GP Respiratory Clinics

Safety Culture — a focus on learning and improvement

Our service teams work collaboratively with our Clinical Governance and Quality team to undertake incident case reviews. Through systematic incident analysis processes, we can identify factors which contributed to the incident occurring. These may be administrative or communication processes, system, environment or equipment issues, or a range of human factors (such as human error, training, skills, etc). By considering contributing factors, the team can then identify areas for improvement.

DPV Health promotes a just culture, a team environment that promotes transparent and accurate analysis of clinical incidents, avoids personal blame and always seeks to learn and improve, all in support of our ultimate goal of protecting our clients and enhancing their experience of care. Here are some of the improvements that have been identified through clinical incident reviews: > Review of program-specific induction checklist to incorporate PPE and hand hygiene guidance > Review of PPE/Rapid Antigen Test supply management procedures to ensure stock continuity over weekend periods and during identified COVID-19 infection clusters > Design of suicidal risk identification and response guidance for Administration team members > Review of medication administration and management procedures within Disability Services to strengthen

“missed medication” management resulting from medication not being supplied to centre-based program > Display of “splash and spills” management posters within dental services > Design of fall risk screening questionnaire ready for testing within intake services.

The PEMAC Clinic

P–Participate, E–Educate M–Motivate and C–Celebrate

DPV Medical Services developed the PEMAC project to reduce Body Mass Index (BMI) and associated issues in patients. Funded by the Eastern Melbourne PHN, the nurse led clinic, focused on patient-centred, goal directed care to deliver a holistic and personalised program. Patients with a BMI over 30 were identified and invited to participate in the project, and 20 people were recruited for the 12-month period.

The initial assessment was complemented by initiating a goal-directed care plan with each patient, for the 12-month period. A health-coaching approach was adopted, and patients were provided with the GOSHARE app which enabled the nurses to send messages of encouragement, fact sheets, animations, and helpful links. The initial assessment questionnaire was completed quarterly to track the effectiveness of the project and the implemented goals for each individual.

75% of participants completed the project and each of them celebrated positive changes in their lifestyle habits, in addition to a host of the other benefits, including: ö Improvements in HbA1c (blood sugar test) ö Improvement in HDL/LDL (Cholesterol test) ö Improvement in overall wellbeing ö Increased Chronic Disease management bookings ö Increase in service requests for Nurses ö Increase patient satisfaction in care and decision making.

Bringing a Smile to the Community

As part of the state government’s Smile Squad Program, DPV Health are engaging with local primary, secondary and special schools across Hume and Whittlesea to deliver Free dental check-ups.

The two-van mobile dental program provides students with oral examinations and dental treatments as well as information packs to educate students and families on teeth brushing and healthy eating.

Since commencement in March 2021/22, DPV Health delivered the Smile Squad Program to 5 schools with 3,376 treatments.

The free program complements the Smiles 4 Miles program delivered into kindergartens across the community to ensure children have access to free dental care early in life.

Excellent care shines through

Despite COVID challenges, the DPV Health dental program provided continued access to essential dental services to those most in need and rapidly expanded after Melbourne’s lockdowns to manage the growing waitlist.

DPV Health continued to achieve a higher dental chair utilisation rate, treated more children under the Child Dental Benefits Scheme and were more efficient in treating more clients per clinician in comparison to the average performance across the Northern Metro region. Our drive for Excellence care continues to see our performance improve and provide increased dental service access for more of our community.

2021–22 DPV Health dental performance

Chair utilisation

Individual treated per operator FTE

Children treated under CBDS 44% 63%

Failed to attend 9.1%

12.7%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

DPV Health Northern Metro Region