Research Week Abstract Book - Northern Health

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Health Service Evaluation ADVANCinG AHA’S CliniCAL PRACTICE IN SPeeCH PATHOLOGY: THE DEVELOPMENT OF AN AHA SPeeCH PATHOLOGY TRAINING PACKAGE. Beer E, Gochian T & Thomson E. Background The role of the Allied Health Assistant (AHA) is an emerging one and there are significant opportunities to expand the roles of AHA’s in health organisations (Department of Health 2010). The staff of the Speech Pathology Department at an outer metropolitan public health service are committed to expanding AHA’s clinical skills and knowledge in the area of Speech Pathology. AHA’s make a valuable contribution to patient care and with training and skill development for extended roles provides an opportunity to enhance this. Aim • To ensure a structured and consistent training program for AHA’s developing and maintaining skills in the areas of speech pathology • To update the training package in line with the best available evidence base Methodology AHA’s working within the SP department were invited to participate. Participants were asked to rate their knowledge and confidence pre-training and post training in core clinical areas of speech pathology: communication disorders, swallowing disorders, meal reviews, videofluoroscopy (VFSS) preparation, working with interpreters, hearing, oral hygiene and Alternative and Augmentative Communication devices on a 5-point Likert Scale (Very poor (1) – Very good (5). Results The median pre-training rating was 4 (good) for both confidence and knowledge in the core clinical areas of swallowing and communication; and 3 (average) for working with interpreters, meal review, hearing, oral hygiene and VFSS. On completion of the training, the median ratings for confidence and knowledge rose to 4 (good) to 5 (very good) in all the core clinical areas. Conclusion The Speech Pathology AHA Training Program was effective in providing AHA’s with the knowledge, skills and confidence necessary for performing speech pathology tasks directed by the treating speech pathologist. 48 Research Week Abstract Book Northern Health 2013
Health Service Evaluation EMERGENCY DEParTMENT FREQUENT PRESENTERS: MULTIDISCIPlinary MANAGemenT Plans IMProVE PATIENT Care AND REDUCE EMERGenCY DEParTMENT PRESENTATions. Health SERVICE EVALUAtion Dunn NL, Hutchinson A and The Northern Hospital Emergency Department Frequent Presenter Committee. Background Patients with frequent Emergency Department presentations have been identified as a high risk cohort. The Northern Hospital Emergency Department frequent presenter committee was established to identify and improve the care of such patients through the development of multidisciplinary management plans. Aim • To improve the care of Emergency Department Frequent presenters by engaging individuals in appropriate health services as part of developing multidisciplinary management plans. • To reduce Emergency Department presentations six months following initiation of an multidisciplinary management plan. Methodology Eighty three patients at Northern Hospital identified as ‘Emergency Department Frequent Presenters’ were reviewed from March 2011 to March 2013. Fifty eight patients were included in the data analysis where a six month follow up occurred. Percentage calculations were used to profile frequent presenter patients and interventions. A paired T test was used to determine the mean difference in Emergency Department presentations six months after initiation of an Emergency Department management plan. Results The main reasons for ED presentations were medical and a large proportion had a hospital alert for a serious risk to themselves or staff, for example; self harm. Various interventions occurred including; liaising with general practitioners, medical specialists, case managers or community health services. Overall, Emergency Department presentations were significantly reduced from a mean of 9.85 / person / year to 5.57 / person / year in the six months following implantation of a multidisciplinary management plan. Conclusion Multidisciplinary management plans improve patient care and reduce Emergency Department Presentations for patients considered ‘Emergency Department Frequent Presenters’. Future research investigating cost effectiveness would be beneficial. 49
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Page 5 and 6: Introduction Health Literacy And Cl
Page 7 and 8: Introduction cont’d IntRODUCTION
Page 9 and 10: Event Schedule cont’d event sched
Page 11 and 12: ABSTRACTS Abstracts 9
Page 13 and 14: Aged Care Aged Care Does physiother
Page 15 and 16: Aged Care Aged Care A COMParison OF
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Page 21 and 22: Chronic Disease Management A SYSTEM
Page 23 and 24: Chronic Disease Management APProPri
Page 25 and 26: Chronic Disease Management INTRODUC
Page 27 and 28: CHROnIC DISEASE Management 25
Page 29 and 30: Haematology HaematOLOGY THE IMPleme
Page 31 and 32: Haematology HaematOLOGY HIGH-DOSE M
Page 33 and 34: Haematology HaematOLOGY Intermitten
Page 35 and 36: HaematOLOGY 33
Page 37 and 38: Women’s Health and Paediatrics MU
Page 39 and 40: Women’s Health and Paediatrics TH
Page 41 and 42: Women’s Health and Paediatrics IM
Page 43 and 44: Women’s Health and Paediatrics SA
Page 45 and 46: Health Service Evaluation ESTablish
Page 47 and 48: Health Service Evaluation EValuaTIN
Page 49: Health Service Evaluation INNOVATIV
Page 53 and 54: Health Service Evaluation Northern
Page 55 and 56: Orthopaedics ORTHOPAEDICS DisTAL RA
Page 57 and 58: Orthopaedics ORTHOPAEDICS RETURNING
Page 59 and 60: Orthopaedics ORTHOPAEDICS THEATre S
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Research Week Abstract Book - Northern Health

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