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AAHBC. C onvened in 1997 Originally titled the National Allied Health Benchmarking Consortium (NAHBC) Founded to facilitate the development of a standardised method of recording allied health activity in Australia’s public hospitals. AAHBC responsibilities.
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AAHBC • Convened in 1997 • Originally titled the National Allied Health Benchmarking Consortium (NAHBC) • Founded to facilitate the development of a standardised method of recording allied health activity in Australia’s public hospitals.
AAHBC responsibilities • To enable a network of collaborative tertiary teaching hospitals to develop and maintain a standardised approach to benchmarking • Provide input into allied health and whole of health strategies and projects through • the utilisation of quality data sets and • the combined input of experienced members across the network of participating hospitals.
Current Membership • VIC • Alfred Health • Austin Health • Barwon Health • Melbourne Health – Royal Melb • Monash Health • St Vincent’s Hospital • Western Health • SA • Flinders Medical Centre • Royal Adelaide Hospital • Lyell McEwin Hospital • NZ • Capital & Coast DHB • Hutt Valley • NSW • Nepean Hospital • QLD • Princess Alexandra Hospital • Gold Coast University Hospital • Tasmanian Health Service • Royal Hobart Hospital • Launceston General
Membership criteria • Willingness to participate in group discussion and projects • Established allied health governance structure • Tertiary or teaching hospital with 250 +beds with significant annual separations • Allied health data collection system/s in place • Allied health data collected using the Australian Allied Health Classification System • Contributing AH data to the Health Roundtable is beneficial and encouraged
Current Projects • Clinical Care Ratios • Understanding the impact of variations in allied health care within acute stroke • Online learning platform • Staff modelling
Clinical Care Ratios: Quantifying Clinical versus Non-clinical care for Allied Health Professionals • Paper published 2017 with Australian Health Review • In August, AAHBC members commenced revalidation of the activity data with particular interest in • CCR across and within disciplines • Effect of increased mandatory training effect of past few years on CCR • Effect of part time workforce on CCR
Pilot Project: Acute Stroke management within tertiary teaching hospitals
Pilot project to enable demonstration of allied health contribution and reducing unwarranted variation in acute stroke nationally and validate a methodology for analytics Why Stroke? • Despite well established guidelines, not all people with stroke receive appropriate treatment and there is variation in the type of care received
Research Questions • Does variation in acute stroke care provided by allied health professions against the national stroke guidelines within tertiary teaching hospitals affect: • Patient length of stay? • Patient outcomes?
An online platform • Provides a consistent approach to training for data classification • Aims to reduce error rates through improved interaction within the training • Builds real time feedback into education modules • Allows reporting of accuracy of data classification within and across AAHBC sites
Background • Benchmarking: • Service Performance / Activity • Episodes • Occasions of Service • Hours of Activity • Per Episode Level • Service Growth / Business Case Development • The classic Ring-around • How many beds do you have ? • How much eft do you have ?
Staffing Model • Access Database • Uses EFT per bed as the comparator! • This allows quick identification of areas for benchmarking • Data can be wrapped up / drilled down within the three domains: • AAHBC -> Hospital • Allied Health -> Discipline • Overall -> Clinical Groups -> Local Units
Cardiology Gen Med Clinical Units Ortho Stroke …. NUT OT PT SW …. ALF FMC RAH PAH …. Disciplines Hospitals
AAHBC meetings • Every 2 months via Zoom • Face to Face meeting prior to HRT annually • Site tours of local health facilities of interest • Share common issues, innovations and solutions • Identify shared cross site opportunities and project leads
Goals for 2018 • Progress existing projects • Investigate the use of Patient Related Outcome / Experience Measures (PROMS / PREMS) • Within and across disciplines • Across sites within AAHBC