Welcome to No Harm Done Episode 7 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. Most of this episode is dedicated to grappling with the big, hairy issue of cost and quality. Understanding a bit about this can help a lot with getting high quality care high on the executive agenda! We also answer a frequently asked question about reporting and look at the role of families in the care of their hospitalized loved ones.
What would you like us to talk about next? Send us a message below!
QQ and TLDR: Our ‘Quality Quandary’ and ‘Too Long Didn’t Read’ in this episode is the cost and quality conundrum. We know that poor care quality is bad for consumers and staff: and it also costs a bomb. This is something we should talk about and integrate a lot more than we do. Funders are trying to do something about it: but will it work? And what can you do?
1:15 Consultation paper on the pricing framework for Australian public hospital services 2019-2020. https://www.ihpa.gov.au/consultation/past-consultations/pricing-framework-australian-public-hospital-services-2018-19
Medical records and data-driven healthcare animated video: https://www.youtube.com/watch?v=VZ1Wvb0dvGI
15:00 DRDR (Did Read – Do Read): We continue the cost and quality theme with three articles/papers that explore the pros and cons of linking quality to funding.
Withdrawing funding for hospital mistakes probably won’t lead to better care. https://theconversation.com/withdrawing-funding-for-hospitals-mistakes-probably-wont-lead-to-better-patient-care-88241
21:15 Adler L, Yi D, Li M, McBroom B, Hauck L, Sammer C, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. Journal of Patient Safety. 2018;14(2):67-73. https://dx.doi.org/10.1097/PTS.0000000000000171
Duckett S and Jorm C. ‘Safer Care Saves Money’ report from the Grattan Institute, August 2018. https://grattan.edu.au/home/health/
33:15 THE POINT: Here we focus on patients/consumers and their perspectives. Yes, this is the entire point of what we do! Here we review a really useful article on the role of families in hospital care, which also applies to aged care or any setting where families are involved in a loved one’s care or services.
Barriers and facilitators to family participation in the care of their hospitalized loved ones. Patient Experience Journal: Vol. 5 : Iss. 1 , Article 9. Available at: http://pxjournal.org/journal/vol5/iss1/9
39:15 FAAAQS (Frequently asked and answered questions): What should be reported to a board and/or executive about care quality and safety?
4 thoughts on “NHD Episode 7 At What Cost?”
This was my first experience of listening to your podcasts… must admit it took three installments to get to the end, but was worth every minute.
Thanks Noela! We really appreciate you taking the time to get to the end! – and are glad it was worth it. Please feel free to share NHD with anyone you think might be interested. We look forward to your comments on our other episodes and any suggestions for topics you have. Cheers!
A very hospital-focused episode, and I wondered f there are any figures on errors within community health services too.
Hi Audrey – yes! – that’s because there aren’t any. Or any that are easy to find. There’s research on it – have a look at Google to see what you can find. But most published data on error is still from hospitals.