NEWSLETTER

For innovators in

healthcare & beyond

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On Leadership Alignment:

The Choral Club

Char Weeks

Evaluating hand hygiene

interventions

David Brain

Expanding scope for non-medical

prescribing in New Zealand

Zowie Ransfield

The PANcare Home Nursing Project

Caroline Kelly

NHS Conference–

Speaker Experiences

Anita Bamford-Wade & Roisin Dunne

POINT OF VIEW:

National Standards and Improving

Performance

Dawn Skidmore

UPCOMING WORKSHOPS

The Change Implementer’s

Toolkit 101

Creating a Culture of Innovation

Pathways to a Consumer Focused

Organisation – Governance and

Managerial Approaches

Delirium and the Older Person

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P . 7

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On Leadership

Alignment:

The Choral Club

Leading a choir of managers

seems a relatively straight for-

ward, perhaps even, routine, task

for an accomplished executive.

The synchronicity of organisational

values, strategic and operational

plans and key performance indica-

tors ideally forms the sheet music

for each manager’s song book.

And all that is expected of manag-

ers is that they read from the

same sheet music and sing in

glorious harmony. If only it could

be that easy.

In a recent article in Forbes online

magazine, Ken Perlman and John

Kotter (http://www.forbes.com/

sites/johnkotter/2012/11/28/the-

disastrous-effects-of-a-mostly-

aligned-executive-team/) lament

that many organizations willingly

accept that their executive or

management team is “mostly

aligned” around strategy. They

might be all singing strategy from

the same sheet music, but each

manager slightly reshapes the

lyrics or tampers with the melody

to suit their own interpretation.

The end result is a range of songs

all recorded and mixed differently

but still known by the one name,

organizational strategy. Little

wonder a mix of choral downloads

is confusing to staff, especially

where organizational values such

as collaboration are promoted

with a cohesive and positive

culture.

When change is forced from way

above or outside, managing even

the most note perfect chorists to

harmonise as one voice can be

confronting to the most adept of

conductors.

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This is especially so, when conductor and choir are

equally disaffected by forced change (such as the need to

do much, much more with very much less). Yes, leaders

and managers do have feelings. That’s why they have

subscriptions to Musica Viva and the like.

During forced change, leaders and managers put their

own emotions aside for the higher good of the

organization. They constantly communicate the vision

for the desired future, role model behaviours that are

congruent with that future and inspire others to follow

suit. In difficult times, leaders need the whole choir to

sound like just one voice…even though they know that

not everyone is agreeable that change must occur.

Good leaders and managers refrain from leadership

laceration ie publicly criticizing their own conductor-in-

chief or other arbiter of decisions to change. At work,

they remain strictly on song, supportive of their

conducter, regardless. Their professional and social

networks provide the support they need to get through

tough times. As role models, good leaders and managers

expect that their followers will emulate their

management behaviours. Conscious of their own

professional conduct, good managers respect

constructive feedback over negative criticism and they

manage up and down in that same constructive,

supportive way.

Good leaders and managers pass on the change news,

whether good or bad, present it factually, and as a

challenge to which to aspire, without sugar coating.

Emotionally intelligent and with good instincts, their

integrity shields them from a need to please people.

Good leaders and managers invite a two way

conversation with their team members. They welcome

an acapella of well thought out concerns over

unproductive squawking from crotchety magpies nesting

among the tenors. Good managers strive to stay calm

answering questions as best they can and providing

updates on progress regularly; even when they don’t

know anything new. Their team members’ will never

anxiously lament, “We don’t know what is going on.

They just leave us in the dark.”

Leadership alignment is about more than lip synching

along to calls for change. It is about ensuring that every

level of management is sharing and communicating the

same information about change and its implementation

in the same way so that the teams are also aligned. It is

about respecting the non-negotiable decisions and

resisting any urge to spontaneously combust during

difficult times.

Char Weeks

This article can be shared if author and source

are acknowledged. Suggested citation:

Char Weeks, Innovation Leader, Change

Champions & Associates Newsletter, May

2013.

REGISTER ONLINE TODAY! www.changechampions.com.au

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Understand and be able to apply Kotter and Bridges

principles on change and transition management

Understand your role and your responsibilities in

change management

Understand why change readiness is important as

one tool for resistance minimization

Be able to assess change readiness

Practice communicating your vision for your change

program, urgency/discrepancy message to engage

stakeholders and optimize buy in

Be introduced to some tools to facilitate buy in

Understand who resists and why

In this workshop, you will:

For health, aged, primary community care, local

government, member associations and not for profits

professionals who are new to working on projects.

Note: This is a novices only workshop. If you dream at

night about the work of the greats in change

management (i.e. Kotter, Bridges, Lewin, Senge, Moss-

Kanter etc.), you are too experienced to attend.

