CareTrack Kids

An internationally significant study into the standard of healthcare for children in Australia

Project Members - Macquarie University
Project Main Description

CareTrack Kids is a landmark national study investigating the standard of healthcare provided to children in Australia. By examining 17 common childhood conditions, the study measured adherence by GPs and paediatricians to clinical practice guideline recommendations and identified barriers that prevent appropriate delivery. The study also measured the frequency and nature of adverse events involving children in our healthcare system, offering a unique opportunity to address safety deficiencies. This research will underpin the future efficient, safe and effective delivery of healthcare to children in Australia. 

Update 21 March 2018: Results from the CareTrack Kids study published in the Journal of the American Medical Association show children in Australia receive care in line with clinical practice guideline recommendations on average 60 percent (59.8 per cent) of the time for 17 common medical conditions. Read details of the report here.

Journal of the American Medical Association

Link to abstract: Quality of Health Care for Children in Australia 2012-2013

Sydney Morning Herald

Read opinion piece by Professor Jeffrey Braithwaite under 'Resources' below: Spoonfuls of advice help the medicine go down, 28 March 2018

The Health Report, ABC Radio

Download interview with Professors Jeffrey Braithwaite and Cliff Hughes: Are Australia’s kids receiving best-quality care? 16 April 2018

Aims
  1. To obtain national agreement on sets of indicators for management of 17 common paediatric conditions.
  2. To measure the appropriateness of healthcare delivered to children in Australia in acute healthcare settings.
  3. To measure the frequency and type of adverse events in children in Australia.
Project Contacts
Mr Peter Hibbert
Program Manager
0414 253 461
 
 
 
Publications

Braithwaite J, Hibbert P, Jaffe A, White L, Cowell C, Harris M, Runciman W, Hallahan AR, Wheaton G, Williams H, Murphy E, Molloy C, Wiles L, Ramanathan S, Arnolda G, Ting HP, Hooper TD, Szabo N, Wakefield JG, Hughes CF, Schmiede A, Dalton C, Dalton S, Holt J, Donaldson L, Kelley E, Lilford R, Lachman P, Muething S. The quality of health care for children in Australia. Journal of the American Medical Association. 2018; 319(11):1113-24.

 

Braithwaite J. Less than two in three treatments for common childhood ills meet guidelines. The Lighthouse. 2018 April 9.

 

Ramanathan SA, Hibbert P, Maher C, Day RO, Hindmarsh DM, Hooper TD, Hannaford A, Runciman WB. CareTrack: toward appropriate care for low back pain. Spine. 2017; 42(13):E802-E9.

 

Hibbert PD, Hallahan AR, Muething S, E, Lachman P, Hooper TD, Wiles LK, Jaffe A, White L, Wheaton GR, Runciman WB, Dalton S, Williams HM, Braithwaite J. CareTrack Kids–Part 3 Adverse events in children’s healthcare in Australia: Study protocol for a retrospective medical record review. BMJ Open. 2015; Published Online First: 8 April 2015(5:e007750).

 

Hooper TD, Hibbert PD, Mealing N, Wiles L, Jaffe A, White L, Cowell CT, Harris MF, Runciman WB, Goldstein S, Hallahan AR, Wakefield JG, Murphy E, Lau A, Wheaton GR, Williams HM, Hughes C, Braithwaite J. CareTrack Kids–Part 2 Assessing the appropriateness of the healthcare delivered to Australian children: A study protocol for a retrospective medical record review. BMJ Open. 2015; Published Online First: 8 April 2015(5:e00774).

 

Wiles LK, Hooper TD, Hibbert PD, White L, Mealing N, Jaffe A, Cowell CT, Harris MF, Runciman WB, Goldstein S, Hallahan AR, Wakefield JG, Murphy E, Lau A, Wheaton GR, Williams HM, Hughes C, Braithwaite J. CareTrack Kids–Part 1 Assessing the appropriateness of healthcare delivered to Australian children: A study protocol for clinical indicator development. BMJ Open. 2015; Published Online First:  8 April 2015(5:e007748).

 

Runciman WB, Hunt TD, Hannaford NA, Hibbert PD, Westbrook JI, Coiera E, Day RO, Hindmarsh DM, McGlynn EA, Braithwaite J. CareTrack: Assessing the appropriateness of healthcare delivery in Australia. Medical Journal of Australia. 2012; 197(2):100-5.

