31
Quality of Care Report 2017 to 2018

Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

  • Upload
    others

  • View
    5

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Quality of Care Report

2017to

2018

Quality of Care Report

Page 2: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

The Sunshine Coast Hospital and Health Service is committed to providing accessible services to Queenslanders from all culturally and linguistically diverse backgrounds. If you have difficulty in understanding the Quality of Care Report, you can contact us on (07) 5202 0085 and we will arrange an interpreter to effectively communicate the report to you.

© Sunshine Coast Hospital and Health Service 2018

Licence:This Quality of Care Report is licensed by the State of Queensland (Sunshine Coast Hospital and Health Service) under a Creative Commons Attribution (CC BY) 3.0 Australia licence.

CC BY Licence Summary Statement:In essence, you are free to copy, communicate and adapt this Quality of Care Report, as long as you attribute the work to the State of Queensland (Sunshine Coast Hospital and Health Service).

To view a copy of the licence, visit http://creativecommons.org/licenses/by/3.0/au/deed.en

Attribution:Content from this Quality of Care Report should be attributed as: Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

ISSN 2209-9107 (Online)ISSN 2209-9093 (Print)

For enquiries or further information please visit our website at www.health.qld.gov.au/sunshinecoast

Page 3: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Page 1

ContentsWelcome ...................................................................................................................................................... 2

Our vision, Our purpose, Our objectives ........................................................................................................ 3

Our community profile .................................................................................................................................. 4

Consumer advisory group ............................................................................................................................. 6

Committees with consumer representatives ................................................................................................... 6

Better care and experience for individuals ..................................................................................................... 6

Patient publication review working group ...................................................................................................... 7

Your experience ............................................................................................................................................ 7

Patient experience survey ............................................................................................................................. 8

Possum Clinic ............................................................................................................................................... 9

Free Wi-Fi at our hospitals ............................................................................................................................. 9

Hospital watch a Queensland first ............................................................................................................... 10

Hospital in the home .................................................................................................................................. 11

Baby friendly Gympie Hospital .................................................................................................................... 11

Caring for sick kids closer to home .............................................................................................................. 12

New diabetes clinic for Aboriginal and Torres Strait Islanders ....................................................................... 12

Cultural healing program—Gympie .............................................................................................................. 13

Heart week’s focus on Indigenous health ..................................................................................................... 13

Better use of resources for health care ......................................................................................................... 13

Curing Hepatitis C in the community ............................................................................................................ 14

Longlook at Gympie Hospital ....................................................................................................................... 14

Touching stories of care at the end of life ..................................................................................................... 15

Clean hands conga line ............................................................................................................................... 15

Nurse navigators helping keep patients out of hospital ................................................................................ 16

Police and Clinical Early Responders (PACER) ............................................................................................... 17

Collaborating to support Fetal Alcohol Spectrum Disorder ............................................................................ 17

Venue for statewide education events ......................................................................................................... 18

SCUH Medical School announced ................................................................................................................ 18

Better outcomes for our local population ..................................................................................................... 18

Open disclosure training program ............................................................................................................... 19

Combating cancer with exercise .................................................................................................................. 19

Sunshine Coast Health Research Day 2017 .................................................................................................. 20

Support for mental health patients .............................................................................................................. 20

150 years of service in Gympie .................................................................................................................... 21

Innovative Community Care Unit win national award..................................................................................... 22

Nambour Emergency Department program wins $100,000 research grant .................................................... 23

Getting patients home sooner ..................................................................................................................... 23

Maleny Soldiers Memorial Hospital celebrates 30th anniversary .................................................................... 24

Caloundra Redevelopment .......................................................................................................................... 25

Nambour General Hospital Redevelopment .................................................................................................. 25

The SCHI’s the limit .................................................................................................................................... 26

Wishlist ...................................................................................................................................................... 27

Page 4: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Page 2

Dr Eleanor Horton - Chair Consumer Advisory Group

Dr Lorraine Ferguson AM - Board Chair

Welcome

On behalf of Sunshine Coast Hospital and Health Board, the health service Consumer Advisory Group and the dedicated staff of Sunshine Coast Hospital and Health Service (Sunshine Coast Health), we are proud to present our 2017-2018 Quality of Care Report.

We are committed to partnering and collaborating with consumers and partner organisations across our region to transform the way we deliver care to our communities. The 2017-2018 year will be remembered by our community and the Sunshine Coast Health team as the fi rst operational year and safe opening of Sunshine Coast University Hospital at Birtinya. The Sunshine Coast University Hospital Program was awarded the 2017 Queensland Health Excellence Award in the Delivering Health Care category for the successful opening.

