Dr Melinda Martin-Khan

Research Fellow

Centre for Health Services Research
Faculty of Medicine
m.martinkhan@uq.edu.au
+61 7 3176 5677

Overview

Dr. Melinda Martin-Khan is a health scientist who is focused on improving patient quality of care and patient outcomes through strengthening collaborative health service research with clinicians and consumers. Dr. Martin-Khan is a Research Fellow at the Centre for Health Services Research working in the Ageing and Geriatric Medicine Program (incorporating the Centre for Research in Geriatric Medicine) and the Telehealth Program (incorporating the Centre for Online Health). Previous to becoming a full-time academic, Dr. Martin-Khan has had over 13 years administrative experience as a Chief Executive Officer (CEO) in aged care health services in New South Wales and Victoria.

Dr. Martin-Khan has more than 12 years research experience involving the development, measurement, evaluation and translation into practice of systems for improving the quality of care, patient outcomes, and organisational processes, for people with dementia, and other at risk populations.

In 2009, Dr. Martin-Khan completed a doctorate degree in the field of medicine, by validating the accuracy of cognitive assessment by videoconferencing for the diagnosis of dementia. Establishing a telememory clinic in parallel with the research project to test and garner feedback on protocol design and translation recommendations was an early use of co-design in practice. Co-design (from protocol to implementation and translation) has continued to be important.

Dr. Martin-Khan has developed and sustained an international track record in improving care processes and systems, principally in telehealth and more recently in the use of quality indicators and a focus on public health using ehealth strategies (including dementia risk reduction & dementia registries). In collaboration with Princess Alexandra Hospital, she was instrumental in establishing the telehealth memory clinic which has a weekly telehealth appointment available as part of the standard specialist memory clinic service. Dr. Martin-Khan developed a set of Outcome Quality Indicators (QIs) which have been incorporated as the QIs for the interRAI Acute Care Assessment Instrument (for all adult patients at admission) and interRAI Acute Care - Comprehensive Geriatric Assessment instrument (for all older patients referred for specialist assessment), and are available internationally wherever the interRAI assessments are administered.

Specific research interests include the development of quality indicators, measuring and reporting organisational quality of care outcomes, incorporating telehealth systems into mainstream health care, and communicating dementia risk reduction messages using ehealth. Research achievements have included the validation of the accuracy of diagnosing dementia via videoconferencing; confirming the reliability of online geriatric assessment for discharge decisions; development of outcome, process or structure quality indicators in acute care, emergency department and transition care for older adults (and where applicable, people with cognitive impairment). Current projects include the implementation of a whole of hospital admission acute care assessment system including the use of quality indicators as quality improvement processes; the evaluation of telehealth video conference clinics to support general practice aerial support clinics in remote Australia; a trial dementia clinical quality register in Queensland using routinely collected data; and a dementia risk reduction ehealth strategy using a chronic disease framework to increase public awareness about dementia.

In 2017, Dr. Martin-Khan began a role as lead investigator for the NHMRC Boosting Dementia Grant for improving the identification of patients with cognitive impairment or dementia in acute care. She has been an investigator on grants (Australian and international) of over $14.5M, six of which were NHMRC funded.

In the field of geriatrics, dementia and quality of care, Dr. Martin-Khan has over 97 publications, including 55 papers in peer-reviewed journals, 5 books and 1 book chapter on related topics. Dr. Martin-Khan continues to present her work through publication, national and international conferences and local meetings.

Dr. Martin-Khan is the Chair of the Research Collaboration for Quality Care (RCQC); Chair of the interRAI Instrument Development Working Group for the Community Cognitive Assessment Instrument (CCIA), and the interRAI Acute Care Working Group.

In 2013, Dr. Martin-Khan was offered the appointment of Contact Editor with the Cochrane Dementia and Cognitive Impairment Group. She is a peer-reviewer for 6 other journals.

