Reducing Potentially Preventable Hospitalisations
(GEN-8, 9)
Potentially preventable hospitalisations (PPH) can result from chronic health conditions (e.g. asthma, diabetes), acute conditions such as throat infections and from vaccine preventable conditions such as influenza or whooping cough. Hospitalisation incurs a high financial cost to the health care system, especially when a proportion of these admissions could potentially be avoided by the timely use of primary health care services. Identified Need Reducing Potentially Preventable Hospitalisations - outcome of health needs analysis
Key Issue Potentially preventable hospitalisation rates are above the state average in all regions except the Lower North and Adelaide Hills. Rates in the Outback - North and East are almost double the state and national rates, while the Adelaide Hills is around three quarters of the state average.
Priority Reducing Potentially Preventable Hospitalisations (GEN – 8, 9) opportunities, priorities and options
Possible Options 1. Partnership with RFDS to improve chronic disease care by employing a chronic disease and mental health nurse to support existing clinics.
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Description of Evidence NHPA analysis of the Admitted Patient Care National Minimum Data Set
Expected Outcome Better access to chronic disease and mental health support for remote patients.
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Potential Lead RFDS
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CSAPHN
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Reduction in hospitalisations due to chronic disease and mental health support for remote residents.
2. Investigate discharge planning processes across the acute sector and research best practice models to inform project design enabling improvements in the continuity of care including medication management.
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Improvements achieved in discharge ∙ planning. Improved connection between the acute care and primary care sectors for discharge management.
3. Create strategies that facilitate and enable LHNs and private providers, including pharmacy, to develop the capacity of the region to engage care coordinators in routine activities to implement better discharge planning.
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The efforts of the PHN to implement a patient-centred care model widely includes attention to discharge planning and coordination and practical examples.
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Care coordinators implemented in a variety of models as defined by local resource capacity and systems management.
PRIMARY HEALTH NETWORKS Needs Assessment 2019-2022 (2019 Update)V2 Page 23
CSAPHN partnering with the six regional Local Health Networks
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CSAPHN
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CSAPHN facilitating and supporting LHN/GP led local initiatives
