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NEWSLETTER FOR INNOVATORS
JULY2011
ResourcesArticlesMasterClassesSeminarsLeadershipInnovation
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.
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 > Browse this rich collection of leading resources from
around the globe
Upcoming Change Champions Seminars and Master Classes
> Look through the diverse line up of upcoming events with
Change Champions and Associates
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12– 15
16– 18
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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.
MASTER CLASS LEARNING OUTCOMES
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.
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
1 DAY MASTER CLASS with US expert storyteller and presenter
Bill Shannon
Sharing the Experience from Three Great Brands:
Disney, Duke University & DaVita
EARLY BIRD REGO DEALS CLOSE VERY SOON!
Register online: www.changechampions.com.au
The information super-highway is gridlocked! Or
perhaps it is more accurate to state that the
information flooding from the Internet has produced
user assimilation gridlock! Whatever your
interpretation of the problem, information overload is a
term engendering the same malign connotations as the
uncontrollable information cascade that it refers to.
But what can the busy healthcare professional do when
the need to keep informed about latest developments
necessitates perusal of the latest research and
developments in the professional journals and
associated literature?
Electronic news feeds go some way towards addressing
the problem, but even these attempts at a focussed
search are using algorithms that produce as much dross
as there are golden nuggets of information. The dross is
related to the search criteria but it is still dross and not
the nuggets that the prospector is searching for.
This is where the apparently atavistic methodology used
by Glycosmedia actually produces a controlled stream
of pertinent information.
Each week the medical editorial team review a huge
amount of information fed in from electronic news
feeds and from “hands on” searching of relevant
websites on the Internet. Only the most pertinent
research papers and information are selected for
inclusion in our free weekly newsletter for healthcare
professionals. In our case it is related to diabetes: the
disease, its symptoms, sequelae, research, and the
latest treatment and management modalities. Our
methodology could of course be applied to other
clinical specialities.
Each week we restrict our news listing to no more than
12 articles. These are selected on their relevance to the
busy clinician or research worker in their real-life
situations.
Glycosmedia -a diabetes news service for healthcare professionals
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Having run the Glycosmedia diabetes news
listing for two years we are convinced that it is
essential to place the human in the
information cascade and we have plans to
develop into other therapeutic medical
specialities. Further development such as this
will require funding streams related to these
specialities, and possibly associations with
other organisations for mutually beneficial
advancement.
If your interest is in diabetes then why not
take out a free subscription today from the
link on our website.
Jim Young
Glycosmedia Editor-in-chief
http://www.glycosmedia.com/
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.
Glycosmedia is an Affiliate Member of the
Institute of Life Science, part of the Medical
School at Swansea University and has an office
there.
Glycosmedia is a simple but effective way of
ensuring that the busy clinician is supplied
with pertinent information and is saved the
time of searching the Internet or of having to
peruse the vast number of journals that are
published every day.
Our RSS feed is available to access information
in between weekly publication and can also be
used by our sponsors to populate the diabetes
news pages on their websites. We also
disseminate the information by Twitter.
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!
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
The Talking Photo Book –
An innovative visual aid assisting people with intellectual
disability to understand doctor visits and medical procedures
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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: http://www.nhsinstituteworldwideshop.org/
RECOMMENDED READING
Customer Service Excellence
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
Early Bird Closes Soon!
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Improving GP Access to
DIAGNOSTICS
In 2008, Nelson Marlborough District Health Board
was successful in securing pilot project funding from
the New Zealand Ministry of Health to explore
opportunities for improving patient care through
enabling direct GP access to various radiology
procedures previously only available via specialist
referral.
The following care pathways were chosen:
CT scan for chronic headache
CT scan for renal colic
CT scan for the investigation of haematuria
Diagnostic breast imaging (DBI) - mammogra-
phy and/or ultrasound for the investigation of
breast lumps
CT colonography (Marlborough region only)
These clinical conditions were selected in view of
their potential to streamline patient care and free-up
specialist clinician time by eliminating what had
largely become a ‘rubber-stamping’ role for them in
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
clinical assessment and careful use of the already
stretched radiology resource.
Each pathway was well-received by the GP
community and has contributed to improved patient
care via quicker investigation for patients and the
avoidance of unnecessary hospital visits. This has
been particularly marked in the area of DBI where
referral to surgical outpatients of women with breast
lumps has fallen by almost 80%.
