NEWSLETTER For innovators in healthcare & beyond FEBRUARY 2014
Contents ARTICLES P. 1
The Taree Tele-Thrombolysis Project Claire Sewell, Jennifer Rudd, Louise Jordan, Jane Gray, Mark Parsons,
The Taree Tele-Thrombolysis Project
Christopher Levi P. 4
Miniaturisation, Mobilisation & Modification: Royal Melbourne Hospital’s Mobile X-ray Michael Montalto
P. 6
National Endoscopy Quality Improvement Programme Nicola Wilson
P. 7
Integrated Care Pathways for Victorians with Chronic Kidney Disease Jenny Soding
P. 8
South Australian Hip Protector Project Les Cleland
P. 9
Koori Maternity Services at Peninsula Health Belinda Berry
P. 10 Towards a cohesive multicultural workforce Pam Nichols, Barbara Horner, Katrina Fyfe P. 11 The Hush Music Foundation, The Australian Institute for Patient and Family Centred Care ‌ and her ultimate dream for the healthcare system Catherine Crock P. 13 CHANGE DAY is for you and your team Mary Freer
Thrombolysis with intravenous alteplase is the only proven effective treatment for acute ischemic stroke, however, recommendations for safe administration include the need for clinico-radiological review and decision making by an expert stroke physician. Access to stroke thrombolysis is currently limited in rural geographies largely due to lack of on-site stroke thrombolysis expertise. Telemedicine can be used to overcome workforce barriers and internationally, tele-thrombolysis for acute stroke has been proven to safely increase thrombolysis rates in rural hospitals. In Australia however, there is surprisingly limited information on effective tele-thrombolysis systems or their impact on improving access to alteplase therapy.
Change Champions & Associates Newsletter - FEBRUARY 2014
(Continued p. 3.)
UPCOMING workshops If you are reading this as a PDF, click on the page number to be taken straight to that workshop page. Why not consider printing out one of our workshop posters for your bulletin board at work? Help spread the word! Workshops with Alice Rota- Bartelink Helping you to Manage Older Adults with Complex Health Care Needs Who Display Behaviours of Concern [p. 15] The Challenge of Long Term Alcohol Abuse in Older Adults [p. 36] The Service Providers Toolkit: Improving the Care of Older Homeless People [p. 37] Workshops with Rob Middleton & Tom Wainwright Osteoarthritis & Hip and Knee Replacement [p. 16] Workshops with Kathryn McEwen Building Resilience at Work [p. 17]
NEW!
Workshops with Elise Wald How to influence behaviour change in patients with chronic illness [p. 18] How to influence behaviour change in patients with severe and persistent mental illness [p. 19] Get to sleep, stay asleep- For everyone [p. 20] Get to sleep, stay asleep- For professionals [p. 21] Shift into Sleep: A workshop for shift workers [p. 22] Workshops with Robyn Attoe & Daryl Oehm Sex, Sexuality and Culture: Addressing Social Diversity in Aged Care [p. 23] Workshops with Robyn Attoe Managing Behavioural and Psychological Symptoms of Dementia [p. 24] Bathing without Battles [p. 25] Delirium and the Older Person [p. 26]
NEW!
Workshops with Kylie Agllias Working effectively with clients experiencing family estrangement [p. 27] Workshops with Julie Faoro Lost in the System: The Long Stay Patient [p. 28]
NEW!
Workshops with Glenn D. Payne Social Media Workshop [p. 29] Workshops with Char Weeks The New Leaders Toolkit [p. 30] Managing Up (How to help your boss add value to your work) [p. 31] Creating a Culture of Innovation [p. 32] The Change Implementer’s Toolkit [p. 33] Moving Forward: Accepting and Embracing Resistance to Change [p. 34] Handy Hints for the Novice Conference Presenter [p. 35] Workshops with Stephanie Newell & Mitchell Messer Pathways to a Consumer Focused Organisation– Government and Managerial Approaches [p. 38]
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Change Champions & Associates Newsletter - FEBRUARY 2014
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The Taree tele-thrombolysis project aimed to evaluate rates
neurologist
pre-notification,
local
implementation
of
of intravenous tPA delivery following the implementation of
advanced CT stroke imaging and electronic imaging transfer
a tele-thrombolysis acute stroke service between a
from spoke to hub, critical care camera installation in the
metropolitan stroke center (hub) and a rural referral hospital (spoke). Secondary aims include to evaluate the safety and
spoke site with links to mobile IT platforms in the hub site and establishment of operating procedures, protocols,
efficiency of the service. The project has used a quasiexperimental, pre- and post-implementation study design
training and education for both the hub and spoke medical and nursing staff. The protocols, systems and infrastructure
where alteplase treatment rates and outcomes for
are working effectively and recruitment into the study is on-
consecutive suspected acute stroke patients presenting to the spoke hospital are compared to an historical cohort
going. At 6 months following implementation, 10 patients have been screened for alteplase eligibility and two patients
identified via retrospective chart audit for a matched time epoch.
have been treated. This compares to zero patients treated locally prior to system implementation. There have been no serious adverse clinical effects, no major or minor bleeding
The new system of care involved paramedic education in pre -hospital stroke identification and the use of a pre-hospital
events and favorable clinical outcomes for patients treated. Patients, families and staff have given universally positive
stroke severity assessment tool, local hospital & hub-site
feedback on the new system.
Authors: Claire Sewell Jennifer Rudd Louise Jordan Jane Gray Mark Parsons Christopher Levi
Affiliations: Stroke Stream and Innovation Support Unit, Hunter New England Local Health District; Stroke Research Program, Hunter Medical Research Institute. 3
Change Champions & Associates Newsletter - FEBRUARY 2014
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Miniaturisation, Mobilisation & Modification: Royal Melbourne Hospital’s Mobile X -ray Associate Professor Michael Montalto Unit Head, Hospital in the Home, Royal Melbourne Hospital and Medical Director, Epworth Hospital in the Home
Technology tends to be adopted by established entities, even
Home and Inreach are expanding hospital level service
if those old entities aren’t the best parents. The advent of
provision to people who live in residential care facilities and
digitalisation of xray film, for example, has been widely
hostels. They require access to xray services if they wish to
adopted into the traditional spheres of radiology practice, both in hospital and community practice. While it has
safely and effectively treat patients with respiratory infections, such as pneumonia, without transferring the patient to
created efficiency in reproducing, reporting and storage of
Emergency Departments.
xrays images, it has hardly been revolutionary with regard to the health system in general. The same staff, in the same
In 2012 the Victorian Department of Health commissioned
services, operate much the same way, delivering the same outcome.