Participants must be working on a project, and are

required to bring a section of an organisational chart.

Certificates of attendance are available after the

workshop by email. Catering Provided.

AUDIENCE

REGISTER ONLINE TODAY! www.changechampions.com.au

The Change Implementer’s

Toolkit 101 FIRST TIME MANAGING A PROJECT OR PROGRAM?

Excited and enthusiastic about the opportunity to expand your horizons by working on a new initiative? Expert on

the topic area? What about your expertise on how to manage change? Not too many ideas…. Great!

NEW WORKSHOP with Char Weeks

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Evaluating hand hygiene interventions

and their ability to reduce healthcare associated infection

Professor Nick Graves, Academic Director of the

Australian Centre for Health Services Innovation (AusHSI),

Queensland University of Technology, is leading the

economic evaluation of the National Hand Hygiene

Initiative (NHHI). The evaluation is an NHMRC

Partnership project, with the broad aim of evaluating

how well the NHHI worked, what factors were important

to its success and whether its implementation was good

value for money.

Data has been collected from the 50 largest public

hospitals in Australia, utilising 5 separate measurement

tools (surveys) and has included responses from more

than 2500 healthcare workers (nurses, nurse unit

managers and infection control practitioners). Such

surveys were conducted in order to address a range of

key research areas, including:

Attitude to participating in hand hygiene activities

Intention to participate in hand hygiene activities

Healthcare worker perception of hand hygiene

importance

Healthcare worker’s hand hygiene knowledge

Cost of implementing the NHHI

Executive-level support for hand hygiene

interventions and infection control in general

Hospital acquired infection data was also collected and

analysed from all participating hospitals (n=50) in

order to contribute integral information about the

rates of hospital acquired infection pre and post the

NHHI. This data will enable the research team to draw

conclusions on the clinical effectiveness of the NHHI in

each State and Territory in Australia – the first

research project of its kind.

The research team, to ensure that the economic model

used for cost effectiveness analysis is enriched with

thorough and accurate costing data, has also collected

various types of cost data. The economic model has

been built by the Chief Investigator and takes into

consideration not merely the obvious costs (e.g. staff

time, cost of alcohol based hand rub) but also the costs

related to extra length of stay in hospital (due to

infection), costs from dying and also balances the costs

with savings made by averting infections and / or

death, that can be attributed to the effect of the NHHI.

The evaluation is the first in Australia to assess the

NHHI using cost effectiveness analysis and to

thoroughly examine the effectiveness of this specific

hand hygiene program. The study is the first in

Australia to include a significant number of hospitals

(50) from every jurisdiction and capture responses

from such a wide range of participants, capturing the

attention of many health services stakeholders who

are eagerly awaiting the results.

(Continued next page)

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The evaluation is the first in Australia to assess the

NHHI using cost effectiveness analysis and to

thoroughly examine the effectiveness of this specific

hand hygiene program. The study is the first in

Australia to include a significant number of hospitals

(50) from every jurisdiction and capture responses

from such a wide range of participants, capturing the

attention of many health services stakeholders who

are eagerly awaiting the results.

The evaluation is making good progress and final

analysis is currently being undertaken – it is expected

that all analyses will be completed by the end of April,

2013. Results will be published via a series of academic

journal articles, through conference papers and

presentations – with results likely to be presented at

National and International infection control

conferences later this year and earlier in 2014.

For further information, you can head to the

Wiki page:

https://wiki.qut.edu.au/display/HHE/

Hand+Hygiene+Evaluation+Project

Or, you can check out other research that Prof Graves

is involved in by checking out the AusHSI website:

http://www.aushsi.org.au/

Corresponding Author:

David Brain

Project Officer

Institute of Health and Biomedical Innovation

Queensland University of Technology

E: david.brain@qut.edu.au

Feel like you’ve bitten off

more than you can chew? CONFIDENTIAL

COACHING

SERVICE

With experienced Certified Executive Coach

Get the support you need, when you need it.

Suitable for emerging managers working in

health, aged, primary and community care and

especially those new to program, project and

other funded initiative management and those

who are:

working in isolated regions or just

working in isolation

those with little previous experience

sufferers of imposter syndrome (i.e.

feeling way out of your depth or

certain that your lack of skills will

shortly be discovered)

Receive support and advice in the areas of:

Strategic planning, program implementation

Relationship management, networking/collaboration

building and management

Working with a Board/Committee

Managing up

Working with staff

Brain storming

Management self development

Telephone coaching service available in or out of hours. (Hourly rates)

Face to face coaching also available by appointment.

