join us and make a difference - nsw agency for clinical ... · aci – join us and make a...
TRANSCRIPT
Join us and make a difference
AGENCY FOR CLINICAL INNOVATIONTower A, Level 15, Zenith Centre 821-843 Pacific HighwayChatswood NSW 2067
PO Box 699Chatswood NSW 2057T +61 2 8644 2200 | F +61 2 8644 2151E [email protected] | www.aci.nsw.gov.au
Produced by: ACI First Revision: February 2012
SHPN: ACI 110070 ISBN: 978 1 74187 597 3
Further copies of this publication can be obtained from the Agency for Clinical Innovation website at: www.health.nsw.gov.au/gmct
Disclaimer: Content within this publication was accurate at the time of publication.This work is copyright. It may be reproduced in whole or part for study or training purposes subject to the inclusion of an acknowledgment of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above, requires written permission from the Agency for Clinical Innovation.
© Agency for Clinical Innovation 2011Published: February 2012
HSS11-022_ACI-JoinUs
ACI – Join Us and Make a Difference 3
The Agency for Clinical Innovation (ACI)was established in January 2010 to drive continuous improvement in the way care is provided to public patients in NSW.
ACI is one of four pillars of reform recom-mended by the Garling Inquiry to work with doctors, nurses and other health professionals to make hospital services safer, more efficient and more effective.
ACI works with clinicians and consum-ers to design and deliver evidence-based best practice models of care, focussed squarely on the needs of patients.
It does this through a Statewide Clinical Council and more than 20 Clinical Networks, each focusing on a specific area of care.
Putting patients firstPatients, their families and carers are paramount. All ACI models of care are built on the needs of patients, not the convenience of the health system.
Priority ProjectsDeveloping and supporting Local Health Districts (LHDs) to implement, best practice models of care to improve clinical practice and patient outcomes.
Making a DifferenceACI’s Clinical Networks are making a difference. New models of care launched recently include:
• Orthogeriatric Clinical Practice Guideline
• Parenteral Nutrition Pocketbook
• Osteoporotic Refracture Prevention Model of Care.
Models of Care under development and planned for launch in 2012:
• Children with Rheumatology Conditions
• Osteoarthritis Chronic Care Program
• People with Diabetes Mellitus
• High Risk Foot Services for People with Diabetes
• Brain Injury Rehabiliation Challenging Behaviours.
THE AGENCY FOR CLINICAL INNOVATION
4 ACI – Join Us and Make a Difference
“The Network links health professionals who share a vision of improving health care for older people. Together we made a positive and professional team which worked collaboratively and well to develop the new orthogeriatric model of care.
I learned a lot personally from working with highly skilled professionals from a variety of clinical and academic backgrounds. Having the new model of care so readily available on the ACI website means it is accessible to all clinical and managerial staff to support evidence based care”
Andrea Sneesby, Physiotherapist, ACE Project Manager,
Northern Beaches Health Service, Central Coast LHD
“The ACI made it possible to bring together clinicians from all over the state with the same interest more efficiently and effectively than I could ever have dreamed of doing as a single clinician.”
Laura Ahmad, Geriatrician, Concord Hospital, Sydney
South West LHD - Chair of ACI Orthogeriatric Collaborative Group
Saving Lives
Orthogeriatric CareAs the population ages, the risk of broken bones such as hip fractures and other orthopaedic disorders rises significantly. Many older people have other health problems, leading to higher rates of complications, more serious illness and deaths.
The Orthogeriatric Model of Care developed by ACI’s Aged Health Network charts an evidence-based model of best practice for collaborative medical care of older people with orthopaedic disorders by orthopaedic and aged care services.
The model, which includes comprehensive geriatric assessment on admission and accelerated rehabilitation, has been shown to decrease medical complications, length of stay in hospital and patient deaths.
Laura Ahmad
ACI – Join Us and Make a Difference 5
Osteoporotic Refracture PreventionACI’s Osteoporotic Refracture Prevention model of care is another potentially life-saving example of the benefits of clinical innovation. It is designed to prevent repeat bone fractures which can cause pain, suffering and premature death for patients with osteoporosis – a condition which affects half of all women over 60 and one in three older men. About half of all patients who have one osteoporotic bone fracture will have another, but less than one third are being identified at first fracture for preventative care.
