Communication across disciplines
description
Transcript of Communication across disciplines
Communication across Communication across disciplinesdisciplines
GMCTGMCT
Peter Castaldi, Chief ExecutivePeter Castaldi, Chief ExecutiveACHSE
State Conference
4 May 2007
NetworksNetworks• Spinal Cord InjurySpinal Cord Injury
• Brain Injury Rehab.Brain Injury Rehab.
• Severe BurnsSevere Burns
• OphthalmologyOphthalmology
• Gynaecological OncologyGynaecological Oncology
• Aged CareAged Care
• Bone Marrow TransplantBone Marrow Transplant
• NeurosurgeryNeurosurgery
• Transition CareTransition Care
• Respiratory MedicRespiratory Medic ineine
• RenalRenal
• Home Enteral NutritionHome Enteral Nutrition
• StrokeStroke
• Imaging – RadiologyImaging – Radiology
–– Nuclear Medicine Nuclear Medicine • CardiacCardiac
• Transition CareTransition Care
• UrologyUrology
• GastroenterologyGastroenterology• OrthopaedicsOrthopaedics
TransparencyTransparency
• Composition of networksComposition of networks
• Clinician Co-chairsClinician Co-chairs•MedicalMedical
•Allied Health/NursingAllied Health/Nursing
• CommitteeCommittee•whole networkwhole network
•elected executiveselected executives
• Network ManagerNetwork Manager
Aids to consensusAids to consensus
• Agenda built up considering models of Agenda built up considering models of care and clinical planscare and clinical plans
• Objectives of relevance to disciplinesObjectives of relevance to disciplines• Data accumulated – Information & Data accumulated – Information &
Communication Technology support for Communication Technology support for defining MDS, collection, collation, defining MDS, collection, collation, reporting, communication and analysisreporting, communication and analysis
• Liquid Office introducedLiquid Office introduced
Network achievementsNetwork achievements
StrokeStroke
• Initiation of Acute Stroke UnitsInitiation of Acute Stroke Units
• Access to 50% of stroke patientsAccess to 50% of stroke patients
• Improvements in length of stay, Improvements in length of stay, inhalation pneumonia, rehabilitation inhalation pneumonia, rehabilitation experience, morbidity, discharge to experience, morbidity, discharge to home (rather than nursing home)home (rather than nursing home)
Gynaecological OncologyGynaecological Oncology
• Agreed protocolsAgreed protocols
• Access from rural areasAccess from rural areas
• Nurse educationNurse education
• Palliative care guidancePalliative care guidance
Renal servicesRenal services
• Demand for Demand for DialysisDialysis
• Access to servicesAccess to services
• Transplant Transplant outcomesoutcomes
Comparison of ANZDATA with HSRG Projection from 2002
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Note: Actual data from ANZDATA - adjusted for NSW residents treated in ACT
GastroenterologyGastroenterology
• Colonoscopy efficiencyColonoscopy efficiency• Sedation for procedures Sedation for procedures
– collegial input– collegial input• Development of Development of
Graduate Certificate in Graduate Certificate in Gastroenterology with Gastroenterology with UTS UTS - 10 Nursing Scholarships- 10 Nursing Scholarships
Could the meeting come to….zzzzz
The sedation working party
Severe BurnsSevere Burns
• Limited locationsLimited locations
• Cross-institutional appointmentsCross-institutional appointments
• Timely transfers and feedbackTimely transfers and feedback
• Prevention strategiesPrevention strategies
Spinal Cord InjurySpinal Cord Injury
• Broad church encompasses wide Broad church encompasses wide range of health clinicians across care range of health clinicians across care continuumcontinuum
• Strong voice for consumers through Strong voice for consumers through non-government organisations eg. non-government organisations eg. Police & Community Youth ClubPolice & Community Youth Club
• Other government agencies – Dept Other government agencies – Dept Ageing Disability Home Care; Motor Ageing Disability Home Care; Motor Accident Authority Accident Authority
Transition CareTransition Care
