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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




Resident health needs

The necessity of ED transfer and/or hospital admission when an RACF resident becomes unwell


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 required by ARRT staff to perform their role


Knowledge required by ARRT staff to perform their role


Skills required by ARRT staff to perform their role


Physical and organisational factors required to deliver ARRT


Program description and characteristics


Resources required by ARRT to operate. Includes access to technology.


Amount/difficulty of work assigned to ARRT staff


Challenges in delivering ARRT


Facilitators for delivering ARRT

Residential Aged Care Facility

RACF staff roles


Training required by RACF staff roles to perform their role


Knowledge required by RACF staff to perform their role


Skills required by RACF staff to perform their role


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


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


Hospitals, RACFs, ambulance services and GPs working together to achieve shared goals


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


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


ARRT’s ability to adapt to changing circumstances e.g. pandemics/disasters


All COVID-19 information

  1. CGA Comprehensive Geriatric Assessment, ED Emergency Department, RACF Residential aged care facility