Health Outcomes 2003:

The Quest for Practice Improvement

20 - 21 August 2003 RYDGES LAKESIDE, CANBERRA

WEDNESDAY 20 August 2003

9.00	Opening Address and Welcome. *(Lake Superior)* *Chair:* Ms Janet Sansoni, Australian Health Outcomes Collaboration. Professor Harvey Whiteford, University of Queensland; Chair, National Mental Health Working Group Information Strategy Committee, Adult Mental Health Outcomes Expert Group. Making outcome measurement routine.
9.25	Keynote Address: Dr John Ware, QualityMetric, USA. Advances in health outcomes assessment: Implications for clinical practice.
	PLENARY: *(Lake Superior)*
9.50	Panel Discussion: Outcomes Assessment for Practice Improvement: Promises and Pitfalls. *Chair:* Dr Tony Sherbon, Chief Executive, ACT Health. Panel Members: Ms Janet Sansoni, Australian Health Outcomes Collaboration; Dr Aaron Groves, Office of Mental Health, Department of Health (WA); Professor Kathy Eagar, Centre for Health Service Development; and Mr Jim Burdett, Consumer Advisor to NZ Mental Health Research and Development Strategy.

11.00 - 11.30 Morning Tea

11.30 am
1A:	Measuring Mental Health Outcomes: National and International Perspectives. *(Lake Superior)* This session is sponsored by the Mental Health and Suicide Prevention Branch, Department of Health and Ageing and the NZ Mental Health Research and Development Strategy. *Chair:* Professor Beverley Raphael, NSW Health.
11.30	Mr Dermot Casey	Routine measurement of mental health outcomes: taking stock and moving forward nationally.
11.50	Dr Janice Wilson (NZ)	A New Zealand national perspective of mental health outcome measurement.
12.10	Prof. Ian Hickie	Better mental health outcomes in Australian general practice.
12.30	Dr Te Kani Kingi (NZ)	Hua Oranga – measuring cultural outcomes in mental health.

11.30 am
1B:	Measuring National Health Priority Area Outcomes. *(Lake Michigan)* This session is sponsored by Health Priorities Branch, Department of Health and Ageing. *Chair:* Ms Kerry Murphy, Health Priorities Branch, Department of Health and Ageing.
11.30	Ms Susan Garner & Dr Rosemary Knight	National service improvement frameworks in National Health Priority Areas.
11.50	Assoc Prof Michael Frommer	Tracking progress in the National Health Priority Areas.
12.10	Ms Hilda Bastian	Beyond the rhetoric - measuring consumer participation in the National Health Priority Areas initiative.
12.30	Mr Lou McCallum	A framework for assessing the impact on disadvantaged people of health initiatives developed through the National Health Priority Area initiative.

11.30 am
1C:	Health Outcomes: Clinical Applications (1). *Chair:* Associate Professor Libby Kalucy, Primary Health Care Research and Information Service (PHCRIS)
11.30	Ms Jenny Cook	Preventing falls by improved surveillance.
11.50	Dr Paul Smith & Ms Jelena Gissane	Improving health outcomes for patients with fractured neck of femur by protocol development and education.
12.10	Assoc Prof Marc Budge	Outcomes for older patients with hip fracture: the impact of geriatric care.
12.30	Mr Andrew Shelton	Improving post-operative care through increased surveillance.

1.00 – 1.45 Lunch

1.00 – 1.45pm Poster Presentations (Lake Hakone) See Conference Booklet for schedule of poster presentations and poster abstracts.

1.45 pm
2A:	Mental Health Outcomes: The Challenges of Implementation. *(Lake Superior)* This session is sponsored by the Mental Health and Suicide Prevention Branch, Department of Health and Ageing and the NZ Mental Health Research and Development Strategy. *Chair:* Mr Jim Burdett, Consumer Advisor to NZ Mental Health Research and Development Strategy.
1.45	Dr Sally Merry (NZ)	Child and youth outcome measures: examining current use and acceptability of measures in mental health services, and recommending future directions.
2.05	Ms Jennifer Chipps (NZ)	Implementing routine outcome measures.
2.25	Dr Tom Callaly	Mental health outcomes: the challenge of effective implementation.
2.45	Mr Allen Morris-Yates	Barriers to the implementation of a comprehensive, outcomes-oriented, information infrastructure for mental health services.