The new model of care developed by ACI’s Musculoskeletal Network aims to ensure that effective preventative care is available to everyone who needs it. Developed after extensive consultation with experts, a review of local practice and international evidence, the guide highlights linkages with chronic care and falls prevention services, primary care, community based lifestyle services and home care services.
The new guide is presented in an easy-to-use format which enables LHDs and clinicians to review their current practice against best practice and make changes where necessary to improve care for people with osteoporosis.
“The opportunity to participate in the Working Group developing the Oste-oporotic Refracture model of care coincided with a pilot project on osteoporosis at Port Macquarie. This tied in very well and it was encouraging to have interest in and feed-back on the needs of rural communities.”
Kate Lister, Physiotherapist, Port Macquarie Hospital,
Mid-North Coast LHD
“Arthritis NSW and Osteoporosis NSW were able to contribute the consumer viewpoint and enable people with arthri-tis and other musculoskeletal conditions to have a real influence over development of models of service. Our involvement proved valuable and our consumers bene-fited by having their needs represented in the development of the model of care.”
Karen Filocamo, Chief Executive, Arthritis NSW
“After years of hard work in driving oste-oporosis treatment at the service level, there was great satisfaction in helping design the best practice model for NSW. I found the demands not too intrusive – the benefits far outweighed the time committed in once a month travel to Sydney and networking with others as part of an ACI network.”
Kerry Cooper, Clinical Nurse Consult-ant Rheumatology, Royal Newcastle
Centre, Hunter New England LHDKate Lister
6 ACI – Join Us and Make a Difference
Sustaining Life
Parenteral NutritionParenteral Nutrition (PN) involves intravenous feeding of patients who can’t eat nor-mally or tolerate enteral or tube feeding either through the mouth or stomach. While this is truly life sustaining, there are significant risks of complications.
At the request of clinicians themselves, ACI’s Gastroenterology and Nutrition Networks collaborated with doctors, nurses, dietitians, pharmacists and consumers across NSW to develop the Parenteral Nutrition Pocketbook. The Pocketbook makes a significant con-tribution to the safety and effectiveness of care by identifying best practice in an easy to use format particularly helpful for staff in facilities where PN is less frequently required.
Since its launch in late 2010 almost 2000 copies have been distributed, with 800 going to clinicians working in rural, remote and regional NSW.
“I was forced to give up my nursing career because of a long history of chronic gastrointestinal disease. When my Crohns Disease was at its worst I needed several weeks of parenteral nutrition. I joined the Network to use my experiences to help oth-ers and to remind health professionals that it is people like me on the other end of care.
The development of the Pocketbook and model of care was really rewarding. The Pocketbook will help reduce confusion for patients, as well as ensuring health profes-sionals – who might need to administer PN
only periodically – can access up-to-date advice on current practice, as well as handy references to check for more information.”
Kathy Stewart, Consumer, Gastroenterology Network
“There was good support from the ACI staff throughout the process.”
Katherina Angstmann, Total Parenteral Nutrition Clinical Nurse
Consultant, Royal North Shore Hospital, Northern Sydney LHD
“We worked in a team with members all expert in particular aspects of the safe delivery of PN. It was a truly multidiscipli-nary approach. The discussions allowed us to come to an evidence-based consensus in formulating the pocketbook, which will be valuable in all hospitals and particularly useful for clinicians even in small hospitals to enable safe delivery of PN.”
Hugh Carmalt, Surgeon, Concord Repatriation Hospital
Kathy Stewart
ACI – Join Us and Make a Difference 7
HOW ACI WORKS
The BoardACI is led by a Board which itself is led by experienced clinicians. The Chair is a senior specialist. Six of the 10 board members are senior clinicians. The Chief Executive is a senior surgeon.
Consumer CouncilThe Consumer Council advises the Board on community engagement and provides a focus for consumer involvement across all ACI networks. The six members have qualifications or experience in community engagement, communication with the community or research designed to identify the views of the community.