Email: info@changechampions.com.au

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Health Workforce New Zealand (HWNZ) considers a

range of innovations to provoke and promote change

with a focus on workforce, service development

opportunities, patient experience and safety.

HWNZ has undertaken demonstrations to explore the

possibility of non-medical prescribing, which will

allow patients to access medications through health

professionals other than their doctor.

Below are three examples that demonstrate the

effectiveness of new and expanded roles for

community pharmacists and diabetes nurse

specialists.

Community Pharmacy Anti-Coagulation

Management services Demonstration

Warfarin is the most commonly used oral

anticoagulant in New Zealand and is traditionally

managed in general practice, requiring patients to

visit their doctor and then the pharmacy for

collection of their prescription.

The community pharmacy anti-coagulation

management services demonstration allowed

community pharmacies to provide Warfarin to local

patients in collaboration with general practices.

The pharmacists used standing orders for dispensing

warfarin to selected patients while also having the

authority to modify a prescription in collaboration

with general practitioner colleagues.

The evaluation found it was a safe, effective service,

is acceptable to patients and other healthcare

providers and the costs per patient per year are

about 30% less for this service than for traditional

care.

The service continues to expand and since July 2012

has been funded under the national pharmacy service

contract with district health boards.

Diabetes Nurse Specialist

Prescribing Demonstration

In 2010, twelve diabetes nurse specialists took part in

four demonstration sites across New Zealand to test

the effectiveness and safety of diabetes nurse

prescribing. Over a period of six months, the

participating nurses prescribed a limited number of

medicines used for diabetes patients under the

supervision of an authorised prescriber.

Evaluation of the demonstration showed that

prescribing by diabetes nurse specialists resulted in

improved continuity of care for patients, reducing the

need for separate appointments for routine

prescriptions and reducing pressure on medical staff.

Following the success of the demonstration, the

Minister of Health authorised a second phase to

embed the service more widely in the sector. Fifteen

more nurses have undertaken the advanced training

in a further six demonstration sites, and will be

authorised to prescribe shortly.

Expanding scope for non-medical prescribing

in New Zealand

(Continued next page)

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Creating a Culture of

This practical workshop draws upon the best international literature

and focuses on how to create a culture of innovation in health and

aged care.

Delegates will learn a step by step approach to creating a culture of

innovation in their organisation:

Define what constitutes “innovation” as a pre-requisite for

culture change

Understand the DNA of innovators and how they inspire others

Consider case studies of innovation in organisations

Look at strategies and tools for fostering innovation in your

organisation

Develop a road map for fostering innovation in your

organisation after the workshop

Suitable for Managers and Emerging Managers in All

Facilities and Departments

Clinical Pharmacist Prescribing Demonstration

To expand the role of pharmacists in frontline health

care, a postgraduate prescribing certificate was

developed by the pharmacy schools at Auckland and

Otago Universities to qualify clinical pharmacists as

designated prescribers.

Some 14 pharmacists are enrolled in the demonstration

cohort, working in both hospital settings and primary

care. They are currently undertaking the training, and

will then work with a designated medical practitioner

who acts as a mentor and provides advice in a team

environment.

Cabinet has approved the necessary amendment to the

Medicines Act 1981 and the Misuse of Drugs Act 1975,

and the demonstration will begin when the amend-

ments have been passed.

HWNZ is committed to thinking of innovative ways to

develop services and improve patient outcomes.

Zowie Ransfield

Communications Co-ordinator

Communications & Strategic Engagement

Health Workforce New Zealand

National Health Board, Ministry of Health

NEW WORKSHOP across Australia

Visit our website: www.changechampions.com.au to download the full PDF flyer or to register online in your state. In-house opportunities at your organisation are also available upon request

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The PA N c a r e Home Nursing Project

The project is the first Victorian and first support services project to be funded by the Avner

Nahmani Pancreatic Cancer Foundation. Avner, whom the Foundation was named after, was

diagnosed with pancreatic cancer in September 2007 and died thirteen months later. Prior to

his passing, Avner’s wish was to make a difference to those affected by the disease and to

offer future patients hope of better outcomes. Avner and his wife Caroline, along with many

great supporters, established the Avner Nahmani Pancreatic Cancer Foundation. It is the only

Foundation in Australia dedicated exclusively to pancreatic cancer.

Pancreatic cancer has the worst survival rates of all cancers, with 5-year survival rates

languishing at 5.2% across Australia; median survival rates are between 3 and 6 months and

there is very little in the way of dedicated support for sufferers.

Like many other terminally ill patients, it was Avner’s wish that he would die at home, sadly

that didn’t happen and it was this experience that led to the establishment of the PANcare

project.

