Evaluating the Admission Avoidance Programme: final report

Windle, Karen and Essam, Nadya and Vos, Jolien and Godoy Caballero, Ana Luisa and Phung, Viet-Hai and Sirdifield, Coral and Siriwardena, Niro and McKay, Steve (2014) Evaluating the Admission Avoidance Programme: final report. Project Report. University of Lincoln.

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Abstract

The United Lincolnshire Hospital Trust Admission Avoidance Programme Board was set up in April 2013. Its remit was to identify and implement a range of community-based resources that could reduce emergency admissions by 5,000 finished consultant episodes, (pro-rata), across the winter pressures period (October 2013 to March 2014). Four projects were identified and planned; the Contact Centre, Rapid Response Teams, Enhanced Community Teams and Ambulatory Emergency Care. Funding was made available from the Marginal Resource Tariff (MRT) and ‘Readmission’ monies to ensure initial implementation. The non-recurring MRT monies have now come to an end. If the projects are to continue as a community resource, it was recognised that further funding would need to be provided from Lincolnshire CCGs and the three providers. To support these funding decisions, a necessarily limited evaluation was commissioned and carried out to assess the effectiveness of the projects over their short-term of operation. The evaluation took place from April to June 2014 and addressed two questions:

1. Does the scheme contribute to discernible, (real and tangible) quantifiable reduction in acute emergency admissions?
2. Does the scheme represent value for money when benchmarked against the cost of an acute admission?

No demonstrable changes were found in the monthly emergency admissions for United Lincolnshire Hospital Trust. Quantifiable reductions were found across two other measures; numbers of bed-days and zero lengths of stay. Emergency bed-days fell in the second winter period from (mean) 6.55 to 6.28, whilst a significant increase in zero bed-nights was found. The short-term nature of the evaluation did not enable a full cost-effectiveness evaluation. However, using the set-up and likely per annum costs of each project to explore the cost-per-patient, each intervention would seem to demonstrate value-for-money when benchmarked against the cost of an acute admission.

Keywords:Emergency admissions, Older people, Integrated services, cost-effectiveness, Evaluation
Subjects:L Social studies > L431 Health Policy
Divisions:College of Social Science > School of Health & Social Care
ID Code:15073
Deposited On:25 Sep 2014 18:09

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