Royal Melbourne Hospital to pilot the establishment and operation of a mobile xray service, with a specific focus on the
Melbourne is a city of 4 million people. In 2012, there was no
delivery of xray services to the frail elderly residents of nursing homes and hostels and to those who are (or could be) under
mobile xray service for the city. Despite the technological
the care of Hospital in the Home or Inreach services. The
ability to deliver this service better than ever before, there was no viable economic model given a lack of CMBS item
service will be provided without co-payment from patients during the pilot.
number for home based radiology services. There was no interest from any sector in this service.
The service commenced in July 2013. The Royal Melbourne
awarded a 2 year contract for the provision of the service to At the same time, the number of incapacitated frail elderly and Aged Care Imaging and they are responsible for service physically disabled people living in the community is growing, provision, reporting and storage of films. Since launched and and those people require assisted transport for their xray has achieved a good response from nursing homes, hostels, needs. That transport is difficult, disruptive and expensive. But general practitioners, Hospital in the Home and Inreach GPs and GP locums have little choice if an xray is necessary. services in the northern and western areas of Melbourne. Innovative hospital based programs such as Hospital in the 4
(Continued p. 5.) Change Champions & Associates Newsletter - FEBRUARY 2014
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Ambulance services are aware that they may be able to call
hospital services, but can be difficult to achieve. Finally, the
upon the service as an alternative to transfer. It has allowed
question of cost utility will determine its eventual longevity.
RMH Hospital in the Home to dramatically increase the
However, the initial capital investment hump is often the
number of nursing home residents treated for acute respiratory infection in their nursing homes. Inreach and local
most daunting challenge to overcome.
GPs are using the service to avoid transfers. The number of
The RMH Mobile Xray isn’t simply offering convenience – it is
services delivered is growing. It is hoped, and now expected,
an attempt to make optimum use of a technological advance
that the service will reach its capacity within 12 months of
in system changing way, by matching newly portable
opening.
technology with the emerging health needs of the community.
There are challenges. Nursing homes have a high turnover of staff, often casualised and busy, so soaking those facilities with enduring new information is difficult. Ensuring that the
For more information, please contact Michael Montalto:
service can respond urgently to certain cases is necessary to ensure its usefulness to acute and semi-acute situations and
michael.montalto@mh.org.au
Change Champions & Associates Consultants
Introducing: Ian Sturgess Dr Ian Sturgess BSc MB ChB FRCP is a Consultant Physician in General and Geriatric Medicine at East Kent Hospitals University NHS Foundation Trust. He has been involved in improving emergency care flows since 2002 and has worked with over 100 Trusts nationally to improve patient care. He is currently seconded part time as National clinical lead, Intensive Support Team, Urgent and Emergency Care which is an element of NHS Improving Quality, part of NHS England. He has written a number of peer and non-peer reviewed articles and guides on
How could your organisation benefit from Ian Sturgess’ expertise?
acute care. He frequently presents as an invited speaker nationally and internationally on ambulatory emergency care and improving flow and safety in urgent and emergency care. He has been invited to support quality improvement in whole system urgent care in Northern Ireland, Ireland, New Zealand
and Australia.
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Please email
info@changechampions.com.au
if you are keen to hear about how you might be able to
make the most of Ian Sturgess’ expertise
Change Champions & Associates Newsletter - FEBRUARY 2014
Improved flow Reduced mortality and harm events Improved bed occupancy Reduced costs Higher patient satisfaction scores Delivery of the NEAT standard Empowered clinical leadership in support
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National Endoscopy Quality Improvement Programme Nicola Wilson Programme Manager Bay of Plenty District Health Board, New Zealand
The aim of the National Endoscopy Quality Improvement
tool. The tool originated in England as part of their approach
Programme is ‘to facilitate safe patient-focussed endoscopy services that are efficient, accountable and sustainable’.
to modernising endoscopy services. The GRS provides a set of standards and facilitates a quality
The programme is operationally based at the Bay of Plenty
improvement framework. To ensure the GRS tool was fit for
District Health Board and is led by Clinical Director Dr David Theobald, working alongside Sector Implementation Director
purpose for New Zealand, the standards were adapted and then trialled within six publicly-funded endoscopy units over
Jenni Masters and Programme Manager Nicola Wilson. The
a 12-month period.
team also includes two senior gastroenterologists and a senior nurse to lead specific areas of work.
An independent evaluation of the New Zealand (NZ) GRS trial
The Ministry of Health established a Bowel Cancer
informed a Ministerial decision to implement a wider National Endoscopy Quality Improvement Programme that is
Programme in 2009 with the priority to strengthen bowel
sector based. This multi-pronged approach is expected to
cancer services across the country so they can effectively
bring long-term benefits but they will take time to mature
meet both the current demand and increased demand in the
and be realised.
future. This work included a review of publicly-funded endoscopy services which was undertaken during 2010. The
Since implementing the programme in early 2013 it is
review identified a number of issues across the service. These issues contributed to significant variations in the quality of
apparent to the programme team that there will be variation in the rate that endoscopy units adapt to a continuous quality
endoscopy service provision and patient care. The issues
improvement methodology. This is dependent on a number
included: a lack of systematic data collection processes and poor data quality; one off, unsustainable, service
of factors such as the units and their wider organisation’s culture; the presence of clinical leadership, or lack of; a
improvement projects that address just one part of the service; and poorly-defined clinical leadership.
culture of shared accountability between clinicians and management; and the impact and prioritisation of local, regional and national initiatives and/or targets.
Through extensive sector engagement and lessons learned overseas it was established that a coordinated multi-pronged
The programme team is planning for the future and work is
approach was required to address the identified issues.
currently underway on the development of a national
Further, that this approach should address not just service
endoscopy
and processes but workforce and training issues optimising clinical performance, endoscopy unit performance and
programme and the ownership of the NZ GRS; to ensure it remains fit for purpose.
governance
structure
to
transition
this
enhancing training and assessment. This led to the identification and adoption of the Global Rating Scale (GRS) which is a patient-centred endoscopy quality improvement 6
Change Champions & Associates Newsletter - FEBRUARY 2014
To find out more email: nequip@bopdhb.govt.nz or go to the website www.bopdhb.govt.nz/neqip
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Integrated Care Pathways for Victorians with Chronic Kidney Disease Jenny Soding Project Officer, CKD Pathway and Model of Care Monash Health & Department of Health Vic.
The human, social and economic burden of chronic kidney
care to facilitate an integrated and collaborative approach to
disease is of increasing concern to affected individuals, the
care for individuals who may traverse the four streams of
community, the government and the multiple disciplines and
management,
service providers that support our national health care system. While advancements in research and technology
transplantation, dialysis and renal supportive care. The key stated goals are to improve the coordination of high-quality
have enabled Australians to potentially identify and address
care, avoid inappropriate variation in practice, reduce
risk factors and to live longer with kidney disease and failure,
disparity in access to care, promote equitable patient
the comorbidities associated with disease and ageing have
outcomes and improve utilisation of services.
added complexity to management and increased challenges for all with respect to quality of life.
