Initiatives by Category

Unwarranted Clinical Variation

Clinical Practice Improvement (CPI) Training Program

Aim: The CPI training program provides clinicians with training in a methodology to address a problem or issue they have identified as adversely affecting patients. They then undertake a project to address the problem, with the ultimate aim being to improve patient outcomes / care or patient experiences.

Benefits: The methodology, once learned, can be applied to a variety of clinical settings and enhance patient care and clinical quality. There can be savings both monetary and in decreased length of stay. Some projects successfully manage to reduce variation in what they do and therefore improve processes and standardise care. Teams are interdisciplinary and can work more closely together towards a common goal. The training helps created a pool of staff skilled in quality improvement. Participants can use being on...

CEC Ready to Implement Added: 2 June 2014|Last updated: 2 June 2014

Acute Myeloid Leukaemia (AML) Model of Care

Aim: To optimise the quality of care for patients with AML and enable a consistent approach to the provision of care. It provides a set of principles and outlines the key requirements at each stage of the patient’s journey based on evidence of best practice. It incorporates guidelines related to various components of the model.

Benefits: Key points included in this model are:Mechanisms to ensure early identification and referral to an AML treatment centreA multidisciplinary team (MDT) approach to treatment planning and the provision of care in an appropriate settingThe use of ambulatory care services to enable early discharge programs in a safe and efficient wayEffective follow-up and supportive care for all patients with AML

ACI Pre-implementation Added: 5 November 2013|Last updated: 10 July 2015

Stroke Clinical Variation Statewide Strategy (SCVSS) & Stroke Clinical Audit Process (SCAP) V2

Aim: The SCVSS will ensure the delivery of best quality care through a process which regularly assesses clinical variation , determining and correcting its causes through a quality improvement process on a site by site basis.The SCAP V2 will provide data analysis and support to LHDs to improve service delivery through the development of quality improvement action plans and forums for shared improvement strategies and learning across NSW.

Benefits: Reduction in mortality and functional outcomes for stroke (ischaemic and haemorrhagic) patients admitted to NSW public hospitals.

ACI Ready to Implement Added: 30 June 2015|Last updated: 14 July 2015

Clinical Variation in 30 Day Mortality for Acute Myocardial Infarction

Aim: To examine clinical variation in 30 Day mortality for patients presenting with Acute Myocardial Infarction to hospitals throughout NSW.

Benefits: Increased understanding of the factors that contribute to unwarranted clinical variation (UCV) in 30 day mortality for Acute Myocardial Infarction. If UCV is confirmed there may be opportunities to improve the quality of patient care and decrease length of stay, resulting in reduced costs.

ACI Pre-implementation Added: 6 November 2013|Last updated: 6 November 2013

Reducing Unwarranted Clinical Variation (UCV) Taskforce

Aim: To oversee the development and implementation of a system-wide approachto identify, address and reduce Unwarranted Clinical Variation (UCV).

Benefits: To refine care processes and implement evidence-based models of care tosupport improved patient outcomes.

ACI Ready to Implement Added: 8 November 2013|Last updated: 17 November 2013

Clinical Practice Improvement Program for Advanced Trainees and Recent Fellows

Aim: The purpose for Clinical Practice Improvement (CPI) is to build capacity in front line staff to improve healthcare processes and to achieve efficiency, reduce harm and improve satisfaction of the patient experience; A one-year program aims for Advanced Trainees to gain skills in patient safety and improvement methodology and to undertake a project to improve patient outcomes; A unique program which will help the RACP Advanced Trainees to recognise areas where improvements in the health system are needed, and to...

Benefits: The CPI Program provides an opportunity for RACP Advanced Trainees and recent FRACP graduates to focus on developing their non-technical skills as well as their medical expertise. Quality and safety is central to all aspects of patient care. This program provides the Advanced Trainees with the skills required to recognise and respond to improvement opportunities. It also gives participants some of the skills required to be future leaders in health system. The program aligns with several domains of the RACP...

CEC Ready to Implement Added: 25 February 2015|Last updated: 9 April 2015

AMBER Care Bundle

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...

