Leading Better Value Care

LBVC 5-year Impact 2017-2022

Leading Better Value Care initiatives were rolled out with the aim to improve outcomes and experiences for people with specific conditions. The service models were designed to provide holistic care and reduce the burden on the health system by decreasing emergency department presentations and readmissions. There are some global markers which determine the performance of any health service. We have used some of these indicators to assess the performance of six tranche 1 LBVC services* in 2017-18 as compared to

2021-22 for the LBVC patient cohort only and reviewed the overall impact over a five year period. Decreased emergency department (ED) presentations and readmission rates for LBVC patients show that provision of multidisciplinary services, holistic care and outcome based treatment plans, reduce the burden on the health system and promotes efficiency and effectiveness in patient care. *Osteoarthritis Chronic Care Program (OACCP), Osteoporosis Refracture Prevention (ORP), High Risk Foot Service (HRFS), Renal Supportive Care (RSC), Chronic Heart Failure (CHF) & Chronic Obstructive Pulmonary Disease (COPD).

16.9%

33% 1096 less admissions as compared to 2017-18

4,711 more occasions of service as compared to 2017-18

Outpatient appointments increased by 16.9% due to high enrolment rates and additional services.

Hospital admissions

NAP activity

LBVC CHF & COPD

LBVC OACCP, ORP, HRFS & RSC

10.6% Less as compared to 2017-18

Average 25% 1782 in 2017-18, 5883 in 2021-22

Emergency presentations decreased > 10% due to one-stop-shop service models with medical, nursing and allied health care providers available during the same appointment, ensuring holistic care provision for the patients.

Average 25% increase year on year for OACCP, ORP, HRFS & RSC. Steadily increased enrolment over last five years

ED visits

Patients enrolled OACCP, ORP, HRFS & RSC

OACCP, ORP, HRF, RSC, CHF & COPD

2.3% Less as compared to 2017-18 for CHF & COPD.

8.2% 12% &

Readmission rates are lowered by establishing and enhancing support services like transitional care & rehabilitation provision post discharge.

Average 25% increase year on year for OACCP, ORP, HRFS & RSC.

Readmissions

DNA & cancellation rates

CHF & COPD

OACCP, ORP, HRFS & RSC

6

Western Sydney Local Health District