Background Clinical quality registries (CQRs) monitor compliance against optimal practice and pro... more Background Clinical quality registries (CQRs) monitor compliance against optimal practice and provide feedback to the clinical community and wider stakeholder groups. Despite a number of CQRs having incorporated the patient perspective to support the evaluation of healthcare delivery, no recommendations for inclusion of patient-reported outcome measures (PROMs) in CQRs exist. The aim of this study was to develop a core set of recommendations for PROMs inclusion of in CQRs. Method An online two-round Delphi survey was performed among CQR data custodians, quality of life researchers, biostatisticians and clinicians largely recruited in Australia. A list of statements for the recommendations was identified from a literature and survey of the Australian registries conducted in 2019. The statements were grouped into the following domains: rationale, setting, ethics, instrument, administration, data management, statistical methods, and feedback and reporting. Eighteen experts were invited...
Australia has recently implemented an activity - based funding system for public hospitals. Polic... more Australia has recently implemented an activity - based funding system for public hospitals. Policymakers and providers are keen to ensure that the price paid for health care services stimulates improvements in quality and safety , but some remain scept ical that this can be achieved through pricing mechanisms. There are four main ways of linking quality and safety to hospital pricing in the context of activity based funding: Best-practice pricing This involves making evidenced - based decisions on what constitutes ‘best-practice’ for the treatment of a particular condition, then paying health services a set price when they provide best-practice care. Normative pricing This involves using price to influence the delivery of care (for example, providing incentives to deliver more care in the home for certain conditions or to provide day surgery options where appropriate). Structural models of pricing quality This involves linking funding to meeting accreditation standards or participat...
The revised urinary incontinence scale: A clinical validation
The Australian and New Zealand Continence Journal, 2015
The Revised Urinary Incontinence Scale was developed as a short, psychometrically sound measure f... more The Revised Urinary Incontinence Scale was developed as a short, psychometrically sound measure for epidemiological and outcomes research. The aims of the clinical evaluation reported here were to compare the validity and responsiveness of the Revised Urinary Incontinence Scale with other measures recommended by the International Continence Society and to establish interim cut-points for scores that correspond with condition severity as defined by patients, clinicians and other indicators. The participants were 167 consecutive female patients, recruited from seven Australian continence clinics, who completed questionnaires before and after continence treatment. Treatment could be: advice from a continence nurse, physiotherapy or surgery. Measures included the Revised Urinary Incontinence Scale, the International Consultation of Incontinence-Urinary Incontinence-Short Form, the Urogenital Distress Inventory-6 and the Incontinence Severity Index. Data after treatment were available fr...
The Health Outcomes Jigsaw This section will provide a brief overview of both the Australian and ... more The Health Outcomes Jigsaw This section will provide a brief overview of both the Australian and international focus on health outcomes. Definitions and a health outcomes framework will be explored. The health outcomes focus will be discussed in relation to population health and health gain, quality improvement activities, best practice guideline development and benchmarking activities that may be undertaken by health and community care organisations. The consumer/client focus of health outcomes will be discussed.
In the past 4 weeks Do you leak, have accidents or lose control with solid stool? (WFCGS) Do ... more In the past 4 weeks Do you leak, have accidents or lose control with solid stool? (WFCGS) Do you leak, have accidents or lose control with liquid stool? (WFCGS) Do you leak stool if you don’t get to the toilet in time? Does stool leak so that you have to change your underwear? Does bowel or stool leakage cause you to alter your lifestyle? (WFCGS) Scoring is by simple summation, and the range is 0-20 with 0 indicating no incontinence.
American journal of Alzheimer's disease and other dementias, Jan 16, 2016
This literature review focused on the experience, care, and service requirements of people with y... more This literature review focused on the experience, care, and service requirements of people with younger onset dementia. Systematic searches of 10 relevant bibliographic databases and a rigorous examination of the literature from nonacademic sources were undertaken. Searches identified 304 articles assessed for relevance and level of evidence, of which 74% were academic literature. The review identified the need for (1) more timely and accurate diagnosis and increased support immediately following diagnosis; (2) more individually tailored services addressing life cycle issues; (3) examination of the service needs of those living alone; (4) more systematic evaluation of services and programs; (5) further examination of service utilization, costs of illness, and cost effectiveness; and (6) current Australian clinical surveys to estimate prevalence, incidence, and survival rates. Although previous research has identified important service issues, there is a need for further studies with...
The National ACAT Review (Communio, 2007) recommended that Aged Care Assessment Program (ACAP) Of... more The National ACAT Review (Communio, 2007) recommended that Aged Care Assessment Program (ACAP) Officials seek expert advice to identify a set of specific assessment tools that were valid for use by the ACAP and to develop criteria for their use by Aged Care Assessment Teams (ACATs).
Validation and field trials of the assessment tool for aged care software Validation and field tr... more Validation and field trials of the assessment tool for aged care software Validation and field trials of the assessment tool for aged care software guide v 1.0 guide v 1.0
Concrete is one of the well-known construction materials. However, the production of Portland cem... more Concrete is one of the well-known construction materials. However, the production of Portland cement, an essential constituent of concrete, leads to the release of significant amount of CO2, a greenhouse gas; one ton of Portland cement clinker production is said to creates approximately one ton of CO2 and other greenhouse gases. Environmental issues are playing an important role in the sustainable development of the cement and concrete industry. Today many researches are ongoing into the use of Portland cement replacements, using many waste materials like pulverized fly ash (PFA) and ground granulated blast furnace slag (GGBS). Like PFA and GGBS, a metakaolin is also used as a binder with partial replacement of cement which take some part of reaction at the time of hydration, also it is act as a filler material. Cement replacement by metakaolin in the range 5% to 25% increment of 5% is to be study in addition with basalt rock fibre by volume fraction in range from 0.05% to 0.25% with increment of 0.05%. It was tested for mechanical properties at the age of 7, 28 days and compared with those of conventional concrete.
Uploads
Papers by Janet Sansoni