The chronic kidney disease project aims to recognise and
i.e.
chronic
kidney
disease,
kidney
strengthen key relationships between primary health, In 2013, the Victorian Government and Department of Health
community based services, public and private health with a
released “Renal directions - Better services and improved
view
kidney health for Victorians�. The four strategic directions include:
management, support timely decision making and referrals, promote person centred care and provide a more seamless
to
facilitate
early
identification
and
effective
delivery of services. 1. Promote healthy living and reduce renal risk factors 2. Improve early detection and management of kidney disease 3. Improve services for people with chronic kidney disease 4. Strengthen and sustain renal services
Project leaders, stakeholder working groups and the Renal Health Clinical Network will monitor the progress of the project streams to ensure that the outcomes meet the agreed value propositions of individuals, health providers and the Victorian government.
In recognition of the need to optimise the full spectrum of renal care for all Victorians and allocate resources accordingly, a key recommendation of this report was to develop state-wide evidence-based pathways and a model of 7
Change Champions & Associates Newsletter - FEBRUARY 2014
For more info please visit: http://www.health.vic.gov.au/renalhealth/
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South Australian Hip Protector Project Professor Les Cleland Director of Rheumatology Royal Adelaide Hospital
The South Australia Hip Protector Project was initiated in
trapped. The pads also sit over the trochanters within side
1999 in order to make hip protector devices available locally. In essence, hip protectors are a matched pair of devices worn
pockets of underwear, where they absorb the force of a fall in the way an air bag absorbs force in a car accident. However,
within underwear so as to deflect or absorb the force of a fall
in another respect, hip protector shields and pads are more
should the point of impact be the greater trochanter at the
like seat belts than air bags. They can be highly protective
lateral side of the hip. The trochanter is a large bony prominence, which if struck directly in a fall can transmit a
against hip fracture, but they only protect if worn at the time of the accident or fall.
force which fractures the neck of bone between the trochanter itself and the ball of the femur, which articulates
Hip protectors are one component of strategies to prevent
in the hip socket. The resultant “fractured hip� is a disabling
falls and fractures in the frail elderly. Other measures include
injury, which in the frail elderly often causes a permanent loss of independence and terminal decline. The earliest type of
removal of hazards that might cause a trip or a fall (e.g. loose rugs and cords), walking and balance aids, grab rails, strength
hip protector is a hard shield with a soft lining within its
and balance exercises, optimising vitamin D status,
concave inner surface. The shield sits over the trochanters
improvement of vision and lighting, creation of shock
within side pockets in underwear. In someone wearing hip
absorbing, smooth walking surfaces and treatment of
protector shields, a fall onto the trochanter becomes a fall on to the shield, which deflects the force of the fall into adjacent
osteoporosis if indicated. There are thus multiple components to preventive strategies for hip fracture of which
muscles and away from the bony trochanter. This redirection of forces is highly effective in preventing hip fractures.
hip protectors are one effective component. More information about hip protectors and their availability
Subsequently, hip protector pads were developed. These are made of a soft highly absorbed material in which air is
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Change Champions & Associates Newsletter - FEBRUARY 2014
can be obtained from the Preventive Care Centre, Royal Adelaide Hospital 08 8222 2748 .
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Koori Maternity Services at Peninsula Health Belinda Berry Director Complex Services Peninsula Health Community Health As part of the ongoing and comprehensive development of
Hospital Liaison Officer (AHLO), Cultural Ambassador, Health
Peninsula Health’s Aboriginal Health Unit, staff and Community are excited by the addition of the Koori Maternity Services role
Promotion Officer, Drug and Alcohol Worker, Access and Support Workers, HARP (Hospital Admissions Risk Program)
to growing list of specific services for Aboriginal and Torres
Care Coordinator and is part of the suite of programs that is
Strait Islander peoples at the Health Service.
rapidly developing, designed to enhance the experience of
The Koori Maternity Services program, is a pilot program
service users and ultimately improve the health outcomes of the health service’s patients. The Koori Maternity Services
developed in partnership between the Department of Health
position will specifically work in collaboration with the team
and the Victorian Aboriginal Community Controlled Health
members from women and children health on the inpatient
Organisation (VACCHO), that ensures culturally appropriate
wards and community clinics, the ALHO, the Hospital
maternity care and support is provided for Aboriginal and Torres Strait Islander women, children and their families. All
Admission Risk Program (HARP) ATSI clinician and the Koori Health Service program.
women have different needs and preferences for care, and it is important that Aboriginal women or women with pregnant
This position will provide an additional resource to foster
with Aboriginal babies are offered choice of a range of models,
relationships with external organisation’s and Aboriginal
including between medical or midwifery care.
women and their families to improve access to culturally appropriate maternity services for the women on the
Primary maternity services at Peninsula Health can be
Frankston and Mornington Peninsula where there is no
organised in many different and varied models of care to suit
Aboriginal
the needs of Aboriginal women or women pregnant with
available. We aim to improve the health of women during
Aboriginal babies. The main aim of KMS is to offer improved continuity of primary care for Aboriginal women or women
pregnancy by promoting early engagement into antenatal care and decrease maternal and peri natal morbidity and mortality.
pregnant with Aboriginal babies by ensuring that they are supported by a midwife or GP, who works in collaboration with
This will be achieved through the provision of culturally appropriate expert midwifery and nursing care at Peninsula
an obstetric specialist to refer or consult with as required.
Health, clinical education of the women and children’s staff and
Community
Controlled
Health
Organisation
working in partnership with the Aboriginal women, their The Koori Maternity Services program is based on a Clinical-
families and their community. It will be sustained through a
Linkage-Advocacy Health Promotion Model of Care and employs an allied health worker who compliments existing
suite of clinical pathway guidelines to support ongoing care delivered through Women and Children’s services.
services by focussing on the complexities of issues facing Aboriginal and Torres Strait Islander peoples, and enhances the holistic services that focuses on antenatal care, pregnancy and postnatal care. At Peninsula Health our Aboriginal Health programs are based on a framework of evidence and through direct input from the Community and Traditional Custodians. The Koori Maternity Services role supplements existing Aboriginal and Torres Strait Islander specific services already offered across Peninsula Health sites, including the Aboriginal 9
Change Champions & Associates Newsletter - FEBRUARY 2014
For more info, please contact Bel Berry: bberry@phcn.vic.gov.au Department of Health Website http://www.health.vic.gov.au/maternitycare/aboriginal-maternity.htm Victorian Aboriginal Education Association – Koori Maternity Services http://www.vaeai.org.au/support/dsp-default.cfm?loadref=85 Victorian Aboriginal Community Controlled Health Organisation (VACCHO) Koori Maternity Services Presentation http://www.snaicc.org.au/_uploads/rsfil/02686.pdf
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Towards a cohesive multicultural workforce Pam Nichols1&2, Barbara Horner1, Katrina Fyfe1 Curtin University1 Alzheimer’s Australia WA2
The Australian aged care workforce is increasingly dependent on a migrant workforce, yet there has been limited research undertaken in Australia to understand the experiences of direct care staff from culturally different backgrounds and how this can affect workforce cohesion. A co-funded project between the Dementia Collaborative Research Centre, Consumers and Carers and WA Dementia Training Study Centre (DTSC) in collaboration with Alzheimer’s Australia WA explored the way culture shapes workforce interactions and relationships in the residential aged care sector.
entered the workforce and identified a gap in provision of information relating to workplace culture. They also reported prejudicial treatment from non-CaLD staff which was manifest in prejudgement about workplace skills and abilities.
