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Join the Second National Transition Care Forum to discuss the current status and future of the Australian Transition Care Program. Explore international developments in transition care and other aspects of transitions for older people. Supported by a Strategic Grant from the National Health and Medical Research Council.
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Second National Transition Care Forum2009 National Convention Centre Canberra 24th November 2009
A component of :Transition Care: Innovation and Evidence (TIE) Research ProgramFunded by a NHMRC Program Grant University of Sydney Flinders University University of Queensland
Transition Care Forum24 November 2009 • Objectives of Forum: • To explore the Australian Transition Care Program – current status and future directions • To explore developments related to TC in Australia • To understand international developments relevant to transition care • To examine other aspects of ‘transition’ for older people Supported by a Strategic Grant awarded by the National Health and Medical Research Council
Transition Care Program - Background • Definition • “Transition Care provides short-term support and active management for older people at the interface of the acute/subacute and residential aged care sectors.” • “It is goal oriented, time limited and targets older people at the conclusion of a hospital episode who require more time and support in a non hospital environment to complete their restorative process, optimise their functional capacity and finalise and access their longer term care arrangements.” • Australian Government Department of Health and Ageing. The transition care program guidelines. Canberra: DHA, 2005. http://www.health.gov.au/internet/main/publishing.nsf/content/EBBB0E83C736F2AACA2571E70008AA40/$File/tcpg.pdf Supported by a Strategic Grant awarded by the National Health and Medical Research Council
http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-policy-transition.htmhttp://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-policy-transition.htm
Transition Care Program - Background • Australian Government Program, in collaboration with state governments, announced in 2004 • 2,000 places with operational budget of $150 million in initial Program • Current Australian Government has committed to funding an additional 2,000 places Supported by a Strategic Grant awarded by the National Health and Medical Research Council
Total allocated & operational transition care places State/Territory as Dec 4, 2008 * 228 of these 2,228 transition care places are part of the first stage of the Rudd Labor Government election commitment – bringing the total to 4,000 by 2011-12. http://www.health.gov.au/internet/ministers/publishing.nsf/Content/mr-yr08-je-je232.htm
Transition Care Program - Evaluation • Evaluation released by Minister Elliot on 8 September 2008 • Available from: http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-transition-national-evaluation.htm • The Transition Care Program provided additional treatment and care options following hospitalization that were highly valued by patients and their families. Supported by a Strategic Grant awarded by the National Health and Medical Research Council
Transition Care Program - Evaluation • Functional improvements occurred … those who received Transition Care had fewer readmissions to hospital and were less likely to move into permanent residential aged care. • The Transition Care program is relatively expensive when incremental cost effectiveness is considered. Supported by a Strategic Grant awarded by the National Health and Medical Research Council
Transition Care in the context of other services for older people Giles et al. Aust Health Rev 2009; 33 (4): 572-582. http://www.aushealthreview.com.au/publications/articles/issues/ahr_33_4_1109/ahr_33_4_572.html
Transition Care and other services for older people Giles et al. Aust Health Rev 2009; 33 (4): 572-582. http://www.aushealthreview.com.au/publications/articles/issues/ahr_33_4_1109/ahr_33_4_572.html
Transition Care – related developments • National Partnerships – Health, Health and Health Workforce Reform: Subacute care • State plans are available at: http://www.federalfinancialrelations.gov.au/content/national_partnership_agreements/health.aspx • Plans vary from general statements, eg “NSW Health is committed to achieving a 20% growth in subacute activity over the four years 2009/10 - 2012/13”, to statements about developments at specific sites. • State based initiatives Supported by a Strategic Grant awarded by the National Health and Medical Research Council
Transition Care – International Issues • Ageing populations • United Kingdom • Canada • United States of America • New Zealand • Other countries Supported by a Strategic Grant awarded by the National Health and Medical Research Council
Other aspects of ‘transitions’ • Transition issues in health and support services • Consumers • Service providers • Quality indicators • Economic aspects • Frailty and disability Supported by a Strategic Grant awarded by the National Health and Medical Research Council
National Transition Care Forum 2009 • Packed program – keep to time • Note poster session during the lunch break • Where possible, opportunity for questions during the day • Note question session at 4.45pm. Preferably submit written questions • Enjoy the day!
Transition Care Program - Background • Transition care is provided at the conclusion of an inpatient hospital episode and involves short-term (up to 12 weeks) support and active management for older people • Assessment and approval from an Aged Care Assessment Team is required for entry • Services are designed to improve patients’ physical, cognitive and psychosocial functioning • Services may include medical and nursing support, rehabilitative services, personal care and case management (including identification of longer term care options). • The program is offered predominantly in the community, but also in selected subacute or residential aged care facilities. Supported by a Strategic Grant awarded by the National Health and Medical Research Council
Transition Care Program - Background • “An average transition care episode is expensive (about $11 000). Therefore, careful consideration of the relative cost-effectiveness compared with other interface programs such as inpatient subacute services is essential” • “Transition care services should be established within the context of overall regional plans for aged care, incorporating hospital acute and subacute inpatient services, and long-term” Gray L, Travers C, Bartlett H, Crotty M, Cameron I. Transition Care: Will It Deliver? Medical Journal of Australia 2008; 188: 251–253 Supported by a Strategic Grant awarded by the National Health and Medical Research Council