Research Interests

  • Measuring quality systems in organisations and individuals
    Dr. Martin-Khan measures quality of care to improve patient outcomes. She has developed quality indicators in acute care, emergency department (ED) and transition care for patient groups as diverse as older adults, people with cognitive impairment, and patients with musculoskeletal injuries in ED. The development process included field work and expert panel methodology. This work has transitioned to include testing the connection between quality of care and improvements in care practice and outcomes at an organisational and individual level. She is inaugural Chair of the Research Collaboration for Quality Care, a collaboration she initiated to draw together the work on quality systems and measurement in health service delivery.
  • Dementia
    Patients with dementia and their care needs (from early detection/prevention; diagnosis; to acute hospitalisation and residential care) has been a significant aspect of Dr. Martin-Khan's work. She is interested in continuing to explore the opportunities for improving detection, diagnosis and health care for patients with dementia, and the relationship to health policy. The increased evidence for risk reduction in relation to dementia, and therefore chronic disease, has led to work in the area of translation science and public health. This focus includes a regular blog and the development of a quality health systems approach known as the 'House of Health' for individuals.
  • Telehealth
    Dr. Martin-Khan is focused on the evolution of telehealth as an integral component of health care system delivery; and the opportunities to enhance care delivery for patients with Dementia (including cognitive assessment). Her work includes understanding the diagnostic accuracy of cognitive assessments for teleheath, and the impact on health outcomes in the provision of telemedicine geriatric consultations in acute care and residential care. Dr. Martin-Khan specializes in studies of observer reliability and accuracy. Recent work includes the consideration of quality indicators in telehealth with international collaborators.

Qualifications

  • Master of Health Science, University of South Australia
  • Doctor of Philosophy, The University of Queensland
  • Graduate Certificate in Science, The University of Queensland

Publications

View all Publications

Supervision

  • (2018) Doctor Philosophy

  • Doctor Philosophy

  • Doctor Philosophy

View all Supervision

Publications

Featured Publications

Book

Book Chapter

  • Martin-Khan, Melinda, Freeman, Shannon, Adam, Kevin and Betkus, Georgia (2017). The Evolution of Telehealth. In Hannah R. Marston, Shannon Freeman and Charles Musselwhite (Ed.), Mobile e-Health (pp. 173-198) Cham, Switzerland: Springer International Publishing. doi:10.1007/978-3-319-60672-9_8

Journal Article

Conference Publication

  • Martin-Khan, M. and Alexander, M. S. (2017). Guidance from general practice on dementia prevention knowledge translation priorities. In: RANZCP, Unknown, (118). Unknown.

  • Al Dossary, Sharifah, Martin-Khan, Melinda, Armfield, Nigel and Smith, Anthony (2017). The evaluation of a telemedicine planning framework based on needs assessment. In: International Conference on Successes and Failures in Telehealth (SFT-17), Brisbane, Australia, (). 30-31 October 2017.

  • Al Dossary, Sharifah, Martin-Khan, Melinda, Smith, Anthony and Armfield, Nigel (2016). Assessment of the availability and expressed need for services in Dalby – Queensland. In: Successes and Failures in Telehealth - 7th Annual Meeting of the Australasian Telehealth Society, Auckland, New Zealand, (10-10). 1 - 3 November, 2016.

  • Martin-Khan, M., Gray, L., Beattie, E., Edirippulige, S., Russell, T. and Smith, A. (2016). Challenges in implementing Randomised Control Trials in Health Service Implementation Research: Protocol issues in a telehealth trial in residential aged care. In: Successes and Failures in Telehealth - 7th Annual Meeting of the Australasian Telehealth Society. Successes and Failures in Telehealth 2016, Auckland, New Zealand, (49-49). 1 - 3 November 2016.

  • Schnitker, L., Beattie, E., Gray, L., Burkett, E. and Martin-Khan, M. (2016). Characteristics and care of older people with cognitive impairment attending emergency departments. In: 2016 GSA Annual Scientific Meeting, Crown Promenade Hotel, Melbourne, Victoria, (387). 29 September-1 October 2016. doi:10.1093/geront/gnw162.1554

  • Dallest, Kathy, Bird, Dominique and Martin-Khan, Melinda (2016). Development of the CRE in telehealth policy digest. In: Successes and Failures in Telehealth - 7th Annual Meeting of the Australasian Telehealth Society, Auckland, New Zealand, (91-91). 1 - 3 November, 2016.

  • Martin-Khan, Melinda, Gray, Leonard, Edwards, Helen, Wootton, Richard, Counsell, Stephen and Varghese, Paul (2016). Does using an ‘online’ geriatric assessment procedure for making triage decisions change the way Geriatricians use time to make clinical decisions?. In: Successes and Failures in Telehealth - 7th Annual Meeting of the Australasian Telehealth Society, Auckland, New Zealand, (84-84). 1 - 3 November, 2016.

  • Theodoros, Deborah, Hill, Anne, Hartley, Nicole, Martin-Khan, Melinda, Bird, Dominique, Russell, Trevor, Goodenough, Belinda and Gillespie, Nicole (2016). Innovation to implementation for telehealth (i2i4Telehealth). A practical guide for knowledge translation in telehealth. In: Successes and Failures in Telehealth - 7th Annual Meeting of the Australasian Telehealth Society, Auckland, New Zealand, (69-69). 31 October - 3 November 2016.

