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Title: A multi-organisation aged care emergency service for acute care management of older residents in aged care facilities
Contributor(s): Conway, Jane  (author); Dilworth, Sophie (author); Hullick, Carolyn (author); Hewitt, Jacqueline (author); Turner, Catherine (author); Higgins, Isabel (author)
Publication Date: 2015
Open Access: Yes
DOI: 10.1071/ah15049Open Access Link
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Abstract: This case study describes a multi-organisation aged care emergency (ACE) service. The service was designed to enable point-of-care assessment and management for older people in residential aged care facilities (RACFs). Design of the ACE service involved consultation and engagement of multiple key stakeholders. The ACE service was implemented in a large geographical region of a single Medicare Local (ML) in New South Wales, Australia. The service was developed over several phases. A case control pilot evaluation of one emergency department (ED) and four RACFs revealed a 16% reduction in presentations to the ED as well as reductions in admission to the hospital following ED presentation. Following initial pilot work, the ACE service transitioned across another five EDs and 85 RACFs in the local health district. The service has now been implemented in a further 10 sites (six metropolitan and four rural EDs) across New South Wales. Ongoing evaluation of the implementation continues to show positive outcomes. The ACE service offers a model shown to reduce ED presentations and admissions from RACFs, and provide quality care with a focus on the needs of the older person.
Publication Type: Journal Article
Source of Publication: Australian Health Review, 39(5), p. 514-516
Publisher: CSIRO Publishing
Place of Publication: Australia
ISSN: 1449-8944
Fields of Research (FoR) 2008: 111003 Clinical Nursing: Secondary (Acute Care)
111001 Aged Care Nursing
111099 Nursing not elsewhere classified
Fields of Research (FoR) 2020: 420501 Acute care
420502 Aged care nursing
420599 Nursing not elsewhere classified
Socio-Economic Objective (SEO) 2008: 920210 Nursing
920204 Evaluation of Health Outcomes
920299 Health and Support Services not elsewhere classified
Socio-Economic Objective (SEO) 2020: 200307 Nursing
200202 Evaluation of health outcomes
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article
School of Health

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