1.45 pm
2B:	Indigenous Health Outcomes. *(Lake Michigan)* *Chair:* Dr Patricia Fagan, Office for Aboriginal and Torres Strait Islander Health.
1.45	Ms Megan Black	How can indicators of health service capability facilitate progress in addressing Aboriginal vascular health?
2.05	Mr John Lawrence	Chronic disease self management models in Indigenous communities.
2.25	Mr John Waldon (NZ)	Tihei mauri ora – health indicators and well being for tamariki.
2.45	Dr Anthony O’Brien (NZ)	The contribution of process measures to improvements in practice and health outcomes

1.45 pm
2C:	Issues for Chronic Disease Management. *(Lake Huron)* This session is sponsored by Community Care Branch, Department of Health and Ageing. *Chair:* Ms Kerry Markoulli, Community Care Branch, Department of Health and Ageing.
1.45	Prof Shane Thomas	Recommendations of the incontinence outcomes measures project.
2.05	Dr Graeme Hawthorne	Using utility instruments in the evaluation of incontinence.
2.25	Prof John McCallum	Evaluating the National Continence Management Strategy: towards better health and well-being.
2.45	Ms Tanya Caldwell	Evaluation of Alzheimer's Australia's Early Stage Dementia Support and Respite Program (ESDSRP) for people with dementia and for their carers.

1.45pm

2D:

Discussion Group: Health Outcomes and the National Medicines Policy. (Lake Nyanza/Geneva)

This session is sponsored by The Pharmaceutical Alliance.

The National Medicines Policy aims ‘to meet medication and related service needs, so that both optimal health outcomes and economic objectives are achieved for Australians’. This session will consider both current work on measuring the health outcomes associated with the use of medicines, and how far we have progressed towards meeting the goals of the National Medicines Policy. A discussion paper on this topic will be available from the TPA's website at www.pharmalliance.com.au.

3.15 – 3.40 Afternoon Tea

3.40 pm
3A:	Three Year Follow-Up Results from the Schizophrenia Care and Assessment Program (SCAP). *(Lake Superior)* This session is sponsored by Eli Lilly Australia. *Chair:* Mr Bill Montgomery, Health Outcomes Research, Eli Lilly Australia.
3.40	Prof Jayashri Kulkarni	Providing evidence for policy direction and treatment of schizophrenia.
4.00	Dr Paul Fitzgerald	Determinants of quality of life in schizophrenia.
4.20	Dr Paul Morgan	Schizophrenia: making the evidence work for consumers.
4.40	Mr Anthony deCastella	Identifying high and low users of mental health services in people with schizophrenia.

3.40 pm
3B:	Health Outcomes: Primary and Community Care. *(Lake Michigan)* This session is sponsored by Health Services Branch, Department of Veterans’ Affairs. *Chair:* Mr Robert Peck, Health Services Branch, Department of Veterans’ Affairs.
3.40	Mr David Morton & Ms Jacinta Cubis	Veterans' health and alcohol: finding The Right Mix
4.00	Dr Des Perry	Fitness programs - are they sustainable, and do they work? Promoting lifestyle change in Vietnam Veterans
4.20	Ms Trix leProu (NZ)	Assertive Community Treatment (ACT) within an intensive care team.
4.40	Dr Gill Lewin	Home Independence - the beginning of a different journey or just a delayed start?

3.40 pm
3C:	Health Outcomes: Hospital Quality Issues. *(Lake Huron)* *Chair:* Dr Anthony Oldfield, The Canberra Hospital.
3.40	Dr Adrian Esterman	Standardised readmission rates (SRR) as a measure of hospital quality.
4.00	Mr Andrew Georgiou	Issues underpinning the application of stroke outcomes in acute care settings – lessons from a study of 14 English hospitals.
4.20	Ms Kate Hyett & Dr Mike Podosky	Implementing variance analysis using a change management framework.
4.40	Ms Helen Colinet	Evaluation of patient knowledge regarding medications and dosage following discharge from hospital.