 

Runciman WB, Coiera E, Day RO, Hannaford NA, Hibbert PD, Hunt TD, Westbrook JI, Braithwaite J. Towards the delivery of appropriate healthcare in Australia. Medical Journal of Australia. 2012; 197(2):78-81.

 

Hunt T, Ramanathan SA, Hannaford NA, Hibbert PD, Braithwaite J, Coiera E, Day RO, Westbrook JI, Runciman WB. CareTrack Australia: Assessing the appropriateness of adult healthcare: Protocol for a retrospective medical record review. BMJ Open. 2012; 2(1):e000665.

Collaborative Partners

Financial

The following jurisdictions and organisations are supporting the project as partners:

  • NHMRC
  • BUPA Health Foundation
  • The Sydney Children’s Hospitals Network, New South Wales
  • New South Wales Kids and Families
  • Children’s Health Queensland
  • South Australia Department of Health

Non-financial

  • Clinical Excellence Commission
Project Team Details

  Chief Investigators

  • Professor Jeffrey Braithwaite, Founding Director, Australian Institute of Health Innovation, Director, Centre for Healthcare Resilience and Implementation Science, Macquarie University
  • Professor Les White, Chief Paediatrician, NSW and University of New South Wales
  • Professor Chris Cowell, Director of Research, Sydney Children’s Hospitals Network
  • Professor Adam Jaffé, John Beveridge Professor of Paediatrics, University of New South Wales
  • Professor Mark Harris, Foundation Professor of General Practice, Centre for Primary Health Care and Equity, University of New South Wales

Associate Investigators

  • Associate Professor Stan Goldstein, Bupa Health Foundation
  • Associate Professor Andrew Hallahan, Children’s Health Queensland
  • Professor Cliff Hughes, Clinical Excellence Commission
  • Associate Professor Elisabeth Murphy, NSW Kids and Families
  • Dr Annie Lau, AIHI, Macquarie University
  • Adjunct Professor John Wakefield, Children’s Health Queensland
  • Professor Bill Runciman, Australian Patient Safety Foundation and University of South Australia
  • Dr Gavin Wheaton, South Australia Statewide Child Health Clinical Network
  • Dr Helena Williams, General Practitioner, Board Member of Australian Commission on Safety and Quality in Healthcare

International Advisory Group

  • Professor Sir Liam Donaldson, World Health Organisation, Imperial College, London, UK
  • Dr Ed Kelley, World Health Organisation
  • Professor Richard Lilford, University of Birmingham, UK
  • Dr Peter Lachman, Great Ormond St Hospital for Children NHS Trust, UK
  • Associate Professor Stephen Muething, Cincinnati Children’s Hospital Medical Center, Ohio, US

Project Staff

  • Dr Shanthi Ramanathan, UniSA
  • Mr Peter Hibbert, AIHI, Macquarie University
  • Dr Louise Wiles, UniSA
  • Ms Charli Molloy, AIHI, Macquarie University
  • Ms Pei Ting, AIHI, Macquarie University

Clinical Champions

Clinical Champion

Affiliations

Dr Sarah Dalton

Clinical Excellence Commission, NSW

The Children’s Hospital at Westmead, NSW

Assoc Prof Andrew Hallahan

Lady Cilento Children’s Hospital, QLD

Dr Jonny Taitz

Clinical Excellence Commission, NSW

Dr Sue Woolfenden

Sydney Children’s Hospital, NSW

Dr Ruth Selig

Mosman, NSW.

Prof Adam Jaffe

Discipline of Paediatrics, School of Women’s and Children’s Health, UNSW

Dr Vanessa Sarkozy

School of Women’s and Children’s Health, UNSW

Assoc Prof Susan Moloney

Gold Coast University Hospital, QLD

Prof Chris Cowell

Sydney Children’s Health Network, NSW

Dr Joanne Morris

School of Medicine, University of Western Sydney, NSW

Dr Gavin Wheaton

Women’s and Children’s Hospital, SA

Dr David Moore

Women's and Children's Hospital, SA

Dr Philip Coote

Royal Prince Alfred Hospital, NSW

Assoc Prof Elisabeth Murphy

NSW Kids and Families, NSW

Dr Bronwyn Gould

Paddington, NSW

Prof Mark Harris

Centre for Primary Health Care and Equity, UNSW

Dr Helen K Young

Royal North Shore Hospital, NSW

Dr Carl De Wet

Logan Hyperdome Doctors, QLD

Dr Helena Williams

Russell Clinic, SA

Dr Paresh Dawda

Ochre Health, ACT

 

Project Status
Current