IPSWICH HOSPICE CARE STRATEGIC PLAN · 2014. 3. 24. · Ipswich Hospice Care (IHC) is a community...

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IPSWICH

HOSPICE CARE

STRATEGIC

PLAN

2014

IPSWICH HOSPICE CARE STRATEGIC PLAN – 2009 – 2013 - Revised & extended


Introduction

Ipswich Hospice Care (IHC) is a community owned and run, not for profit, non denominational facility offering twenty-four hour palliative care in a peaceful

home like environment.

Opened on the 4th September 1994 as a result of the tireless work of a strong group of Ipswich residents, led passionately by Reverend Eric Moore and Dr

Hilda Des Arts. Since that time, over one thousand people have been provided with high quality care at the end of their life.

In 2003, a Bereavement Support Service was opened in the adjoining property to Hospice. This Bereavement Support Service offers counselling and support

to terminally ill people, their families and the community from Ipswich and the surrounding districts.

Guest and Client care is provided and supported by a large team of staff, Visiting Medical Officers (VMO’s) and Volunteers. All Team Members have been

appropriately recruited and educated and VMO’s are credentialed and granted clinical privileges to ensure they are able to fulfil their roles safely and

effectively. Ipswich Hospice Care is skilfully governed by a dedicated Management Committee who provides their knowledge and experience in a volunteer

capacity.

The Ipswich Hospice Care Strategic Plan 2014 sets out a program of work through strategic directions for the next year. Thank you to the Team Members for

their contribution to create this Strategic Plan.


Mission Statement: Our Mission is to assist

terminally ill people, their families, and

bereaved members of the community by

offering quality, holistic care.

Philosophy

Partnership of Skilled Care and Loving Kindness.

Vision Statement

To be the leader in Community Hospice Care and Bereavement Support.

Core Values and Behaviours

COMPASSION – Care; Individualism; Listening

RESPECT – Tolerance; Dignity; Recognition.

TEAMWORK – Communication; Flexibility; Commitment; Honesty; Trust.

PROFESSIONALISM – Confidentiality; Competencies; Innovation; Leadership; Accountability; Research; Education; Transparency.


OUR STRATEGIC GOALS TO BE ACHIEVED IN 2014

1. To continue to be a highly respected provider of palliative care and bereavement support service for Ipswich and surrounding districts. The organization will take into consideration safety & quality in all areas of service and business endeavors. All required standards at Federal and State level applying to this specialist palliative care service will be met.

2. Services provided will be externally assessed by Australian Council on Healthcare Standards. The assessment will

have a positive result and ongoing accreditation will be awarded. 3. All care and services will be provided by a team of skilled, trained & educated staff & volunteers. All required team

members including Visiting Medical Officers will hold appropriate credentials. 4. Ipswich Hospice Care will collaborate with stakeholders to ensure that services provided meet or indeed exceed

the expectations of Guests, Support Person/s, Clients and the community it serves.


The future we are seeking for the next year focuses on four main areas:

1. Service Delivery

Palliative Care and Bereavement support will be provided to meet the needs of people who:-

Require end of life inpatient care, deemed to be in the last three months of life. All care and support will be delivered in a framework of safety, quality and excellence. Support Person/s of the above. Bereavement support will be provided to people in the wider community affected by grief as a result of death. Home respite for carers of people with palliative care needs. Pre-death support to non-admitted, ambulatory, palliative care clients.

2. Capacity and Sustainability

Ipswich Hospice Care will maintain the ability to achieve its goals because of:-

Clear direction and proactive planning Financial security Workforce skills, security and safety Information systems that maximise the use of technology Strategic and benchmarking alliances and partnerships that is maintained and expanded.


3. Leadership and Governance

Through effective corporate and clinical governance, the Ipswich Hospice Care Management Committee will provide:-

Leadership that recognizes and values the importance of quality and safety in all areas of service provision.

Overarching responsibility for approving all organisation policies and high risk procedures. Participation of individual Management Committee members in Management Committee Sub Committees. Accountability to members and key stakeholders. Strategic direction. Financial Sustainability. Positive working relationship for Director and Team Members. Regulation and governance with respect to strategic requirements. Identify and monitor organisational legal obligations and risk obligations.

4. Profile and Awareness

The Ipswich Community served by Ipswich Hospice Care will:- Continue to be a valued stakeholder in the organization and a partner in current and future planning and development of

services. Preferred provider of Palliative Hospice Services in the Ipswich District. Continue to develop a strong partnership with the Ipswich Community Understand what Hospice and Hilda’s House services offer and how to access them. Encourage the community to support the organisation through donations and attendance at educational and fundraising

activities.


Strategic Directions for the next year

To achieve our goals, the following strategic directions have been established for the next year:-

Associated Standards are as follows:

Australian Commission on Safety and Quality in Healthcare (ACSQHC). National Safety and Quality in Healthcare Standards

(NSQHC). 2011. Standards 1,2,3,4,5,6,8,9,10.

