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STAAR-SA: State Action on Avoidable Re-hospitalisations and Unplanned Admissions (Round 2.2)

Image by Matthias Zomer from Pexels

Leads: Professor Maria Crotty, A/Professor Craig Whitehead, Professor Gillian Harvey, A/Professor Maria Inacio

This project focuses on improving Out of Hospital care for frail older people, ensuring that the care provided is timely, coordinated, high quality and meets the needs and expectations of older people themselves. It will improve the pathway of older people being discharged from hospital. While there is evidence about strategies to improve older patients’ experiences of hospital discharge and reduce readmissions, they are not implemented systematically across South Australia.

This project will establish a partnership with health providers, aged care nongovernment agencies (NGOs), general practices, consumers and researchers to guide the study, profile the older SA population at risk of multiple hospitalisations, develop an evaluation framework/matrix for health services and policy makers to evaluate all Out of Hospital programs for older people and establish a quality improvement collaborative with the goal of increasing the quality of care for older people at times of transition.

The outcomes include:

  • provision of detailed information – on the characteristics and trajectories of older people who admit frequently in the different Local Health Networks (LHNs) using registry data from the Registry of Senior Australians (ROSA) to monitor whole of system outcomes for high risk older people and identify opportunities to reduce morbidity and utilisation
  • provide information of high relevance to clinicians and managers for example ‘how do the out of hospital health programs compare in terms of risk adjusted cost-effectiveness?’ (cost per days out of hospital, cost per hospitalisation)
  • Establishment of a network of people working in Out of Hospital Care in SA; linkages across LHNs, primary care settings and non-government aged care providers (to be measured via social network analysis); increase adherence to a core set of quality process indicators for transitions in care for older people (regardless of service provider); improve quality of transitions and increase capability for quality improvement
Find out more

STAAR-SA Newsletters

April 2020
November 2020
  • Medical Research Future Fund
  • Jul 2019 to Jun 2022 Round 2.2

Other Medical Research Future Fund Projects

  • No Australians dying of bowel cancer (Round 2.1)

    Read more
  • Strengthening Aboriginal Capacity in Health Research Translation and Development in South Australia (StACTD) (Round 2.2)

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  • Needs based community mental health services: Implementing timely and needs based interventions in the community by applying algorithms to transactional health care data (Round 2.2)

    Read more
  • Data Access and Data Analytics – Including an exemplar Health Services Interface Data Project (Round 2.2)

    Read more
  • Community breathlessness intervention services (Round 2.1)

    Read more
  • Acting fast to increase time-critical stroke treatments for all South Australians (Round 2.1)

    Read more
  • Safely sleeping Aboriginal babies in South Australia – doing it together (Round 2.1)

    Read more
  • The Healthy South initiative (Round 2.1)

    Read more
  • Improving Aboriginal Kidney Care together (Round 2.1)

    Read more
  • A12 digital support tool for mental illness (Round 2.1)

    Read more
  • The REMIT-2-D Project (Stage 2): In-hospital intervention for patients with Type 2 diabetes (Round 2.1)

    Read more
  • Aboriginal Chronic Disease Consortium: Improving Care across the Continuum (Round 1)

    Read more
  • Stroke data linkage project (Round 1)

    Read more
  • Establishing a Mental Health Registry (Round 1)

    Read more
  • Reducing the risk of being born too soon (Round 1)

    Read more
  • Stakeholder access to real-time patient reported outcome measures (PROMs) data for joint replacement (Round 1)

    Read more
  • Registry of Senior Australians (ROSA) (Round 1)

    Read more
  • No Australians dying from Bowel Cancer Initiative (Round 1)

    Read more
  • Measure and inform cardiac rehabilitation services across South Australia (Round 1)

    Read more
  • Reducing morbidity, mortality and costs by initiation of in-hospital intervention for patients with Type 2 Diabetes (The REMIT-2-D Project) (Round 1)

    Read more
  • South Australian Health and Medical Research Institute (SAHMRI)
  • The University of Adelaide
  • Flinders University
  • University of South Australia
  • Torrens University Australia
  • Commission on Excellence and Innovation in Health
  • Adelaide PHN
  • Country SA PHN
  • SA Health
  • CSIRO
  • Aboriginal Health Council of SA

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