Mr Steve Cadell1
1Central West Rehabilitation Service, CWHHS, Longreach, Australia
Problem: Until 2017, patients residing in Central West Queensland (CW) have been unable to access rehabilitation and restorative care services close to home. Consequently, this has led to increased lengths of stay, resource expenditure and a higher risk of bed-block within the larger regional or tertiary hospitals.
Design: An allied health-led rehabilitation service was established in partnership between Central West Hospital and Health Service and non-governmental aged-care provider Bolton-Clarke Pioneers (BCP).
Setting: The CWRS hub is based in Longreach at BCP where four residential outpatient beds provide clients increased rehabilitation opportunities prior to transitioning home. Allied health assistants are employed at Barcaldine, Blackall and Winton creating a broader hub-and-spoke model utilising telehealth mediums for communication and care delivery.
Key measures for improvement: Outcome measures inclusive of client/stakeholder-satisfaction surveys, service accessibility, responsiveness, burden of care pre/post service and return on investment have been utilised to evaluate service efficacy.
Strategies/Effects of change: Data analysis demonstrates an 8.42% improvement across Lawton’s scores of the clients accessing the service with a 24% return on investment with an exceeded estimate of patients accessing the service prior to end of financial year. Approximately $350,000 is saved in resources across the CW compared to the previous model of care demonstrating a return on investment of ~32%.
Steve Cadell is the Team Leader and Advanced Physiotherapist for the Central West Rehabilitation Service. Steve completed both his Bachelor of physiotherapy and graduate diploma in rehabilitation studies through James Cook University. Currently, he is working towards a research masters in the field of persistent pain specifically in relation to the treatment and management of fibromyalgia related pain. Steve’s passion for physiotherapy resides across a diverse spectrum of mental health, neurology, dementia care and persistent pain management. Steve thoroughly enjoys working in Central West Queensland and since arriving in Longreach 2017, he and his team have established an allied-health led persistent pain management clinic in combination with the current rehabilitation service which too is consolidating and expanding across the Central West Hospital and Health Service.
Steve is an active advocate for rural health and currently represents Central West Hospital and Health Service on numerous projects and steering committees inclusive of the AHPOQ Transition2subacute, Tele-handover project/collaborative and the Statewide Persistent Pain Management Steering Network. In Steve’s spare time he trains in the Thompson River and Longreach Aquatic Center in preparation for swimming the English Channel in 2020 to raise funds for rural dementia care.