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NEWSLETTER For innovators in healthcare & beyond May 2013

On Leadership P.1

On Leadership Alignment: The Choral Club Char Weeks

P.4

Evaluating hand hygiene interventions David Brain

The Choral Club

P.6

Expanding scope for non-medical prescribing in New Zealand Zowie Ransfield

P.8

The PANcare Home Nursing Project Caroline Kelly

P.14

NHS Conference– Speaker Experiences Anita Bamford-Wade & Roisin Dunne

P.16

POINT OF VIEW: National Standards and Improving Performance

Leading a choir of managers seems a relatively straight forward, perhaps even, routine, task for an accomplished executive. The synchronicity of organisational values, strategic and operational plans and key performance indicators ideally forms the sheet music for each manager’s song book. And all that is expected of managers is that they read from the same sheet music and sing in glorious harmony. If only it could be that easy.

Dawn Skidmore

UPCOMING WORKSHOPS P.3

The Change Implementer’s Toolkit 101

P.7

Creating a Culture of Innovation

P . 1 2 Pathways to a Consumer Focused Organisation – Governance and Managerial Approaches

P.13

Delirium and the Older Person

Alignment:

In a recent article in Forbes online magazine, Ken Perlman and John Kotter (http://www.forbes.com/ sites/johnkotter/2012/11/28/thedisastrous-effects-of-a-mostlyaligned-executive-team/) lament that many organizations willingly accept that their executive or management team is “mostly

aligned” around strategy. They might be all singing strategy from the same sheet music, but each manager slightly reshapes the lyrics or tampers with the melody to suit their own interpretation. The end result is a range of songs all recorded and mixed differently but still known by the one name, organizational strategy. Little wonder a mix of choral downloads is confusing to staff, especially where organizational values such as collaboration are promoted with a cohesive and positive culture. When change is forced from way above or outside, managing even the most note perfect chorists to harmonise as one voice can be confronting to the most adept of conductors. (Continued p.2)


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This is especially so, when conductor and choir are equally disaffected by forced change (such as the need to do much, much more with very much less). Yes, leaders and managers do have feelings. That’s why they have subscriptions to Musica Viva and the like. During forced change, leaders and managers put their own emotions aside for the higher good of the organization. They constantly communicate the vision for the desired future, role model behaviours that are congruent with that future and inspire others to follow suit. In difficult times, leaders need the whole choir to sound like just one voice…even though they know that not everyone is agreeable that change must occur. Good leaders and managers refrain from leadership laceration ie publicly criticizing their own conductor-inchief or other arbiter of decisions to change. At work, they remain strictly on song, supportive of their conducter, regardless. Their professional and social networks provide the support they need to get through tough times. As role models, good leaders and managers expect that their followers will emulate their management behaviours. Conscious of their own professional conduct, good managers respect constructive feedback over negative criticism and they manage up and down in that same constructive, supportive way. Good leaders and managers pass on the change news, whether good or bad, present it factually, and as a challenge to which to aspire, without sugar coating.

Emotionally intelligent and with good instincts, their integrity shields them from a need to please people. Good leaders and managers invite a two way conversation with their team members. They welcome an acapella of well thought out concerns over unproductive squawking from crotchety magpies nesting among the tenors. Good managers strive to stay calm answering questions as best they can and providing updates on progress regularly; even when they don’t know anything new. Their team members’ will never anxiously lament, “We don’t know what is going on. They just leave us in the dark.” Leadership alignment is about more than lip synching along to calls for change. It is about ensuring that every level of management is sharing and communicating the same information about change and its implementation in the same way so that the teams are also aligned. It is about respecting the non-negotiable decisions and resisting any urge to spontaneously combust during difficult times.

Char Weeks This article can be shared if author and source are acknowledged. Suggested citation: Char Weeks, Innovation Leader, Change Champions & Associates Newsletter, May 2013.


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NEW WORKSHOP with Char Weeks

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!

