What your data tells us
Frits Kadijk
Continuing Care
What we are discussing
What data do we collect and why
What it tell us
What do we need it to tell us
Challenge of moving from measuring outputs to outcomes
Reports for Health Service
Aims of these health service reports:
• detailed information on subacute programs
• monitor performance of subacute programs
• benchmarking with other subacute services
• understand AN-SNAP categories
• understand models of care
• shared learning across subacute sector
• future subacute service planning
What does it tells us
Average
Rehabilitation
GEM
FIM admission
79.8
67.6
FIM discharge
96.4
78.5
FIM change
16.7
10.9
LOS
20.5
21.3
FIM efficiency
0.8
0.5
% discharged to home
72%
52%
Rehab and GEM patients age profile
Growing number of GEM separations and
reduction in length of stay
77% growth in GEM discharges
between 04/05 and 12/13
ALOS in 04/05 26.3 days –
reduced to 21.3 days in 12/13
Where are GEM patients discharged 2012-13
GEM – Comparison of two services
HS A
HS B
FIM Admission
71.4
58.2
FIM Discharge
84.8
72.2
ALOS
20.6
24.4
FIM Efficiency
0.6
0.6
Discharge Destination
GEM – Separations by LOS
Growing number of rehabilitation separations and
reduction in length of stay
21% growth in rehab discharge
between 04/05 and 12/13
ALOS in 04/05 23.7 days –
reduced to 20.5 days in 12/13
Level 4 metro health services rehab casemix
Rehab – comparison of three services
HS A
HS B
HS C
FIM admission
73.9
83.4
83.2
FIM discharge
94.3
105.3
97.6
FIM gain
20.3
21.9
14.4
ALOS
18.5
19.3
19.5
FIM efficiency
1.1
1.1
0.7
Admitted rehab – LOS
What does the data tells us – non-admitted
VINAH MDS collects data on:
•Client activity
•Activity to target
•Referral patterns
•Health conditions
•Professional group
•Episode duration
•Re-admission rate
•Advance care plan
•Delivery mode
•Discharge destination
SACS funding and activity levels
Referral source
Delivery Setting
Professional groups in SACS
Changing models of care
• Ortho home based project in 2007-08?
• Stroke early discharge in 2013-14
• Impacting on acute LOS and possibly transfers to
subacute beds
• More local rehab available in regional areas
• Limited changes in home based rehabilitation
• Options for earlier d/c from subacute beds with more
HB and medical support for complex clients?
VINAH reports – Future work
• Review reports against Service requirements
• Development of a HIP Summary Report
• Provision of reports that support the data elements collected for
activity based funding
•Improve quality and accuracy of reports