1. Translating dementia research into practice What are we up to? Dementia Transitions in Care Node

2. Our node in context Translating dementia research into practice Transitions in care literature review Respite take-up NHMRC Dementia Research Grant Care Pathways

3. Node members Diane Gibson (AIHW, UC) Brian Draper (UNSW) Tony Broe (UNSW) Len Gray (UQ) Yvonne Wells (Latrobe) Ann Peut (AIHW) AIHW Staff Phil Anderson, Rose Karmel, Louise York, Ingrid Seebus, Ellen Connell, Catherine Runge, Joanna Forster-Jones, Cathy Hales Collaborators Henry Brodaty (UNSW) Len Gray (UQ) Glenn Rees (Alzheimer’s Australia) Sue Kurrle (Uni of Sydney) ACSA NSW Benevolent Society NSW Health

4. Feature project 1 Translating dementia research into practice Transitions in care literature review Respite take-up NHMRC Dementia Research Grant Care Pathways

5. Translating dementia research into practice Which service types/features produce better outcomes for people with dementia? Hospital admission rate Indicators of interest Length of hospital stay Patient care outcomes (falls, complications, mortality) Rate of discharge to residential aged care Patient dependency level on entry to RAC Rate of return to community after residential respite following hospitalisation (1) NHMRC DRG: The impact of hospital-based aged care and dementia services on outcomes for people with dementia admitted to hospital (2008-2011)

6. Translating dementia research into practice Data consolidation Statistical model specifications Multi-level modelling Stream 3 Dissemination of findings Stream 4 Expert panel NSW fieldwork (hospital survey, key informant, interviews/discussions) Stream 2a Region service mapping Stream 2b Data linkage of administrative data Stream 1 Descriptive analysis

7. That’s pretty complicated – why bother? Translating dementia research into practice What services make a difference? Integrating different levels of information provides a unique system view Regional approach draws on local expertise and provides localised feedback Regional approach also enables exploration of ‘natural experiments’ running as a result of innovation

8. Feature project 2 Translating dementia research into practice Transitions in care literature review Respite take-up NHMRC Dementia Research Grant Care Pathways

9. Translating dementia research into practice Using linked data to examine take up of residential respite amongst people with and without dementia 2-year cohort of 78,000 people –16% have dementia –21% have any mental/behavioural disorder (2) Take up of residential respite care by people with dementia and their carers

10. People with an approval for residential respite care: time to first use of respite RAC Translating dementia research into practice

11. People with an approval for residential respite care: first use by carer availability Translating dementia research into practice

12. People with an approval for residential respite care: first use by COB Translating dementia research into practice

13. Case studies: home→package→permanent RAC Translating dementia research into practice

14. Where to from here? Release of the Transitions in Care literature review (December 2008) Multivariate analysis of take-up of residential respite (September to October 2008) Ethics clearances and approvals for ‘Outcomes for people with dementia admitted to hospital—a regional analysis’ project, funded in the recent Dementia Research Grants round (August to December 2008)