The Australian Council on Healthcare Standards (ACHS). EQuIPNational Guidelines. 2012. Standards 11.12.13.14.15.

Standards for Providing Quality Palliative Care for all Australians. Palliative Care Australia. 2005. - Standards 1,2,3,4,5,6,7,8,9,10,11,12,13.

National Respite for Carers Program (NRCP). Home Care Standards. 2013

Private Health Facilities Act 1999 (QLD). Standards. Oct 2010

Queensland Health. Clinical Services Capability Framework for Public and Licensed Private Health Facilities v3.1. Brisbane:

Queensland Government Department of Health. 2012

(please note that this list is indicative rather than complete)


Associated legislation is as follows:

Associations Incorporation Act 1981 (Qld)

Work Health and Safety Act 2011

Part 3 Private Health Facilities Act 1999 (QLD)

Public Health Act 2005

Health Services Act 1991

Fair Work Act 2009 (Cth)

Quality of Care Amendment (Home Care) Principle. 2013

Anti-Discrimination Act 1991 (Qld)

Age Discrimination Act 2004 (Cth)

Disability Discrimination Act 1992 (Cth)

Racial Discrimination Act 1975 (Cth)

Sex Discrimination Act 1984 (Cth)

Coroners Act 2003

Criminal Code (Palliative Care) Amendment Act 2003 (QLD)

Health Quality and Complaints Commission Act 2006 (QLD)

Health Ombudsman Act 2013 (QLD)

Collections Act 1966 (Qld)

(please note that this list is indicative rather than complete)

https://www.legislation.qld.gov.au/LEGISLTN/CURRENT/A/AssocIncorpA81.pdf

https://www.legislation.qld.gov.au/LEGISLTN/CURRENT/C/CollectionsA66.pdf


1. Service Delivery

Strategic Objective Outcome Indicators

Maintain a safe, quality service delivery in a Palliative care facility.

Expand services to meet demand within funding limitations

All standards met, compliance with legislation and consumer satisfaction

Service meets demand

Strategic Direction Key Strategies Outcome Indicators

1. Service Delivery 1.1 To provide safety and quality in palliative health care and client care.

- Accreditation status maintained - ACHS/EQuIPNational audit reports - Evidence based service delivery - Meeting NRCP standards and funding requirements - National Standards Assessment Program (NSAP) reports.

(October 2012). Sydney ACSHC. 2012 - Incident and Complaints Data Bases - Quality Improvement Outcomes - Risk Management Process - Work Health and Safety Process - Meeting National PCOC Benchmarks - Occupancy rates, length of stay & all service delivery

statistics

1.2 Maintain and develop Team Member Competence

- Clinical Practice reflection and review reports - Team Member appraisal and professional development

training register - Evidence based service delivery & innovation - Education Committee meeting minutes - Professional Development budget and expenditure - Position Descriptions reflect role requirements - Record of completed competencies – Clinical/Non Clinical



1.3 To excel in all aspects related to the provision of Clinical Care – Guests/Families/Carers

- Accreditation status maintained - NRCP funding continues - National Standards Assessment Program (NSAP) reports - ACHS/NSQHS audit reports - Evidence based service delivery - Quality Improvement Outcomes - Risk Management Process

1.4 To be responsive to community and stakeholder feedback in relation to current services and identified areas that my require service expansion.

- Waiting lists for admission - Guest Wing and Hilda’s House Statistics


2. Capacity and Sustainability


Build organisational capacity to provide appropriate levels of palliative care and bereavement support

Ensure that appropriate and sustainable resources are available for the operation of all Ipswich Hospice Care services.

Build a succession planning model for pivotal organisation roles.

Ipswich Hospice Care remains economically viable as an ongoing organisation

Accounting and Auditors Records reflective of responsible fiscal management.

The organisation minimises disruption for an easy transition when individual team members leave long term positions.


2. Capacity and Sustainability 2.1 Workforce Planning and Management

- Advertised staff positions are filled - Identified Volunteer positions filled - Staff & Volunteer data base - Annual Report (includes volunteer hours) - Policies & procedures related to delegations - Business Continuity Plan - Infection Outbreak Plan - Position Descriptions - Terms of Reference of r Committees - Minutes of Meetings :-

- Work Place Consultative Committee - Recruitment & Orientation Committee - Credentialing & Clinical Privileges - Management Meeting - Team Leader’s - Nurse’s Meeting - Work Health & Safety - Hilda’s House Team Meetings



2.2 Ensure that Ipswich Hospice remains Financially Sustainable.

- Budget met ideally with operating profit - Business Development Fundraising, Marketing, Business Plans - Annual Report (Audited Financial reports) - Monthly Profit & Loss Statements - Treasurer’s & Financial Support Coordinator’s report to

Management - Evidence of cost saving strategies – water tanks, solar power

& minimising food & paper waste. - Volunteer & staff donated hours




Build on and expand all aspects related to the advancement of an organisational culture of recognising and valuing the importance of quality and safety in all areas of service provision, whilst recognising limitations of available resources.