The objectives of the project included: Describe the experiences of direct care staff from culturally and linguistically diverse (CaLD) backgrounds who provide care and support to people with dementia and their families Explore organisational issues associated with the employment of CaLD direct care staff Develop principles for culturally-aware and culturallysensitive organisational policy.
Based on these findings, the following principles were identified as essential to supporting a model of care for a cohesive multicultural workforce: 1. The residential aged care environment should be a place in which the whole workforce feels protected from discrimination and prejudice. 2. The residential aged care environment should be a place in which the whole workforce is valued and supported. 3. Policy development and implementation should be inclusive of the needs and skills of the multicultural workforce. 4. Workforce policies pertaining to staff and clients should be embedded in workplace practices.
Semi-structured interviews were undertaken with 58 participants who comprised direct care staff, managers and family members of residents with dementia from six residential care facilities in metropolitan Perth. Preliminary findings were validated by 24 residential aged care representatives who took part in focus groups. While 50% of CaLD participants provided examples of positive interactions with residents with dementia, 60% described negative reactions which were linked to cultural difference. They reported using a range of coping strategies including ignoring, accepting, learning to be resilient and avoiding such situations. Most participants identified some discord in the workplace which was linked to cultural difference. Communication difficulties emerged as an over-arching theme and related to proficiency with spoken language, cultural norms of communication, interpersonal and written communication, and workplace policies relating to spoken language. CALD participants described the culture shock they faced when they 10
Change Champions & Associates Newsletter - FEBRUARY 2014
Direct care staff had limited knowledge of anti discrimination policies and procedures. Although managers acknowledged the presence of workplace policies on equal employment, some indicated a preference for employing people from particular cultural groups.
In 2014, the WA DTSC will validate these principles through guided focus groups and develop an audit tool to analyse current organisational policy and practice in comparison with the principles. Recommendations for changes will be based on findings from the audit. A repeat of the audit will measure any culture change in the work environment. For more info, please contact: Pam Nichols Behaviour Consultant, Acute and Primary Health Care Project Dementia Behaviour Management Advisory Service Alzheimer’s Australia WA pam.nichols@alzheimers.org.au Katrina Fyfe RN, BSc(Curtin) MNurs(Curtin) Centre Coordinator, WA Dementia Training Study Centre Curtin University K.Fyfe@curtin.edu.au
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Dr Catherine Crock The Hush Music Foundation, The Australian Institute for Patient and Family Centred Care … and her ultimate dream for the healthcare system
Catherine Crock Physician The Royal Children's Hospital, Melbourne. Chair Hush Music Foundation and Australian Institute for Patient and Family Centred Care.
I am currently chair of 2 NFP organisations: the Hush Music
The composers each spend time in the hospital environment,
Foundation and the Australian Institute for Patient and Family
meeting with patients, families and staff to understand what
Centred Care which one day may come together which would
type of music will provide the best relief for stress and
make a lot of sense.
anxiety associated with hospital experiences. The composers then work to a quite specific musical brief and compose
Hush began in 2003 out of my work as a doctor at the Royal Children’s Hospital, Melbourne. My clinical work involves
music for our project. This latest CD Hush Volume 13: The Magic Island, is quite amazing. We launched the CD at a
doing medical procedures such as bone marrow tests on
concert in Hobart on December 7, 2013 with a live broadcast
children with cancer. Parents at the hospital suggested to me
on ABC Classic FM.
that music would help them in the stressful and challenging hospital environment.
We are thinking ahead to 2014 when our next project will be 3 acapella singing groups: Cocos Lunch, The Idea of North and
Hush set out to record special music for this purpose by
The Song Company working together to produce something
working with professional musicians and composers. We have recorded 13 CDs so far which are donated to hospitals around
incredible. The composing of this CD is just starting now. The CD will be recorded from April to August and the CD will be
Australia and internationally. Money raised by sales of the CDs is donated to hospitals for them to use for pain
launched late 2014.
management or music therapy. As the project has grown so
Hush is a continually evolving foundation now with a picture
has the amazing team of volunteers who support different
book being created. Our vision is to use imaginative children’s
aspects of the project depending on their interests and
literature alongside Hush’s calming music to support healing
expertise. The project attracts some of Australia’s finest musicians and composers who are delighted to see their
and wellbeing. This exciting project may be one of the world's first in terms of collaborative picture book production—
music being used and appreciated in a therapeutic setting.
connecting high calibre Australian children’s authors and
Hush is always very busy. In 2013 we achieved success with
illustrators with high calibre Australian musicians such as Paul
our most ambitious project ever- a CD of music composed by 12 of Australia’s foremost composers and played by the
Grabowsky, Tony Gould, Slava and Leonard Grigorian and others.
Tasmanian Symphony Orchestra. 11
Change Champions & Associates Newsletter - FEBRUARY 2014
(Continued p. 12.)
