In 2019/20 we commission a running total of
aged care health services
worth over $1.3 million dollars across the Adelaide metropolitan region
After Hours GP Access for Residents of Aged Care Facilities
Our Extended Primary Care for Residential Aged Care Facilities (RACF) Initiative - Assess Treat Stay - came to an end in June 2020. This initiative supported GP access and availability in the after hours period and reduced avoidable hospital admissions in RACFs.
The initiative supported the training of GPs and RACF staff, supported liaison activities with local hospital and ambulance staff, and facilitated enhancements of on-site clinical support. An evaluation is underway including a plan to review ongoing data from participating RACFs which will assess impact on preventable hospital admissions and support future work in this area.
Enabling Choice: Supporting Palliative Care
We continued our Enabling Choice for South Australians Program - our response to the Commonwealth’s Greater Choice for at Home Palliative Care Measure.
The aim of this project is to improve the process of advance care planning in residential aged care, with the involvement of families and residents on admission.
This project saw
28 aged care facilities involved, each with a lead nurse
A suite of tools developed, including one comprehensive advance care planning pathway
Provision of two quality improvement facilitators to support the implementation of processes
One palliative care consultant, Dr David Holden, delivering the VitalTalk intensive training with 140 local nurses
Our Assess Treat Stay program
improved access to primary care
reduced avoidable hospitalisations
As part of the program
seven step pathways were developed
advanced care directives were completed
increase in events able to be treated at the facility
decrease in hospitalisations
Working with Metropolitan Pharmacies to Improve Access to Community Based Palliative Care
To enable timely community access to pharmaceutical relief for the five most commonly seen symptoms causing distress during palliation, we continued our commissioned Palliative Care Access to Medicines program.
59 pharmacies and general practices have been involved in the program to support community access to palliative care system relief; an 18% increase in participation from last year.