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Improving Aboriginal and Torres Strait Islander Patient Identification in a Large Tertiary Hospital
Abstracts
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670 Improving Aboriginal and Torres Strait Islander Patient Identification in a Large Tertiary Hospital C. Crick 1 , V. Bryce 1 , S. Grugan 1,∗ , T. Kitchener 1 , G. Cowburn 1 , S. Renouf 1 , T. Brown 1 , E. Stanford 1 , W. Wang 1,2 1 Princess Alexandra Hospital, Brisbane, Australia 2 School of Medicine, University of Queensland, Brisbane, Australia
Background: Indigenous Australians are under identified in many health related data collections. Improving the accuracy of Indigenous status is vital to ensure health care services are both clinically and culturally responsive. Identification within the hospital setting triggers a comprehensive range of culturally safe and supportive care pathways specifically designed for Indigenous patients. Method: A project was established at the Princess Alexandra Hospital in 2015 to improve access to evidence based, culturally safe cardiac care for Indigenous Australians. The project team implemented the following strategies to improve identification of Indigenous status: (A) The provision of training and support to responsible staff; (B) establishing automated reports highlighting patients within the hospital whose Indigenous status is “not stated”; (C) each instance where Indigenous status is “not stated” is followed up by a project team member; (D) analysis of reports by the project team to identify trends in staffs or department’s use of the Indigenous status “not stated” code; and (E) education and training prioritised in areas where “not stated” code is frequently used. Result: Quarterly audits demonstrate that implementation of the above strategies are associated with a 62-88% relative reduction in the use of Indigenous status “not stated” code recorded in hospital information systems. Hospital-wide rate of “not stated” was consistently below 0.4% in 2016. Conclusion: A simple and sustainable intervention has improved the correct and consistent recording of Indigenous status at the Princess Alexandra Hospital. Monitoring the use of identification codes along with targeted education and training has enabled this to occur. http://dx.doi.org/10.1016/j.hlc.2017.06.671
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671 New Model of Care for Aboriginal and Torres Strait Islander Patients Led to Sustained Improvements in GP Follow-up Rates After Hospital Discharge V. Bryce 1 , S. Grugan 1 , C. Crick 1 , T. Kitchener 1 , G. Cowburn 1 , S. Renouf 1 , L. Huang 1 , J. Dwivedi 1 , E. Stanford 1 , W. Wang 1,2,∗ 1 Princess
Alexandra Hospital, Brisbane, Australia 2 School of Medicine, University of Queensland, Brisbane, Australia Background: Aboriginal and Torres Strait Islander patients have high rates of cardiovascular disease. General practitioners (GP) follow-up after a hospital admission is crucial in the ongoing management of cardiac conditions. In 2015, we developed a new model of care for Aboriginal and Torres Strait Islander patients admitted to our hospital for cardiac and cardiac surgical conditions with ensuring GP follow-up as a major focus. We assess the ongoing effect this model has on GP follow-up rates. Methods: Setting: Aboriginal and Torres Strait Islander patients with cardiac and cardiac surgical conditions admitted at Princess Alexandra Hospital, Brisbane. Prospective data collection was divided into 3 time periods: (1) Preintervention from March 2015 to August 2015; (2) Early post intervention from September 2015 to February 2016; and (3) Late post intervention from June 2016 to November 2016. The separation of the two interventional periods were made to assess expansion of our service with increased personnel in April 2016. Results: Follow-up with GP at 7 days were 47%, 84%, and 87% for the pre-, early post- and late post- intervention periods respectively. Follow-up with GP at 30 days were 79%, 90%, and 96% for the 3 periods. In comparison, patients not identified as Aboriginal or Torres Strait Islander had 7 and 30 day GP follow-up rates of 47% and 76% during 2015-2016. Conclusions: Our model of care with focus on linkage between hospitals and GPs has resulted in a sustained improvements in rates of GP follow-up. http://dx.doi.org/10.1016/j.hlc.2017.06.672 672 Over-Counting Rheumatic Heart Disease in Hospital Administrative Data: Does it Matter and What Can Be Done? J. Katzenellenbogen 1 , D. Kruger 1,∗ , L. Nedkoff 1 , N. de Klerk 2 , J. Hung 1 1 The
University Of Western Australia, Perth, Australia 2 Telethon Kids Institute, Perth, Australia Background: Administrative data using International Classification of Diseases (ICD) codes are commonly used for case identification to determine rheumatic heart disease (RHD)