In this workshop, you will:

AUDIENCE For health, aged, primary community care, local

government, member associations and not for profits professionals who are new to working on projects.

principles on change and transition management

Note: This is a novices only workshop. If you dream at night about the work of the greats in change

Participants must be working on a project, and are

Understand your role and your responsibilities in change management

management (i.e. Kotter, Bridges, Lewin, Senge, MossKanter etc.), you are too experienced to attend.

Understand and be able to apply Kotter and Bridges

Understand why change readiness is important as one tool for resistance minimization

Be able to assess change readiness

Practice communicating your vision for your change program, urgency/discrepancy message to engage

required to bring a section of an organisational chart.

stakeholders and optimize buy in Certificates of attendance are available after the

Be introduced to some tools to facilitate buy in

workshop by email. Catering Provided.

Understand who resists and why

REGISTER ONLINE TODAY!

www.changechampions.com.au


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Evaluating hand hygiene interventions and their ability to reduce healthcare associated infection Professor Nick Graves, Academic Director of the Australian Centre for Health Services Innovation (AusHSI), Queensland University of Technology, is leading the economic evaluation of the National Hand Hygiene Initiative (NHHI). The evaluation is an NHMRC Partnership project, with the broad aim of evaluating how well the NHHI worked, what factors were important to its success and whether its implementation was good value for money.

thorough and accurate costing data, has also collected various types of cost data. The economic model has been built by the Chief Investigator and takes into consideration not merely the obvious costs (e.g. staff time, cost of alcohol based hand rub) but also the costs related to extra length of stay in hospital (due to infection), costs from dying and also balances the costs with savings made by averting infections and / or death, that can be attributed to the effect of the NHHI.

Data has been collected from the 50 largest public hospitals in Australia, utilising 5 separate measurement tools (surveys) and has included responses from more than 2500 healthcare workers (nurses, nurse unit managers and infection control practitioners). Such surveys were conducted in order to address a range of key research areas, including:

The evaluation is the first in Australia to assess the NHHI using cost effectiveness analysis and to thoroughly examine the effectiveness of this specific hand hygiene program. The study is the first in Australia to include a significant number of hospitals (50) from every jurisdiction and capture responses from such a wide range of participants, capturing the attention of many health services stakeholders who are eagerly awaiting the results.

     

Attitude to participating in hand hygiene activities Intention to participate in hand hygiene activities Healthcare worker perception of hand hygiene importance Healthcare worker’s hand hygiene knowledge Cost of implementing the NHHI Executive-level support for hand hygiene interventions and infection control in general

Hospital acquired infection data was also collected and analysed from all participating hospitals (n=50) in order to contribute integral information about the rates of hospital acquired infection pre and post the NHHI. This data will enable the research team to draw conclusions on the clinical effectiveness of the NHHI in each State and Territory in Australia – the first research project of its kind. The research team, to ensure that the economic model used for cost effectiveness analysis is enriched with

(Continued next page)


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The evaluation is the first in Australia to assess the NHHI using cost effectiveness analysis and to thoroughly examine the effectiveness of this specific hand hygiene program. The study is the first in Australia to include a significant number of hospitals (50) from every jurisdiction and capture responses from such a wide range of participants, capturing the attention of many health services stakeholders who are eagerly awaiting the results.

For further information, you can head to the Wiki page: https://wiki.qut.edu.au/display/HHE/ Hand+Hygiene+Evaluation+Project Or, you can check out other research that Prof Graves is involved in by checking out the AusHSI website: http://www.aushsi.org.au/ Corresponding Author:

The evaluation is making good progress and final analysis is currently being undertaken – it is expected that all analyses will be completed by the end of April, 2013. Results will be published via a series of academic journal articles, through conference papers and presentations – with results likely to be presented at National and International infection control conferences later this year and earlier in 2014.

Feel like you’ve bitten off more than you can chew?

David Brain Project Officer Institute of Health and Biomedical Innovation Queensland University of Technology E: david.brain@qut.edu.au

CONFIDENTIAL COACHING SERVICE With experienced Certified Executive Coach Telephone coaching service available in or out of hours. (Hourly rates)

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)

Face to face coaching also available by appointment.

