Journal article

Changes in acute hospital costs after employing clinical facilitators to improve stroke care in Victoria, Australia

Dominique A Cadilhac, Helen M Dewey, Sonia Denisenko, Christopher F Bladin, Atte Meretoja

BMC HEALTH SERVICES RESEARCH | BMC | Published : 2019

Abstract

BACKGROUND: Hospital costs for stroke are increasing and variability in care quality creates inefficiencies. In 2007, the Victorian Government (Australia) employed clinical facilitators for three years in eight public hospitals to improve stroke care. Literature on the cost implications of such roles is rare. We report changes in the costs of acute stroke care following implementation of this program. METHODS: Observational controlled before-and-after cohort design. Standardised hospital costing data were compared pre-program (financial year 2006-07) and post-program (2010-11) for all admitted episodes of stroke or transient ischaemic attack (TIA) using ICD-10 discharge codes. Costs in Austr..

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Grants

Awarded by National Health and Medical Research Council - Heart Foundation


Funding Acknowledgements

This project was funded by the Victorian Department of Health and Human Services, Victorian Government, through the Victorian Stroke Clinical Network (VSCN) as part of implementation of the Stroke Care Strategy for Victoria. The VSCN commissioned this independent research by The Florey and led by DAC. DAC and AM received research fellowship grants from the National Health and Medical Research Council (DAC: 1063761 co-funded by Heart Foundation; AM: 1091418). The Florey acknowledges support from the Victorian Government, in particular funding from Operational Infrastructure Support Grant.