Ensure all processes related to the management, development and review of Policies and Procedures are based on best practice evidence, risk assessed, and that legislative and standards requirement are met.

Accreditation 2014 – 2018

Risk Management Program

Quality Assurance Program

Incident & Complaints Management

Open Disclosure Process

Structure & function of the Management Committee



3.1 Structure and Function of the Management Committee

- Annual Report - Meeting Strategic Plan (evidenced in Management Meeting

minutes) - Annual General Meeting minutes - Budget, & financial reports - Sub Committee Meeting minutes



3.2 Policies and Procedure development and management.

- Policy Review Committee Meeting minutes - Management Meeting minutes (including delegated

Management Committee Member on Policy Review Committee’s report).

- Communications to Team Members regarding changes to new & amended policies & procedures

- Policy & Procedure Manual/Data Base, including web based manual.

- Policy & Procedure Change Log (tracks changes)

3.3 Quality Assurance & EQuIPNational

- Four year accreditation – 2014 – 2018 - Strategic Plan & Operational Plan - Risk Management Register - Quality Improvement Plan - Audit results - Reports to:-

o Queensland Health o Department of Veterans Affairs o Private Health Unit o West Moreton Hospital Health Service o National Respite Carer’s Program o Palliative Care Outcome Collaborative o National Standards Assessment Program

- Meeting Legislative requirements:- o Food Licence o Work Health & Safety



3.4 Individual responsibilities - Annual Appraisals - Organisation Meeting Minutes (attendance, action/progress,

fulfilling role requirements ) - Fulfilling expectations of roles:- - Punctuality - Deadlines are met - Reports are submitted on time - Education requirements attended to - Professional registration requirements met (where

applicable). - Mandatory requirements met as per individual role - Fire & Safety, CPR, Manual Handling - Access to Employee Assistance Scheme & Professional

Supervision (Counsellors & Social Workers) - Personal Leave statistics


4. Profile and Awareness Strategic Objective Outcome Indicators

Ipswich Hospice will work towards an active partnership with service users, stakeholders, and the Ipswich Community.

Ipswich Hospice is able to demonstrate by a variety of evidence sources compliance with EQuIPNational 2011, Standard 2 Partnering with the Consumer.

Evidence of community engagement in activities and services related to Ipswich Hospice Care.



4. Profile and Awareness 4.1 Develop the concept of Ipswich Hospice Care being a centre of excellence in the provision of information on Palliative Care and Bereavement Support to the community

- Number of external engagements/education sessions to the community

- Number of in house education sessions provided to internal team members and external audiences.

- Brochures displayed internally and externally - Street/Public Notice Board - Voices, Hilda’s House & Team Talk Articles & Newsletters - Open Days - Public Forums - Ipswich Hospice Week - Displays/Information stands - Remembrance Trees, shopping

centres - Media – including print, on line & radio - Endorsements by prominent leaders and members of the

community – Mayor, MP – State & Federal - Student & other Placements – Nursing, Allied Health,

Counselling, Community Services, Medical student attendance, Program of Experience in Palliative Care(PEPA )

- Partnership with Medicare Local, Palliative Care Queensland & Australia.

- Engagement of external groups in one off projects e.g. service & corporate groups for capital work projects, working bees.

- Distribution of Annual Report - Capability Framework Agreement – including renewal of

associated external service agreements



4.2 Consumer Engagement - Results of Publication Reviews - Consumer participation in:-

o Publication review o Management Committee Representation o Work Health & Safety o Recruitment & Orientation o Surveys, Complaint & Feedback Management processes:- o National Standards Assessment Program (Family

evaluation of o Palliative Care Surveys) o Satisfaction Survey o Compliments and complaints feedback forms o Guest Wing Communication Book o Hilda’s House Group evaluation forms o Surveys post event o Hospice Membership numbers o Annual General Meeting attendance

4.3 Event Participation - Internal & External – meeting expectations regarding goals, attendance & success of event

- Partnering with other organisations e.g. schools, service groups.



4.4 Benchmarking & Networking

- Membership of South East Queensland Hospice Network Group

- Director & Management Committee Members participation/membership of external groups & committees:- o Ipswich Women’s Development Network o Zonta o Rotary Clubs o Attendance at Ipswich Hospital Interagency Group o Attendance at Medicare Local Palliative Care Interest

Group - Membership of associated Professional bodies:-

o Palliative Care Queensland o Cancer Nursing Society of Australia o Cancer Council Queensland – Oncology Nurse’s Group o Palliative Care Nurses Association

Signed Off By: Date:

Peter Mc Mahon, Chairperson, Ipswich Hospice Care

IPSWICH HOSPICE CARE STRATEGIC PLAN · 2014. 3. 24. · Ipswich Hospice Care (IHC) is a community...

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