Email: info@changechampions.com.au 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


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Expanding scope for

non-medical prescribing

in New Zealand Health Workforce New Zealand (HWNZ) considers a range of innovations to provoke and promote change with a focus on workforce, service development opportunities, patient experience and safety. HWNZ has undertaken demonstrations to explore the possibility of non-medical prescribing, which will allow patients to access medications through health professionals other than their doctor. Below are three examples that demonstrate the effectiveness of new and expanded roles for community pharmacists and diabetes nurse specialists.

Community Pharmacy Anti-Coagulation Management services Demonstration Warfarin is the most commonly used oral anticoagulant in New Zealand and is traditionally managed in general practice, requiring patients to visit their doctor and then the pharmacy for collection of their prescription. The community pharmacy anti-coagulation management services demonstration allowed community pharmacies to provide Warfarin to local patients in collaboration with general practices. The pharmacists used standing orders for dispensing warfarin to selected patients while also having the authority to modify a prescription in collaboration with general practitioner colleagues.

The evaluation found it was a safe, effective service, is acceptable to patients and other healthcare providers and the costs per patient per year are about 30% less for this service than for traditional care. The service continues to expand and since July 2012 has been funded under the national pharmacy service contract with district health boards.

Diabetes Nurse Specialist Prescribing Demonstration In 2010, twelve diabetes nurse specialists took part in four demonstration sites across New Zealand to test the effectiveness and safety of diabetes nurse prescribing. Over a period of six months, the participating nurses prescribed a limited number of medicines used for diabetes patients under the supervision of an authorised prescriber. Evaluation of the demonstration showed that prescribing by diabetes nurse specialists resulted in improved continuity of care for patients, reducing the need for separate appointments for routine prescriptions and reducing pressure on medical staff. Following the success of the demonstration, the Minister of Health authorised a second phase to embed the service more widely in the sector. Fifteen more nurses have undertaken the advanced training in a further six demonstration sites, and will be authorised to prescribe shortly. (Continued next page)


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Clinical Pharmacist Prescribing Demonstration To expand the role of pharmacists in frontline health care, a postgraduate prescribing certificate was developed by the pharmacy schools at Auckland and Otago Universities to qualify clinical pharmacists as designated prescribers. Some 14 pharmacists are enrolled in the demonstration cohort, working in both hospital settings and primary care. They are currently undertaking the training, and will then work with a designated medical practitioner who acts as a mentor and provides advice in a team environment.

Cabinet has approved the necessary amendment to the Medicines Act 1981 and the Misuse of Drugs Act 1975, and the demonstration will begin when the amendments have been passed. HWNZ is committed to thinking of innovative ways to develop services and improve patient outcomes.

Zowie Ransfield Communications Co-ordinator Communications & Strategic Engagement Health Workforce New Zealand National Health Board, Ministry of Health

NEW WORKSHOP across Australia

Creating a Culture of

This practical workshop draws upon the best international literature and focuses on how to create a culture of innovation in health and aged care. Delegates will learn a step by step approach to creating a culture of innovation in their organisation:  Define what constitutes “innovation” as a pre-requisite for

culture change  Understand the DNA of innovators and how they inspire others  Consider case studies of innovation in organisations  Look at strategies and tools for fostering innovation in your

organisation  Develop a road map for fostering innovation in your organisation after the workshop

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


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The PA N c a r e Home Nursing Project The project is the first Victorian and first support services project to be funded by the Avner Nahmani Pancreatic Cancer Foundation. Avner, whom the Foundation was named after, was diagnosed with pancreatic cancer in September 2007 and died thirteen months later. Prior to his passing, Avner’s wish was to make a difference to those affected by the disease and to offer future patients hope of better outcomes. Avner and his wife Caroline, along with many great supporters, established the Avner Nahmani Pancreatic Cancer Foundation. It is the only Foundation in Australia dedicated exclusively to pancreatic cancer. Pancreatic cancer has the worst survival rates of all cancers, with 5-year survival rates languishing at 5.2% across Australia; median survival rates are between 3 and 6 months and there is very little in the way of dedicated support for sufferers. Like many other terminally ill patients, it was Avner’s wish that he would die at home, sadly that didn’t happen and it was this experience that led to the establishment of the PANcare project. The $430,000, 2-year project funded by Avner’s Foundation is a comprehensive care model that will place specially-trained registered nurses in pancreatic cancer patients’ homes in their final nights. Peter MacCallum Cancer Centre’s Dr. Natasha Michael, Consultant in Palliative Medicine and Associate Professor Mei Krishnasamy Director Cancer Nursing Practice and Research co-lead the project. (Continued next page)


