Initiatives by Category
Aim: The AMBER care bundle provides clinical teams a framework to develop a management plan that may include end of life decisions in collaboration with the patient and family for patients whose recovery is uncertain while continuing with treatment in the hope of a recovery.
Benefits: Early identification of people who may have end of life care needs is the foundation of excellent end of life care. If early identification does not occur then appropriate planning, transfer, interventions and communication with the person and their family cannot take place The AMBER care bundle: Provides a tool to help clinicians identify people for whom recovery is uncertain and who may have end of life care needs Simplifies key interventions to support best practice Supports staff to start...
Ready to Implement Added: 25 June 2013|Last updated: 9 November 2015
Aim: Through sustained improvement in hand hygiene by healthcare staff reduce the risk of healthcare associated infections.
Benefits: Improved health outcomes for patients (reduced morbidity and mortality); Reduced risk transmission of pathogenic organisms to patients, visitors and staff.
Ready to Implement Added: 2 June 2014|Last updated: 2 June 2014
Aim: The 1 Deadly Step program promotes screening, early detection and follow up of chronic disease in Aboriginal communities in NSW. The unique component of 1 Deadly Step is the involvement of sport and its ability to engage Aboriginal people that would not normally be screened for chronic disease. Piloting the program across selected communities in NSW will enable NSW to refine the delivery model before a statewide implementation is developed.
Benefits: The 1 Deadly Step project is an initiative of the Chronic Care for Aboriginal People Program (CCAP). This project demonstrates how the CCAP Model of Care can be used as a framework for designing chronic disease programs targeting Aboriginal people and communities.1 Deadly Step provides an ideal platform on which to establish committed partnerships between local major health service providers such as the Local Health District, Aboriginal Medical Service and Medicare Locals, to improve health outcomes for Aboriginal people and...
Ready to Implement Added: 7 February 2014|Last updated: 4 January 2016
Aim: To foster best practice in the prevention and management of pressure injuries within NSW health facilities.
Benefits: Enhance patient safety by promoting pressure injury prevention and management among health care professionals and patients, in line with the Pan Pacific Clinical Practice Guidelines for the Prevention and Management of Pressure Injury 2012 as evidence based practice.Support local health districts (LHDs) and Networks to meet the Australian Commission on Safety and Quality in Health Care, National Safety and Quality Health Service Standards - Standard 8, Preventing and Managing Pressure Injury.
Pre-implementation Added: 7 November 2013|Last updated: 2 June 2014
Aim: To determine what proportion of eligible patients receive follow up; and whether the provision of enhancement funding has had any impact on rates of follow up. The program also aims to determine whether: Socio-demographic, disease and health service factors predict whether someone receives 48 Hour Follow Up; Compared to Aboriginal people who do not receive 48 Hour Follow Up, whether Aboriginal people who receive follow up have lower rates of 28 day adverse events; Rates of readmission among Aboriginal people...
Benefits: The 48 Hour Follow Up program was conceived as a result of the NSW Walgan Tilly Redesign project, which aimed to address gaps in health care and to improve access for Aboriginal people to chronic care services. The 48 Hour Follow Up program involves following up, within 2 working days of discharge, Aboriginal people aged 15 years and older who are admitted to an acute care facility with a chronic disease.Follow up is mostly carried out by telephone by a...
Ready to Implement Added: 7 February 2014|Last updated: 5 January 2016
Aim: It is proposed that the Supervision for Safety project address NSW Health system deficiencies related to supervision at the point of clinical care. Specifically related to ensuring patient care plans are appropriate and deterioration in patient condition is escalated to the most appropriate level.
Benefits: The Supervision project aims to ensure the appropriate support is provided to less experienced clinicians.The expected project outcomes include:Supervision of the clinical workforce is built into core work practices; Supervision is structured to allow clinicians to be trained without compromising patient care; Supervision provided by clinicians at the point of care is appropriate for the level of expertise of the clinicians involved; Practices are in place to establish the level of expertise of less experienced staff; Supervision is treated as...
Pre-implementation Added: 2 June 2014|Last updated: 2 June 2014
Building on Aboriginal Programs – Improving the Uptake of Aboriginal People into Chronic Disease Rehabilitation
Aim: To identify a number of Local Health District sites with Aboriginal programs that have elements of a chronic disease rehabilitation program, then work with Local Health Districts to apply a gap analysis that has been developed from the NSW Rehabilitation Model of Care to determine and implement the resources required to be recognised as a rehabilitation program.
Benefits: The Chronic Care for Aboriginal People (CCAP) team are investigating innovative ways of improving enrolment and completion of rehabilitation rates for Aboriginal people by building on existing programs that are targeted for Aboriginal people. An example of one such program which already delivers many of the components of a rehabilitation program is the Aunty Jean’s Program. This program was developed to build on community’s capacity to work together for better health outcomes, with leadership provided by local Aboriginal Elders. The...
Ready to Implement Added: 7 February 2014|Last updated: 7 February 2014
Aim: The Blueprint aims to guide services and Local Health Districts in constructing their own localised models of care.
Benefits: The Blueprint emphasises the need for an integrated approach to care whereby relationships between specialist palliative care providers and care providers across all settings of care are fostered. It seeks to enhance networks of support, to build skills and competence in providing care to those approaching and reaching the end of their lives and seeks to better support patients, families and carers along the way.
Ready to Implement Added: 9 November 2015|Last updated: 22 February 2016
Aim: Provide simple strategies to improve the care outcomes of older patients with confusion in NSW hospitals, through:increased staff knowledge and skills to identify, treat and care for older people presenting to their hospitals with confusioninvolvement of carers and families.Achievements, innovation and knowledge will be shared and systems embedded into practice to sustain and spread improvements in care.
Benefits: Increased screening, improved risk assessment and more appropriate treatment and management of confusion.Increased awareness, knowledge and skills of staff to better care for older patients with dementia/delirium.Minimisation of harm during care and safer and more supportive hospital environments.Improved patient outcomes, including:prevention of functional declinereduced morbidity and adverse eventsreduced length of stayreduced readmissionsreduced rate of admission to a residential aged care facility upon discharge.Greater accuracy of coding for delirium DRGs.Reduced per capita cost.
Ready to Implement Added: 13 August 2015|Last updated: 14 August 2015
Aim: The Musculoskeletal Primary Health Care Initiative aims to plan, implement and evaluate a ‘one-stop’ program of care within primary care settings for people who meet the criteria for the need of either the model of care for osteoporotic refracture prevention, osteoarthritis chronic care program, or the draft model of care for acute low back pain.
Benefits: The Musculoskeletal Primary Health Care Initiative proposes the benefits will be that validated musculoskeletal models of care can be provided in primary health care settings with equal or superior outcomes compared to current methods of providing coordinated musculoskeletal health care in hospital based settings.
Ready to Implement Added: 15 July 2014|Last updated: 9 February 2015
Other initiatives related to Chronic Care:
Clinical Excellence Commission