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The creators have been selected to create specifically for a broad age range and are made up of a group of Australia’s most celebrated authors and illustrators. Kevin Burgemeestre, Terry Denton, Judith Rossell, Danny Katz, Mitch Vane, Craig Smith, Doug Macleod, Julie Vivas, Margaret Wild, Ann James, Karen Tayleur, Jackie French, Alison Lester, Jacqui Grantford, Tohby Riddle, Shaun Tan, Brenton McKenna, Glenda Millard, Steven King, Anna Walker, Jane Godwin, Nick Bland, Bruce Whatley. The Australian Institute for Patient and Family Centred Care (AIPFCC) is also busy. AIPFCC has a vision to transform healthcare by improving partnerships, Culture and the environment. We are very interested in the role the arts can have in encouraging the culture change to make healthcare more patient centred. Our current project is the performances of a play called “Hear Me” written by Alan Hopgood in collaboration with AIPFCC. The play is currently touring hospitals and being presented to staff and patients. The play explores the complex relationships and communication issues that go on in healthcare and can lead to things going wrong. Following the play there is a facilitated discussion amongst the audience. These discussions have been far ranging at every hospital and give staff and patients the opportunity to talk about issues that are bothering them, particularly about communication problems. This method of using the creative arts as a platform to educate and inform about healthcare issues is proving very effective. So far over 3,000 staff and patients have seen the play in 40 hospital performances and given feedback about how they think healthcare can be improved. The most satisfying part of all I do is seeing that we make a difference , not only to the lives of patients and families but
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also to staff in hospitals and also to the volunteers of Hush and AIPFCC. Sometimes it has been a challenge having colleagues in the healthcare professions who don’t realise the worth of bringing the arts into healthcare. It can be difficult to convince some people of the benefits of a patient and family centred care approach. It may be seen as rather soft or add on extra rather than core business. At times it may seem like a threat to the professionals’ status in the healthcare system. The most effective way I have found to overcome these barriers has been to work with patients and families to tell their story in a way that is respectful of the professionals role while highlighting things from the patient perspective that can help drive improvements. I also find that it helps to gather other like- minded people together to help spread these messages and to support me in tough times. I am fortunate to have such an amazing team of passionate people around me. I love working with creative people who are so committed to helping making the healthcare experience better for everyone. Brainstorming our next project- sometimes looking outside our comfort zone and then pulling off something wonderful, breaking up into small teams to drive the bits of the project people are most committed to…This keeps everyone enjoying the ride and getting lots out of it. My ultimate dream is to have a healthcare system that values compassion, good communication and caring for people as central to everything we do. Caring for the staff, the patients, families and community in an environment that is healing for everyone involved. For more info, please visit www.hush.org.au and www.aipfcc.org.au
(Far left) Catherine Crock with Charlotte Pope and her mother Susan. (Left) Liam giving the Queen a copy of Hush! This happened by accident the day the Queen came to open the new Royal Children's Hospital. Liam told her all about Hush and how it was used to help him feel calm when he was stressed by having a procedure done.
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Change Champions & Associates Newsletter - FEBRUARY 2014
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CHANGE DAY is for you and your team Mary Freer Director, Freer Thinking
This article is really about how immensely powerful we all
phenomenal success. NHS Change Day will be held in March
are. Margaret Mead has been famously quoted as saying:
2014 to coincide with the Australian event. You can find out more about NHS Change Day at www.changeday.nhs.uk
“Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing
Australia, along with a number of other countries, were invited by the NHS to become involved in 2014 and a small
that ever has”
group of clinicians and health leaders answered the call with a resounding YES !
In Australia there is a quality improvement revolution happening, it’s gaining momentum and attracting the interest of people all around the world. Change Day 2014 is set to be
“I pledge to ask my colleagues ‘are you ok?’ and take time to listen to the answer.”
the biggest quality improvement campaign ever held in Australia and its success rests with people just like you.
Our goal in Australia in 2014 is to mobilise 50,000 people to participate in Change Day by making online pledges of action
The genesis of Change Day came from the NHS Change Day 2013 held in England. The NHS event started with a single
(agreeing to do one thing differently to improve the health and wellbeing of others) and committing to make a positive
tweet shared between a group of young improvement
difference.
leaders in the summer of 2012. They began talking about how they could improve their health service and make patient
“I’m pledging to work to reduce the gap between
care even better. Before long this developed into a shared
research and practice.”
vision about bringing together staff across the NHS and its supporters to produce positive change and improvement.
On 6th March 2014 Australia will join with the UK and create a global link for change. We are aiming for 50,000 pledges by
“I'm pledging to improve the early recognition and detection of deteriorating patients, resulting in the reduction of
6 March 2014 from people who work to improve health outcomes.
cardiac arrests and hospital mortality in NSW hospitals” You might be right at the very start of your career or studying This led to the very first NHS Change Day held on 13th
to be a nurse or social worker or doctor or physiotherapist.
March 2013. Its shared purpose was to organise a grassroots movement of people to take a specific action to
You could be a health administrator, researcher, dentist, podiatrist, a leader, a patient or resident in an aged care
improve the outcomes and experience of care for patients on a sustainable basis. The initial goal was to mobilise 65,000
facility, or a hospital cleaner – whoever you are, if you care about better patient and client outcomes and you want to see
people – 1,000 for each year since the NHS was established.
quality improvement across our health care system – Change Day is for you and your team.
In fact, it generated 189,000 online pledges of action and subsequent actions for change. Put simply: it was a (Continued p. 14.) 13
Change Champions & Associates Newsletter - FEBRUARY 2014
Articles
Upcoming Events
“I pledge to immerse myself in the evidence relating to usercentric policymaking to ensure my work as a policymaker is closely connected with the interests of patients and carers.”
1.
Visit our website www.changeday.com.au and make a
2.
pledge ( you can make a group pledge). Let your colleagues and friends know about your pledge by sending them a link to the website and encouraging them to join in.
Change Day is a social movement not a big business. It runs on energy and creativity. We are just like you – we want to be the change!
Resources
3.
Visit our facebook page and share it with others www.facebook.com/changedayaus and follow us on Twitter @Changedayaus
“I pledge to explore and encourage people who have communication difficulties to express themselves through art.”
4.
Go on our mailing list so we can keep in touch and let you know how Change Day is growing, then you can send our emails onto others.
Making a pledge is your way of letting everyone know about
Making a pledge is your way of letting everyone know about
the action you will take to contribute to this social movement. There are so many things you can pledge to do,
the action you will take to contribute to this social movement. Being the very best version of yourself and creating great
every day we are surprised by the creativity of people who want to change the world. We publish pledges every day, so
outcomes is free – simply visit www.changeday.com.au and make your pledge then tell others about it and encourage them
take a moment to visit the site to get some ideas.
to do the same. Follow us on Twitter @ChangeDayAus .
“I’m pledging to stand up every 45 minutes and do something active” Being the very best version of yourself and creating great outcomes is free – simply visit www.changeday.com.au and make your pledge then tell others about it and encourage them to do the same. Follow us on Twitter @ChangeDayAus or Facebook: ChangeDayAus “I pledge to walk along side my clients from the waiting room, rather than ahead of them.” Here’s what we are asking you to do. 4 easy steps to be the change you want to see in the world:
www.changeday.com.au
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Resources
Helping You to Manage Older Adults With Complex Health Care Needs Who Display Behaviours of Concern Full day case study session with Dr Alice Rota-Bartelink
About This practical workshop aims to provide a vibrant, but strictly confidential, discussion forum for professionals willing to discuss de-identified case studies and to learn with and from their peers in a supportive and relaxed environment.
