Communication across Communication across disciplinesdisciplines

GMCTGMCT

Peter Castaldi, Chief ExecutivePeter Castaldi, Chief ExecutiveACHSE

State Conference

4 May 2007

NetworksNetworks• Spinal Cord InjurySpinal Cord Injury

• Brain Injury Rehab.Brain Injury Rehab.

• Severe BurnsSevere Burns

• OphthalmologyOphthalmology

• Gynaecological OncologyGynaecological Oncology

• Aged CareAged Care

• Bone Marrow TransplantBone Marrow Transplant

• NeurosurgeryNeurosurgery

• Transition CareTransition Care

• Respiratory MedicRespiratory Medic ineine

• RenalRenal

• Home Enteral NutritionHome Enteral Nutrition

• StrokeStroke

• Imaging – RadiologyImaging – Radiology

–– Nuclear Medicine Nuclear Medicine • CardiacCardiac

• Transition CareTransition Care

• UrologyUrology

• GastroenterologyGastroenterology• OrthopaedicsOrthopaedics

TransparencyTransparency

• Composition of networksComposition of networks

• Clinician Co-chairsClinician Co-chairs•MedicalMedical

•Allied Health/NursingAllied Health/Nursing

• CommitteeCommittee•whole networkwhole network

•elected executiveselected executives

• Network ManagerNetwork Manager

Aids to consensusAids to consensus

• Agenda built up considering models of Agenda built up considering models of care and clinical planscare and clinical plans

• Objectives of relevance to disciplinesObjectives of relevance to disciplines• Data accumulated – Information & Data accumulated – Information &

Communication Technology support for Communication Technology support for defining MDS, collection, collation, defining MDS, collection, collation, reporting, communication and analysisreporting, communication and analysis

• Liquid Office introducedLiquid Office introduced

Network achievementsNetwork achievements

StrokeStroke

• Initiation of Acute Stroke UnitsInitiation of Acute Stroke Units

• Access to 50% of stroke patientsAccess to 50% of stroke patients

• Improvements in length of stay, Improvements in length of stay, inhalation pneumonia, rehabilitation inhalation pneumonia, rehabilitation experience, morbidity, discharge to experience, morbidity, discharge to home (rather than nursing home)home (rather than nursing home)

Gynaecological OncologyGynaecological Oncology

• Agreed protocolsAgreed protocols

• Access from rural areasAccess from rural areas

• Nurse educationNurse education

• Palliative care guidancePalliative care guidance

Renal servicesRenal services

• Demand for Demand for DialysisDialysis

• Access to servicesAccess to services

• Transplant Transplant outcomesoutcomes

Comparison of ANZDATA with HSRG Projection from 2002

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Ann

ual p

reva

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Projection ACTUAL

Note: Actual data from ANZDATA - adjusted for NSW residents treated in ACT

GastroenterologyGastroenterology

• Colonoscopy efficiencyColonoscopy efficiency• Sedation for procedures Sedation for procedures

– collegial input– collegial input• Development of Development of

Graduate Certificate in Graduate Certificate in Gastroenterology with Gastroenterology with UTS UTS - 10 Nursing Scholarships- 10 Nursing Scholarships

Could the meeting come to….zzzzz

The sedation working party

Severe BurnsSevere Burns

• Limited locationsLimited locations

• Cross-institutional appointmentsCross-institutional appointments

• Timely transfers and feedbackTimely transfers and feedback

• Prevention strategiesPrevention strategies

Spinal Cord InjurySpinal Cord Injury

• Broad church encompasses wide Broad church encompasses wide range of health clinicians across care range of health clinicians across care continuumcontinuum

• Strong voice for consumers through Strong voice for consumers through non-government organisations eg. non-government organisations eg. Police & Community Youth ClubPolice & Community Youth Club

• Other government agencies – Dept Other government agencies – Dept Ageing Disability Home Care; Motor Ageing Disability Home Care; Motor Accident Authority Accident Authority

