Initiatives by Category

Staff Experience

REACH (Patient and Family Activated Escalation)

Aim: REACH empowers patients and families to escalate care if they are concerned about the condition of the patient by first encouraging engagement with the treating clinicians at the bedside.

Benefits: Evidence suggests there is improved patient and family experience, decreased mortality and improved operational outcomes. The REACH process aligns with the Australian Commission for Safety and Quality in Health Care (ACSQHC) National Safety and Quality Health Service Standards, Standard 9.9: Enabling patients, families and carers to initiate an escalation of care response.

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

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

Care of Confused Hospitalised Persons (CHOPs) program

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.

ACI Ready to Implement Added: 13 August 2015|Last updated: 14 August 2015

Quality Systems Assessment (QSA)

Aim: The Quality Systems Assessment (QSA) is a clinical risk management program designed to provide clinicians and managers at all levels with information relevant to their local systems for clinical quality and patient safety.

Benefits: The QSA is one vehicle that contributes to resilience in our health system. Working directly with local teams and local priorities, the QSA supports continuous learning and improvement to prevent and reduce patient harm. Through the multi-level self-assessment, reporting and site visits the QSA is able to identify risks and support improvements: Locally – through detailed local data returned directly to local teams Systemically – through aggregation of local data to identify high priority themes for action All effort that...

CEC Ready to Implement Added: 24 January 2014|Last updated: 14 October 2014

Training in Patient Based Care

Aim: The Directorate of Patient Based Care facilitates training and education in Patient Based Care to: Board, Executive, Leaders, Senior Managers and Clinicians; Junior Clinicians; and the workforce (through Train-the-Trainer).

Benefits: Through training the Directorate assists services to provide patient based care and meet new performance goals and the Australian Commission on Safety and Quality in Health Care National Safety and Quality Health Service Standards (Standard 2.6 Implementing training for clinical leaders, senior management and the workforce on the value of and ways to facilitate consumer engagement and how to create and sustain partnerships).

CEC Ready to Implement Added: 7 November 2013|Last updated: 5 March 2015

TOP 5

Aim: The TOP 5 program acknowledges the value of carer information for people living with dementia and other types of cognitive impairment to improve patient outcomes and carer and staff experience.

Benefits: Benefits to individuals with dementia and carers include increased compliance, more effective treatment, less distress and shorter lengths of stay.

CEC Ready to Implement Added: 6 November 2013|Last updated: 7 April 2015

Inclusion in Mainstream Health Services: Using Visuals for people with intellectual disability

Aim: This project aims to improve communication between people with disabilities and health professionals in busy mainstream healthcare environments by developing and evaluating the use of visuals.

Benefits: Using visual aids for people with intellectual disability in busy healthcare environments can assist with communication and allay fear and confusion for the person undergoing routine procedures such as dental examination, having bloods taken and a physical examination. Simple visual aids which can be readily accessed by consumers, carers and staff and adapted to the individual situation will enhance the interaction with health services and benefit health outcomes for people with intellectual disability.

ACI Ready to Implement Added: 10 July 2015|Last updated: 10 July 2015

NSW Health Coaching Panel (pilot phase)

Aim: Establish a coaching panel to provide high quality, easy to procure coaches for the health services to:build capability for improvement, implementation and leadership; develop the capability of LHD local managers to sustain change and innovation.

Benefits: High quality coaches will be pre-assessed and appointed to the coaching panel.LHD / SHN Senior Project Leads and Managers will increase capability for change management and sustainability, growing capacity in local health services.

ACI Ready to Implement Added: 4 August 2014|Last updated: 7 August 2014

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

Open Disclosure

Aim: The Open Disclosure project aims to enhance the care and support provided to patients and/or their support people and health care staff involved in a patient safety incident, through outlining a clear process for open disclosure communications and the roles and responsibilities of health services and their staff.

Benefits: Effective open disclosure can [1]: improve patient safety through an improved understanding of how things go wrong increase trust between patients who have been harmed by a patient safety incident and health care providers when information is exchanged and an apology is received assist patients to become more active partners in their care. [1] Australian Commission on Safety and Quality in Health Care (ACSQHC) Australian Open Disclosure Framework, Sydney, 2013

CEC Ready to Implement Added: 2 June 2014|Last updated: 17 November 2014

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

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

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

Clinical Innovation Program – Spread of Innovation

Aim: The aim of the ACI Clinical Innovation Program is to:Accelerate implementation of ACI Models of Care and Guidelines; Assist in the sharing and spread of local innovations.

Benefits: Improved implementation and system uptake of models, with demonstrated patient and health system benefit; Reduction in time and effort for LHDs to replicate contemporary evidence based models; Opportunities for LHDs to receive funding to implement the model.

ACI Ready to Implement Added: 4 August 2014|Last updated: 7 August 2014

ACI Building Co-design Capability Strategy

Aim: The Strategy aims to build capability in patient experience and co-design thinking, methods and practices within the ACI and across NSW Health by employing a learn, do, teach, share approach.