CEC Ready to Implement Added: 25 June 2013|Last updated: 9 November 2015

5x5 Antimicrobial Audit

Aim: The 5x5 Antimicrobial Audit is an initiative of the Clinical Excellence Commission that aims to improve communication and selection of empirical antimicrobial therapy among clinical teams.

Benefits: The 5x5 Antimicrobial Audit provides a platform for introducing regular, frequent and directed measurement and reporting of antimicrobial prescribing indicators in NSW local health districts and networks. The auditing process encourages clinically appropriate interventions where indications are unclear and/or empiric antimicrobial prescribing is found to be non-concordant with local guidelines. The 5x5 Antimicrobial Audit also facilitates rapid feedback of ward or unit-level antimicrobial prescribing indicators by providing tools and support to enable simple reports to be generated and discussed with...

CEC Ready to Implement Added: 2 June 2014|Last updated: 9 November 2015

Paediatric Clinical Practice Guidelines Audit Project

Aim: To assess compliance with the guidelines and assist local health districts to further improve the care of children in emergency departments.

Benefits: Empower generalist NSW hospitals, which see the majority of children presenting to an emergency department, with tools and resources to deliver the highest quality care, regardless of location.

CEC Future Initiative Added: 6 November 2013|Last updated: 9 April 2015

SEPSIS KILLS Program

Aim: To improve the recognition and treatment of sepsis and septic shock in NSW healthcare facilities and to reduce their impact, mortality and financial costs.

Benefits: Successful implementation of the SEPSIS KILLS program is providing significant benefits at both clinical and system levels, including: more timely, standardised and effective detection and management of sepsis; reduced mortality, morbidity and bed-stays from sepsis-related conditions; enhanced clinician skills in sepsis recognition and management; enhanced networking opportunities across the system for clinicians and service teams; improved quality and safety of care; a better and safer patient experience.

CEC Ready to Implement Added: 6 November 2013|Last updated: 5 February 2015

Non-Invasive Ventilation (NIV) Guidelines for Adult Patients with Acute Respiratory Failure

Aim: Provide clinicians in critical care areas and specialist respiratory care units with best practice guidance regarding the provision of NIV for appropriately selected patients detailing clinical assessment, NIV therapy management and patient care. Ensure safe and effective NIV is provided to patients and they are managed in the appropriate clinical settings in NSW hospitals.

Benefits: Improve patient experience and outcomes Reduced need for invasive ventilation, prolonged mechanical ventilation and tracheostomy Reduce length of stay

ACI Pre-implementation Added: 8 November 2013|Last updated: 26 June 2015

Clinical Practice Improvement (CPI) Advisors Group

Aim: The CPI advisors group aims to bring quality managers together to share their knowledge and experiences with each other as well as working together to develop resources for use across the NSW public health system. This group communicates by monthly teleconference and meets face to face annually for a professional development workshop. Members have also been involved in a collaborative workshop with Clinical Redesign leads.

Benefits: The program enables quality managers to meet up with peers in a similar position, who can assist with directing or sharing policies or procedures. CPI advisors share how their organisation has responded to changes within the system around accreditation and national standards and how they are implementing or supporting CPI initiatives in their Local Health District (LHD) / Specialty Health Network (SHN). The group has a shared HSnet site where articles of interest or resources can be uploaded to share....

CEC Ready to Implement Added: 2 June 2014|Last updated: 2 June 2014

Minimum Standards for the Management of Hip Fracture in the Older Person

Aim: To improve the outcomes of patients with fractured hips requiring surgery and management in NSW.

Benefits: Reduced medical complications, reduced hospital stays and improved patient outcomes.

ACI Ready to Implement Added: 5 November 2013|Last updated: 7 April 2015

Supervision for Safety

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...

CEC Pre-implementation Added: 2 June 2014|Last updated: 2 June 2014

Pressure Injury Prevention Project

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.

CEC Pre-implementation Added: 7 November 2013|Last updated: 2 June 2014

Other initiatives related to Unwarranted Clinical Variation:

Rural Health Network Rural Health Network
Agency for Clinical Innovation
Nurse Delegated Emergency Care (NDEC) Project Nurse Delegated Emergency Care (NDEC) Project
Agency for Clinical Innovation

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