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Centre for Policy on Ageing | |
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| Continuous monitoring of emergency admissions of older care home residents to hospital | | Author(s) | Chris Sherlaw-Johnson, Paul Smith, Martin Bardsley |
| Journal title | Age and Ageing, vol 45, no 1, January 2016 |
| Publisher | Oxford University Press, January 2016 |
| Pages | pp 71-77 |
| Source | www.ageing.oxfordjournals.org |
| Keywords | Care homes ; Services ; Quality ; Measurement ; Acute illness ; Admission [hospitals] ; Accident & emergency depts. |
| Annotation | Evidence from inspection programmes suggests that the quality of care provided by individual care homes for older people is very variable. Aside from periodic inspection there is limited information that is routinely collected and can be used to monitor quality. The objective of this study was to describe a method for using routine hospital data on admissions of older people as a means for monitoring quality of care within a care home, and to explore how this might be applied and used. The study linked hospital admissions to care homes using postcode matching and analysed hospital admission data as a time series, using the Cumulative Sum (CUSUM) technique to detect unusually high rates of admission. It was found that by developing the CUSUM so that the number of times it falsely signalled a high rate of admissions would be limited to a rate of 0.1% per year, the chances of successfully detecting a doubling of the admission rate within two years would range from 48% for the smaller homes to 96% for the larger homes. Monitoring tools using data on admissions to hospital are both possible and feasible, particularly for the larger homes. However due to data limitations, users need to be careful about how they interpret triggers and thus ensure follow-up is appropriate. Some of the problems caused by using routine national data can be overcome if care homes use their own information for local monitoring. (JL). |
| Accession Number | CPA-160805203 A |
| Classmark | KW: I: 59: 3R: CHA: LD:QKH: LD6 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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