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JULY2011 ResourcesArticlesMasterClassesSeminarsLeadershipInnovation

Contents Articles >

Glycosmedia -a diabetes news service for healthcare professionals Jim Young


The Talking Photo Book


-an innovative visual aid assisting people with


intellectual disability Todd Haswell >

Improving GP Access to Diagnostics -pilot project– Nelson Marlborough District


Health Board, NZ Dr. David Dixon



Preventing Blood Clots -a National Safety Priority Website of Evidence Based Online Resources

International Resources 12– 15 >

Browse this rich collection of leading resources from around the globe

Upcoming Change Champions Seminars and Master Classes

16– 18 >

Look through the diverse line up of upcoming events with Change Champions and Associates


1 DAY MASTER CLASS with US expert storyteller and presenter

Bill Shannon

Sharing the Experience from Three Great Brands: Disney, Duke University & DaVita MASTER CLASS AIM Any positive change starts with supportive leaders and proactive thinking. Leaving this Master Seminar, participants will have a framework- a way of thinking- that simplifies an approach to service, and speaks from the patient perspective. Attendees, whether quality & safety or patient liaison, professionals, clinicians, managers, academics or interested others, will see linkages tied to their expertise and perspectives and the resulting synergies that make implementation easier.

19 July 2011– Sydney, NSW


Service Delivery will be broken down, explored and understood by attendees, allowing dialogue and idea generation from their perspectives, and that of their institution

Approaches for Leadership, Management, Physician and front line staff will be broken down and explored

Methods, processes and measuring success are included along with ideas on how to prioritize and get started.

Learnings from addressing naysayers and avoiding pitfalls conclude this interactive, didactic, multimedia day.

20 July 2011– Melbourne, VIC

22 July 2011– Adelaide, SA

25 July 2011– Perth, WA 26 July 2011– Brisbane, QLD


Glycosmedia -a diabetes news service for healthcare professionals The information super-highway is gridlocked! Or

This is where the apparently atavistic methodology used

perhaps it is more accurate to state that the

by Glycosmedia actually produces a controlled stream

information flooding from the Internet has produced

of pertinent information.

user assimilation gridlock! Whatever your interpretation of the problem, information overload is a

Each week the medical editorial team review a huge

term engendering the same malign connotations as the

amount of information fed in from electronic news

uncontrollable information cascade that it refers to.

feeds and from “hands on� searching of relevant websites on the Internet. Only the most pertinent

But what can the busy healthcare professional do when

research papers and information are selected for

the need to keep informed about latest developments

inclusion in our free weekly newsletter for healthcare

necessitates perusal of the latest research and

professionals. In our case it is related to diabetes: the

developments in the professional journals and

disease, its symptoms, sequelae, research, and the

associated literature?

latest treatment and management modalities. Our methodology could of course be applied to other

Electronic news feeds go some way towards addressing

clinical specialities.

the problem, but even these attempts at a focussed search are using algorithms that produce as much dross

Each week we restrict our news listing to no more than

as there are golden nuggets of information. The dross is

12 articles. These are selected on their relevance to the

related to the search criteria but it is still dross and not

busy clinician or research worker in their real-life

the nuggets that the prospector is searching for.



Glycosmedia was launched in 2008 and we now have over 1,400 subscribers to our free weekly newsletter which is sent out by email to doctors, nurses, dieticians, academics etc., worldwide. The labour-intensive production of Glycosmedia is supported by educational grants from four pharmaceutical companies and we are talking to other companies for similar support. Glycosmedia is also part-funded by advertisements especially for conferences and events. Having run the Glycosmedia diabetes news Glycosmedia is an Affiliate Member of the

listing for two years we are convinced that it is

Institute of Life Science, part of the Medical

essential to place the human in the

School at Swansea University and has an office

information cascade and we have plans to


develop into other therapeutic medical specialities. Further development such as this

Glycosmedia is a simple but effective way of

will require funding streams related to these

ensuring that the busy clinician is supplied

specialities, and possibly associations with

with pertinent information and is saved the

other organisations for mutually beneficial

time of searching the Internet or of having to


peruse the vast number of journals that are published every day.

If your interest is in diabetes then why not take out a free subscription today from the

Our RSS feed is available to access information

link on our website.

in between weekly publication and can also be used by our sponsors to populate the diabetes news pages on their websites. We also

Jim Young

disseminate the information by Twitter.

Glycosmedia Editor-in-chief

The medical and professorial team at Glycosmedia ensure that the information is always “on theme� and this engenders trust in our readers and this is reflected in the testimonials we receive, some of which are listed on the website.

Know of a great website for resources? Let us know!