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The PANcare project was launched in January and operates in Western and Central Melbourne and collaborators include hospitals across this region and Palliative Care providers – Melbourne City Mission and Mercy Palliative Care. The PANcare project will test the feasibility and sustainability of a comprehensive care planning service for patients with advanced pancreatic cancer patients The project will be carried out in three stages: 1. Set up stage: Appointment of project team, review of academic literature on the topic area, case notes audit, development of a detailed evidence based research protocol and training material and implementation of a training program for registered nurses

Caroline Kelly Director and Co-Founder

2. Go live stage: Offering a program of comprehensive care planning to patients with advance pancreatic cancer that will facilitate care at home at the end of life including the provision of night nurses. 3. Close out stage: Evaluation of service model (including health economic evaluation), data analysis and dissemination of findings.

Healthcare Emerging Managers Network – now on Linked In This brand new group provides support to emerging managers (e.g. clinical, program/project managers) working in health and aged care in Australia and New Zealand. Members will be willing to share their experiences, ideas for dealing with challenges and information/resources. So if you are out on a limb and all at sea‌ join up at www.linkedin.com or email us to join you up at info@changechampions.com.au

http://www.facebook.com/AvnersFoundation www.avnersfoundation.org.au twitter.com/AvnerFoundation


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Current

Workshops

REGISTER ONLINE: www.changechampions.com.au Handy Hints for the Novice Conference Presenter If you are doing great work but never or hardly ever present to a live audience because the thought of it turns your knees to jelly.... then here is a workshop for you. Delegates from outside health also welcomed.

Moving Forward: Accepting and Embracing Resistance to Change This one day workshop is a fantastic opportunity for new leaders and project managers from any industry or public sector who are keen to develop their skills in change management.

The Better Boss Workshop Ever wondered how you rate as a boss? How you could be a better boss? This workshop is ideal for enthusiastic emerging leaders, new managers and supervisors with no formal management training and those who are just wondering if they are really are being the best boss they can be.

Assessing Change Readiness Overflowing with enthusiasm to implement an exciting new program that promises to bring much needed change for the better? This workshop offers a step by step introduction by systematically assessing change readiness across a range of levels to optimise the potential for success.

Creating a Culture of Innovation

NEW!

This practical workshop draws upon the best international literature and focuses on how to create a culture of innovation in health and aged care. Suitable for managers and emerging managers in all facilities and departments.

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


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Current

Workshops

REGISTER ONLINE: www.changechampions.com.au

The Change Implementer’s Toolkit

NEW!

Is it your first time managing a project or program? Excited and enthusiastic about the opportunity to expand your horizons by working on a new initiative? Expert on the topic area? What about your expertise on how to manage change? Not too many ideas …. Great! You are the ideal participant in this full day workshop. This is a novices only workshop. If you dream at night about the work of the greats in change management i.e. Kotter, Bridges, Lewin, Senge, Moss-Kanter etc., you are too experienced to attend.

Lobbed On:

NEW!

When Change is Lobbed On You From a Great Height Don’t quite know what to do when you have been directed from far above to implement a change in your workplace or team? Feel like a junior tennis player facing Serena Williams or Roger Federer for the very first time? This is a great workshop for those wanting to develop their leadership skills so as to effectively implement change in their workplace. Suitable for middle level managers, team leaders and coordinators.

Understanding Management Decision Making

NEW!

A capacity to consistently and reliably make good decisions is often seen as a measure of a manager’s credibility. And, many organizations attribute some of their success to good management decisionmaking. Understanding the processes around decision-making is becoming an increasingly important component of management development. This practical workshop is about helping Managers (especially Emerging, New, Acting and Project Managers), Co-ordinators and Team Leaders to develop confidence and skills in systematically making good decisions, including those made while under pressure.


