Lead: Professor Alex Brown
Through extensive consultation and buy-in from the Consortium’s governance bodies, partners and relevant healthcare services, this project saw the successful development of a Chronic Disease Monitoring and Evaluation Framework. Additionally, a suite of Aboriginal Health indicators is being developed into an Aboriginal-specific dashboard by SA Health. Together the framework and Aboriginal Health dashboard will help provide accessible, up-to-date information on health outcomes and identify opportunities to improve health outcomes for Aboriginal and Torres Strait Islander in South Australia as well as measure progress towards achieving these.
The Consortium and the Aboriginal Health and Healing Hub within the Central Adelaide Local Health Network (CALHN) also developed a Continuity of Care Model for Aboriginal and Torres Strait Islander patients, to improve the transition between hospital and home and ultimately health outcomes for patients and their families. This model dovetailed with and provided advice to the “Enhancing Hospital Care” program co-designed by the CALHN Aboriginal Health Units, and acute care and primary care services. The model outlining a systematic approach to discharge, referral and accessing follow-up services is being tested. This project also highlighted the role of cultural safety training for nurses across specific chronic condition hospital wards helped to inform nurse educators training currently being rolled out within CALHN.