The Talking Photo Book – An innovative visual aid assisting people with intellectual disability to understand doctor visits and medical procedures Todd Haswell is currently the Total Communication Coordinator for the Hawke’s Bay branch of IDEA Services, IHC New Zealand. As part of his role he has recently developed visual aids to assist people with an intellectual disability to understand medical procedures which they may be required to receive and thereby lower any associated anxiety they may have. One of these visual aids entitled ‘Doctors/ GP Visits’ is in the form of a talking photo book with step by step information about what will or may happen when visiting the doctor. This includes everything from walking up to reception right through to settling their account at the end of the visit. Each page includes a simple explanation of what will occur in relation to each person’s medical issue, and corresponds with a photo on the same page. Each visual aid also has recording instructions, so it can be personalised for the client. The person may play this recording two or three times in the comfort of their own home before taking it with them to the doctor. From this idea Mr Haswell has also developed other talking books, including ‘Hospital Day Surgery,’ ‘Hospital Hip Replacement’ and at present is working on ‘Dentist Surgery Visit’. Some of these visual aids have already been used very successfully by those in need. “I envisage a time when this concept will develop into a large user-friendly library which contains CDs, DVDs and MP4s,” Mr Branch said. To contact Todd Haswell, please email



Creating the Culture for Innovation A Practical Guide for Leaders Through relatively simple changes in behaviours and leadership processes leaders can assess and enhance their culture for innovation within their organisation. The guide describes the literature base behind the seven dimensions of culture for innovation, gives guidance on applications of the framework, and provides 37 practical tips and examples of ways to enhance the culture for innovation in organisations and systems. A shorter companion guide for senior leaders, Creating the Culture for Innovation: Guide for Executives is also available from the NHS institute. It provides an overview of the concepts and practical tips for leaders to enable them to support and build an effective innovation culture.

This product is available to purchase by non NHS England organisations at:

Customer Service Excellence Early Bird Closes Soon!

Full day Master Class with Expert Storyteller and Presenter Bill Shannon 27 July 2011– Sydney, NSW Attendees will learn the three major customers service delivery systems, and learn how to “walk in the shoes of their customers” using a tool devised by Disney


Improving GP Access to DIAGNOSTICS Pilot project- Nelson Marlborough District Health Board, NZ

In 2008, Nelson Marlborough District Health Board

clinical assessment and careful use of the already

was successful in securing pilot project funding from

stretched radiology resource.

the New Zealand Ministry of Health to explore opportunities for improving patient care through

Each pathway was well-received by the GP

enabling direct GP access to various radiology

community and has contributed to improved patient

procedures previously only available via specialist referral.

care via quicker investigation for patients and the avoidance of unnecessary hospital visits. This has been particularly marked in the area of DBI where

The following care pathways were chosen:

referral to surgical outpatients of women with breast lumps has fallen by almost 80%.

 CT scan for chronic headache  CT scan for renal colic

Subsequently, this raised some concern amongst the

 CT scan for the investigation of haematuria

surgeons regarding the management of breast

 Diagnostic breast imaging (DBI) - mammogra-

disease, but a limited audit of referrals showed that

phy and/or ultrasound for the investigation of

cases were being managed appropriately by the

breast lumps

general practitioners and according to the agreed

 CT colonography (Marlborough region only)

referral guidelines.

These clinical conditions were selected in view of

In view of the success of the project, Nelson

their potential to streamline patient care and free-up

Marlborough District Health Board has maintained

specialist clinician time by eliminating what had

the funding stream for direct GP access to these

largely become a ‘rubber-stamping’ role for them in

radiological procedures.

order for the patient to access the diagnostic investigation. The two GP Liaisons worked with relevant hospital specialists to draw-up guidelines for GP referral for these modalities, with particular emphasis on robust

Dr. David Dixon GP Liaison NMDHB If you would like to get in touch with David Dixon email:


The 2011

BETTER BOSS Workshop 4 hour Introductory Workshop In this workshop we will draw on recognised best practice management and supervision, feedback from our own Good Boss surveys (accessible from our website) and the experiences of our international networks of change management consultants to:

Ever wondered how you rate as a boss? Who is a good boss? What qualities and skills do good bosses have? Why do team members see them as good bosses?

 Assist participants to improve their knowledge and confidence in managing and/ or supervising staff

How could you be a better boss?

 Better understand:

Too often very competent professionals are rewarded with promotion to the high diving board of management and/or supervision without adequate orientation, training and support. Often it’s assumed that because you have excelled at what you do, your transition to management and/or supervision will be effortless and seamless. And while the perks of promotion might seem enticing, the reality of a managerial role often turns out to be a touch more daunting than perhaps you had expected.

