Miss Kerri-Anne Von Deest1 Mr Robert Farquhar2
1Queensland Health, Rockhampton, Australia 2Queensland Health, Emerald, Australia
Aim and Background:
The Transition to Sub Acute project involves a Collaborative of allied health professionals across the central and north-west belt of Queensland with the aim of improving a person’s sub-acute journey. The Collaborative was formed in response to a commitment from Queensland Health to provide equitable access to safe, quality healthcare for all consumers. It also supports a growing trend to transfer clients to smaller facilities in the sub-acute period, to minimise displacement from home communities and to support system efficiency in large regional and metropolitan hospitals.
A literature review confirmed the need for greater standardisation of early, supported criteria-led transition planning but was not able to identify a tool that was fit for purpose.
The project’s aim is to develop, embed and evaluate an early transition process to facilitate consistent, predictable and evidence-informed decisions regarding transition of the sub-acute client.
Method:
- The Transition Planning Tool (TPT) was developed, piloted and evaluated
- The transition planning process, using the TPT, was trialled and evaluated for four months in the central and north-west belt of Queensland.
- The TPT was evaluated through rural and regional clinician feedback obtained through formal surveys, focus groups and patient feedback
Results:
- Clinician feedback showed that the TPT enhanced communication between regional and rural teams and assisted discharge planning to the rural site.
- A series of case studies have demonstrated positive feedback from staff and clients including: “I felt like I was in control of what was going on with my discharge plan to home.”
Conclusion:
Early implementation of the TPT is proving that the process needs to be embedded and further that allied health can be the lead for the transition of sub-acute clients. Early transition planning and communication between regional and rural sites is critical to providing seamless and integrated sub-acute care that is closer to home.
Biography:
Kerri-Anne Von Deest is a Clinical Educator in Occupational Therapy at Queensland Health