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Presentation Description
Background
In 2021 the New South Wales Government announced a funding enhancement to strengthen palliative care, with a mandate to support strong, integrated, and effective responses for people with late-stage chronic disease to maintain wellbeing and independence at home.
RPA Virtual Hospital established a new community-based Chronic Disease Palliative Care Team. The model of care utilises existing structures, processes, and care models through the Virtual Care Centre and Sydney District Nursing to provide care to this cohort of patients.
Goal of program
The objectives of the Chronic Disease Palliative Care service include:
- Providing multidisciplinary clinical services with a strong Allied Health focus.
- Enhancing quality of life and providing support to remain at home for as long as possible.
- Reducing unnecessary Emergency Department presentations and avoidable hospital admissions.
- Reducing face-to-face outpatient consultations.
- Supporting General Practice with management of these patients.
Evaluation approach
The service will be evaluated and measured against the following:
- Over 90% of Patient Reported Experience Measure responses identify as 'satisfied' or 'highly satisfied'.
- The service contributes data to the Palliative Care Outcomes Collaboration and measures against the benchmarks.
Meeting the following KPIs:
- 100% referrals are triaged within one working day of being received.
- Over 90% of patients are contacted within two days of referral.
- Over 90% of patients have a multidisciplinary care plan documented within seven days of initial assessment.
Results/Conclusion
Gaps in service for late-stage degenerative and chronic conditions and disabled patients were filled with access to allied health professionals. Patient experience of receiving the Allied Health services is extremely positive – many patients had not previously been able to access speech pathology, dietetics or psychology in the community. Patients had improved outcomes from receiving interventions specially designed for their disease group. Patient journeys showcasing the impact of the service will be presented.
Presenters
Authors
Authors
Ms Lisa Turner - RPA Virtual Hospital , Ms Linda Foley - RPA Virtual Hospital
