Evaluation of the Encouraging Better Practice in Aged Care (ebpac) Initiative Final Report
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Encouraging Better Practice in Aged Care (EBPAC) Initiative Final Report
Dave Fildes Malcolm Masso Rob Gordon Pam Grootemaat Kate Williams Darcy Morris Conrad Kobel Peter Samsa Suggested citation: Fildes D, Westera A and Masso M, et al. (2015) Evaluation of the Encouraging Better Practice in Aged Care (EBPAC) Initiative: Final Report. Centre for Health Service Development, Australian Health Services Research Institute, University of Wollongong. Table of Contents Evaluation of the 1 Encouraging Better Practice 1 in Aged Care (EBPAC) Initiative 1 Final Report 2 Key messages 8 Executive summary 9 1INTRODUCTION 13 1.1Background to the EBPAC Program 13 1.2Links between the current program and earlier rounds 13 1.3EBPAC and ASCIHAG Objectives 13 1.4 Individual project aims and objectives 15 1.5Targeted literature review 16 2EVALUATION METHODOLOGY 18 2.1The CHSD Evaluation Framework 18 2.2Evaluation approach 19 2.3Evaluation of the national roll-out projects 22 3PROJECT DELIVERY 28 3.1Project groupings 28 3.2Project evidence 29 3.3Project implementation 30 3.4Leadership and change projects 33 3.5Community care projects 37 3.6National roll-out projects 45 3.7Comparison with Round 1 and Round 2 48 4PROJECT IMPACT 49 4.1Impact and outcomes on consumers 49 4.2Impact and outcomes on providers 53 4.3Impact and outcomes on the aged care system 59 5COSTING ANALYSIS 69 5.1Cost implications of leadership and change projects 69 CL1 69 CL2 70
RC3 70 CC6 70
5.2Cost implications of community care projects 71 CC1 71
CC2 71 CC3 71
CC4 71 CC5 72
Summary 72 Description 72 5.3Cost implications of national roll-out projects 72 5.4Summary 74 6GENERALISABILITY 75 6.1Leadership and change projects 75 6.2Community projects 77 6.3National roll-out projects 78 7SUSTAINABILITY 80 7.1Factors that promote sustainability 80 7.2Sustaining benefits for consumers and stakeholders 83 7.3Continuing the activities 84 7.4Continuing the new processes 86 8DISSEMINATION 92 8.1Type of dissemination 92 8.2Purpose of dissemination 93 8.3Follow up after dissemination 94 8.4Effectiveness of dissemination 95 8.5Summary 96 9DISCUSSION 98 9.1What was achieved? 98 9.2Program objectives 99 9.3The science of implementation 102 10CONCLUSION AND RECOMMENDATIONS 106 APPENDIX 1 - TARGETED LITERATURE REVIEW 108 References 110 APPENDIX 2 - PROJECT SUMMARIES 111 APPENDIX 3 - NATIONAL ROLL-OUT PROJECTS: STAKEHOLDER INTERVIEW REPORT 125 Methodology 125 Summary of results 125 Champions for Skin Integrity (CSI): Telephone Interview Results 125 Facilities with no plans to implement the toolkit 126 Facilities Planning to Implement the Toolkit 128 Facilities that have commenced implementation or fully implemented the toolkit 129 Palliative Care Approach Toolkit: Telephone Interview Results 141 Facilities with no plans to implement the toolkit 142 10.1Facilities who are planning to implement the toolkit 144 10.2Facilities that were currently implementing the Toolkit 145 APPENDIX 4 - NATIONAL ROLL-OUT PROJECTS: SURVEY ANALISYS 158 Methodology 158 Summary of results 158 11Champions for Skin Integrity (CSI) survey results 158 12Palliative Approach Toolkit survey results 164 APPENDIX 5 - CHAMPIONS FOR SKIN INTEGRITY (CSI) SURVEY 171 APPENDIX 6 - PALLIATIVE APPROACH TOOLKIT SURVEY 174
List of Tables
Abbreviations used in this report
Abbreviations for EBPAC projects
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