The $430,000, 2-year project funded by Avner’s Foundation is a comprehensive care model

that will place specially-trained registered nurses in pancreatic cancer patients’ homes in their

final nights. Peter MacCallum Cancer Centre’s Dr. Natasha Michael, Consultant in Palliative

Medicine and Associate Professor Mei Krishnasamy Director Cancer Nursing Practice and

Research co-lead the project.

(Continued next page)

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The PANcare project was launched in January and operates

in Western and Central Melbourne and collaborators

include hospitals across this region and Palliative Care

providers – Melbourne City Mission and Mercy Palliative

Care.

The PANcare project will test the feasibility and

sustainability of a comprehensive care planning service for

patients with advanced pancreatic cancer patients

The project will be carried out in three stages:

1. Set up stage: Appointment of project team, review of

academic literature on the topic area, case notes audit,

development of a detailed evidence based research

protocol and training material and implementation of a

training program for registered nurses

2. Go live stage: Offering a program of comprehensive care

planning to patients with advance pancreatic cancer

that will facilitate care at home at the end of life

including the provision of night nurses.

3. Close out stage: Evaluation of service model (including

health economic evaluation), data analysis and

dissemination of findings.

Caroline Kelly

Director and Co-Founder

http://www.facebook.com/AvnersFoundation

www.avnersfoundation.org.au

twitter.com/AvnerFoundation

Healthcare Emerging Managers Network

– now on Linked In

This brand new group provides support to emerging

managers (e.g. clinical, program/project managers)

working in health and aged care in Australia and

New Zealand. Members will be willing to share

their experiences, ideas for dealing with challenges

and information/resources. So if you are out on a

limb and all at sea…

join up at www.linkedin.com or email us to join you

up at info@changechampions.com.au

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Current Workshops

REGISTER ONLINE: www.changechampions.com.au

Handy Hints for the Novice Conference Presenter

If you are doing great work but never or hardly ever present to a live audience because the thought of it turns

your knees to jelly.... then here is a workshop for you. Delegates from outside health also welcomed.

Moving Forward: Accepting and Embracing Resistance to Change

This one day workshop is a fantastic opportunity for new leaders and project managers from any industry or

public sector who are keen to develop their skills in change management.

The Better Boss Workshop

Ever wondered how you rate as a boss? How you could be a better boss? This workshop is ideal for enthusiastic

emerging leaders, new managers and supervisors with no formal management training and those who are just

wondering if they are really are being the best boss they can be.

Assessing Change Readiness

Overflowing with enthusiasm to implement an exciting new program that promises to bring much needed change

for the better? This workshop offers a step by step introduction by systematically assessing change readiness

across a range of levels to optimise the potential for success.

N E W ! Creating a Culture of Innovation

This practical workshop draws upon the best international literature and focuses on how to create a culture of

innovation in health and aged care. Suitable for managers and emerging managers in all facilities and

departments.

Suitable for Managers and Emerging Managers in All Facilities and Departments.

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Current Workshops

REGISTER ONLINE: www.changechampions.com.au

The Change Implementer’s Toolkit

Is it your first time managing a project or program? Excited and enthusiastic about the opportunity to expand

your horizons by working on a new initiative? Expert on the topic area? What about your expertise on how to

manage change? Not too many ideas …. Great! You are the ideal participant in this full day workshop.

This is a novices only workshop. If you dream at night about the work of the greats in change management i.e.

Kotter, Bridges, Lewin, Senge, Moss-Kanter etc., you are too experienced to attend.

Lobbed On:

When Change is Lobbed On You From a Great Height

Don’t quite know what to do when you have been directed from far above to implement a change in your work-

place or team? Feel like a junior tennis player facing Serena Williams or Roger Federer for the very first time?

This is a great workshop for those wanting to develop their leadership skills so as to effectively implement change

in their workplace. Suitable for middle level managers, team leaders and coordinators.

N E W !

N E W !

N E W ! Understanding Management Decision Making

A capacity to consistently and reliably make good decisions is often seen as a measure of a manager’s

credibility. And, many organizations attribute some of their success to good management decision-

making. Understanding the processes around decision-making is becoming an increasingly important

component of management development.

This practical workshop is about helping Managers (especially Emerging, New, Acting and Project

Managers), Co-ordinators and Team Leaders to develop confidence and skills in systematically making

good decisions, including those made while under pressure.

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Pathways to a Consumer Focused

Organisation – Governance and

Managerial Approaches

It is timely for health care organisations, from boards to

front-line staff, to gain a clear understanding of consumer

participation and consumer experience principles.

Set within the context of the current health reforms and

expanding mandatory requirements this Master Class is a

strategic exploration and examination of the health consumer

participation trilogy: consumer engagement, consumer

involvement and consumer partnerships for organisation-

wide quality improvement.

