Poster Draft 3AG (2) Final
1
Acknowledgements • Women and families who access the AMIHS program, especially those who have generously shared their stories, enabled tagalong experiences, donated photos and assisted with the project • Coolamon made by Raw Kreations - Mary Moore and nephew baby Alfred Moore • AMIHS/BSF Manager and Clinicians • Eurobodalla Maternity Services Management, Clinicians and CMC • SNSWLHD Executive Sponsor - Executive DONM Julie Mooney & Cherie Puckett, Nurse Manager Leadership and Practice Development • Manager Redesign & Innovation SNSWLHD - Judith Hallam • Steering Committee Members Conclusion As the AMIHS program is offered across NSW and in the SNWLHD at three health service sites. There is the opportunity to share lessons learned, to implement improved safety and quality, continuity of care and to engage with the local communities and health service teams. Objectives 1. By July 2016 50% of AMIHS women are booked in before 14 weeks gestation. 2. To implement the recommended standards for screening for diabetes, renal diseases, quit smoking by December 2015. 3. To increase the post-natal continuity of care capacity so that all AMIHS women will be followed up by the AMIHS midwife for 2 weeks after birth. Case for change The continuum of care for women accessing the Aboriginal Maternal Infant Health Service and Maternity service was fragmented. In Southern NSWLHD only 14% of AMIHS women were booking in before 14 weeks with a recommended target for AMIHS programs being 100%. Near misses and adverse incidents have highlighted the need for early access to the health service. Women’s and stakeholder stories have demonstrated that Aboriginal Cultural Sensitivity within the health system can be strengthened Diagnostics ‘As is’ Mapping the current AMIHS women’s journey Key findings - 3Cs 1. Continuity of Care - 86% of women do not receive early intervention 2. Cultural Awareness - Respecting the Difference Mandatory Training Compliance 3. ultural aesthetics - Some of the Aboriginal community are not comfortable attending the Maternity Services Results Present the evidence that demonstrates the how the project met its objectives (outcomes), i.e. financial, workforce improvements, system improvements, etc. Results should improve the triple aim: - Patient Experience - Patient Outcome - Cost per capita Highlight real‐life impacts, either direct or flow‐on benefits. Can include graphs & pictures as well. Bingji Bingji Booris ‘Heavily pregnant to baby’ (Yuin language) Continuity of Care for the Aboriginal Maternal Infant Health Strategy - Eurobodalla Health Service Amanda Gear – Clinical Midwifery and Maternity Risk Management Consultant Jackie Jackson – Manager Aboriginal Health Services Goal To develop a local culturally competent maternity care model for the Aboriginal Maternal Infant Health Service (AMIHS) women across the care continuum in the Eurobodalla Health Service. The new model of care will be cost neutral and ensure that the experiences of AMIHS women and their families when receiving maternity care in the Eurobodalla are enriched and supported. Methods • Women’s stories, guided by the use of the Indigenous Pie • Staff interviews/tag a longs • Process mapping • Key Performance Indicators • Brainstorming workshops • One to One consultations • Consultations with external stakeholders • Literature search • Incident Information Management System (IIMs) Sustaining change Strategies to build sustainability into the planning and implementation of the model are crucial. The ability to sustain this midwifery continuity of care model relies on the ability to sustain the Midwife and Aboriginal Health Worker, ongoing communication and good working relationships with colleagues and ensuring safety and quality within the service. Some issues for managers include ensuring that clinicians have regular scheduled days off, arrangements are in place for times where a midwife is unavailable and robust cover arrangements for unexpected leave or relief. Ensuring there is a system for providing advice, support and regular supervision/mentoring/support for the midwife and the Aboriginal Health Worker need to include a focus on self-care. Contacts Amanda Gear – 0408 658643 [email protected] Jackie Jackson – 0467764194 [email protected] Place Organisation’s Logo Here Place Organisation’s Logo Here 0 10 20 30 40 50 60 AMIHS Data 01/07/2013 to 30/06/2015 2013-2014 Results Present the evidence that demonstrates the how the project met its objectives (outcomes), i.e. financial, workforce improvements, system improvements, etc. Results should improve the triple aim: - Patient Experience - Patient Outcome - Cost per capita Highlight real‐life impacts, either direct or flow‐on benefits. Can include graphs & pictures as well. Results Women’s Experience " My ideal Maternity Service would be…… 'the home visits convenient, the supports amazing, the ability to call with concerns when needed great, as at times maternity at the hospital is too busy or too clinical to understand'. (Melissa – Reflecting one year after birth experience) Outcomes for Women – Culture is changing and women are booking in earlier Month-to-month Activity Levels HETI Respecting the Difference Training AMIHS Team Maternity Service Team Dec 2014 0% 0% April 2015 100% 15% July 2015 100% 100% Activ ity varied due to decrease d staff capacity
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Transcript of Poster Draft 3AG (2) Final
Acknowledgements• Women and families who access the AMIHS program, especially
those who have generously shared their stories, enabled tagalong experiences, donated photos and assisted with the project
• Coolamon made by Raw Kreations - Mary Moore and nephew baby Alfred Moore
• AMIHS/BSF Manager and Clinicians
• Eurobodalla Maternity Services Management, Clinicians and CMC
• SNSWLHD Executive Sponsor - Executive DONM Julie Mooney & Cherie Puckett, Nurse Manager Leadership and Practice Development
• Manager Redesign & Innovation SNSWLHD - Judith Hallam
• Steering Committee Members
ConclusionAs the AMIHS program is offered across NSW and in the SNWLHD at three health service sites. There is the opportunity to share lessons learned, to implement improved safety and quality, continuity of care and to engage with the local communities and health service teams.