  • Siskind, D., Parker, G., Lie, D., Martin-Khan, M., Raphael, B., Crompton, D. and Kisely, S. (2015). Mental health implications for older adults after natural disasters - a systematic review and meta-analysis. In: RANZCP 2015 Congress, Brisbane, Australia, (60-61). 3-7 May 2015. doi:10.1177/0004867415578344

  • Natarajan, Kannan, Salih, Salih, Martin-Khan, Melinda, Edirippulige, Sisira and Gray, Len (2014). Feasibility Study of Tele-health Services for a Residential Aged Care Facility. In: Abstracts of The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting. ANZSGM Annual Scientific Meeting Conference, Melbourne, VIC Australia, (47-47). 28 - 30 May 2014. doi:10.1111/ajag.12178

  • Schnitker, L., Martin-Khan, M., Beattie, E. and Gray, L. (2012). Adverse outcomes and events in older ED patients: a review. In: Abstracts of the Australian Association of Gerontology, 45th National Conference. 45th National Conference of the Australian Association of Gerontology, Brisbane, Australia, (79-79). 20-23 November 2012. doi:10.1111/j.1741-6612.2012.00656.x

  • Schnitker, L., Martin-Khan, M., Burkett, E., Beattie, E. and Gray, L. (2012). Evaluating quality of care of older cognitively impaired ED patients. In: Abstracts of the Australian Association of Gerontology, 45th National Conference. 45th National Conference of the Australian Association of Gerontology, Brisbane, Australia, (51-51). 20-23 November 2012. doi:10.1111/j.1741-6612.2012.00655.x

  • Martin-Khan, M., Brand, C., Gray, L., Jones, R., Morris, J., Tropea, J. and Wright, O. (2012). Outcome indicators to measure quality of care in hospital. In: Abstracts of the Australian Association of Gerontology, 45th National Conference. 45th National Conference of the Australian Association of Gerontology, Brisbane, Australia, (37-38). 20-23 November 2012. doi:10.1111/j.1741-6612.2012.00655.x

  • Martin-Khan, M., Beattie, E., Edirippulige, S., Gray, L. C., Russell, T., Smith, A. C. and Theodoros, D. (2012). Telehealth for nursing homes: utilisation of specialists services. In: Australasian Journal On Ageing. Australian Association of Gerontology, 45th National Conference, Brisbane, Australia, (37-37). 20–23 November 2012. doi:10.1111/j.1741-6612.2012.00655.x

  • Martin-Khan, M., Brand, C., Gray, L., Jones, R., Morris, J., Tropea, J., Wright, O. and Res Collaborative Quality Care (2010). Indicators of quality of care for frail aged patients in the acute care setting. In: Abstracts of the 43nd National Conference of the Australian Association of Gerontology. 43nd National Conference of the Australian Association of Gerontology, Hobart, Tasmania, Australia, (24-24). 17-19 November 2010. doi:10.1111/j.1741-6612.2010.00481.x

  • Byrne, G., Gray, L., Jones, R., Martin-Khan, M., Morris, J., Pachana, N., Travers, C. and Research Collaborative in Quality Care for Older Persons: Dementia Care Panel (2010). Indicators of quality of care for patients with dementia in the acute care setting. In: Abstracts of the 43nd National Conference of the Australian Association of Gerontology, 17-19 November 2010, Hobart, Tasmania. 43nd National Conference of the Australian Association of Gerontology, Hobart, TA, Australia, (25-25). 17-19 November 2010. doi:10.1111/j.1741-6612.2010.00481.x

  • Martin-Khan, M., Gray, L., Rowland, J., Varghese, P. and Wong, L.L. (2010). The reliability of the Rowland Universal Dementia Assessment Scale (RUDAS) via video conferencing. In: Australasian Journal on Ageing. 43nd National Conference of the Australian Association of Gerontology, Hotel Grand Chancellor, Hobart, Tasmania, (25-25). 17-19 November 2010. doi:10.1111/j.1741-6612.2010.00481.x

  • Travers, C., Martin-Khan, M. and Lie, D. (2009). Dementia risk reduction in primary care: barriers and enablers. In: Alzheimer's and Dementia. National Dementia Research Forum 2008, Sydney, Australia, (e6-e6). 18-19 September 2008. doi:10.1016/j.jalz.2009.05.273