In March this year the health service underwent an independent, organisation-wide survey by the Australian Council on Healthcare Standards resulting in ongoing accreditation and assurance of compliance with the national safety and quality standards. This demonstrates the ongoing commitment of all health service staff to safety and quality of health care across the organisation.

In 2017-2018 there were more than 166,293* presentations to our emergency departments, 354,940** outpatient occasions of service, 10,889** elective surgeries were performed, and more than 3,379 babies were born—all record fi gures for the region.

In the past year our engagement of consumers in the processes of the health service has continued to develop. This has occurred across the organisation, with new consumer groups formed at Gympie and Nambour General hospitals. Consumers and community members will also be involved in the detailed design of the $86 million Nambour General Hospital Redevelopment project which was announced in May 2018. Members of the new Nambour General Hospital Consumer Advisory Group will be integral to the project. Our commitment to this engagement is genuine, as is our determination to maintain a patient focus on all we do, delivering sustainable, safe and high value services driven by continuous improvement.

It is with pride and on behalf of all health service staff that we commend our 2017-2018 report to you, and encourage you to note and share its substantive content that evidences our commitment to delivering health and wellbeing through exceptional care.

*Includes public patients presenting to Noosa Private Hospital**Includes public patients admitted to Noosa Private and Sunshine Coast University Private hospitals.

Page 5: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 3

To deliver better care and experience for individuals, better health outcomes for our population and a better use of resources for healthcare.

Health and wellbeing through exceptional care.

Our purpose

Our vision

Our objectives

Supported by improving capability across our organisation and shared communities of practice.

Page 6: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 4

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Sunshine Coast Health provides public health care to communities in the Sunshine Coast, Noosa and Gympie areas of southeast Queensland.

The catchment extends from Caloundra in the south to Gympie in the north, currently covering a population of about 390,000 people. Compared to the whole of Queensland, the Sunshine Coast Health region has:

• a higher percentage of residents aged over 65 years

• a lower percentage of people aged 15 to 24 years

• a lower percentage of Aboriginal and Torres Strait Islander people

• a higher percentage born in Australia

• similar age and health risk factors

• lower rates of diabetes mellitus per 100 population

• similar low Socio-Economic Indexes For Areas (SEIFA).

Our community profi le

Gympie

Birtinya

Caloundra

NambourMaroochydore

Noosa

Maleny

HOSPITAL

H

Sunshine Coast University Hospital

Sunshine Coast Health Institute

Maleny Soldiers Memorial Hospital

Caloundra Health Service

Nambour General Hospital

Gympie Hospital

HOSPITAL

H

HOSPITAL

H

H

H

Glenbrook Residential Aged Care Facility

Emergency Department, Surgical and Medical Services, Maternity, Palliative Care, Rehabilitation, Renal Dialysis,Specialist Stroke Unit, a range of community-based adult and child services.

45 bed purpose built facility, providing aged care in a home-like environment.

Purpose built facility for clinical research, training and teaching,in partnership with University of the Sunshine Coast,TAFE Queensland East Coast and Griffith University.

Community FacilitiesHealth facilities based in Caloundra, Gympie,Maroochydore, Nambour and Noosa

Palliative Care, Community Services including Oral Health and Child Health,Renal Dialysis, Ophthalmology, Minor Injury and Illness Clinic.

Services are also provided for Sunshine Coast Hospital and Health Service patientsat Noosa Private Hospital and Sunshine Coast University Private Hospital, in Birtinya

Emergency Department, Cancer Care including radiation therapy and chemotherapy,Specialised Medical and Surgical Services, Trauma Service, Paediatrics and Paediatric Critical Care Unit, Maternity Services, Special Care Nursery, Rehabilitation, Renal Dialysis,Mental Health, Interventional and Diagnostic Clinical Support Services,Specialist Ambulatory Care Services, Allied Health Services.

Emergency Department, Surgical and Medical Services, Clinical and Non-Clinical Support Services, Chemotherapy, Renal Dialysis, Mental Health Services, Community Integrated and Subacute Services, Medical Imaging Services, Women’s and Families Services.

Emergency Department, Medical Services, Palliative Care,Ambulatory Clinics, Essential Diagnostic and Clinical Support Services,Community Based Services.

Sunshine Coast Health provides a range of services through our hospitals and a comprehensive range of sub-acute, ambulatory and extended care, community health, mental health and oral health services,

and aged care services at Glenbrook Residential Aged Care Facility.

