Table 10.1: Transition Care Program: assumptions behind the model and evidence for these assumptions. No. Assumption Evidence 1 The planning benchmark for residential We identified regions where the aged care is not being met in a number planning benchmarks for residential of regions (Principle 1 page 5 aged care were not met. (Australian Health Ministers' Advisory Council 2004)). 2 Provision of step-down and We confirmed that provision of rehabilitation is variable and few rehabilitation beds was variable but jurisdictions have known benchmarks across Australia was around 3.0 per for estimating the level of provision 1,000 older people aged 70 plus for (Principle 1 page 5 (Australian Health the 2005/06 period. Victoria had a Ministers' Advisory Council 2004)) substantially larger subacute sector than other jurisdictions. 3 Alternate models of care in settings We confirmed that improvements in other than hospitals can lead to functional status occurred improvements in functional status from an additional period of time limited low intensity therapy and care. 4 The alternative models should be in We found that these older people additional to the other existing services entered these services at the end of jurisdictions provide to support older existing hospital services. There was people moving from hospital to home. much variation in the point at which this occurred and in jurisdictions where there were limited rehabilitation services TC appeared to substitute for rehabilitation services. 5 Older people waiting for residential No evidence was provided on this aged care are hospital beds issue. “blocking” (Service provision for older people in the acute aged care system (Gray, – Dorevitch et al. 2002). 6 TC services should have a on There was evidence that the units recovery or maintaining function as focused on recovery and maintaining well as facilitating long-term care function. arrangements.
Table 10.1: Transition Care Program: assumptions behind the model and evidence for these assumptions. No. Assumption Evidence 1 The planning benchmark for residential aged care is not being met in a number of regions (Principle 1 page 5 (Australian Health Ministers' Advisory Council 2004)). We identified regions where the planning benchmarks for residential aged care were not met. 2 Provision of step-down and rehabilitation is variable and few jurisdictions have known benchmarks for estimating the level of provision (Principle 1 page 5 (Australian Health Ministers' Advisory Council 2004)) We confirmed that provision of rehabilitation beds was variable but across Australia was around 3.0 per 1,000 older people aged 70 plus for the 2005/06 period. Victoria had a substantially larger subacute sector than other jurisdictions. 3 Alternate models of care in settings other than hospitals can lead to improvements in functional status from an additional period of time limited low intensity therapy and care. We confirmed that improvements in functional status occurred 4 The alternative models should be in additional to the other existing services jurisdictions provide to support older people moving from hospital to home. We found that these older people entered these services at the end of existing hospital services. There was much variation in the point at which this occurred and in jurisdictions where there were limited rehabilitation services TC appeared to substitute for rehabilitation services. 5 Older people waiting for residential aged care are “blocking” hospital beds (Service provision for older people in the acute – aged care system (Gray, Dorevitch et al. 2002). No evidence was provided on this issue. 6 TC services should have a on recovery or maintaining function as well as facilitating long-term care arrangements. There was evidence that the units focused on recovery and maintaining function.
national-evaluation-of-the-transition-care-program-full-report.docx