2013 in-houses available

For more details please visit our website and

download & fill out an expressions of interest

form. We’ll then get back in touch with the relevant information

Audience Profile

Board members, health services executives, clinicians, safety

& quality co-ordinators/managers, risk managers, clinical

governance managers and health consumers.

With facilitators

Stephanie Newell

& Mitchell Messer

2013 IN-HOUSE MASTER CLASS

Visit www.changechampions.com.au

To download official flyers and register online for seminars

13

“You would have to be half mad to dream me up.” -Lewis Carroll, Alice in Wonderland

FULL DAY IN-HOUSE WORKSHOP

With facilitator Robyn Attoe

Visit www.changechampions.com.au

“Delirium in older hospitalised people is often

overlooked or misdiagnosed due to limited staff

knowledge of delirium features or a perception

that all cognitive impairment is due to demen-

tia” (Australian Government Department of

Health and Ageing).

Delirium is a serious medical problem which

results in increased length of stay in hospital,

premature institutionalization, morbidity and

mortality in the elderly. Needless to say the cost

to healthcare system is enormous!

This practical workshop by recognized dementia

behavior expert, Robyn Attoe, is designed to

assist anyone working with older people:

to recognize the delirious patient early; and,

improve their knowledge about delirium

management.

WHO SHOULD ATTEND?

This workshop is ideal for any professional

concerned with the care of our elderly.

POINTS: 3 CNE points

IN THIS WORKSHOP, YOU WILL:

I. Learn about cause and types of delirium and

delirium risks

II. Understand the pathophysiology of delirium

III. Understand non pharmacological approaches

to managing delirium

IV. Be introduced to the best practice guidelines

for pharmacological management

V. Share information about:

Hospital environments – do they help or

hinder?

What can be changed to assist in

management of delirium?

An emerging problem, hyperactive delirium

in the younger person

14

I was very fortunate to partner with

Change Champions & Associates, Chester

University and the North West NHS 12-15th

March. It was a truly amazing experience

as we met with the North West Directors of

Nursing in Bolton and then travelled to

London to attend the 2013 Nurse Awards

at the Victoria and Albert Museum in

London. It was an inspiring evening of the

very best in nursing practice. What was so

wonderful were the comments the patients

had made about the nurses and their

practice. Am sure there was not a dry eye

in the audience.

Day 2 we attended the NHS Innovation

Expo also in London. This event was a

combination of presentations from the

policy makers and an exhibition of the

latest in technology to support care

delivery both in the hospital and the

community. The new Chief Nurse for the

NHS Jane Cummings who had been in her

role just on a year is an inspirational

person. She has achieved so much after 1

year in the role. Jane has launched

Compassion in Practice: A summary of the

Implementation Plans for developing a

culture of compassionate care. The plan

outline the 6 C’s of compassion: care,

compassion, competence, commitment,

courage and communication.

The next morning we travelled to Leeds to

meet the NHS employers network who

were interested in ways to recruit to the

values. My colleagues from the US

and Roisin Dunne from the Mater in

Brisbane were very eloquent in way this

can be accomplished. That evening we had

a pre-conference think tank / dinner and

met key sponsors of the conference that

was going to held on Friday 15th

March. Our hotel was located in Media

City right beside the home of the BBC. A

tour of the BBC was organised between the

main and desert that evening. Friday 15th

March was the big day at the conference

which was held at the Old Trafford the

home of Manchester United. The day went

too quickly! There were so many

wonderful presentations and people to

meet. Before we knew it the program had

come to an end. It was a very energizing

and inspiring week. It was both a privilege

and a pleasure to meet so many wonderful

people who had a passion for what they did

so well.

Anita Bamford-Wade,

Auckland University of Technology

Anita Bamford-Wade (Auckland University of Technology)

and Roisin Dunne (Mater Health Services, Brisbane) share their

experiences speaking at the 2013 NHS International Conference

titled: “Recruiting for the Values of the NHS”

Anita Bamford-Wade

15

Presenting at the “Recruiting for the Values

of the NHS” conference provided a

wonderful opportunity to network with

likeminded nursing and midwifery leaders.

The realisation that the profession is

globally facing the same challenges in

relation to embedding compassionate care

is both confronting and comforting. As we

all strive to maintain patient centric care, in

very challenging economic climates, I have

made firm professional friendships with

wonderful skills and ideas which I know we

can all leverage off moving forward. All in

the profession of nursing and midwifery

owe it to our patients, each other and the

profession to ensure we utilise every

opportunity every day to ensure patients

and the staff around us experience

compassion when we care for them.

My presentation focused on the tools we

have developed at Mater Health Service to

help us do that. Recruitment and re-

recruitment of staff utilising the Mater

Values is part of our businesses. We are

fortunate at Mater to be steeped in the

spiritual tradition of the Sisters of Mercy

which we as senior leaders, working

collaboratively with our People and

Learning Department, endeavour to

continue.