Page 7: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 5

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Sunshine Coast Health provides a range of services through our hospitals and a comprehensive range of sub-acute, ambulatory and extended care, community health, mental health and oral health services,

and aged care services at Glenbrook Residential Aged Care Facility.

2017-2018 HighlightsThe 2017-2018 year was one of milestones and celebrations for the health service. While our newest facility, Sunshine Coast University Hospital (SCUH), marked its fi rst year, Gympie Hospital staff, past and present, rejoiced as it celebrated its 150th year of caring for the Gympie community.

In the Sunshine Coast hinterland, Maleny Soldiers Memorial Hospital hosted a fête to celebrate 30 years at its current site and at Caloundra the Minor Injury and Illness Clinic saw more than 10,000 patients in its fi rst year of operation.

A timeline of highlights across the health service is below.

Page 8: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Page 6

More than 150 consumers have joined our consumer register, which means they have opportunities in engagement and training activities such as:• membership of Health Service Committees• participation in Patient Publication Reviews• attending focus groups and workshops• attending consumer representative training• training for health service staff.

Consumer representatives are provided an orientation, training and support for their role, including the opportunity to attend events such as the annual Health Consumers Queensland Forum.

Get involved with Sunshine Coast Health as a volunteer or consumer

representative. To fi nd out more, email [email protected], call 5470 5822 or go to www.health.qld.gov.

au/sunshinecoast/get-involved

Consumer advisory group

• Consumer advisory group• Infection control committee• Comprehensive care committee• Patient safety and quality committees• End of life care committee

Consumer groups• Renal consumer group• Publication review group• Maternity consumer group• Aged care assessment team consumer group• Rehabilitation assessment unit consumer group

The Consumer Advisory Group membership consists of consumers/carers who have committed to helping Sunshine Coast Health in an advisory role. The group was formed in 2014 and meets fi ve times a year with the health service chief executive, the executive director medical services and a number of senior members of the health service. The goals of the group are:• Improving the health outcomes and experiences for consumers of health services (including carers and community

members) by ensuring that decision making has a patient focus• Ensuring Sunshine Coast Health hears directly from and works in partnership with consumers of its services• Meeting the obligations of the Hospital and Health Boards Act 2011 and the Hospital and Health Boards Regulation

2012 to integrate local services and drive improvements in health outcomes• Fostering meaningful, two way dialogue between the health service and the wider community to increase community

confi dence in Sunshine Coast Health.

Better care and experience for individuals

1 Sunshine Coast Health is committed to ‘working with’ rather than ‘doing to’ our consumers and patients. This ethos includes partnering with consumers (patients, carers, family members) in the planning, design, delivery and evaluation of our hospital and health services, contributing to more effi cient and effective healthcare delivery.

Committees with consumer representatives

Page 9: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 7

Sunshine Coast Hospital and Health Service

FactsheetAllied Health—Physiotherapy

Information for patients, carers and their families

Rib and sternal factures/pain

Ribs which are broken (fractured) or bruised can be very painful, particularly with movement, deep breaths or coughing. The fracture usually heals in six weeks, however to prevent complications it is important to manage your pain and stay active within your limits. This is general advice only and may vary for some people depending on your location of fracture or sprain, previous level of function and other health conditions.

The problems you may encounter and the reasons for them:

• Pain at the fracture or bruised site• Chest infection or pneumonia due to secretions

building up in the lungs, or collapse of the lung. This is often because not enough air is getting to the bottom of the lungs due to pain limiting how deeply you breathe.

•causes no further harm to your fracture)

What you can do to prevent these problems

1. Take the pain relief prescribed by your doctor

It is important to have enough pain relief to allow deep breathing, coughing, sitting out of bed and walking.

Rolling onto your non affected side to go from lying to sitting may reduce the pain and stress on the fracture site.

Avoid resting in bed too much during the day. Sitting up assists with the air entry to the lower parts of your lungs. The lower parts of your lungs are usually the most susceptible to collapse and retained secretions which can increase your risk of developing a chest infection.Avoid heavy lifting or excessive bending or twisting. Any increased load through your arms will place an increased load on your chest and lungs, which can increase your pain.

3. Deep breathing exercises

This is important to increase the air to the lower parts of

to an hour, starting immediately. This helps to keep your airways and lungs open and clear of secretion, which can

Sunshine Coast Hospital and Health Service

Are you looking for an opportunity to give back to your local Are you looking for an opportunity to give back to your local community?

