Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study
Introduction To understand the variation in performance between community hospitals, our objectives are: to measure the relative performance (cost efficiency) of rehabilitation services in community hospitals; to identify the characteristics of community hospital rehabilitation that optimise per...
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| Language: | English |
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BMJ Publishing Group Ltd
2017
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| Online Access: | https://eprints.nottingham.ac.uk/40370/ |
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| author | Gladman, John R.F. Buckell, John Young, John Smith, Andrew Hulme, Claire Saggu, Satti Godfrey, Mary Enderby, Pam Teale, Elizabeth Longo, Roberto Gannon, Brenda Holditch, Claire Eardley, Heather Tucker, Helen |
| author_facet | Gladman, John R.F. Buckell, John Young, John Smith, Andrew Hulme, Claire Saggu, Satti Godfrey, Mary Enderby, Pam Teale, Elizabeth Longo, Roberto Gannon, Brenda Holditch, Claire Eardley, Heather Tucker, Helen |
| author_sort | Gladman, John R.F. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Introduction
To understand the variation in performance between community hospitals, our objectives are: to measure the relative performance (cost efficiency) of rehabilitation services in community hospitals; to identify the characteristics of community hospital rehabilitation that optimise performance; to investigate the current impact of community hospital in-patient rehabilitation for older people on secondary care and the potential impact if community hospital rehabilitation was optimised to best practice nationally; to examine the relationship between the configuration of intermediate care and secondary care bed use; and to develop toolkits for commissioners and community hospital providers to optimise performance.
Methods and analysis
Four linked studies will be performed.
Study 1: Cost efficiency modelling will apply econometric techniques to datasets from the NHS Benchmarking Network surveys of community hospital and intermediate care. This will identify community hospitals’ performance and estimate the gap between high and low performers. Analyses will determine the potential impact if the performance of all community hospitals nationally was optimised to best performance, and examine the association between community hospital configuration and secondary care bed use.
Study 2: A national community hospital survey gathering detailed cost data and efficiency variables will be performed.
Study 3: In-depth case studies of three community hospitals, two high and one low performing, will be undertaken. Case studies will gather routine hospital and local health economy data. Ward culture will be surveyed. Content and delivery of treatment will be observed. Patients and staff will be interviewed.
Study 4: Co-designed web-based quality improvement toolkits for commissioners and providers will be developed, including indicators of performance and the gap between local and best community hospitals performance. Ethics and dissemination Publications will be in peer reviewed journals, reports will be distributed through stakeholder organisations. Ethical approval was obtained from the Bradford Research Ethics committee (reference: 15/YH/0062). |
| first_indexed | 2025-11-14T19:41:39Z |
| format | Article |
| id | nottingham-40370 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T19:41:39Z |
| publishDate | 2017 |
| publisher | BMJ Publishing Group Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-403702020-05-08T12:15:16Z https://eprints.nottingham.ac.uk/40370/ Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study Gladman, John R.F. Buckell, John Young, John Smith, Andrew Hulme, Claire Saggu, Satti Godfrey, Mary Enderby, Pam Teale, Elizabeth Longo, Roberto Gannon, Brenda Holditch, Claire Eardley, Heather Tucker, Helen Introduction To understand the variation in performance between community hospitals, our objectives are: to measure the relative performance (cost efficiency) of rehabilitation services in community hospitals; to identify the characteristics of community hospital rehabilitation that optimise performance; to investigate the current impact of community hospital in-patient rehabilitation for older people on secondary care and the potential impact if community hospital rehabilitation was optimised to best practice nationally; to examine the relationship between the configuration of intermediate care and secondary care bed use; and to develop toolkits for commissioners and community hospital providers to optimise performance. Methods and analysis Four linked studies will be performed. Study 1: Cost efficiency modelling will apply econometric techniques to datasets from the NHS Benchmarking Network surveys of community hospital and intermediate care. This will identify community hospitals’ performance and estimate the gap between high and low performers. Analyses will determine the potential impact if the performance of all community hospitals nationally was optimised to best performance, and examine the association between community hospital configuration and secondary care bed use. Study 2: A national community hospital survey gathering detailed cost data and efficiency variables will be performed. Study 3: In-depth case studies of three community hospitals, two high and one low performing, will be undertaken. Case studies will gather routine hospital and local health economy data. Ward culture will be surveyed. Content and delivery of treatment will be observed. Patients and staff will be interviewed. Study 4: Co-designed web-based quality improvement toolkits for commissioners and providers will be developed, including indicators of performance and the gap between local and best community hospitals performance. Ethics and dissemination Publications will be in peer reviewed journals, reports will be distributed through stakeholder organisations. Ethical approval was obtained from the Bradford Research Ethics committee (reference: 15/YH/0062). BMJ Publishing Group Ltd 2017-02-01 Article PeerReviewed application/pdf en cc_by https://eprints.nottingham.ac.uk/40370/8/Mocha%20e010483.full.pdf Gladman, John R.F., Buckell, John, Young, John, Smith, Andrew, Hulme, Claire, Saggu, Satti, Godfrey, Mary, Enderby, Pam, Teale, Elizabeth, Longo, Roberto, Gannon, Brenda, Holditch, Claire, Eardley, Heather and Tucker, Helen (2017) Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study. BMJ Open, 7 . e010483/1-e010483/9. ISSN 2044-6055 Community hospitals; Mixed method research; Health economics; Geriatric medicine; Health services administration and management http://bmjopen.bmj.com/content/7/2/e010483.info doi:10.1136/bmjopen-2015-010483 doi:10.1136/bmjopen-2015-010483 |
| spellingShingle | Community hospitals; Mixed method research; Health economics; Geriatric medicine; Health services administration and management Gladman, John R.F. Buckell, John Young, John Smith, Andrew Hulme, Claire Saggu, Satti Godfrey, Mary Enderby, Pam Teale, Elizabeth Longo, Roberto Gannon, Brenda Holditch, Claire Eardley, Heather Tucker, Helen Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study |
| title | Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study |
| title_full | Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study |
| title_fullStr | Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study |
| title_full_unstemmed | Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study |
| title_short | Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study |
| title_sort | understanding the models of community hospital rehabilitation activity (mocha): a mixed method study |
| topic | Community hospitals; Mixed method research; Health economics; Geriatric medicine; Health services administration and management |
| url | https://eprints.nottingham.ac.uk/40370/ https://eprints.nottingham.ac.uk/40370/ https://eprints.nottingham.ac.uk/40370/ |