 Their role in leadership, management,

responsibility and accountability  Personal qualities, skills and behaviours

of good bosses  Benefits the good boss brings to the

team and their organisation  Respecting and valuing staff  Motivating staff

 Review and discuss case studies of common dilemmas faced by bosses

If you have been promoted into a managerial or supervisory role or have been suddenly thrust into the limelight because everyone else took one step back or your time has come ... this workshop could be for you.


 Learn some tips and techniques for dealing with tricky managerial situations


in house opportunities


Preventing Blood Clots- a National Safety Priority Website of Evidence Based Online Resources for Health Professionals Expected to Improve Patient Outcomes

Reports have shown that blood clots are killing more patients in hospitals, three times more, than people who die on Australian roads. Known clinically as venous thromboembolism (VTE), blood clots lead to more than 30,000 hospitalisations and an estimated 5,000 patients die each year. The National Health and Medical Research Council (NHMRC) and the Australian Commission on Safety and Quality in Health Care (the Commission) are working together to ensure that the prevention of blood clots remains a national patient safety priority. Through this collaboration, an online VTE Prevention Resource Centre has been developed which provides a one-stop-shop to the NHMRC’s national guidelines, a step-by-step implementation guide for hospital managers, education resources for health professionals and information for patients on what can be done to reduce their risk. The site of containing all the practical online resources was launched last month and is specifically designed to help busy health professionals and hospital managers provide the best available care to their patients. Find the resources on the next page


Finding the Resources The complete range of resources that will accompany the NHMRC Clinical Practice Guideline for the Prevention of VTE in Patients Admitted to Australian Hospitals (2009) includes:

A step-by-step guide on how to implement the NHMRC VTE Prevention guideline in Australian hospitals ( stop_clot.htm)

A clinician-friendly summary of the NHMRC VTE Prevention guideline ( prevention.htm)

A ready-to-use VTE Prevention policy template for Australian hospitals ( safety/publishing.nsf/Content/vte-prevention )

The NHMRC Report on lessons learnt about ‘Preventing Venous Thromboembolism in hospitalised patients – summary of NHMRC activity 2003-2010’ ( prevention_program_aus.htm)

Information for patients on how to reduce their risk of blood clots ( prevention.htm)

The Commission’s online VTE Prevention Resource Centre ( safety/publishing.nsf/Content/vte-prevention )

The NHMRC and Commission joint report on the outcomes of the National VTE Prevention Policy Summit held with State and Territory health jurisdictions in May 2010 ( prevention.htm)



Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care Balik B, Conway J, Zipperer L, Watson J Cambridge, Massachusetts: Institute for Healthcare Improvement; 2011 In response to growing interest from the hospital community in better understanding and improving the experience of patients and their families during hospitalization, the Institute for Healthcare Improvement (IHI) conducted an in-depth review of the research, studied exemplar organizations, and interviewed experts in the field. The project identified five primary drivers of exceptional patient and family inpatient hospital experience of care: leadership; staff hearts and minds; respectful partnership; reliable care; and evidence-based care. This white paper is free to access once one registers (free) on the Institute for Healthcare Improvement website. Details here: AchievingExceptionalPatientFamilyExperienceHospitalCareWhitePaper.htm

Guidelines and Audit Implementation Network (GAIN): Guidelines on regional immediate discharge documentation for patients being discharged from secondary into primary care. The immediate discharge summary aims to apply consistency to patient discharge information in Northern Ireland and captures a variety of data intended to inform the GP of the highlights of the patient’s stay in hospital. "It can only be effective if it is complete, accurate and made available in a timely manner". The guideline provides a dataset and template for an immediate discharge document:



Scottish Health Council: The Participation Toolkit The toolkit is a collection of 22 tried and tested tools for effective public engagement. It has been developed to support NHS staff in the delivery of their patient focus and public involvement (PFPI) activities. participation_toolkit/the_participation_toolkit.aspx

Royal College of Surgeons: From theory to theatre: overcoming barriers to innovation in surgery The report highlights concern about the development and translation of new techniques and technologies into surgical practice and makes 15 “achievable and affordable recommendations which, if implemented, will benefit patients in future years.� Read the report here:

Safe and effective service improvement: delivering the safety and productivity agenda in healthcare using a lean approach (Amnis) Newly published report from the UK. This guide is designed to introduce those with a responsibility for safety and productivity working in healthcare organisations to the concept that lean can, and already is, being used to tackle both of these important agendas.



NICE online tool: 18 Pathways Useful starting point for users new to a topic NICE has launched a new online tool for health and social care professionals which, for the first time, brings together all connected NICE guidance on a topic in a user-friendly electronic flowchart. A total of 18 pathways have been launched today covering alcohol-use disorders, anaemia management in chronic kidney disease, breast cancer, chronic heart failure, chronic kidney disease (CKD), chronic obstructive pulmonary disease (COPD), dementia, depression, diabetes, diabetes in pregnancy, diet, glaucoma, neonatal jaundice, physical activity, postnatal care, smoking, stroke, and venous thromboembolism (VTE) prevention.

