- Two strategies from 2007-2014 increased allied health research output at Alfred Health: growing clinician research skills and increasing team research capacity.
- As a result, allied health publications increased from 17 to 87 per year and grant funding increased 15-30 fold.
- The second strategy from 2012-2015 focused research on themes of excellence, increased health service research, and required higher qualifications for certain appointments to further boost outputs.
1. Increasing Allied Health
Research Output: Leading a Strategy
Ms Lyndell Keating1
Aspro Ibolya Nyulasi1,3
Aspro Natasha Lannin1,2
Prof Anne Holland1,2
Ms Dina Watterson1
1 Alfred Health
2 La Trobe University
3 Monash University
2. Summary
• 2 research strategic plans
– grow clinician skills
– increase team research capacity
• From 2007 - 2014
– allied health publications increased from 17 to 87 per year
– grant funding increased 15 -30 fold
3. Background
• Research is necessary to improve the quality of patient care,
and to provide efficient and cost effective interventions
• Research culture can improve staff satisfaction and retention
Local Drivers
• Modest number of journal publications
• No structures in place
• Clinical workloads, little time for research
4. Strategy 1: 2008 – 2011
Examples of Elements/ Implementation Actions
• Establish research KPIs, reporting structure, and database
• Increase clinician research skills
• Clinical school model
– increase research students
– enhance joint appointments
• Internal research grants
• Publication focus
• Translate evidence into clinical practice
5. Strategy 2: 2012-2015
- Academic Health Science Centre model
- Themes/pillars of excellence
- Cancer ✗
- Cardiovascular ✗
- Infection and Inflammation ✓ CF, pulm rehab
- Critical Care & Trauma ✓musc trauma, neuro-trauma, ICU
- Ageing/Rehabilitation ✓ neuro rehab
- Mental Health Neurology ✗
- Women’s & Children’s Health ✗
6. Strategy 2: 2012 - 2015
Examples of Elements/ Implementation Actions
• Internal grants
• Pillars/themes of research
– Research staff to spend 2/3s+ time on theme
– Research students
– Internal grants & external funding
– Align partnerships
• Increase health service research
• Appointments grade 3+ to have higher quals
10. Allied Health Value Add
Examples of research projects:
•Kimmel et al - HIP 4 Hips: high intensive physio for #NOFs is effective in
reducing LOS in acute hospital
•O’Brien et al 2013 – hand therapy screening and management leads to
reduced need for surgery
•ABI rehabilitation
11. Challenges & Next Steps
• Manager & senior clinician buy-in
– Themes
– Focus on individual projects
• Reliability of research output data
• More work is required to further increase research
outputs
• Further integrate with the AHSC model
Editor's Notes
SOME OUTCOMES
From 2007 to 2014, allied health publications in peer reviewed journals increased from 17 to 87 per year.
To put in context, EFT approximately 330 so 1 publication for every 3.8EFT
Notes:
Where allied health staff is lead author
Peer reviewed publications
Year of publication
Whilst this isn’t a direct outcome regarding research output, it’s indicative of the success of one part of our strategy.
This graph is for the number of staff undertaking Masters or doctorate in that year. These are not specifically just research higher degrees.
It doesn’t include staff who already have a postgrad qualification and we don’t have past data but we know we are currently doing well because as at April 2014, 65% of staff Grade 3 and up had a post-grad qualification. 12% of Grade 3s and up have a doctorate.
This percentage was higher in the disciplines that are more research active.
For example 80% of Grade 3 and up physios have a post grad degree and this department is very research active and Nutrition has 72% of senior staff with a post grad.
Grant funding has increased significantly over recent years and 2015 and 2016 are set to be much higher again due to a few million dollar plus grants coming in from NHMRC and ISCR (Institute for Safety, Compensation and Recovery Research).
This change in grants has largely come about because our key researchers have had more time to spend on building teams of researchers rather than helping individual clinicians with a research project outside their chosen specialty.
Includes internal and external funding,