Objectives 1. By July 2016 50% of
AMIHS women are booked in before 14 weeks gestation.
2. To implement the recommended standards for screening for diabetes, renal diseases, quit smoking by December 2015.
3. To increase the post-natal continuity of care capacity so that all AMIHS women will be followed up by the AMIHS midwife for 2 weeks after birth.
Case for changeThe continuum of care for women accessing the Aboriginal Maternal Infant Health Service and Maternity service was fragmented.
In Southern NSWLHD only 14% of AMIHS women were booking in before 14 weeks with a recommended target for AMIHS programs being 100%. Near misses and adverse incidents have highlighted the need for early access to the health service.Women’s and stakeholder stories have demonstrated that Aboriginal Cultural Sensitivity within the health system can be strengthened
Diagnostics‘As is’ Mapping the current AMIHS women’s journey
Key findings - 3Cs1. Continuity of Care - 86% of women do not receive early
intervention
2. Cultural Awareness - Respecting the Difference Mandatory Training Compliance
3. Cultural aesthetics - Some of the Aboriginal community are not comfortable attending the Maternity Services
Planning and implementing solutions .
ResultsPresent the evidence that demonstrates the how the project met its objectives (outcomes), i.e. financial, workforce improvements, system improvements, etc.
Results should improve the triple aim:
- Patient Experience
- Patient Outcome
- Cost per capita
Highlight real‐life impacts, either direct or flow‐on benefits.
Can include graphs & pictures as well.
As much as possible use charts highlighting the baseline and the impact of your project.
Bingji Bingji Booris ‘Heavily pregnant to baby’ (Yuin language)
Continuity of Care for the Aboriginal Maternal Infant Health Strategy - Eurobodalla Health Service
Amanda Gear – Clinical Midwifery and Maternity Risk Management ConsultantJackie Jackson – Manager Aboriginal Health Services
GoalTo develop a local culturally competent maternity care model for the Aboriginal Maternal Infant Health Service (AMIHS) women across the care continuum in the Eurobodalla Health Service. The new model of care will be cost neutral and ensure that the experiences of AMIHS women and their families when receiving maternity care in the Eurobodalla are enriched and supported.
Methods• Women’s stories, guided by the use of the Indigenous Pie
• Staff interviews/tag a longs
• Process mapping
• Key Performance Indicators
• Brainstorming workshops
• One to One consultations
• Consultations with external stakeholders
• Literature search
• Incident Information Management System (IIMs)
Sustaining changeStrategies to build sustainability into the planning and implementation of the model are crucial.
The ability to sustain this midwifery continuity of care model relies on the ability to sustain the Midwife and Aboriginal Health Worker, ongoing communication and good working relationships with colleagues and ensuring safety and quality within the service.
Some issues for managers include ensuring that clinicians have regular scheduled days off, arrangements are in place for times where a midwife is unavailable and robust cover arrangements for unexpected leave or relief.
Ensuring there is a system for providing advice, support and regular supervision/mentoring/support for the midwife and the Aboriginal Health Worker need to include a focus on self-care.
ContactsAmanda Gear – 0408 658643 [email protected]
Jackie Jackson – 0467764194 [email protected]
Place Organisation’s Logo Here
Place Organisation’s
Logo Here
0
10
20
30
40
50
60
AMIHS Data 01/07/2013 to 30/06/2015 2013-2014 2014-2015
ResultsPresent the evidence that demonstrates the how the project met its objectives (outcomes), i.e. financial, workforce improvements, system improvements, etc.
Results should improve the triple aim:
- Patient Experience
- Patient Outcome
- Cost per capita
Highlight real‐life impacts, either direct or flow‐on benefits.
Can include graphs & pictures as well.
As much as possible use charts highlighting the baseline and the impact of your project.
ResultsWomen’s Experience" My ideal Maternity Service would be…… 'the home visits convenient, the supports amazing, the ability to call with concerns when needed great, as at times maternity at the hospital is too busy or too clinical to understand'. (Melissa – Reflecting one year after birth experience)
Outcomes for Women – Culture is changing and women are booking in earlier
Month-to-month Activity Levels
HETI Respecting the Difference Training
AMIHSTeam
Maternity Service Team
Dec 2014 0% 0%
April 2015 100% 15%July 2015 100% 100%
Activity varied due to decreased staff capacity
