Initiatives by Category

Clinical Resource

Toolkit for Adolescents and young people with chronic pain: Supporting transition or direct entry to adult services

Aim: To develop a statewide toolkit of resources to assist pain clinics managing adolescents and young people aged 14-25 years with chronic and complex pain. The toolkit will supplement what already exists in the Transition Network with tailored resources specific to pain management and issues for young people and their families.

Benefits: The experience of young people entering adult services will be assisted by having age appropriate treatments, approaches and resources available. The transition process will be enhanced through the availability of checklists and other resources relevant to young people.

ACI Ready to Implement Added: 26 April 2016|Last updated: 26 April 2016

Home Enteral Nutrition (HEN) Cards

Aim: To improve HEN care and communication between health professionals, via practical reference cards.

Benefits: Improved support for consumers accessing HEN services.

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

Home Enteral Nutrition (HEN) Factsheets and Brochures

Aim: To provide information about HEN for consumers and health professionals. Practical information for health professionals about HEN in NSW.

Benefits: Improved support for consumers accessing HEN services.

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

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

NSW Subcutaneous Insulin Prescribing Chart

Aim: To standardise an adult subcutaneous insulin chart and minimise risks in insulin prescription, administration and documentation.

Benefits: The chart combines prescription and administration with blood glucose, ketone monitoring and glycaemic management. It links all the necessary information for glycaemic management in one document.The chart is designed to minimise delays in management decisions and provide clinicians with clear guidelines for:Insulin prescription and administrationGlycaemic managementSafe supplemental insulin use.The chart includes:Regular, supplemental, once only, and telephone ordersMonitoring for blood glucose levels (BGLs) and ketonesGlycaemic management guidelines to support clinicians that may not have access to local guidelines, policies or specialist...

ACI Ready to Implement Added: 8 November 2013|Last updated: 16 July 2015

12 Key Learnings from the Diagnostic Report to Inform the Model for Palliative and End of Life Care Service Provision

Aim: To present the 12 Key Learnings from the Diagnostic process that will directly inform the Model for Palliative and End of Life Care (PEoLC) Service Provision in a one-page summary.

Benefits: The key learnings of the Diagnostic Report provide the ACI with the basis on which to develop solutions and a Model of Care that directly address the core problems that have been identified.

ACI Ready to Implement Added: 21 July 2014|Last updated: 5 August 2014

Diagnostic Report to Inform the Model for Palliative and End of Life Care Service Provision

Aim: The Diagnostic Report aims to define the problems associated with the provision of palliative and end of life care and to better understand the root causes of those problems with a view to developing longer-term, evidence-based solutions.

Benefits: This Diagnostic phase has identified key challenges in the provision of care to people approaching and reaching the end of life. By identifying and refining the ways in which we describe these – in light of the breadth of evidence gathered – the Model of Care development process then looks towards describing the ways in which end of life journeys can be improved. The findings of this Diagnostic Report provide the ACI with the basis on which to develop solutions...

ACI Ready to Implement Added: 21 July 2014|Last updated: 5 August 2014

eChartbook

Aim: The Clinical Excellence Commission (CEC)’s eChartbook is an interactive web-based tool providing a curated, accurate and timely view with expert commentary providing an overview of the state of knowledge in relation to quality and safety of health services in NSW. It aims to be a key resource for driving change within the NSW health system. It focuses particularly on CEC’s on Projects and Programs.

Benefits: The eChartbook is designed for use by clinicians, local health district (LHD) health professionals and other interest groups. It also provides information for the public about safety and quality issues and is written in a publicly-accessible style. The eCharbook presents more timely data through the use of dynamic charts, updated in real time

CEC Ready to Implement Added: 18 February 2015|Last updated: 23 March 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

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

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

Transition Care Principles

Aim: The principles document for the transition of young people with chronic conditions from paediatric to adult care has been developed by the Agency for Clinical Innovation (ACI) Transition Executive Committee and Trapeze, a service of The Sydney Children’s Hospitals Network (SCHN), for use in the NSW Health system. The principles are evidenced based and aim to promote best practice for health professionals involved in caring for young people during transition. It is hoped that this document will assist LHDs and...

Benefits: Despite agreement about the importance of effective transitional care, there is little evidence to inform best practice about both the process of and what constitutes effective transition.1 The ACI Transition Care Network and Trapeze believe that the implementation of, and adherence to, evidence-based principles will considerably improve the care and management of young people with chronic conditions transitioning from paediatric to adult health care including: better functional outcomes including increased adherence, improved self-management and knowledge of condition, and improved wellbeing;...

ACI Pre-implementation Added: 15 September 2014|Last updated: 20 October 2014

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