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2013 IN-HOUSE MASTER CLASS Pathways to a Consumer Focused Organisation – Governance and Managerial Approaches With facilitators Stephanie Newell & Mitchell Messer

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

2013

expanding mandatory requirements this Master Class is a strategic exploration and examination of the health consumer

in-houses available

participation trilogy: consumer engagement, consumer involvement and consumer partnerships for organisationwide quality improvement.

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

It is timely for health care organisations, from boards to

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 flyers and register online for seminars


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“You would have to be half mad to dream me up.”

-Lewis Carroll, Alice in Wonderland

FULL DAY IN-HOUSE WORKSHOP With facilitator Robyn Attoe “Delirium in older hospitalised people is often

WHO SHOULD ATTEND?

overlooked or misdiagnosed due to limited staff

This workshop is ideal for any professional

knowledge of delirium features or a perception

concerned with the care of our elderly.

that all cognitive impairment is due to dementia” (Australian Government Department of Health and Ageing).

POINTS: 3 CNE points IN THIS WORKSHOP, YOU WILL: I. Learn about cause and types of delirium and

Delirium is a serious medical problem which results in increased length of stay in hospital, premature institutionalization, morbidity and mortality in the elderly. Needless to say the cost to healthcare system is enormous!

delirium risks II. Understand the pathophysiology of delirium III. Understand non pharmacological approaches to managing delirium IV. Be introduced to the best practice guidelines for pharmacological management

This practical workshop by recognized dementia behavior expert, Robyn Attoe, is designed to assist anyone working with older people:

V. Share information about:  Hospital environments – do they help or

hinder?  What can be changed to assist in

 to recognize the delirious patient early; and,  improve their knowledge about delirium

management.

Visit

management of delirium?  An emerging problem, hyperactive delirium

in the younger person

www.changechampions.com.au


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Anita Bamford-Wade (Auckland University of Technology) and Roisin Dunne (Mater Health Services, Brisbane) share their experiences speaking at the 2013 NHS International Conference titled: “Recruiting for the Values of the NHS”

Anita Bamford-Wade

I was very fortunate to partner with Change Champions & Associates, Chester University and the North West NHS 12-15th March. It was a truly amazing experience as we met with the North West Directors of Nursing in Bolton and then travelled to London to attend the 2013 Nurse Awards at the Victoria and Albert Museum in London. It was an inspiring evening of the very best in nursing practice. What was so wonderful were the comments the patients had made about the nurses and their practice. Am sure there was not a dry eye in the audience. Day 2 we attended the NHS Innovation Expo also in London. This event was a combination of presentations from the policy makers and an exhibition of the latest in technology to support care delivery both in the hospital and the community. The new Chief Nurse for the NHS Jane Cummings who had been in her role just on a year is an inspirational person. She has achieved so much after 1 year in the role. Jane has launched Compassion in Practice: A summary of the Implementation Plans for developing a culture of compassionate care. The plan outline the 6 C’s of compassion: care, compassion, competence, commitment, courage and communication.

The next morning we travelled to Leeds to meet the NHS employers network who were interested in ways to recruit to the values. My colleagues from the US and Roisin Dunne from the Mater in Brisbane were very eloquent in way this can be accomplished. That evening we had a pre-conference think tank / dinner and met key sponsors of the conference that was going to held on Friday 15th March. Our hotel was located in Media City right beside the home of the BBC. A tour of the BBC was organised between the main and desert that evening. Friday 15th March was the big day at the conference which was held at the Old Trafford the home of Manchester United. The day went too quickly! There were so many wonderful presentations and people to meet. Before we knew it the program had come to an end. It was a very energizing and inspiring week. It was both a privilege and a pleasure to meet so many wonderful people who had a passion for what they did so well.