Benefits: Delivering more person-centred and sustained health care improvement as a result of working in partnership with consumers, carers and health care workers.Stronger relationships and enhanced communication between consumers, carers and health care workers.Improved health literacy.

ACI Ready to Implement Added: 8 December 2016|Last updated: 8 December 2016

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

Centre for Healthcare Redesign (CHR) Graduate Certificate Program

Aim: The Centre for Healthcare Redesign (CHR) Program aims to: Increase capability within the Health System to deliver, redesign and service improvement activities; Promote a patient-experience based approach to service improvement; Create a learning culture to support professional development and networking opportunities for healthcare workers; Implement recommendations from external review of the CHR Graduate Certificate Program.

Benefits: The CHR Graduate Certificate Program builds capability in Project Management, Change Management and Redesign through a combination of eLearning, face-to-face training, and workplace coaching applied in real-time to a workplace project.

ACI Ready to Implement Added: 8 November 2013|Last updated: 11 August 2016

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

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

Develop and Implement an ACI Knowledge Management (KM) Approach

Aim: To partner with Health Services to develop and implement an approach that supports collaboration, learning capability and sharing knowledge about innovation and improvement projects in health services.

Benefits: A robust KM approach will serve NSW Health by ensuring: Both small and large-scale innovations and improvements generated across health services are recognised and shared to benefit the broader health system The work of the ACI is shared across the NSW Health system to encourage effective partnerships and assist in delivering better health outcomes, improved patient experience and efficient service delivery.

ACI Ready to Implement Added: 8 November 2013|Last updated: 30 May 2014

Improving the Medical Inpatient Journey with Criteria Led Discharge

Aim: To reduce delays when a patient is medically ready to return home from hospital.

Benefits: A formalised criteria-led discharge process has the potential to: Improve patient experience: patients are able to get home sooner; Enhance patient safety: criteria led transfers of care through a checklist; Reduce unnecessary length of stay: not being in hospital when patients can actually return home; Reduce bed days: elimination of unnecessary days in hospital; Minimise waste: reduction of costs as a result of eliminating unnecessary lengths of stay in hospital; Improve staff satisfaction: staff are not pressured to transfer patients...

ACI Ready to Implement Added: 8 November 2013|Last updated: 30 May 2014

Community Update on Patient Safety and Quality

Aim: The Community Update is designed to provide consumers with information on the progress of NSW public hospitals across key areas including: handover, hand hygiene, medication safety, falls, healthcare associated infections, sepsis and incident management. A template of the Community Update is available for Local Health Districts who would like to report on their safety and quality data locally.

Benefits: By engaging the community and partnering with patients, family and carers as team members we can improve quality in health care. The Community Update supports the Australian Commission for Safety and Quality in Health Care National Safety and Quality Health Service Standard 2.7.

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

In Safe Hands Program

Aim: The In Safe Hands program aims to build and sustain effective health care teams. It is intended to give these teams the structure and tools to redesign their units into strong, interdisciplinary teams, working together to deliver highly reliable, planned care to all patients.

Benefits: Teams that have implemented In Safe Hands have identified the following benefits: Reduced patient length of stay; Reduced unexpected deaths; Reduced adverse events; More satisfied staff; Improved patient experience; Improved safety culture.

CEC Ready to Implement Added: 6 November 2013|Last updated: 12 January 2015

Service Quality and Communication in Emergency Department Waiting Rooms

Aim: The Clinical Excellence Commission (CEC) funded research into service quality and communication in emergency department waiting rooms. The research team was comprised of staff from Southern Cross University with applied skills and knowledge in organisational communication, culture, history, structures and operations.

Benefits: The CEC and Southern Cross University are collaborating on developing educational materials to further progress this area in NSW. Sites interested in being pilot sites for this work are encouraged to email the Directorate of Patient Based Care and express interest.

CEC Pre-implementation Added: 6 November 2013|Last updated: 5 March 2015

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

Clinical Leadership Program

Aim: The ultimate aim of the program is to build a cohort of clinical leaders with the skills and commitment to shape a sustainable culture of patient safety, professionalism and positivity within the NSW health system.It aims to enhance:the understanding of clinicians about the workings of NSW Health; knowledge of contemporary approaches to patient safety and clinical quality systems; the skills of clinicians in relation to communication, conflict resolution and team leadership within an environment of health care resource limitation; the...

Benefits: The Clinical Excellence Commission (CEC) believes that the power of clinical leadership is an essential component of the CEC’s commitment to improving patient safety and clinical quality in our healthcare system. Clinical leaders play a pivotal role in the patient safety and clinical quality environment and need to have their full potential harnessed to ensure the health system works better and more safely for staff, patients and their families. In this, the program supports clinicians to develop extraordinary leadership practice....

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

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