2014 Dates 14 Feb 2014 – Melbourne, VIC 07 Mar 2014 – Sydney, NSW 21 Mar 2014 – Brisbane, QLD 01 Apr 2014 – Adelaide, SA 09 May 2014 – Auckland, NZ 23 May 2014 – Perth, WA 20 June 2014 – Mackay, QLD 22 Aug 2014 – Hobart, TAS
Register online at : www.changechampions.com.au 15
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Articles
Upcoming Events
Resources
OSTEOARTHRITIS & HIP AND K NEE REPLACE MENT with Rob Middleton & Tom Wainwright
ABOUT This multi-disciplinary, one-day master-class will help you to implement best practice and effectively manage the increasing demand for musculoskeletal services.
KEY TOPICS
Guidelines for Treatment
Conservative Treatment
Hip and Knee Replacement
Timing for Surgery
Waiting List Management
Enhanced Recovery
17 March 2014 - Auckland, NZ
Elite Rehabilitation
18 March 2014 - Brisbane, QLD
Improving PROMS Scores
Guidelines for Treatment
NICE update from UK
DATES 19 March 2014 - Sydney, NSW 21 March 2014 - Adelaide, SA 24 March 2014 - Melbourne, VIC 27 March 2014 - Perth, WA
See online for more details!
WWW.CHANGECHAMPIONS. COM.AU 16
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Resources
BUILDING RESILIENCE AT WORK
A Full Day Workshop for Leaders and Leadership Teams The most valuable assets in any organisation are their people. Today’s executives and leaders appreciate the need to be on top of their game all of the time; regardless of the pressures they face from an ever changing environment. They are expected to be able to support their teams through a myriad of challenges while maintaining a positive work environment. This practical workshop is for the emotionally intelligent: those who understand that RESILIENCE is a key characteristic of a healthy, productive and sustainable team.
Who Should Attend Executives, managers and team leaders from any government or professional or industry sector. Delegates are welcome to bring case studies for discussion in strictest confidence.
2014
DATES
21 March 2014 – Melbourne, VIC 28 March 2014 – Sydney NSW 31 March 2014 – Brisbane, QLD 12 May 2014 – Auckland, NZ 17
Change Champions & Associates Newsletter - FEBRUARY 2014
KATHRYN MCEWEN is an organisational psychologist, company director and executive coach. Join her for this stimulating workshop, purposely designed to provide you with the strategies and tools you need to build resilience at work.
For more info, or to register online please visit:
WWW.CHANGECHAMPIONS.COM.AU
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Upcoming Events
Resources
How to influence
BEHAVIOUR CHANGE
in patients with chronic illness with Elise Wald
09.30-16.30 each day
17 & 18 March 2014 - Melbourne, VIC 21 & 22 May 2014 - Darwin, NT 09 & 10 June 2014 - Perth, WA
Register online today! 18
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Resources
How to influence
BEHAVIOUR CHANGE in patients with severe and persistent mental illness with Elise Wald
15 & 16 May 2014, 09.30-16.30 (2 day workshop) RMH Function & Convention Centre, Melbourne, VIC Register online today! 19
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Resources
Get to sleep, S tay asleep FOR EVERYONE with Elise Wald Saturday, 22 March 2014, 09.30 – 16.30 09.30-16.30 in Caufield, VIC Thursday, 08 May 2014, 09.30 – 16.30 09.30-16.30 in Mackay, QLD Give yourself a gift of a workshop to take control and improve your sleep
20
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Resources
Get to sleep, S tay asleep FOR PROFESSIONALS For allied health professionals, GPs, nurses, sleep technicians and any other professional working with chronic and complex conditions
Thursday, 20 March 2014 09.30-16.30 in Melbourne, VIC - with Elise Wald www.changechampions.com.au
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Articles
Shift
Upcoming Events
into
Resources
Sleep
A workshop for shift workers
25 March 2014, 18.00-22.00 RMH Function & Convention Centre Seminar room 2, with Elise Wald For more info, or to register online, visit: www.changechampions.com.au
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Articles
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Resources
Sex, Sexuality & Culture Addressing Social Diversity in Aged Care
21 Feb 2014 – Sydney, NSW 16 July 2014– Mackay, QLD Workshop with Robyn Attoe & Daryl Oehm Culture, gender identity, sexual orientation and sexuality are integral to personal identity and our sense of well-being. Without attention to social diversity it is difficult to provide person centred quality aged care.
This interactive workshop is designed to: draw on your experiences working with culture & sexuality in aged care, address similarities in cultural and LGBTI competencies, draw on broader issues of diversity in our community, and; plan strategies to provide aged care that is respectful of emotional and
physical needs.
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Resources
Managing Behavioural & Psychological Symptoms of Dementia One day workshop with Robyn Attoe
Up to 90 % of people who have dementia will experience behavioural and or psychological symptoms during the course of their illness .
2014 DATES 07 Feb 2014 – Southport, QLD 20 Feb 2014 – Sydney, NSW 20 Mar 2014 – Auckland, NZ 02 Apr 2014 – Adelaide, SA 16 May 2014 – Perth, WA 18 July 2014 – Mackay, QLD
+ In house opportunities
OUTLINE 1.
Discuss the different types of dementia, the changes to the brain and the behaviours staff may see in each type of dementia
2.
How to communicate effectively with the person with dementia (PWD)
3.
How the environment impacts on behaviour and how staff can modify the environment to reduce BPSD
4.
Discuss and define Psychological Symptoms of dementia and how to manage them
5.
How staff can assist in the transition from home to hospital or residential care by identifying the needs of the PWD and then providing a detailed strengths based care plan for the PWD
6.
Discussion of case studies and more …
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www.changechampions.com.au
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Upcoming Events
Resources
A practical workshop with Robyn Attoe
Bathing
Without
Battles
The process of bathing is usually pleasurable and relaxing for most people! In contrast, bathing can be both a distressing and traumatic experience for people with dementia and their carers. This workshop will assist you to see bathing as not a task to be performed but rather a human interaction that can be pleasant
2014
DATES
05 Feb 2014 – Brisbane, QLD 19 Feb 2014– Sydney, NSW 19 Mar 2014– Auckland, NZ
for both carer and the person with dementia.
04 Apr 2014 – Adelaide, SA
This workshop is suitable for:
17 July 2014 – Mackay, QLD
1. Anyone who works in the Aged care field including home care workers and supervisors 2. Anyone partnering in care with a person with dementia
30 May 2014 – Perth, WA
+ in house opportunities available at your facility
Book online!
3. Hospital and Residential Care Staff
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Articles
Upcoming Events
Resources
Delirium
And the older person
“You would have to be half mad to dream me up.”
-Lewis Carroll, Alice in Wonderland
Full day workshop with Robyn Attoe “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-
2014 DATES
tia” (Australian Government Department of Health and Ageing).