  • Martin-Khan, M., Travers, C. and Lie, D. (2009). Evaluation of adherence to dementia risk reduction in everyday practice: a literature review. In: Alzheimer's and Dementia. Australian National Dementia Research Forum 2008, Sydney, Australia, (e13-e13). 18-19 September 2008. doi:10.1016/j.jalz.2009.07.019

  • Martin-Khan, M., Flicker, L., Wootton, R., Loh, P., Edwards, H., Byrne, G., Varghese, P., Beller, E. and Gray, L. (2009). Identifying depression in older adults via video consultation. In: Australian National Dementia Research Forum 2008, Sydney, Australia, (e13-e14). 18-19 September 2008. doi:10.1016/j.jalz.2009.07.020

  • Gray, L., Brand, C., Morris, J., Jones, R., Martin-Khan, M. and Wright, O. (2009). Provisional quality indicators for care of older patients in acute care. In: The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting, “Of Bones, Jointes and Sinewes”: Musculoskeletal Medicine at the end of The Bone and Joint Decade. The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting, “Of Bones, Jointes and Sinewes”: Musculoskeletal Medicine at the end of The Bone and Joint Decade, Fremantle, Australia, (A29-A29). 7–9 September, 2009. doi:10.1111/j.1741-6612.2009.00386.x

  • Travers, C., Lie, D. and Martin-Khan, M. (2008). Dementia risk reduction in primary care: barriers and enablers. In: Abstracts of the 41st National Conference, Australian Association of Gerontology (AAG). 41st National Conference, Australian Association of Gerontology (AAG), Fremantle, WA, Australia, (A58-A58). 18-21 November 2008. doi:10.1111/j.1741-6612.2008.00333.x

  • Cutler, A., Wright, O., Martin-Khan, M., Varghese, P. and Gray, L. C. (2008). Reliability of online geriatric consultation triage decisions. In: The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Melbourne, VIC, Australia, (A122-A122). 8-10 September 2008.

  • Martin-Khan, Melinda, Handyside, Jennifer, Salih, Salih, Wootton, Richard and Gray, Len (2007). A pilot telegeriatrics service in rural Australia. In: E. Krupinski and R. Wootton, 7th International Conference on Successes and Failures in Telehealth, Brisbane, Australia, (104-104). 27-28 August, 2007. doi:10.1258/135763307783247400

  • Martin-Khan, Melinda and Varghese, Paul (2007). A telegeriatric memory disorder service for remote patients using and video-consultation. In: Australian and New Zealand Journal of Psychiatry: Abstracts of the 42nd RANZCP Congress 2007. 42nd RANZCP Congress 2007, Gold Coast, Australia, (A56-A56). 29 April-3 May 2007. doi:10.1080/14401614070410s188

  • Martin-Khan, M., Gray, L., Wootton, R. and Varghese, P. (2007). Differences in diagnosis for cognitive assessment following an in-person physical examination versus a telegeriatric evaluation. In: Susan Quine, Australasian Journal on Ageing. Abstracts from: The 40th National Conference of the Australian Association of Gerontology. AAG 2007: Australian Association of Gerontology 40th National Conference. Beyond 2007, Ageing: Evolution and Revolution, Adelaide, SA, Australia, (A25-A25). 21-23 November 2007. doi:10.1111/j.1741-6612.2007.00254.x

  • Martin-Khan, Melinda, Varghese, Paul, Wootton, Richard and Gray, Len (2007). Successes and failures in assessing cognitive function in older adults using video consultation. In: E. Krupinski and R. Wootton, 7th International Conference on Successes and Failures in Telehealth, Brisbane, Australia, (60-62). 27-28 August, 2007. doi:10.1258/135763307783247211

  • Gray, Len, Vincent, Rochelle, Martin-Khan, Melinda, Varghese, Paul and Wootton, Richard (2006). Processing time for an online geriatric assessment tool. In: Journal of Telemedicine and Telecare: 6th International Conference on Successes and Failures in Telehealth (SFT-6). 6th International Conference on Successes and Failures in Telehealth, Brisbane, Australia, (38-40). 24-25 August, 2006. doi:10.1258/135763306779380165

Other Outputs

Grants (Administered at UQ)

PhD and MPhil Supervision

Note for students: Dr Melinda Martin-Khan is not currently available to take on new students.

Current Supervision

  • Doctor Philosophy — Principal Advisor

    Other advisors:

  • Doctor Philosophy — Associate Advisor

    Other advisors:

  • Doctor Philosophy — Associate Advisor

    Other advisors:

Completed Supervision