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Table 1 A priori categories for structure, process and outcome elements of the Aged Care Rapid Response Team

From: Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents

Category Definition
STRUCTURES
Resident health needs The necessity of ED transfer and/or hospital admission when an RACF resident becomes unwell
Comorbidity The presence of two or more co-occurring medical conditions
Functional decline The loss of physical and/or cognitive abilities
End of life RACF residents at the end stage of life
Family needs Needs and expectations of the family of an unwell RACF resident
Health professional ARRT team roles (Geriatrician, Clinical Nurse Consultants, Aged Care Registrar)
Experience Experience required by ARRT staff to perform their role
Knowledge Knowledge required by ARRT staff to perform their role
Skills Skills required by ARRT staff to perform their role
Organisation Physical and organisational factors required to deliver ARRT
Setting Program description and characteristics
Resources Resources required by ARRT to operate. Includes access to technology.
Workload Amount/difficulty of work assigned to ARRT staff
Barriers Challenges in delivering ARRT
Enablers Facilitators for delivering ARRT
Residential Aged Care Facility RACF staff roles
Training Training required by RACF staff roles to perform their role
Knowledge Knowledge required by RACF staff to perform their role
Skills Skills required by RACF staff to perform their role
PROCESSES
Proactive Care A person-centred, preventative approach to the care of unwell RACF residents
Access to skilled care providers Rapid access to appropriate decision making and care. Includes capacity to access additional expertise e.g. nurse practitioners, allied health practitioners, pharmacists, geriatricians, palliative care specialists, medicolegal and referrals for specialist services
Coordinated care Delivering care that is integrated between multiple providers and services
CGA An assessment of medical, social, and functional needs, and the development of a coordinated care
Advance Care Planning Resident’s preferences for future care
Capability building of RACF staff Improving care through sharing knowledge and skills with RACF staff
Risk stratification Identification of RACF residents who are at risk of hospitalisation and likely to benefit from ARRT intervention
Partnerships Hospitals, RACFs, ambulance services and GPs working together to achieve shared goals
Communication Exchange of information regarding the care of RACF residents
Interpersonal communication Sharing of information between health professionals, RACF residents and the families via personal interactions
Information transfer The handover of resident health data from one care provider to another
OUTCOMES
Resident health Effect of ARRT on health of unwell RACF residents
Resident managed in RACF Factors involved in RACF-based management of unwell RACF resident
Resident transferred to ED Factors involved in ED transfer of unwell RACF residents
Resident admitted to hospital Factors involved in hospital admission of unwell RACF residents
Adverse events Adverse events associated with ED transfer/hospital admission of unwell RACF residents
Health system utilisation Effect of ARRT on the use of hospital services by unwell RACF residents
Health professional Effect of ARRT on health professionals involved in the care of unwell RACF residents
ADAPTABILITY AND RESPONSIVENESS ARRT’s ability to adapt to changing circumstances e.g. pandemics/disasters
COVID-19 All COVID-19 information
  1. CGA Comprehensive Geriatric Assessment, ED Emergency Department, RACF Residential aged care facility