Subsequently, this raised some concern amongst the
surgeons regarding the management of breast
disease, but a limited audit of referrals showed that
cases were being managed appropriately by the
general practitioners and according to the agreed
referral guidelines.
In view of the success of the project, Nelson
Marlborough District Health Board has maintained
the funding stream for direct GP access to these
radiological procedures.
Dr. David Dixon GP Liaison NMDHB If you would like to get in touch with David Dixon email: [email protected]
Pilot project- Nelson Marlborough District Health Board, NZ
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The 2011
BETTER BOSS Workshop
www.changechampions.com.au
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:
Assist participants to improve their knowledge and confidence in managing and/or supervising staff
Better understand:
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
Learn some tips and techniques for dealing with tricky managerial situations
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?
How could you be a better boss?
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.
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.
NSW - QLD - VIC - ACT - SA & in house opportunities
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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
Preventing Blood Clots- a National Safety Priority
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Preventing Blood Clots- a National Safety Priority
A ready-to-use VTE Prevention policy
template for Australian hospitals (http://www.safetyandquality.gov.au/internet/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’
(http://www.nhmrc.gov.au/nics/programs/vtp/prevention_program_aus.htm)
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 (http://www.nhmrc.gov.au/nics/programs/vtp/
prevention.htm)
A step-by-step guide on how to implement
the NHMRC VTE Prevention guideline in Australian hospitals
(http://www.nhmrc.gov.au/nics/programs/vtp/stop_clot.htm)
A clinician-friendly summary of the NHMRC
VTE Prevention guideline (http://www.nhmrc.gov.au/nics/programs/vtp/
prevention.htm)
Information for patients on how to reduce
their risk of blood clots (http://www.nhmrc.gov.au/nics/programs/vtp/
prevention.htm)
The Commission’s online VTE Prevention Resource Centre
(http://www.safetyandquality.gov.au/internet/safety/publishing.nsf/Content/vte-prevention )
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:
Finding the Resources
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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:
http://www.ihi.org/IHI/Results/WhitePapers/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: http://www.gain-ni.org/Library/Guidelines/Immediate-Discharge-secondary-into-primary.pdf
INTERNATIONAL RESOURCES
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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. http://www.scottishhealthcouncil.org/patient__public_participation/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: http://www.rcseng.ac.uk/news/docs/theory_to_theatre_2011_web.pdf
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. http://www.downloads.amnis.uk.com/SESI.pdf
INTERNATIONAL RESOURCES
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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. http://pathways.nice.org.uk/
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. http://www.nrls.npsa.nhs.uk/resources/?entryid45=94727
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. http://www.e-lfh.org.uk/projects/han/index.html
INTERNATIONAL RESOURCES
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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: http://www.sign.ac.uk/guidelines/audit/tools.html For the Who, What and Why of the SIGN doctors and dentists in training group visit: http://www.sign.ac.uk/pdf/audit_junior_doctor_who.pdf
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. http://www.hqip.org.uk/clinical-audit-knowledge-exchange-cake/
INTERNATIONAL RESOURCES
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Upcoming Events
Accepting and Embracing Resistance to Change
09 August 2011, Brisbane, QLD
18 October 2011, Melbourne, VIC
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
2 Aug 2011, Newcastle NSW 4 Aug 2011, Sydney, NSW 10 Aug 2011, Brisbane, QLD
12 Aug 2011, Cairns, QLD 26 Aug 2011, Melbourne, VIC 14 Sept 2011, Canberra, ACT 16 Sept 2011, Adelaide, SA
The Better Boss Workshop
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Innovative Strategies for Engaging and
Supporting NET GEN students
30 September 2011 Sydney NSW
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
Register Online www.changechampions.com.au
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outpatients
2 Day Seminar:
Improving Patient Flows – Outpatients and Specialist Clinics
7-8 September 2011 Noosa, QLD
Master Classes
Later this year
Best Practice for the Assessment & Management of Acute and Chronic Pain– with Clair Haslam
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
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 Recovery- With 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 www.changechampions.com.au
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Flyers are downloadable from www.changechampions.com.au
P: (02) 9692 0533 F: (02) 9518 6898 E: [email protected] W: www.changechampions.com.au
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: [email protected]
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