How to guide to venous thromboembolism risk assessment This How to Guide will support NHS organisations in the implementation of venous thromboembolism risk assessment for all patients admitted to hospital. The guide builds on the existing and extensive resources already available and can be used to support the implementation of the National Institute for Health and Clinical Excellence (NICE) Quality Standards Programme, CQUIN requirements and NICE Guideline 92.

New Hospital at Night module for NHS Staff (DH England) The national e-learning for health project – sponsored by the Department of Health in England, has rolled out a new module on Hospital at Night (H@N) which uses an e-learning approach to develop and support the theory of Hospital at Night to the practice of multi-professional team-working.



HQIP benchmarking platform CAKE (Clinical Audit Knowledge Exchange) HQIP is today proud to announce the formal launch of its groundbreaking benchmarking platform CAKE (Clinical Audit Knowledge Exchange). This new resource provides access to clinical audit templates and will enable healthcare organisations and groups of clinicians to confidentially benchmark their clinical audit results. The Clinical Audit Knowledge Exchange (CAKE) provides access to clinical audit templates and allows NHS Trusts and other organisations to compare their clinical audit results.

Sign Audit Tools Developed by Doctors and Dentists in Training The Scottish Intercollegiate Guidelines Network (SIGN) develops evidence based clinical practice guidelines for the National Health Service (NHS) in Scotland. SIGN guidelines are derived from a systematic review of the scientific literature and are designed as a vehicle for accelerating the translation of new knowledge into action to meet our aim of reducing variations in practice, and improving patient-important outcomes. SIGN guidelines provide an ideal framework for audit. They define current evidence based practice, against which local practice may be compared and measured. Practice can then be adjusted and re-audited to test for improvement. A full list of Tools is available here: For the Who, What and Why of the SIGN doctors and dentists in training group visit:


Upcoming Events Bill Shannon MASTER CLASS: Patient Centred Care 19 July 2011, Sydney NSW 20 July 2011, Melbourne VIC 22 July 2011, Adelaide SA 25 July 2011, Perth WA 26 July 2011, Brisbane QLD

Bill Shannon MASTER CLASS Customer Service Excellence 27 July 2011 Sydney NSW

Accepting and Embracing Resistance to Change 09 August 2011, Brisbane, QLD 18 October 2011, Melbourne, VIC

The Better Boss Workshop 2 Aug 2011, Newcastle NSW 12 Aug 2011, Cairns, QLD 4 Aug 2011, Sydney, NSW 26 Aug 2011, Melbourne, VIC 10 Aug 2011, Brisbane, QLD 14 Sept 2011, Canberra, ACT 16 Sept 2011, Adelaide, SA




MASTER CLASS: Self Management Support Skills for Outpatient Providers 15 August 2011, Sydney NSW 16 August 2011, Melb VIC 17 August 2011, Adelaide SA 19 August 2011, Perth WA

22 August 2011, Darwin NT 24 August 2011, Brisbane QLD 25 August 2011, Newcastle, NSW

2 Day Seminar: Optimising the Management of Pain 24-25 August 2011 Melbourne, VIC

2 Day Seminar:


Improving Patient Flows – Outpatients and Specialist Clinics 7-8 September 2011 Noosa, QLD

Innovative Strategies for Engaging and Supporting NET GEN students 30 September 2011 Sydney NSW 17

Master Classes

Later this year End of Life Care– with Les Story 11 October 2011 Auckland, NZ 13 October 2011 Christchurch, NZ

17 October 2011– Melbourne, VIC 19 October 2011– Sydney, NSW 21 October 2011– Brisbane, QLD 24 October 2011– Alice Springs, NT 26 October 2011– Adelaide, SA 28 October 2011– Perth, WA

Best Practice for the Assessment & Management of Acute and Chronic Pain– with Clair Haslam 09 November 2011 Auckland NZ 11 November 2011 Wellington NZ

14 November 2011, Melbourne VIC 16 November 2011, Adelaide SA 18 November 2011, Brisbane QLD 21 November 2011, Sydney NSW

Orthopaedic Enhanced RecoveryWith Rob Middleton and Tom Wainwright 5 March 2012, Auckland, NZ 6 March 2012, Wellington, NZ 7 March 2012, Dunedin, NZ

9 March 2012, Brisbane 11 March 2012, Sydney 12 March 2012, Melbourne 13 March 2012, Adelaide 14 March 2012, Perth

Flyers are downloadable from 18

P: F: E: W:

(02) 9692 0533 (02) 9518 6898

Why not 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:


Change Champions & Associates Newsletter July 2011  

Newsletter for Innovators