Connecting Hospital and Community Care: The Acceptability of a Regional Data Linkage Scheme

By Massy-Westropp, Matthew; Giles, Lynne C. et al. | Australian Health Review, February 2005 | Go to article overview

Connecting Hospital and Community Care: The Acceptability of a Regional Data Linkage Scheme


Massy-Westropp, Matthew, Giles, Lynne C., Law, Deborah, Phillips, Paddy A., Crotty, Maria, Australian Health Review


Abstract

Lack of information on an individual's premorbid needs and services in place can impede the transition from community to acute care. We report on a trial of an electronic data linking system between Flinders Medical Centre and Metropolitan Domiciliary Care. A sample of 82 medical, nursing and allied-health staff across the organisations completed questionnaires concerning their level of satisfaction with the trialled system. Results supported the effectiveness of an electronic data linking system across the hospitalcommunity interface. This system was effective in reducing labour costs, increasing organisational communication and devising appropriate discharge plans. Community staff indicated they were better informed about their client's medical and disability status and were able to play an active role in their client's treatment. This study provides more support to the implementation of a patient electronic data linking system focussed on older patients, with wider benefits including the reduction of unnecessarily long admission times and decreased demand on hospital beds.

Aust Health Rev 2005: 29(1): 12-16

INTERNATIONALLY THERE HAS BEEN a movement from institutionalised or hospital care for older people towards less expensive community-based care.1 As services are redirected away from the acute sector, a need has developed within the health system to integrate aged care sectors.2 This is complex, but essential to improving health outcomes for older people, and is a focus of health system reform. In Australia, Phases 3 and 4 of the National Demonstration Hospitals Program (NDHP) supported projects that enhanced integration between hospitals and the community sector,3 and we describe one project which used information technologies (IT) to promote integration of aged care services.

The electronic linking of patient health information between the hospital and community sectors to facilitate information sharing was identified as a key initiative in an NDHP4 project conducted in Adelaide, South Australia. The aim of this study was to pilot the effectiveness of electronic data linking tools to assist in the transfer of information between an acute care hospital and the main regional provider of home-based care.

Methods

Flinders Medical Centre (FMC) and Metropolitan Domiciliary Care Southern Region (MDCS) took part in this study. FMC is a 450-bed public university teaching hospital and houses the busiest emergency department (ED) in Adelaide. MDCS is a major provider of aged care community services offering support to the aged living at home. About 80% of admissions of older people at FMC are via the ED, of which 40%, or 8 to 10 admissions per day, are MDCS clients.

Before this study, an MDCS senior liaison nurse located at FMC provided clinicians at both sites with information about MDCS clients and assisted with discharge service planning. Identifying which patients were MDCS clients was performed manually with all patients admitted checked against a hard copy of the MDCS database (up to 4000 records). A fax was then sent to MDCS alerting the case manager of that patient's admission to FMC.

There were many shortcomings to this system. The MDCS listing was only updated monthly, missing newly referred clients. There was no coverage for the liaison nurse when that person was on leave. FMC staff also had no way of verifying whether a patient was a client of MDCS after hours or on weekends. Checking the status of community services during office hours often involved a lengthy phone call to MDCS and was dependent on the availability of a key worker to provide information over the phone. MDCS staff complained they were often not informed of discharge plans and that discharge summaries were rarely sent to them.

The data linking system between FMC and MDCS, known as 'Integration', developed in this study was piloted over 6 months in 2002-2003. The system involved three key components (see Box 1).

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Connecting Hospital and Community Care: The Acceptability of a Regional Data Linkage Scheme
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.