Roisin Dunne RN, H-Dip Nursing, Dip. Mgt.

Registered nurse for 17 years working in

various roles from bedside nursing,

education, quality/service improvement

and administration. Currently Nursing

Director Ambulatory and OPD service

Mater Health Services Brisbane.

Roisin Dunne

About the NHS conference:

This international conference, chaired by Michelle Beecroft from Stockport NHS Foundation Trust,

was designed to inform delegates of some of the challenges healthcare providers face around

embedding key values, exploring the approaches used in America, New Zealand and Australia over

the last 20 years to overcome such challenges. Furthermore, consideration was given to the tools

currently in use or in development within the UK. This was a joint event supported by NHS North of

England, Health Education England and the NHS Commissioning Board and the University of

Chester. As well as having a wide range of guest speakers the conference was supported by

workshops in which delegates had the opportunity to see how tools are used and applied in

practice.

Background

Compassion in Practice is the new three year vision and strategy for nursing, midwifery and care

staff drawn up Jane Cummings, the Chief Nursing Officer for England (CNO) at the NHS

Commissioning Board, and Viv Bennett, Director of Nursing at the Department of Health.

It was launched at the CNO annual conference in Manchester on December 4th 2012 following an

eight week consultation with over 9,000 nurses, midwives, care staff and patients.

SEE OUR INTERNATIONAL RESOURCES SECTION TO DOWNLOAD THE PDF CONFERENCE OVERVIEW & SPEAKER SLIDES

16

P int of View

National Standards and Improving Performance

by Dawn Skidmore

The Australian Commission on Safety and Quality in Health Care has developed The National Safety and

Quality Health Service Standards (NSQHS Standards) to drive the implementation of safety and quality

systems and improve the quality of health care in Australia. The 10 NSQHS Standards provide a

nationally consistent statement about the level of care consumers can expect from health services. And

in September 2011, Australian Health Ministers took a significant step towards improving Australia’s

health system by endorsing the NSQHS Standards and a national accreditation scheme. The new system

will, for the first time, create a national safety and quality accreditation scheme for health service

organisations.

Whether you are a healthcare practitioner, support worker, manager or executive, these new standards

may have implications for you and your organisation. Do you know what these implications may be? If

you are responsible for delivering and managing care, supporting care or improvement activities,

coordinating accreditation activities or collating outcomes of improvement processes and evidence,

they are relevant to you.

The ten NSQHS Standards are:

Governance for Safety and Quality in Health Service Organisations

Partnering with Consumers

Preventing and Controlling Healthcare Associated Infections

Medication Safety

Patient Identification

Clinical Handover

Blood and Blood Products

Preventing and Managing Pressure Injuries

Recognising and Responding to Clinical Deteriorating in Acute Health Care

Preventing Falls and Harm from Falls

Accreditation to the NSQHS Standards commenced for hospitals, day procedure services, day surgeries

and day hospitals across Australia from January 2013. The introduction of the NSQHS Standards also has

implications for dental practices and clinics nationally as they too may be participating in accreditation

for the first time.

(Continued next page)

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Submit your Tricks of the Trade It is often the surprising discoveries and personal experiences that make all the difference in change

management, reform, redesign programs, etc.

We invite you to submit a short article for our newsletter, sharing the personal experiences and unpredicted

lessons that could never be found in a book.

All submissions should be emailed to

info@changechampions.com.au

In addition to the National Standards, DoHA has developed a Medicare Local Accreditation Scheme with

specific standards for Medicare Locals. The twelve Medicare Local Standards are:

Governance and Leadership

Human Resource Management

Knowledge and Information Management

Contracting and Subcontracting

Stakeholder Relationships

Analysis and Planning

Health Promotion and Illness Prevention

Service Coordination and Integration

Service and Provider support

Direct Health Service Delivery

Environmental Safety

Asset Management

Accreditation is one tool in a range of strategies, which can be used to improve safety and quality in a

health service organisation. It is a way of verifying:

Actions are being taken

System data is being used to inform activity

Improvements are made in safety and quality

It is easy to find out more, simply go to HDAA’s website www.hdaau.com.au. There may also be exciting

opportunities to become a healthcare assessor!

