Initiatives by Category

General Practice

ACI Guidelines for Home Enteral Nutrition (HEN) Services (2nd edition)

Aim: To provide a generic best-practice framework for the care of people needing HEN.

Benefits: The ACI Guidelines for HEN services promote a coordinated, multidisciplinary and patient-centred approach for people requiring HEN.

ACI Ready to Implement Added: 6 November 2013|Last updated: 13 April 2015

Health Pathways Implementation and Evaluation

Aim: The ACI is supporting three sites to implement and four sites to evaluate Health Pathways. Local services review and clarify their patient pathways between primary and specialist care and share the information on a reference website for health professionals. This process is aimed at improving patient management, assessment and referral through streamlined links between primary and secondary care clinicians and providing clear information for referrers. The Local Health District/Medicare Local sites that the ACI are supporting are the Central Coast,...

Benefits: Creates clear referral pathways between services Provides comprehensive service information for referring clinicians Links clinicians to the appropriate best practice information Increases the appropriateness, quality and timeliness of referrals to specialist services Highlights opportunities for service improvement and redesign Creates links between primary and secondary care clinicians

ACI Ready to Implement Added: 4 December 2013|Last updated: 5 December 2013

Chronic Pain and Spinal Cord Injury Project

Aim: The aim of this initiative was to provide web-based resources for consumers who live with spinal cord injury and chronic pain in addition to a clinical navigation tool to assist clinicians to develop a pain management plan for SCI-related pain for their patients. The project also resulted in the development of a service model providing assessment and management of people with SCI and chronic pain which incorporates use of telehealth technology.

Benefits: The project has developed extensive resources and a service model that are now accessible to consumers and clinicians.

ACI Ready to Implement Added: 12 February 2015|Last updated: 12 February 2015

1 Deadly Step

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...

ACI Ready to Implement Added: 7 February 2014|Last updated: 4 January 2016

Osteoporosis Refracture Prevention Model of Care

Aim: To ensure people who sustain a minimal trauma fracture have access to early identification, diagnosis, treatment, and follow-up for osteoporosis.

Benefits: Benefits include improved patient outcomes, better utilisation of hospital services, and reductions in health system costs for at risk people.

ACI Ready to Implement Added: 7 November 2013|Last updated: 9 February 2015

Mapping of Services within NSW Health for People with an Intellectual Disability

Aim: Develop a web based service directory of available NSW Health service and resources for people with an Intellectual Disability. Identify existing specialist service and gaps in service for future planning.

Benefits: Information collected will be developed into a web based service directory for use by clinicians/health professionals, consumers and their families/carers. The information collected will also be used to support local and state-wide service delivery and to identify gaps in service for future planning.

ACI Pre-implementation Added: 30 May 2014|Last updated: 2 June 2014

Hepatitis C: A guide to current treatment and care

Aim: To provide health care managers and staff with information to help design and implement services for the best care for patients with hepatitis C in their own environments.

Benefits: Improvements in clinical practice and patient care.

ACI Pre-implementation Added: 8 November 2013|Last updated: 9 December 2014

The Patient Based Care Challenge and Associated Guide

Aim: The Patient Based Care Challenge and associated provides practical strategies for transforming hospitals and health services for a patient based care focus.

Benefits: Local Health Districts sign up to The Challenge as a long term strategic commitment. The Guide provides practical advice on strategies within The Patient Based Care Challenge. Improving patient care experience is linked to improved clinical and business outcomes, including cost savings.

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

Nurse Delegated Emergency Care (NDEC) Project

Aim: To provide timely, quality care for patients presenting to EDs in rural and remote areas with low risk, low acuity conditions, and to empower Registered Nurses to manage entire episodes of care through a delegated care model which promotes a more sustainable clinical workload for rural doctors.

Benefits: For patients - access to timely and quality care for less-urgent conditionsFor nurses - a validated and authorised framework to work within their scope of practice to manage entire episodes of careFor doctors - a robust model under which care can be delegated, leading to more sustainable clinical workload and work-life balanceFor rural health services - a collaborative framework for delivering quality patient care in small rural EDsFor rural communities – mitigation of some of the barriers to recruitment and...

ACI Ready to Implement Added: 7 November 2013|Last updated: 17 August 2016

The Health Literacy Guide

Aim: The Health Literacy Guide has been developed to assist health services by providing practical strategies to address health literacy barriers for patients. The Guide also assists health services to meet new performance goals and the Australian Commission for Safety and Quality in Health Care (ACSQHC) National Safety and Quality Health Service Standards.

Benefits: By considering approaches to health literacy, health care organisations can benefit by improving safety and quality in health care. Consumers can benefit by accessing health information that is meaningful and relevant to their individual medical needs and navigating the system more easily.

CEC Pre-implementation Added: 6 November 2013|Last updated: 15 July 2014

Telehealth Pilot for Pain Management

Aim: To implement the telehealth toolkit and test and modify its application in the real setting of a pain clinic.

Benefits: Telehealth is a modality that can be utilized to improve access for people to specialized healthcare who live in rural and remote regions.It also provides support to clinicians working in distant locations and facilitates a multidisciplinary approach.It provides support to GPs who may be under resourced to provide appropriate pain management support.

ACI Ready to Implement Added: 31 March 2015|Last updated: 16 July 2015

Pain Management Network Website

Aim: Provide freely accessible, evidence based information to consumers with chronic pain; Provide evidence based tools and resources for clinicians to assist them to better manage people with chronic pain.

Benefits: A major objective of the NSW pain plan is to support the management of chronic pain in the primary care setting. The development of an evidenced based website with information for clinicians and consumers was considered an effective way of achieving this. It has the intention of enabling consumers to adopt and practice a range of self- management strategies which will assist them to manage their pain

ACI Ready to Implement Added: 20 June 2014|Last updated: 20 June 2014

Implementation of the Statewide Pain Plan

Aim: To document and implement a statewide pain strategy to reduce the burden of chronic pain in the community.

Benefits: Following the implementation of the NSW Pain Plan, there will be greater access to expert services, and improved support for primary care, for people living in regional NSW.

ACI Ready to Implement Added: 8 November 2013|Last updated: 20 January 2014

48 Hour Follow Up Evaluation

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...

ACI Ready to Implement Added: 7 February 2014|Last updated: 5 January 2016

NSW Chronic Pain Clinics Information Flyer

Aim: To provide information to consumers and primary care clinicians on the purpose and approach of various pain management services, alongside relevant contact details.

Benefits: Benefits include improved information for consumers on available pain-management services in NSW. The flyer outlines each of the publicly-funded pain management services in NSW and supplies contact details.

ACI Ready to Implement Added: 7 November 2013|Last updated: 22 January 2014

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