Evaluation of the Encouraging Better Practice in Aged Care (ebpac) Initiative Final Report

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centre for health service development banner

Evaluation of the

Encouraging Better Practice

in Aged Care (EBPAC) Initiative

Final Report

July 2015

australian health services research institute at university of wollongong banner

Dave Fildes

Anita Westera

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


List of Figures




Abbreviations used in this report

Acronyms

Descriptions

ACSIHAG

Aged Care Services Improvement Healthy Ageing Grant

BHS

Ballarat Health Services

CALD

Culturally and Linguistically Diverse

CHSD

Centre for Health Service Development, University of Wollongong

DoHA (the Department)

Commonwealth Department of Health and Aging

EBP

Evidence Based Practice

EBPAC

Encouraging Best Practice in Aged Care

EBPRAC

Establishing Best Practice in Residential Aged Care

INTVWs

Interviews

LEAP

The Lifestyle Engagement and Activity Program

LUPP

Leg Ulcer Prevention Program

RACF

Residential Aged Care Facility

RACP

Registered Aged Care Provider

SAP

Skin Awareness Program

TRACS

Teaching and Research Aged Care Services

Abbreviations for EBPAC projects

Acronyms

Descriptions

CL1

Bridging the Leadership Skill Gap

CL2

Clinical Mentoring: From Evidence-Base To Outcomes For Older People

CC1

Better Practice For Older People Living With Or At Risk Of Chronic Wounds In The Community

CC2

The Lifestyle Engagement And Activity Program (LEAP) For Life Project (Social Engagement And Physical Activity)

CC3

Home-Based Preferred Music Listening Program

CC4

CHOICES In CDC Aged Care

CC5

Building Better Oral Health Communities

CC6

Person-Centred Dementia Support In The Community

RC1

National Implementation Of The Palliative Approach Toolkit For Residential Aged Care Facilities

RC2

National Rollout of the Evidence Based Champions for Skin Integrity Program

RC3

The Sustainable Culture Change In Residential Aged Care Project




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