Clinical CouncilThe Clinical Council provides a strong Statewide voice for patient-centred innovation by bringing together lead clinicians and managers nominated by each of the State’s Local Health Districts (LHDs), specialty network governed health corporations and the chairs of the ACI Clinical Networks.
Clinical NetworksACI’s Clinical Networks provide a framework for clinicians, managers and consumers to meet across regional and service boundaries with a mandate to drive improvements in care through in-novation in clinical practice.
Networks are led by experienced clini-cians and bring together doctors, nurses, allied health professionals, managers, scientists, researchers and consumers from across NSW.
They harness the clinical and practical knowledge of clinicians and patients themselves to research, design and de-liver best practice models of care built around the needs of patients.
Research
ACI’s models of care are underpinned by extensive research conducted in collaboration with leading researchers, universities and other research institutions.
8 ACI – Join Us and Make a Difference
Locals LeadACI can’t deliver better, safer health care on its own.
It needs the skills and experience of working clinicians, managers and consumers to supply context and local knowledge as a key part of the evidence base for new best practice models of care.
It also needs the active involvement of managers, doctors, nurses and al-lied health professionals to make the changes needed to deliver the benefits of the new models of care to patients across the State.
ACI works closely and collaboratively with LHDs, local lead clinician groups and with individual clinicians and consumers to deliver better care for NSW patients.
You Can HelpThe ACI needs the active participation of working clinicians, managers and consumers in its Clinical Networks and to help implement new models of care.
If you are a doctor, nurse, allied health professional or consumer working in or with a particular interest in the NSW public health system you can register your interest by email [email protected] or by phoning (02) 8644 2200
MAKING THE CHANGES
Facilitator: Andrea Sneesby
ACI – Join Us and Make a Difference 9
Aged Health:Glen PangPh: (02) [email protected]
Anaesthesia Perioperative Care:Ellen Rawstron Ph: (02) 8644-2185 [email protected]
Blood and Marrow Transplant:Jill MorrowPh: (02) [email protected]
Brain Injury Rehabilitation:Barbara StrettlesPh: (02) [email protected]
Cardiac:Bridie CarrPh: (02) [email protected]
Emergency Care Institute:Vanessa EvansPh: (02) [email protected]
Endocrine:Rebecca DonovanPh: (02) [email protected]
Gastroenterology:Ellen RawstronPh: (02) [email protected]
Gynaecological Oncology:Liz PrudomPh: (02) [email protected]
Intellectual Disability:Liz Prudom Ph: (02) 8644-2179 [email protected]
Musculoskeletal:Robyn SpeerinPh: (02) [email protected]
Neurosurgery:Lyn FarthingPh: (02) [email protected]
NETWORKS
To find out more about the specific activities of our networks contact ACI’s Network Managers.
10 ACI – Join Us and Make a Difference
Nuclear Medicine:Annie HuttonPh: (02) [email protected]
Nutrition:Tanya Hazlewood Ph: (02) 8644 [email protected]
Ophthalmology:Jan SteenPh: (02) [email protected]
Pain Management:Jenni Johnson Ph: (02) 8644 [email protected]
Radiology:Annie HuttonPh: (02) [email protected]
Renal Services:Fidye WestgarthPh: (02) [email protected]
Respiratory:Cecily BarrackPh: (02) [email protected]
Spinal Cord Injury:Frances MonypennyPh: (02) [email protected]
Burn Injury:Anne DartonPh (02) [email protected]
Stroke:Mark Longworth Ph: (02) [email protected]
Transition Care:Lynne BrodiePh: (02) [email protected]
Urology:Liz PrudomPh: (02) [email protected]
AGENCY FOR CLINICAL INNOVATIONTower A, Level 15, Zenith Centre 821-843 Pacific HighwayChatswood NSW 2067
PO Box 699Chatswood NSW 2057T +61 2 8644 2200 | F +61 2 8644 2151E [email protected]
SHPN: ACI 110070 ISBN: 978 1 74187 597 3
© Agency for Clinical Innovation 2011