06 Feb 2014 – Gold Coast, QLD
Delirium is a serious medical problem which results
21 Mar 2014 – Auckland, NZ
in increased length of stay in hospital, premature institutionalisation, morbidity and mortality in the elderly. Needless to say the cost to the healthcare system is enormous! This practical workshop by recognised dementia
03 Apr 2014 – Adelaide, SA 15 May 2014 – Perth, WA + in house opportunities available
behaviour expert, Robyn Attoe, is designed to assist anyone working with older people: to recognise the delirious patient early improve knowledge about delirium
management
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Change Champions & Associates Newsletter - FEBRUARY 2014
Book your spot online! www.changechampions.com.au
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Upcoming Events
Resources
Working effectively with clients experiencing
f amil y e s t ra n ge me n t
Full Day Workshop with Kylie Agllias
4th April 2014 – NSW (09.15-16.30) 9th May 2014 – QLD (09.15-16.30) 30th May 2014 – VIC (09.15-16.30)
or as an in-house at your organisation Visit the website for more details or to register online! 27
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LOST
Upcoming Events
in the
Resources
SYSTEM
The long stay patient With facilitator Julie Faoro THE BIG QUESTION: Do we have a workable plan for managing patients who are effectively stranded in the system?
WORKSHOP OUTCOMES
To identify patients that may benefit from the application of the long stay model prior to consuming excessive bed days
To learn how to engage all stakeholders in the implementation of the long stay program
To develop knowledge and skill in the application of the tools and methodology related to the long stay program model
DATES 27 & 28 Feb 2014 - Melbourne, VIC 20 & 21 March 2014 - Brisbane, QLD 8 & 9 May 2014 – Auckland, NZ 22 & 23 May 2014 – Perth, WA
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Upcoming Events
Resources
SOCIAL MEDIA Full day WORKSHOP with Glenn D. Payne
28 May 2014 - 09.30-16.30 ICAA Meeting Rooms, Level 3, Bourke Place, 600 Bourke Street, Melbourne, VIC Register online!
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Upcoming Events
Resources
The New Leaders Toolkit Full day workshop with Char Weeks
A Practical Workshop on the Stuff That’s Not in the Book 25 March 2014 – Melbourne, VIC 13 May 2014 – Adelaide, SA 27th May 2014 – Perth, WA 20th June 2014 – Gold Coast, QLD 5th August 2014 – Brisbane, QLD 9th September 2014 – Sydney, NSW 24th October 2014 – Melbourne, VIC + in house opportunities also available!
Register online: www.changechampions.com.au
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MANAGING UP (How to help your boss add value to your work) Ever bounced into your boss’ office to eagerly report on project progress, only to be met with a quizzical stare? Ever been stopped mid-sentence by a boss who has no idea what you are talking about? Ever been asked to cut to the chase when you thought you were actually giving a brief summary? Did their eyes glaze over half way through a perhaps long winded explanation? Feel a bit anxious when going into a meeting with your boss?
Understand the broader context in which your boss works and what is important to them as a leader and manager.
Here is a 3 hour workshop that will help
expertise to enhance each others’ roles, to build trust, respect
you to make those meetings with your boss a much more
Better understand how to tap into your boss’ skills and and capability.
Identify strategies to ensure that you and your boss are on the same page in update meetings and that you are more clear
mutually rewarding
about what to do when you get back to your desk.
experience
Build confidence in presenting information to your busy boss to elicit a considered, timely and appropriate response.
Register online!
www.changechampions.com.au
2014 WORKSHOPS 21 09 23 18 01 05 22
March 2014 – Melbourne, VIC May 2014 – Adelaide, SA May 2014 – Perth, WA June 2014 – Gold Coast, QLD August 2014 – Brisbane, QLD September 2014 – Sydney, NSW October 2014– Melbourne, VIC
+ in house opportunities also available!
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Resources
Creating a Culture of Full day workshop with Char Weeks
This practical workshop draws upon the best international literature and focuses on how to create a culture of innovation in health and aged care.
2014
Delegates will learn a step by step approach to creating a
24 MAR 2014– VIC
culture of innovation in their organisation:
12 MAY 2014– SA
Define what constitutes “innovation” as a
pre-requisite for culture change Understand the DNA of innovators and how they
inspire others
26 MAY 2014– WA 19 JUN 2014– QLD 04 AUG 2014– QLD
Consider case studies of innovation in organisations
08 SEPT 2014– NSW
Look at strategies and tools for fostering innovation in
23 OCT 2014– VIC
your organisation Develop a road map for fostering innovation in your
organisation after the workshop
In-house opportunities also available
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Resources
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! You are the ideal participant in this full day, introductory, interactive workshop.
AUDIENCE 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, MossKanter etc.), you are too experienced to attend.
Register today! Visit www.changechampions.com.au 33
Change Champions & Associates Newsletter - FEBRUARY 2014
DATES 19 March 2014 – Melbourne, VIC 07 May 2014 – Adelaide, SA 21 May 2014 – Perth, WA 16 June 2014 – Gold Coast, QLD 30 June 2014 – Brisbane, QLD 03 September 2014 – Sydney, NSW 20 October 2014– Melbourne, VIC + in house opportunities available
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Upcoming Events
Resources
Moving Forward Accepting and Embracing Resistance to Change
This master class will enable you to: EXPLORE reasons for and sources of resistance to change both more broadly and in the context of your role as a change agent, leader, implementer or recipient
LEARN strategies for anticipating, addressing and
Who should come? New leaders and project managers from any industry or public sector who are keen to develop their skills in Change Management
UPCOMING DATES
managing resistance to change and any unintended consequences
21 NOV 2013 - Brisbane, QLD
DISCUSS ways to build dynamic coalitions for
17 MAR 2014 - Melbourne, VIC
sustainable change
05 MAY 2014 - Adelaide, SA
MANAGE the messages, manage people and networks, develop competencies, find comfort zones
DELGATES ARE TO BRING: 1. Organisational chart with names of position holders de-identified 2. Project proposal or implementation strategy or a change resistance issue (real or hypothetical) 34
Change Champions & Associates Newsletter - FEBRUARY 2014
03 DEC 2013 - Parramatta, NSW
19 MAY 2014 - Perth, WA 11 JUNE 2014 - Gold Coast, QLD 28 JULY 2014 - Brisbane, QLD 01 SEPT 2014 - Sydney, NSW 16 OCT 2014 - Melbourne, VIC
REGISTER ONLINE: www.changechampions.com.au
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Articles
Upcoming Events
Resources
Handy Hints For the Novice Conference Presenter Are you doing great work but rarely present in public? This is a workshop for the novice conference presenter who needs practical tools to become a confident speaker.
Workshop Program
Upcoming Dates
Introduction
Do you recognise the rabbit in the headlights?
