1. What your data tells us Frits Kadijk Continuing Care

2. What we are discussing  What data do we collect and why  What it tell us  What do we need it to tell us  Challenge of moving from measuring outputs to outcomes

3. Reports for Health Service Aims of these health service reports: detailed information on subacute programs monitor performance of subacute programs benchmarking with other subacute services understand AN-SNAP categories understand models of care shared learning across subacute sector future subacute service planning

4. What does it tells us AverageRehabilitationGEM FIM admission79.867.6 FIM discharge96.478.5 FIM change16.710.9 LOS20.521.3 FIM efficiency0.80.5 % discharged to home72%52%

5. Rehab and GEM patients age profile

6. Growing number of GEM separations and reduction in length of stay ALOS in 04/05 26.3 days – reduced to 21.3 days in 12/13 77% growth in GEM discharges between 04/05 and 12/13

7. Where are GEM patients discharged 2012-13

8. GEM – Comparison of two services HS AHS B FIM Admission71.458.2 FIM Discharge84.872.2 ALOS20.624.4 FIM Efficiency0.6 Discharge Destination

9. GEM – Separations by LOS

10. Growing number of rehabilitation separations and reduction in length of stay 21% growth in rehab discharge between 04/05 and 12/13 ALOS in 04/05 23.7 days – reduced to 20.5 days in 12/13

11. Level 4 metro health services rehab casemix

12. Rehab – comparison of three services HS AHS BHS C FIM admission73.983.483.2 FIM discharge94.3105.397.6 FIM gain20.321.914.4 ALOS18.519.319.5 FIM efficiency1.1 0.7

13. Admitted rehab – LOS

14. What does the data tells us – non-admitted VINAH MDS collects data on: Client activity Activity to target Referral patterns Health conditions Professional group Episode duration Re-admission rate Advance care plan Delivery mode Discharge destination

15. SACS funding and activity levels

16. Referral source

17. Delivery Setting

18. Professional groups in SACS

19. Changing models of care Ortho home based project in 2007-08? Stroke early discharge in 2013-14 Impacting on acute LOS and possibly transfers to subacute beds More local rehab available in regional areas Limited changes in home based rehabilitation Options for earlier d/c from subacute beds with more HB and medical support for complex clients?

20. VINAH reports – Future work Review reports against Service requirements Development of a HIP Summary Report Provision of reports that support the data elements collected for activity based funding Improve quality and accuracy of reports