Anita Bamford-Wade, Auckland University of Technology


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Roisin Dunne

Presenting at the “Recruiting for the Values of the NHS� conference provided a wonderful opportunity to network with likeminded nursing and midwifery leaders. The realisation that the profession is globally facing the same challenges in relation to embedding compassionate care is both confronting and comforting. As we all strive to maintain patient centric care, in very challenging economic climates, I have made firm professional friendships with wonderful skills and ideas which I know we can all leverage off moving forward. All in the profession of nursing and midwifery owe it to our patients, each other and the profession to ensure we utilise every opportunity every day to ensure patients and the staff around us experience compassion when we care for them.

My presentation focused on the tools we have developed at Mater Health Service to help us do that. Recruitment and rerecruitment of staff utilising the Mater Values is part of our businesses. We are fortunate at Mater to be steeped in the spiritual tradition of the Sisters of Mercy which we as senior leaders, working collaboratively with our People and Learning Department, endeavour to continue. Roisin Dunne RN, H-Dip Nursing, Dip. Mgt. Registered nurse for 17 years working in various roles from bedside nursing, education, quality/service improvement and administration. Currently Nursing Director Ambulatory and OPD service Mater Health Services Brisbane.

About the NHS conference: This international conference, chaired by Michelle Beecroft from Stockport NHS Foundation Trust, was designed to inform delegates of some of the challenges healthcare providers face around embedding key values, exploring the approaches used in America, New Zealand and Australia over the last 20 years to overcome such challenges. Furthermore, consideration was given to the tools currently in use or in development within the UK. This was a joint event supported by NHS North of England, Health Education England and the NHS Commissioning Board and the University of Chester. As well as having a wide range of guest speakers the conference was supported by workshops in which delegates had the opportunity to see how tools are used and applied in practice.

Background Compassion in Practice is the new three year vision and strategy for nursing, midwifery and care staff drawn up Jane Cummings, the Chief Nursing Officer for England (CNO) at the NHS Commissioning Board, and Viv Bennett, Director of Nursing at the Department of Health. It was launched at the CNO annual conference in Manchester on December 4th 2012 following an eight week consultation with over 9,000 nurses, midwives, care staff and patients.

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


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P

int of View

National Standards and Improving Performance by Dawn Skidmore The Australian Commission on Safety and Quality in Health Care has developed The National Safety and Quality Health Service Standards (NSQHS Standards) to drive the implementation of safety and quality systems and improve the quality of health care in Australia. The 10 NSQHS Standards provide a nationally consistent statement about the level of care consumers can expect from health services. And in September 2011, Australian Health Ministers took a significant step towards improving Australia’s health system by endorsing the NSQHS Standards and a national accreditation scheme. The new system will, for the first time, create a national safety and quality accreditation scheme for health service organisations. Whether you are a healthcare practitioner, support worker, manager or executive, these new standards may have implications for you and your organisation. Do you know what these implications may be? If you are responsible for delivering and managing care, supporting care or improvement activities, coordinating accreditation activities or collating outcomes of improvement processes and evidence, they are relevant to you. The ten NSQHS Standards are:          

Governance for Safety and Quality in Health Service Organisations Partnering with Consumers Preventing and Controlling Healthcare Associated Infections Medication Safety Patient Identification Clinical Handover Blood and Blood Products Preventing and Managing Pressure Injuries Recognising and Responding to Clinical Deteriorating in Acute Health Care Preventing Falls and Harm from Falls

Accreditation to the NSQHS Standards commenced for hospitals, day procedure services, day surgeries and day hospitals across Australia from January 2013. The introduction of the NSQHS Standards also has implications for dental practices and clinics nationally as they too may be participating in accreditation for the first time. (Continued next page)


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In addition to the National Standards, DoHA has developed a Medicare Local Accreditation Scheme with specific standards for Medicare Locals. The twelve Medicare Local Standards are:            

Governance and Leadership Human Resource Management Knowledge and Information Management Contracting and Subcontracting Stakeholder Relationships Analysis and Planning Health Promotion and Illness Prevention Service Coordination and Integration Service and Provider support Direct Health Service Delivery Environmental Safety Asset Management

Accreditation is one tool in a range of strategies, which can be used to improve safety and quality in a health service organisation. It is a way of verifying:  Actions are being taken  System data is being used to inform activity  Improvements are made in safety and quality