5.30 End of Day 1

7.30 CONFERENCE DINNER

THURSDAY 21 August 2003

8.45	Keynote Address: *(Lake Superior)* Professor Kathy Eagar, Centre For Health Service Development When performance measurement isn't enough - towards national benchmarking for Australia's mental health services. *Chair:* Dr Jane Pirkis, Centre for Health Program Evaluation, University of Melbourne. PLENARY *(Lake Superior)*
9.10	Health Outcomes: Measurement and Related Issues *Chair:* Dr Madeleine King, Centre for Health Economics, Research and Evaluation
9.10	Dr John Ware (USA)	Standardising health metrics: the SF-36 Health Survey and beyond.
9.35	Dr Julie Pallant	Assessment of the Hospital Anxiety and Depression Scale for use as a screening and outcome measure in rehabilitation settings
9.55	Dr Bruce Shadbolt	Moving to an on-line measurement framework for knowledge-driven health care.

10.55 - 11.20 Morning Tea

11.20 am
4A:	Does HR-QOL Assessment Inform Practice Improvement? Four Perspectives. *(Lake Superior)* This session is sponsored by ISOQOL and AstraZeneca. *Chair:* Dr Madeleine King, Centre for Health Economics, Research and Evaluation.
11.20	Prof Alan Coates	HRQOL in clinical trials - the research perspective.
11.40	Ms Sophie Hill	HRQOL and consumers - Cochrane’s perspective.
12.00	Dr Sue-Anne McLachlan	HRQOL in the clinic - a clinician’s perspective.
12.20	Ms Charmaine Weeks	HRQOL and hospital quality improvement - ARCHI's perspective.

11.20 am
4B:	Mental Health Outcomes Measurement Issues. *(Lake Michigan)* This session is sponsored by the Mental Health and Suicide Prevention Branch, Department of Health and Ageing and the NZ Mental Health Research and Development Strategy. *Chair:* Dr Jane Pirkis, Centre for Health Program Evaluation, University of Melbourne.
11.20	Mr Douglas Holmes	Outcome measures from a NSW mental health consumer perspective.
11.40	Ms Sarah Gordon (NZ) & Ms Lynne Pere (NZ)	Preliminary work towards the development of a self-assessed measure of consumer outcome for New Zealand.
12.00	Assoc Prof Tom Trauer	Health of the Nation Outcome Scales (HoNOS). Has the time come for revision?
12.20	Dr Gail Robinson (NZ)	Preliminary work towards the development of an alcohol and other drug treatment outcomes measurement system.

11.20 am
4C:	Population Health Based Approaches: Issues and Datasets. *(Lake Huron)* *Chair:* Professor David Ellwood, Canberra Clinical School.
11.20	Mr Frank Evans	Evidence-based needs assessment and health outcomes improvements in the Upper Murray.
11.40	Mr Brett Shorten & Ms Allison Shorten	Impact of private health insurance incentives on obstetric outcomes in NSW hospitals.
12.00	Ms Shyamala Nadathur	Interrogation of the VAED: Can it provide useful measures of care process and outcome?
12.20	Dr Dennis Tannenbaum	Disease management systems and their implications for outcomes.

11.20 am

4D:

Discussion Group: From QI to Quality Systems - Key Lessons from the Clinical Support Systems Program. (Lake Nyanza/Geneva)

Facilitators: Mr Paul Long, Clinical Support Systems Project, Royal Australasian College of Physicians, and Dr Jill Sewell, The Royal Australasian College of Physicians and Chair of the National Institute of Clinical Excellence.

12.45 - 1.30 Lunch

12.45 - 1.30 Poster Presentations (Lake Hakone)

1.30 pm
5A:	Health Outcomes: Economic Modelling and Assessing Cost Effectiveness (ACE). *(Lake Superior)* *Chair:* Professor Kathy Eagar, Centre for Health Service Development.
1.30	Prof Jeff Richardson	An Australian measure for cost utility analysis: AQoL Mark 2.
1.50	Dr Graeme Hawthorne	The excess cost of depression in South Australia.
2.10	Ms Anne Magnus	ACE - Mental health. Pharmacological interventions for psychosis.
2.30	Ms Cathy Mihalopoulos	ACE - Mental health. Non-pharmacological interventions for psychosis.

1.30 pm
5B:	Development of Health Outcomes Measures and Data Sets. *(Lake Michigan)* *Chair:* Assoc Prof Libby Kalucy, Primary Health Care Research and Imformation Service (PHCRIS).
1.30	Ms Leanne Whaites	Development of the measure of the quality of life of parents caring for a child with a Lysosomal Storage Disorder (LSD).
1.50	Ms Rachel Barton	A unique, open-ended patient and carer self-reported incontinence tool - a pilot study.
2.10	Prof Graham Mellsop (NZ)	Analysis of New Zealand mental health clinical outcomes data
2.30	Ms Michelle Hudoba	Who does what and when? The first steps towards improving data quality in routine mental health outcomes measurement.

