Performance, Impact and Effectiveness Review: Emergency Department Musculoskeletal Diversion Pathway (MSK Diversion Pathway)
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Description
PFS Consulting has been appointed to undertake a Performance, Impact and Effectiveness Review of the Emergency Department Musculoskeletal Diversion Outpatient Clinic Pathway (MSK Diversion Pathway). The aim of this project is to establish, measure and test the fundamentals of the MSK Diversion Pathway, in the following areas:
1) Cost-effectiveness analysis – evaluation and outcomes data to: - Determine appropriate performance measures that can be derived from the available empirical data, assess the appropriate level of granularity against which to apply given the data limitations, and determine an appropriate Control Group (considering COVID impacts, clinical and actuarial suitability and technical validity of the analysis approaches) - Identify conditions and patient profile that is best suited to the MSK Diversion Pathway, reassess performance based on moving to a mainstream “operational/scalable” model of care (from a “research” focused phase/establishment)
2) Financial sustainability, with a focus on proposed funding model and pilot/trial costs to: - Review current funding and program (including system) resourcing arrangements, interactions (limitations) of Activity Based Funding, and existing funding disincentives for MSK Diversion Pathway pilot - Determine the resourcing requirements and funding model, Compare and contrast with the existing ED pathway for identified patients, including current ED and Tier 2 funding (ABF), and consider interface with primary care (Medicare)
3) Scalability of the MSK Diversion Pathway, considering the opportunity to increase MSK activity and throughput (as a direct result of the pilot) focusing on opportunities to scale, and hospital efficiency outcomes from the MSK Diversion Pathway."
4) Potential as an innovative model of care under the National Health Reform Agreement (NHRA)
Publication Date
2024
Publisher
South Metropolitan Health Service
City
Rockingham, WA
Keywords
Urgent care, emergency department, health economic analysis, injury, musculoskeletal
Partners
1. PFS Consulting, Sydney, NSW
2. South Metropolitan Health Service, Kaartdijin Innovation Centre, Murdoch, WA
3. Rockingham General Hospital, Department of Physiotherapy, Coolongup, WA
4. Fiona Stanley Hospital, Department of Physiotherapy, Murdoch, WA
5. University of Notre Dame Australia, National School of Health Sciences, Fremantle, WA
Recommended Citation
Norris, Lynton; Mendoza, Beatrice; Leen, Tim; and Truter, Piers, "Performance, Impact and Effectiveness Review: Emergency Department Musculoskeletal Diversion Pathway (MSK Diversion Pathway)" (2024). Health Sciences Research Reports. 2.
https://researchonline.nd.edu.au/health_reports/2