Transition CareTransition Care

• Bridging the gap between paediatric Bridging the gap between paediatric and adult care for long term patients and adult care for long term patients of the health system with chronic of the health system with chronic conditions and or disabilitiesconditions and or disabilities

• Coordinators established in adult Coordinators established in adult facilities attached to paediatric facilities attached to paediatric hospitals to spearhead changes hospitals to spearhead changes

• Strong voice for consumers/carersStrong voice for consumers/carers

InfluenceInfluence

• Newsletter monthly, “Clinician Newsletter monthly, “Clinician Connect”Connect”

• Aged Care bookletAged Care booklet

• Eye Emergency ManualEye Emergency Manual

• Home Enteral Nutrition ReviewHome Enteral Nutrition Review

• Care-related databases eg. Cardio- Care-related databases eg. Cardio- Thoracic , Neurosurgery Thoracic , Neurosurgery

• Metropolitan Hospital ForumMetropolitan Hospital Forum

NSW Stroke

Services Network

Coordinating Committee

(70 clinicians)

NSW Stroke

Services Network

Coordinating Committee

(70 clinicians)

Educational program Conference planning

Education & Professional Development Working PartyEducation & Professional

Development Working Party

Research Working Party

Research Working Party

Research training Research applications

Post Acute Reference Group Working Party

Post Acute Reference Group Working Party

Service gap delivery Workforce

Pre Hospital & EmergencyWorking Party

Pre Hospital & EmergencyWorking Party

Pathway to tPA project NSW Ambulance stroke

education

ProtocolsWorking Party

ProtocolsWorking Party

CIAP Guideline & protocols

Minimum data set TASC ON Line NSRI Audit results

Outcomes & Measurement Working Party

Outcomes & Measurement Working Party

Strategic Planning Working Party

Strategic Planning Working Party

Stroke unit development Rural stroke services

Workforce Planning Working Party

Workforce Planning Working Party

Education & training Recruitment & retention

Consumer Working Party

Consumer Working Party

Community Education

National Stroke Research Institute

National Stroke Research Institute

National Stroke FoundationNational Stroke Foundation

Clinical Excellence Commission

Clinical Excellence Commission

Australasian Stroke Unit Network

Australasian Stroke Unit Network

NSW Rural Institute of Clinical Services & Teaching

NSW Rural Institute of Clinical Services & Teaching

Clinical Services RedesignClinical Services Redesign

greater metropolitan clinical taskforce

Gynaecological Oncology Network

Gynaecological OncologyExecutive

Information Management

Working Group

Gynaecological Oncology

Nurses Group

Clinical Practice Guidelines

Working Group

EducationInitiatives

• Annual Clinical Forum

• Network events• Country

Support Systems

• Reviewing one Guideline / year

• Annual Nurses Study Days

• Meetings to discuss policy

• Planning to complement MDS for clinical cancer registration with GO data

Psychosocial Support Project

• Website

• Accredited GP module

• Online support

Models of CareWorking Group

To be established

• To review models of care, once data available

Consumer participation

NSW Rural Health Taskforce

NSWRenal PlanningWorking Group

TransplantWorking Group

Dialysis Working Group

TransportWorking Group

InformationManagement Group

Renal Purchasing StrategySteering Group

RuralWorking Group

WorkforceEducation &

Training Group

Guidelines & StandardsAccess & EquityStatewide PlanningMeasurementNew technologyPrevention

Working Group CKD Prevention Strategy

Advise DOH: re. purchasing strategy for renal supplies

Dialysis Min. Data Set

Increase in Transplantations since 2002Service Planning with ARCBSNutrition GuidelinesStatewide On-call roster

Advanced Trainee ProgramRenal GroupNursing Models of CareNurse Practitioner Guidelines

Emerging ChallengesEmerging Challenges

• Continuing engagementContinuing engagement

• Maintain relevanceMaintain relevance

• Source of adviceSource of advice

• Connection with agenciesConnection with agencies

The FutureThe Future

• Build strong links between Metro & Rural agencies

• Build national / international links

• Challenges – Service provision– Distribution– Access