Initiatives by Category

Model of Care

Osteoarthritis Chronic Care Program (OACCP) Model of Care

Aim: The OACCP aims to provide interventions that support people with osteoarthritis of the hip and/or knee to: Self-manage their condition and co-morbidities; Reduce pain, increase function, and improve their quality of life; The OACCP considers and supports management of physical and psychosocial health care needs.

Benefits: The OACCP model of care has been implemented and evaluated in eight LHDs in NSW. Most of the participants have been on the NSW public hospital wait list for elective hip or knee joint replacement surgery. There have been a number of clinical gains, including: 11% of participants with knee arthritis who have been waiting for knee joint replacement surgery have agreed they do not need surgery at this time About 4% of those with hip arthritis have been supported...

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

Statewide Burn Injury Service (SBIS) Telehealth Project

Aim: To establish a Telehealth model of care for the Statewide Burn Injury Service.

Benefits: There is significant potential for Telehealth to focus on patient centred care and improve the quality of care for:Patients by providing services that will allow patients to receive their care and treatment closer to home that will save time and money for the patientBurn Units by reducing the demand on tertiary burn units and save on bed days and ambulatory care clinic attendancesRural/non-burn unit clinicians by increasing their experience and knowledge in the treatment of burn care and provide a...

ACI Pre-implementation Added: 27 March 2015|Last updated: 16 April 2015

NSW Rehabilitation Model of Care

Aim: To implement a consistent model of care for rehabilitation services which supports equity of access, appropriateness of care, and the provision of care in the least restrictive setting available.

Benefits: Through the provision of early, intensive rehabilitation, patients will benefit from: Shorter lengths of stay in hospital due to more intensive therapy services; Greater choice and flexibility in how and where they receive their rehabilitation services; A quicker return to their previous level of functioning; More active involvement in deciding their rehabilitation goals; Care closer to home. By targeting specific patient cohorts, it will also be possible to prevent the rising incidence of physical deconditioning by reducing patient wait times...

ACI Ready to Implement Added: 5 November 2013|Last updated: 20 January 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

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

Blood and Marrow Transplantation Long Term Follow Up (LTFU) Project

Aim: The primary goal of this project is to develop clinical guidelines for management of patients following allogeneic blood and marrow transplant. The guidelines apply to adult patients and patients transitioning between paediatric and adult services, across metropolitan, regional, and rural areas.

Benefits: LTFU assists early recognition of complications, survival and quality-of-life issues for patients post-BMT transplant. These benefits have been supported by recently published guidelines including the Joint Recommendations of the European Group for BMT, the Centre for International BMT Research, and the American Society of BMT (1).

ACI Future Initiative Added: 8 November 2013|Last updated: 5 August 2016

How to Develop and Implement a Model of Care

Aim: Providing a methodology for ACI networks to use when creating a model of care (MoC), and to assist networks to implement models that they have developed.

Benefits: Brings together change-management techniques to create five key phases when developing a model of care: Project Initiation; Diagnostic; Solution Design; Implementation; Sustainability.

ACI Ready to Implement Added: 8 November 2013|Last updated: 18 November 2013

Cystic Fibrosis Model of Care

Aim: Maintain or improve the health and wellbeing of people with CF Provide consumers with greater choice for how and where care can be safely and effectively provided Improve care and support provided to for people with CF, with additional focus on young people 15-24 and those with severe disease.

Benefits: Better meet the health care needs of people with CF in NSW now and into the future Build capacity within the health system to provide timely and effective care

ACI Ready to Implement Added: 8 November 2013|Last updated: 15 January 2016

Model of Care for Prevention and Integrated Management of Pressure Injuries in People with Spinal Cord Injury and Spina Bifida

Aim: To promote a model of care which focusses on supporting self-management and education strategies for the person with Spinal Cord Injury (SCI) / Spina Bifida (SB) to take ownership over their skin integrity status in the first instance, but also to promote access to essential services and equipment in a timely and equitable manner and to strengthen processes for an integrated approach to care.

Benefits: There are an estimated 6,500 individuals living in NSW with spinal cord injury (SCI) and spina bifida (SB), who have an overall lifetime incidence of pressure injury (PI) of more than 85%. The social and economic impact of PI on the individual, family and community is immense and can have long term physical and psychological consequences. The Model of Care promotes a prevention and early intervention integrated management approach which aims to identify and manage risk, and establish prevention and...

ACI Future Initiative Added: 3 July 2014|Last updated: 7 June 2016

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

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

Palliative and End of Life Care: A Blueprint for Improvement

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.

ACI Ready to Implement Added: 9 November 2015|Last updated: 22 February 2016

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

High Volume Short Stay Surgical Units (HVSSS)

Aim: The HVSSS Unit Model emerged as a model of care from the Surgery Futures – A Plan for Greater Sydney project (released January 2011). This toolkit provides Local Health Districts with information about the key features of the model, processes for service delivery, staff roles, diagnosis-related groups suitable for HVSSS, key success factors, benefits, and steps for implementation of this model.

Benefits: Improved access to planned surgical services; Improved service efficiency, regarding both operating theatre and bed utilisation; Extended range of procedures suitable for the short-stay environment; Release of additional clinical capacity (including beds, staff and other resources) within tertiary/quaternary surgery centres; Reinvestment of this additional capacity into emergency and complex service needs.

ACI Ready to Implement Added: 7 November 2013|Last updated: 30 May 2014

Other initiatives related to Model of Care:

ACI Innovation Awards ACI Innovation Awards
Agency for Clinical Innovation

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