S332
670 Improving Aboriginal and Torres Strait Islander Patient Identification in a Large Tertiary Hospital C. Crick 1 , V. Bryce 1 , S. Grugan 1,∗ , T. Kitchener 1 , G. Cowburn 1 , S. Renouf 1 , T. Brown 1 , E. Stanford 1 , W. Wang 1,2 1 Princess Alexandra Hospital, Brisbane, Australia 2 School of Medicine, University of Queensland, Brisbane, Australia
Background: Indigenous Australians are under identified in many health related data collections. Improving the accuracy of Indigenous status is vital to ensure health care services are both clinically and culturally responsive. Identification within the hospital setting triggers a comprehensive range of culturally safe and supportive care pathways specifically designed for Indigenous patients. Method: A project was established at the Princess Alexandra Hospital in 2015 to improve access to evidence based, culturally safe cardiac care for Indigenous Australians. The project team implemented the following strategies to improve identification of Indigenous status: (A) The provision of training and support to responsible staff; (B) establishing automated reports highlighting patients within the hospital whose Indigenous status is “not stated”; (C) each instance where Indigenous status is “not stated” is followed up by a project team member; (D) analysis of reports by the project team to identify trends in staffs or department’s use of the Indigenous status “not stated” code; and (E) education and training prioritised in areas where “not stated” code is frequently used. Result: Quarterly audits demonstrate that implementation of the above strategies are associated with a 62-88% relative reduction in the use of Indigenous status “not stated” code recorded in hospital information systems. Hospital-wide rate of “not stated” was consistently below 0.4% in 2016. Conclusion: A simple and sustainable intervention has improved the correct and consistent recording of Indigenous status at the Princess Alexandra Hospital. Monitoring the use of identification codes along with targeted education and training has enabled this to occur. http://dx.doi.org/10.1016/j.hlc.2017.06.671
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671 New Model of Care for Aboriginal and Torres Strait Islander Patients Led to Sustained Improvements in GP Follow-up Rates After Hospital Discharge V. Bryce 1 , S. Grugan 1 , C. Crick 1 , T. Kitchener 1 , G. Cowburn 1 , S. Renouf 1 , L. Huang 1 , J. Dwivedi 1 , E. Stanford 1 , W. Wang 1,2,∗ 1 Princess
Alexandra Hospital, Brisbane, Australia 2 School of Medicine, University of Queensland, Brisbane, Australia Background: Aboriginal and Torres Strait Islander patients have high rates of cardiovascular disease. General practitioners (GP) follow-up after a hospital admission is crucial in the ongoing management of cardiac conditions. In 2015, we developed a new model of care for Aboriginal and Torres Strait Islander patients admitted to our hospital for cardiac and cardiac surgical conditions with ensuring GP follow-up as a major focus. We assess the ongoing effect this model has on GP follow-up rates. Methods: Setting: Aboriginal and Torres Strait Islander patients with cardiac and cardiac surgical conditions admitted at Princess Alexandra Hospital, Brisbane. Prospective data collection was divided into 3 time periods: (1) Preintervention from March 2015 to August 2015; (2) Early post intervention from September 2015 to February 2016; and (3) Late post intervention from June 2016 to November 2016. The separation of the two interventional periods were made to assess expansion of our service with increased personnel in April 2016. Results: Follow-up with GP at 7 days were 47%, 84%, and 87% for the pre-, early post- and late post- intervention periods respectively. Follow-up with GP at 30 days were 79%, 90%, and 96% for the 3 periods. In comparison, patients not identified as Aboriginal or Torres Strait Islander had 7 and 30 day GP follow-up rates of 47% and 76% during 2015-2016. Conclusions: Our model of care with focus on linkage between hospitals and GPs has resulted in a sustained improvements in rates of GP follow-up. http://dx.doi.org/10.1016/j.hlc.2017.06.672 672 Over-Counting Rheumatic Heart Disease in Hospital Administrative Data: Does it Matter and What Can Be Done? J. Katzenellenbogen 1 , D. Kruger 1,∗ , L. Nedkoff 1 , N. de Klerk 2 , J. Hung 1 1 The
University Of Western Australia, Perth, Australia 2 Telethon Kids Institute, Perth, Australia Background: Administrative data using International Classification of Diseases (ICD) codes are commonly used for case identification to determine rheumatic heart disease (RHD)