It is easy to find out more, simply go to HDAA’s website www.hdaau.com.au. There may also be exciting opportunities to become a healthcare assessor! For information on The Australian Commission on Safety and Quality in Health Care go to www.safetyandquality.gov.au For more information also see the next Change Champions and Associates Newsletter

Dawn Skidmore Principal Consultant Dawn.Skidmore.au@googlemail.com

Submit your Tricks of the Trade It is often the surprising discoveries and personal experiences that make all the difference in change management, reform, redesign programs, etc. We invite you to submit a short article for our newsletter, sharing the personal experiences and unpredicted lessons that could never be found in a book. All submissions should be emailed to info@changechampions.com.au


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Australian RESOURCES

National CALD Ageing Network (NCAN) FECCA is currently working to establish NCAN, a web-based communication network for people and organisations in the CALD ageing sector. We hope it will become a major vehicle for CALD organisations and people to feed ideas into the development of the national CALD Aged Care Strategy, and to become involved in the exciting possibilities offered by the aged care reforms. http://www.fecca.org.au/

Nurses in Focus This issue of Australia’s Health Workforce Series brings together information from various sources to provide a picture of the nursing workforce in Australia. https://www.hwa.gov.au/sites/uploads/Nurses-in-Focus-FINAL.pdf

Serious Transfusion Incidents Reporting System The Blood Matters Serious Transfusion Incidents Reporting System (STIR) is a central reporting system for serious adverse events with transfusion of fresh blood or blood components including near-miss incidents preceding transfusion. For more information on categories of reportable events see the STIR guide at this link: http://www.health.vic.gov.au/bloodmatters/stir.htm#reports


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Australian RESOURCES

National Ageing and Aged Care Strategy for People from Culturally and Linguistically Diverse (CALD) Backgrounds Government’s National Ageing and Aged Care Strategy for People from Culturally and Linguistically Diverse Backgrounds. http://www.health.gov.au/internet/main/publishing.nsf/ Content/2882705B40A380A1CA257AD80077A1B8/$File/D0982_CALD_WEB% 20with%20p4%20corr.pdf

BloodSafe BloodSafe is a blood transfusion safety and quality improvement collaboration between SA Health, the Australian Red Cross Blood Service, public and private hospitals and their transfusion service providers. Sponsored by the South Australian Department for Health and Ageing, the BloodSafe mission is to coordinate a safety and quality framework for all steps of blood transfusion practice to improve patient outcomes and ensure sufficiency of blood supply. The BloodSafe website http://www.health.sa.gov.au/bloodsafe/ provides a range of tools and resources for health professionals and the general public including: For Clinicians:

For Consumers:

Transfusion Practice

Blood Transfusion

Anaemia Management Patient Blood Management

Iron Therapy Immunoglobulin Infusions

Education and Standards

Consent for Transfusion

Blood Product and Fridge Registers

Children and Transfusion

Storage and Transport


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INTERNATIONAL

NHS International Conference - Recruiting for the Values of the NHS Conference overview, including slides from keynote speakers. Video will also be made available soon. Keynote Presentations       

Commissioning for the Values of the NHS - Sam Sherrington, Bolton Clinical Commissioning Group Hartman Value Profile - Victoria King & Tanya Cook, Memorial Healthcare System, Houston, Texas USA Compassion in Practice - Jane Cummings, Chief Nursing Officer, NHS Commissioning Board HEE Commitment to Delivering the Constitution - Dr. Lisa Bayliss-Pratt, Health Education England Nursing Values Project - Liz Kidd, Deputy Director, Workforce Education Policy, Department of Health Recruiting for the Values: Nursing and Midwifery Division, Mater Health Services South Brisbane - Roisin Dunne, Nursing Director, Mater Health Services The Independent Review into Health Care Support Workers - Joe McArdle on behalf of Camilla Cavendish