For information on The Australian Commission on Safety and Quality in Health Care go to

www.safetyandquality.gov.au

For more information also see the next Change Champions and Associates Newsletter

Dawn Skidmore

Principal Consultant

Dawn.Skidmore.au@googlemail.com

18

Australian RESOURCES

National CALD Ageing Network (NCAN)

FECCA is currently working to establish NCAN, a web-based communica-

tion network for people and organisations in the CALD ageing sector. We

hope it will become a major vehicle for CALD organisations and people to

feed ideas into the development of the national CALD Aged Care

Strategy, and to become involved in the exciting possibilities offered by

the aged care reforms.

http://www.fecca.org.au/

Serious Transfusion Incidents Reporting System

The Blood Matters Serious Transfusion Incidents Reporting System (STIR)

is a central reporting system for serious adverse events with transfusion

of fresh blood or blood components including near-miss incidents

preceding transfusion. For more information on categories of reportable

events see the STIR guide at this link:

http://www.health.vic.gov.au/bloodmatters/stir.htm#reports

Nurses in Focus

This issue of Australia’s Health Workforce Series brings together

information from various sources to provide a picture of the nursing

workforce in Australia.

https://www.hwa.gov.au/sites/uploads/Nurses-in-Focus-FINAL.pdf

19

BloodSafe

BloodSafe is a blood transfusion safety and quality improvement collaboration

between SA Health, the Australian Red Cross Blood Service, public and private

hospitals and their transfusion service providers.

Sponsored by the South Australian Department for Health and Ageing, the

BloodSafe mission is to coordinate a safety and quality framework for all steps

of blood transfusion practice to improve patient outcomes and ensure suffi-

ciency of blood supply.

The BloodSafe website http://www.health.sa.gov.au/bloodsafe/

provides a range of tools and resources for health professionals and the

general public including:

National Ageing and Aged Care Strategy for People from Culturally and Linguistically Diverse (CALD) Backgrounds

Government’s National Ageing and Aged Care Strategy for People from

Culturally and Linguistically Diverse Backgrounds.

http://www.health.gov.au/internet/main/publishing.nsf/

Content/2882705B40A380A1CA257AD80077A1B8/$File/D0982_CALD_WEB%

20with%20p4%20corr.pdf

For Consumers:

Blood Transfusion

Iron Therapy

Immunoglobulin Infusions

Consent for Transfusion

Children and Transfusion

For Clinicians:

Transfusion Practice

Anaemia Management

Patient Blood Management

Education and Standards

Blood Product and Fridge Registers

Storage and Transport

Australian RESOURCES

20

I N T E R N A T I O N A L

NHS International Conference - Recruiting for the Values of the NHS

Conference overview, including slides from keynote speakers.

Video will also be made available soon.

Keynote Presentations

Commissioning for the Values of the NHS - Sam Sherrington, Bolton Clinical

Commissioning Group

Hartman Value Profile - Victoria King & Tanya Cook, Memorial Healthcare System,

Houston, Texas USA

Compassion in Practice - Jane Cummings, Chief Nursing Officer, NHS Commissioning

Board

HEE Commitment to Delivering the Constitution - Dr. Lisa Bayliss-Pratt, Health

Education England

Nursing Values Project - Liz Kidd, Deputy Director, Workforce Education Policy,

Department of Health

Recruiting for the Values: Nursing and Midwifery Division, Mater Health Services South

Brisbane - Roisin Dunne, Nursing Director, Mater Health Services

The Independent Review into Health Care Support Workers - Joe McArdle on behalf of

Camilla Cavendish

https://northwest.ewin.nhs.uk/knowledge/resource/872/NHS-International-Conference-Recruiting

-for-the-Values-of-the-NHS

Scaling Telehealth Programs: Lessons from Early Adopters

Overview

Remote patient monitoring (RPM)—like home teleheath and telemonitoring—can help

improve coordination, improve patients’ experience of care, and reduce hospital admissions

and costs. Such technologies remotely collect, track, and transmit health data from a

patient’s home to a health care provider and can facilitate communication and help engage

patients in the management of their own care. This synthesis brief offers findings from case

studies of three early RPM adopters: the Veterans Health Administration, Partners

HealthCare, and Centura Health at Home. Each of the programs started as a pilot with the

support of a small group of advocates who believed in the technology’s potential for offering

improved care for a targeted population. Early lessons include promoting a culture of

openness and preparedness; using a multidisciplinary team-based approach; establishing

leadership support; minimizing barriers to patient enrollment, like cost; and including

nonstandard measures, like patient experience and staff satisfaction, in program evaluations.

http://www.commonwealthfund.org/Publications/Case-Studies/2013/Jan/Telehealth-

Synthesis.aspx

21

I N T E R N A T I O N A L

2nd World Congress of Clinical Safety

12 - 13 September 2013, Heidelberg, Germany

(Main theme) Risk in Clinical Care

(Abstract submission) 1st Feb. 2013 - 31st May, 2013

(Conference registration) from 2013 Spring

This academic congress is organized by IARMM and aims to improve and promote the

science and technology of better safety in both risk and crisis management in health

care. The congress covers a wide range of topics such as patient safety, medication

safety, medical device safety, infectious disease outbreak, and the other related

subjects. German scientific culture of risk has the longest history of over hundred

years in the world and has absolutely active movements in risk science and technology

which generated the important key concepts, such as philosophy of risk, risk

communication, risk management, etc.

