surveys and a key findings workshop

A report was published as a result of the project.

Evaluation of Cape York Wellbeing Centre

HOI conducted an evaluation of the Wellbeing Centres in four Cape York communities of Aurukun, Hope Vale, Coen and Mossman Gorge over three years, the objectives of which were to:

  1. Provide evidence as to whether the Wellbeing Centres are being successful in reducing alcohol and substance abuse and its impact on families, safety and community wellbeing.
  2. Provide evidence as to whether the Wellbeing Centres are achieving success in addressing related mental health and social and emotional well‐being issues.
  3. Provide evidence as to whether the work of the Wellbeing Centres is contributing to achievement of the Closing the Gap targets, particularly those that relate to the life expectancy gap and mortality.
  4. Identify which prevention, intervention and treatment approaches are successful and the key factors (such as clinical tools, delivery approaches, governance arrangements etc) that are contributing to this success.
  5. Recommend improvements to enhance health outcomes and contribute to best practice service delivery.

The evaluation was conducted across two stages. Key components of the methodology included the following:

  • In phase 1, HOI developed an Environmental Analysis and Options Paper which comprised findings from a literature and document review, non-community based stakeholder consultations, community site visits and regional stakeholder consultations and the identification of relevant KPIs. This information was used to inform the development of the Outcome Evaluation Framework.
  • Phase 2, extensive consultation was conducted with WBC management and staff; partners at the local, Cape York and State level; general community members; and a sample of clients. Other evaluation processes included: analysis of service utilisation and mental health outcome measures for the WBC clients; and analysis in changes at the community level through the review of Queensland clinic data.

A comprehensive report was produced for the Department of Health and Prime Minister and Cabinet. This included recommendations for further development of the Wellbeing Centres and the principles associated with developing similar services throughout Australia. 

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