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

Scaling Telehealth Programs: Lessons from Early Adopters Overview Remote patient monitoring (RPM)—like home teleheath and telemonitoring—can help improve coordination, improve patients’ experience of care, and reduce hospital admissions and costs. Such technologies remotely collect, track, and transmit health data from a patient’s home to a health care provider and can facilitate communication and help engage patients in the management of their own care. This synthesis brief offers findings from case studies of three early RPM adopters: the Veterans Health Administration, Partners HealthCare, and Centura Health at Home. Each of the programs started as a pilot with the support of a small group of advocates who believed in the technology’s potential for offering improved care for a targeted population. Early lessons include promoting a culture of openness and preparedness; using a multidisciplinary team-based approach; establishing leadership support; minimizing barriers to patient enrollment, like cost; and including nonstandard measures, like patient experience and staff satisfaction, in program evaluations. http://www.commonwealthfund.org/Publications/Case-Studies/2013/Jan/TelehealthSynthesis.aspx


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INTERNATIONAL

2nd World Congress of Clinical Safety 12 - 13 September 2013, Heidelberg, Germany (Main theme) Risk in Clinical Care (Abstract submission) 1st Feb. 2013 - 31st May, 2013 (Conference registration) from 2013 Spring This academic congress is organized by IARMM and aims to improve and promote the science and technology of better safety in both risk and crisis management in health care. The congress covers a wide range of topics such as patient safety, medication safety, medical device safety, infectious disease outbreak, and the other related subjects. German scientific culture of risk has the longest history of over hundred years in the world and has absolutely active movements in risk science and technology which generated the important key concepts, such as philosophy of risk, risk communication, risk management, etc. We are sure that the Congress will assist the world wide exchange of knowledge and skill in this specialist area with excellent German risk scientists. Let's all join together at our Heidelberg Congress to meet and share information with your colleagues.

Abstract submission manner http://www.iarmm.org/2WCCS/Abstract_Submissions.pdf Key topics: 'Philosophy and strategy of managing risk and error' 'Clinical communication for risk and safety' 'International perspectives for clinical safety' 'Safety culture in healthcare and group medicine' 'IT and medical informatics in clinical safety' 'Education and training for clinical safety' 'Patient's or career's role in clinical safety" 'Simulation and human factor for clinical safety' 'Survey and report of clinical errors' 'Risk and safety in medical device' 'Surgical safety, preoperative risk management and Checklist' 'Medication safety' 'Drug safety' 'Emergency healthcare system' http://www.iarmm.org/2WCCS/poster_2WCCS.pdf


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The Service Providers Toolkit: Improving the Care of Older Homeless People Alice Rota-Bartelink

Homeless and the Aged Content 

Introducing Nigel: Case profile

Defining homelessness – primary, secondary and tertiary

Characteristics of an aged homeless population

Advocating for the older homeless person

Navigating complex service systems

Understanding life roles and the significance of

IN-HOUSE WORKSHOP This workshop is available as an in-house at your

engaging in meaningful activities

organisation. Fill out the

Facing the challenge of “behaviours of unmet

expression of interest

need”

form on our website for

The Service Providers Toolkit

more details.

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

www.changechampions.com.au


23

The Challenge of Long Term Alcohol Abuse in Older Adults

A master class 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

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!


24

L bbed n

When Change is Lobbed On You From A Great Height: A “how to” workshop for change implementers and recipients

Bring your challenges to this full day workshop! Don’t quite know what to do when you have been directed from far above to implement a change in your workplace or team? Had no buy-in to designing a change that you are responsible for implementing in your workplace? Accountable for making a change that you don’t really understand or don’t agree with? Know that your team is not going to be happy with more change or another change that seems to make very little sense? Feeling overwhelmed? Blue? Perhaps, just tinsy bit cynical? Feel like a junior tennis player facing Serena Williams or Roger Federer for the very first time? If you answered yes to any one of these questions, this workshop is for you. Let’s get out from underneath and start playing your own game. Believe it or not, you can make top down change directives work for you and your team.

Suitable for middle level managers, team leaders and coordinators Visit our website and download the PDF flyer for UPCOMING 2013 DATES across Australia and New Zealand

www.changechampions.com.au


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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


Change Champions & Associates Newsletter MAY 2013  

For innovators in healthcare and beyond

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