• Bridging the gap between paediatric Bridging the gap between paediatric and adult care for long term patients and adult care for long term patients of the health system with chronic of the health system with chronic conditions and or disabilitiesconditions and or disabilities
• Coordinators established in adult Coordinators established in adult facilities attached to paediatric facilities attached to paediatric hospitals to spearhead changes hospitals to spearhead changes
• Strong voice for consumers/carersStrong voice for consumers/carers
InfluenceInfluence
• Newsletter monthly, “Clinician Newsletter monthly, “Clinician Connect”Connect”
• Aged Care bookletAged Care booklet
• Eye Emergency ManualEye Emergency Manual
• Home Enteral Nutrition ReviewHome Enteral Nutrition Review
• Care-related databases eg. Cardio- Care-related databases eg. Cardio- Thoracic , Neurosurgery Thoracic , Neurosurgery
• Metropolitan Hospital ForumMetropolitan Hospital Forum
NSW Stroke
Services Network
Coordinating Committee
(70 clinicians)
NSW Stroke
Services Network
Coordinating Committee
(70 clinicians)
Educational program Conference planning
Education & Professional Development Working PartyEducation & Professional
Development Working Party
Research Working Party
Research Working Party
Research training Research applications
Post Acute Reference Group Working Party
Post Acute Reference Group Working Party
Service gap delivery Workforce
Pre Hospital & EmergencyWorking Party
Pre Hospital & EmergencyWorking Party
Pathway to tPA project NSW Ambulance stroke
education
ProtocolsWorking Party
ProtocolsWorking Party
CIAP Guideline & protocols
Minimum data set TASC ON Line NSRI Audit results
Outcomes & Measurement Working Party
Outcomes & Measurement Working Party
Strategic Planning Working Party
Strategic Planning Working Party
Stroke unit development Rural stroke services
Workforce Planning Working Party
Workforce Planning Working Party
Education & training Recruitment & retention
Consumer Working Party
Consumer Working Party
Community Education
National Stroke Research Institute
National Stroke Research Institute
National Stroke FoundationNational Stroke Foundation
Clinical Excellence Commission
Clinical Excellence Commission
Australasian Stroke Unit Network
Australasian Stroke Unit Network
NSW Rural Institute of Clinical Services & Teaching
NSW Rural Institute of Clinical Services & Teaching
Clinical Services RedesignClinical Services Redesign
greater metropolitan clinical taskforce
Gynaecological Oncology Network
Gynaecological OncologyExecutive
Information Management
Working Group
Gynaecological Oncology
Nurses Group
Clinical Practice Guidelines
Working Group
EducationInitiatives
• Annual Clinical Forum
• Network events• Country
Support Systems
• Reviewing one Guideline / year
• Annual Nurses Study Days
• Meetings to discuss policy
• Planning to complement MDS for clinical cancer registration with GO data
Psychosocial Support Project
• Website
• Accredited GP module
• Online support
Models of CareWorking Group
To be established
• To review models of care, once data available
Consumer participation
NSW Rural Health Taskforce
NSWRenal PlanningWorking Group
TransplantWorking Group
Dialysis Working Group
TransportWorking Group
InformationManagement Group
Renal Purchasing StrategySteering Group
RuralWorking Group
WorkforceEducation &
Training Group
Guidelines & StandardsAccess & EquityStatewide PlanningMeasurementNew technologyPrevention
Working Group CKD Prevention Strategy
Advise DOH: re. purchasing strategy for renal supplies
Dialysis Min. Data Set
Increase in Transplantations since 2002Service Planning with ARCBSNutrition GuidelinesStatewide On-call roster
Advanced Trainee ProgramRenal GroupNursing Models of CareNurse Practitioner Guidelines
Emerging ChallengesEmerging Challenges
• Continuing engagementContinuing engagement
• Maintain relevanceMaintain relevance
• Source of adviceSource of advice
• Connection with agenciesConnection with agencies
The FutureThe Future
• Build strong links between Metro & Rural agencies
• Build national / international links
• Challenges – Service provision– Distribution– Access