Freya Coker1, Dr Cylie Williams2, Professor Terry Haines1
1Monash University, Peninsula, Australia, 2Peninsula Health, Frankston, Australia
Aim: In 2017 Peninsula Health introduced the Supported Patient Centred Early Discharge (SPeED) team at The Mornington Centre (TMC). This study aimed to evaluate the impact of SPeED on subacute length of stay (LOS) and readmission rates across TMC and control site Rosebud Hillview (RH) ward.
Method: This was a quasi-experimental parallel control study comparing TMC (SPeED intervention site) versus RH (usual care). Patient data were extracted from routine hospital databases for both sites for a six month period in 2017. Data included demographics, LOS, Functional Independence Measure (FIM) scores and readmission rates. Comparison between LOS and readmission rates at each site were adjusted for admission FIM scores. Regression analyses were used to determine site differences.
Results: During the 6 months 677 patients were admitted to TMC, 119 (18%) were seen by SPeED. There were 233 patients admitted to Hillview ward. Patients admitted to TMC had a lower LOS when compared to the control site Hillview ward when adjusted for admission FIM score (Adj Coef= -2.06, 95%CI= -4.08 to -0.05, p=0.044). There was no significant difference in the rate of readmission between the sites when adjusted for admission FIM score (Adj OR=1.25, 95%CI= 0.86 to 1.84, p=0.246).
Significance of the findings to allied health: Understanding the impact of additional allied health models of care, such as SPeED, helps to inform allied health best practice and service provision as well as service decision making.
Freya Coker is an occupational therapist and currently completing her PhD exploring the impact of allied health staffing models on patient and service outcomes. Today she presents Peninsula Health’s SPeED program.