1.30 pm
5C:	Health Outcomes Measurement and Data Issues. *(Lake Huron)* *Chair:* Dr Bruce Shadbolt, Centre for Advances in Epidemiology and Information Technology.
1.30	Dr Travis Gee	The case for personally-salient, environmentally-sensitive health outcome measures.
1.50	Dr Pim Kuipers	Evaluating rehabilitation outcome measures against consumer perspectives as expressed in individual rehabilitation goals.
2.10	Dr Rod O’Connor	What is a ‘dimension’? Rasch Analysis and Classical Test Theory, and the role of Criterion-related validity.
2.30	Dr Desley Kassulke	Outcomes of major injuries occurring as a result of road traffic accidents in Queensland in the year 2000: some measurement issues.

1.30 pm
5D:	Discussion Group: Mental Health Outcomes: Lessons Learnt and Challenges for Implementation. *(Lake Nyanza/Geneva)* This session is sponsored by the Mental Health and Suicide Prevention Branch, Department of Health and Ageing and the NZ Mental Health Research and Development Strategy. *Chair:* Mr Tim Coombs, Illawarra Institute for Mental Health, University of Wollongong. Panel
	Ms Helen Connor	Consumer Representative, Mental Health Council of Australia
	Dr Aaron Groves	Office of Mental Health, Department of Health (WA) (To be confirmed)
	Ms Judy Hardy	Carer Representative, Mental Health Council of Australia
	General discussion: 2.00pm – 3.00pm

3.00 - 3.20 Afternoon Tea

3.20 pm
6A:	Health Outcomes: Clinical Applications (2). *(Lake Superior)* *Chair:* Dr Anthony Oldfield, The Canberra Hospital.
3.20	Dr Ian Scott	"Hands up!" for service improvement. Do you surrender?
3.40	Mr Mitchell Byrne	Psychology and the enhancement of medication adherence.
4.00	Ms Sharon Davis	Improving mental health outcomes by targeting predictors of CBT drop-out and success.
4.20	Ms Jenny Petto & Mr Tim Coombs	Training in outcome measures: supporting sustainable implementation through the development of trainers.

3.20 pm
6B:	Health Outcomes: Program Evaluation. *(Lake Michigan)* *Chair:* Assoc Prof Libby Kalucy, Primary Health Care Research and Imformation Service (PHCRIS).
3.20	Assoc Prof Sam Garrett-Jones	Evaluating national health and medical research: international bench-marks and evaluation issues.
3.40	Dr Peter Harvey & Dr Jeff Fuller	The Sharing Health Care SA chronic illness self-management program – local evaluation model and early impact.
4.00	Dr Mary Haines	National evaluation of the second round of the Coordinated Care Trials - Indigenous and mainstream health outcome evaluation overview.
4.20	Mr Ray Quigley	Developing robust process mapping strategies for aggregating across demonstration projects.

3.20 pm
6C:	Health Outcomes: Particular Populations. *(Lake Huron)* *Chair:* Dr Kate Senior, Centre for Health Service Development.
3.20	Dr Sharon Chalmers	Health, culture and diversity. Whose responsibility?
3.40	Ms Lyndall Mollart & Ms Marian Bullard	Changing practice and improving care: midwives and families.
4.00	Ms Marina Zuzic	Preventing antisocial behaviour in early childhood - the PALS Programme.
4.20	Ms Elissa O’Keefe	Sex, drugs and hip-hop. Investigating sexual health outcomes in a senior school-aged population.

3.20 pm
6D:	*Discussion Group: Mental health outcomes: the process is as important as the outcome.(Lake Nyanza/Geneva)* This session is sponsored by the Mental Health and Suicide Prevention Branch, Department of Health and Ageing and the NZ Mental Health Research and Development Strategy. Chair: Ms Janet Peters, NZ Mental Health Research and Development Strategy. Panel**
	Ms Jennifer Chipps	New Zealand National Mental Health Outcomes Initiative
	Professor Graham Mellsop	South Auckland Clinical School, University of Auckland
	Mr Jim Burdett	Consumer Advisor to NZ Mental Health Research and Development Strategy
	General discussion: 3.50pm – 4.45pm

4.45 END OF CONFERENCE