Write a bio that promotes your Best Asset– YOU
Write a great abstract
Learn from the experts
06 MAY 2014 - Adelaide, SA
Preparing your presentation
20 MAY 2014 - Perth, WA
Managing yourself, the venue and the AV
12 JUNE 2014 - Gold Coast, QLD
Practice delivering a presentation
Train yourself to answer questions well BRING A 5 MINUTE PRESENTATION
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25 NOV 2013 - Brisbane, QLD 05 DEC 2013 - Parramatta, NSW 18 MAR 2014 - Melbourne, VIC
29 JULY 2014 - Brisbane, QLD 02 SEPT 2014 - Sydney, NSW 17 OCT 2014 - Melbourne, VIC
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Resources
The Challenge of Long Term Alcohol Abuse in Older Adults A practical in-house master class with Alice Rota-Bartelink on managing older clients living with Alcohol Related Brain Injury (ARBI)
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
Download the PDF flyer from our website www.changechampions.com.au and fill out the expressions of interest form 36
Master Class Aim 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.
“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
Make an inquiry for your facility!
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Resources
The Service Providers Toolkit: Improving the Care of Older Homeless People In-house master class with Alice Rota -Bartelink
Homeless and the Aged
Introducing Nigel: Case profile
Defining homelessness – primary, secondary and tertiary
IN-HOUSE WORKSHOP
Characteristics of an aged homeless population
Advocating for the older homeless person
This workshop is available as an
Navigating complex service systems
in-house at your organisation.
Understanding life roles and the significance of
Download the PDF flyer from
engaging in meaningful activities
our website to read more info
Facing the challenge of “behaviours of unmet need”
and to fill out the expressions
The Service Providers Toolkit
of interest form.
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Upcoming Events
Resources
Book an in-house for your facility!
Pathways to a Consumer Focused Organisation – Governance and Managerial Approaches It is timely for health care organisations, from boards to
With facilitators Stephanie Newell & Mitchell Messer
IN-HOUSE MASTER CLASS 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
Visit
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 organisationwide quality improvement.
Audience Profile Board members, health services executives, clinicians, safety & quality co-ordinators/managers, risk managers, clinical governance managers and health consumers.
www.changechampions.com.au
To download official flyer & register your expression of interest 38
Change Champions & Associates Newsletter - FEBRUARY 2014
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Upcoming Events
Resources
Confidential Coaching Service With experienced certified executive coach
Feel like you’ve bitten off more than you can chew? 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 39
Change Champions & Associates Newsletter - FEBRUARY 2014
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Upcoming Events
Resources
International RESOURCES Paper: High-Impact LeadershipImprove Care, Improve the Health of Populations, and Reduce Costs This white paper presents three interdependent dimensions of leadership that together define highimpact leadership in health care.
New Mental Models: We propose a set of ideas that constitute new mental models for leaders as they redesign care delivery systems to compete on value, rather than on volume, and deliver Triple Aim results for the populations they serve.
High-Impact Leadership Behaviors: Aligned with the mental models, we recommend five leadership behaviors to accelerate cultural change and support efforts to achieve Triple Aim results. These leadership behaviors, when practiced systematically, are cross-cutting, supporting many key leadership efforts and initiatives at once.
IHI High-Impact Leadership Framework: Building on IHI’s legacy leadership models and thinking, the IHI High-Impact Leadership Framework presents an updated, simpler leadership framework that serves as a guide for where leaders need to focus efforts and resources in order to drive improvement and innovation. This updated framework adds three essential areas of leadership efforts: driven by persons and community; shape desired organizational culture; and engage across traditional boundaries of health care systems.
The white paper also includes examples from a variety of health care leaders, to help illustrate HighImpact Leadership Behaviors in real-world practice. S. Swensen, M. Pugh, C. McMullan, A. Kabcenell http://www.ihi.org/knowledge/Pages/IHIWhitePapers/HighImpactLeadership.aspx
Book Chapter on: Cultural Competence and Patient-Centred Care in New Zealand This book is primarily for doctors beginning practice in New Zealand - graduating in New Zealand or educated elsewhere. This chapter covers: Cultural competence and patient-centred care - a consumer perspective; Cultural competence and patient-centred care - the requirements; The Health Practitioners Competence Assurance Act 2003; The Medical Council of New Zealand; The Code of Health and Disability Consumers’ Rights; The Health Quality and Safety Commission; Cultural competence and the context of New Zealand society; Recognition of the importance of bicultural heritage and development; Encountering New Zealand society; Is cultural safety a better term for a patient-centred approach?; Cultural competence: patient-centred and family-centred approaches; Cultural competence and patientcentred care — an ongoing journey. http://www.mcnz.org.nz/assets/News-and-Publications/Coles/Coles-Medical-Practice-in-New-Zealand2013.pdf#page=45
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Articles
Upcoming Events
Resources
Australian RESOURCES Managing Emergencies and Pandemics in General Practice The Royal Australian College of General Practitioners (RACGP) has developed Managing emergencies and pandemics in general practice: A guide for preparation, response and recovery with support from the Department of Health and Ageing. The aim of the guide is to assist general practices to better prepare for, respond to and recover from the impact of emergencies and pandemics. The guide has been designed to be an educational resource for general practice staff during emergency preparations and response efforts. http://www.racgp.org.au/managingemergencies
The rising cost of musculoskeletal conditions in Australia Arthritis and Osteoporosis Victoria have produced a report called “A Problem Worth Solving: the rising cost of musculoskeletal conditions in Australia” which is based on an analysis by Deloitte Access Economics. Arthritis and musculoskeletal conditions are the largest National Health Priority Area in Australia http://www.arthritisvic.org.au/Useful-Information/About-Us/A-Problem-Worth-Solving/APWS.aspx
Patient safety – handover of care between primary and acute care Policy review and analysis Prepared for the National Lead Clinicians Group by the Australian Primary Health Care Research Institute, ANU Dr Lesley Russell, Ms Jennifer Doggett Dr Paresh Dawda, Mr Robert Wells http://leadclinicians.health.gov.au/internet/lcg/publishing.nsf/Content/0BC80B14F241017BCA257A590021F2E8/ $File/Transitions%20of%20Care%20report%20FINAL%207May13.docx
The eHealth Clinicians User Guide The eHealth Clinicians User Guide supports medical practices in navigating the complexities of eHealth (including the national eHealth record system) from planning, preparation, registration and implementation through to meaningful use. It covers key eHealth topics of interest to medical practices (including quality improvement) and focuses on the foundation products (e.g. Healthcare Identifiers, NASH, Secure Message Delivery), the national eHealth record system and other functionality currently available and being released by software vendors. Importantly it includes practical step-by-step implementation advice. http://www.nehta.gov.au/media-centre/nehta-publications/guides/519-ehealth-clinicians-user-guide
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Articles
Upcoming Events
Resources
Healthcare Emerging Managers Network - on LinkedIn!
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 42
Change Champions & Associates Newsletter - FEBRUARY 2014
PO Box 302 Kew, Victoria 3101 AUSTRALIA E: info@changechampions.com.au W: www.changechampions.com.au
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
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