We are sure that the Congress will assist the world wide exchange of knowledge and

skill in this specialist area with excellent German risk scientists. Let's all join together

at our Heidelberg Congress to meet and share information with your colleagues.

Abstract submission manner

http://www.iarmm.org/2WCCS/Abstract_Submissions.pdf

Key topics:

'Philosophy and strategy of managing risk and error'

'Clinical communication for risk and safety'

'International perspectives for clinical safety'

'Safety culture in healthcare and group medicine'

'IT and medical informatics in clinical safety'

'Education and training for clinical safety'

'Patient's or career's role in clinical safety"

'Simulation and human factor for clinical safety'

'Survey and report of clinical errors'

'Risk and safety in medical device'

'Surgical safety, preoperative risk management and Checklist'

'Medication safety'

'Drug safety'

'Emergency healthcare system'

http://www.iarmm.org/2WCCS/poster_2WCCS.pdf

22

The Service Providers Toolkit:

Improving the Care of Older Homeless People

Alice Rota-Bartelink

Introducing Nigel: Case profile

Defining homelessness

– primary, secondary and tertiary

Characteristics of an aged homeless population

Advocating for the older homeless person

Navigating complex service systems

Understanding life roles and the significance of

engaging in meaningful activities

Facing the challenge of “behaviours of unmet

need”

The Service Providers Toolkit

Homeless and the Aged

Content

IN-HOUSE

WORKSHOP

This workshop is available

as an in-house at your

organisation. Fill out the

expression of interest

form on our website for

more details.

www.changechampions.com.au

DOWNLOAD THE PDF FLYER TO READ ALICE ROTA -BARTELINK’S BIO AND FOR MORE DETAILS ABOUT THE WORKSHOP

23

A master class on managing older clients living with

Alcohol Related Brain Injury (ARBI)

The Challenge of

Long Term

Alcohol Abuse

in Older Adults

Make an inquiry for your facility!

To facilitate the transfer of skills and knowledge

gained through evaluative research into the

provision of appropriate support to clients living

with alcohol related brain injury (ARBI) this

presentation will provide education on the

effects of long-term alcohol abuse on an older

person and advice on strategies to assist service

providers with managing behaviours of concern

among older clients living with ARBI.

Master Class Aim

Workshop Outline

Introduction

Alcohol & Alcoholism

Symptoms

Alcohol and the Ageing Body

Comorbidity

Alcohol and the Brain

The Role of a Neuropsychologist

Treatment

Managing Challenging Behaviour

Aggressive Behaviour

Self Care Practices - Staff

Case Profile

Conclusion

“This Master Class aims to improve the life quality of this often forgotten and neglected group of people by providing participants with an understanding of their unique set of care needs and imparting the skills required to enhance the delivery of effective care and support.”

- Alice Rota-Bartelink

Download the PDF flyer from our website

www.changechampions.com.au and fill out

the expressions of interest form

24

When Change is Lobbed On You From A Great Height:

A “how to” workshop for change implementers and recipients

L bbed n

Bring your challenges to this full day workshop!

Don’t quite know what to do when you have been directed from far above to implement a

change in your workplace or team? Had no buy-in to designing a change that you are

responsible for implementing in your workplace? Accountable for making a change that you

don’t really understand or don’t agree with? Know that your team is not going to be happy

with more change or another change that seems to make very little sense? Feeling over-

whelmed? Blue? Perhaps, just tinsy bit cynical? Feel like a junior tennis player facing Serena

Williams or Roger Federer for the very first time?

If you answered yes to any one of these questions, this workshop is for you.

Let’s get out from underneath and start playing your own game. Believe it or not, you can

make top down change directives work for you and your team.

Visit our website and download the PDF flyer for

UPCOMING 2013 DATES across Australia and New Zealand

Suitable for middle level managers, team leaders and coordinators

www.changechampions.com.au

25

Change Champions & Associates invites you to contribute to this publication!

Are you or your organisation working on a new project or initiative? We’d love to hear about it!

Please send us a 1 page article highlighting the major aspects

of the initiative you are part of.

Email articles, suggestions and advertising enquiries to Diane Vatinel at: info@changechampions.com.au

PO Box 302,

Kew, Victoria 3101

AUSTRALIA

E: info@changechampions.com.au

W: www.changechampions.com.au

When Change is Lobbed On You From A Great Height:

A “how to” workshop for change implementers and recipients