Whatever the reason, if you have the time and are committed to volunteering, we want you! The Sunshine Coast Hospital and Health Service (SCHHS) provides health care in several locations:

How to register your interest:

Please visit a front reception staff member at one of our hospitals. Complete a volunteer “Expression of Interest Questionnaire” and submit online.

Visit www.volunteeringsunshinecoast.org.au to apply.

Volunteering at Sunshine Coast Hospital and Health Service

Join the Sunshine Coast Hospital and Health Join the Sunshine Coast Hospital and Health Join the Sunshine Coast Hospital and Health Join the Sunshine Coast Hospital and Health Service today and add a little sunshine to your day!Service today and add a little sunshine to your day!Service today and add a little sunshine to your day!Service today and add a little sunshine to your day!Service today and add a little sunshine to your day!Service today and add a little sunshine to your day!

Standard 12Provision of care

Standard 11Service delivery

Sunshine Coast Hospital and Health Service

FactsheetWomen’s and Families Service—Maternity

Information for patients, carers and their families

Down Syndrome (Trisomy 21)

What is Down Syndrome? Down syndrome is a chromosomal disorder caused by extra genetic material carried on chromosome no.21. The chromosomal material is distributed disproportionately when cell division occurs very early in fetal life. This disordered movement of chromosomes is called non-disjunction, and the result is a Trisomy (three chromosomes rather than the usual pair).

Why me? Although anyone is at risk of having a Down Syndrome child, observations by theorists have found the incidence of Down Syndrome in women under 20 years is less than 1:2000, rising to approximately 1:20 at 40 years of age. The steepest rise in the incidence occurs at the maternal age of 33 years. However, almost half the women who deliver Down Syndrome babies are younger than 35, with many in their twenties.

How will my baby be affected by Down Syndrome? Each child is very much an individual and the effect of Down Syndrome greatly varies from child to child, including appearance, behaviour and intellectual function. There is a wide range of characteristics. Few children exhibit them all and some children exhibit only a few. Most children with Down Syndrome have mild to

education increases learning ability substantially. Many Down Syndrome children are affected by a range of heart conditions which may affect their general health.

Can I breastfeed my Down Syndrome baby? The decision to breastfeed any baby is a very personal one. There is no reason why babies with Down Syndrome should not be successfully breastfed. Some initial problems may occur associated with poor muscle tone, co-ordination or with your baby’s general reduced alertness. These can be overcome, achieving a positive experience for both mother and baby.

How will my baby be different from other babies?Your baby’s heat regulating mechanism does not always function well during the early weeks of life and particular care should be taken to ensure that your baby is kept warm enough as he/she is susceptible to colds and bronchial infections.

from massage with oils and/or moisturising creams. Due to poor muscle co-ordination, your baby may need special attention to assist with his/her tongue control.

help. These games will also help later with your baby’s speech.

Poor muscle tone (hypotonia is one of the notable features of Down Syndrome). Physio and Occupational therapists provide useful advice in this area, as play and exercise are incorporated to improve ongoing development.

14

54

03

/17

Sunshine CoastHospital and Health Service

Exceptional people. Exceptional healthcare.

Sunshine Coast Hospital and Health Service

Aboriginal and Torres Strait Islander

Our aimTo improve the Aboriginal and Torres Strait Islander patients journey through their hospital stay. By liaising with our community members and their family, we empower them to participate fully in their health care management, to achieve better health outcomes.

Standard 12Provision of care

© State of Queensland(Sunshine Coast Hospital and Health Service) 2016http://creativecommons.org/licences/by/3.0/au/deed.enService delivery

Medical Services

Information for patients, carers and their families

Returning to sport for adults following a mild head injury

Most people recover rapidly following a mild head injury. A few people may suffer from symptoms over a longer period. There is a small risk of you developing serious complications so you should be watched closely by another adult for 24 hours after the accident.

It is important to have a gradual return to sport/play in order to:

• Protect the brain and allow it time to heal

• Reduce the severity and length of time symptoms persist

• Reduce the risk of a second head injury while the brain is vulnerable. A second impact may cause further damage or increase previous symptoms

• Once you feel better and after about 72 hours, some low intensity exercise can begin as per the table below.

Grading your return to sport/play:

• Do get lots of rest; both physical and cognitive rest until concussion symptoms are resolved

• Do inform family members, coaches or trainers about your injury and graded return to sport. Provide them with the Minor Head Injury handout so they are aware of the warning signs

• Do not start sport or exercise until medical clearance by a doctor

• Do not participate in any high risk activities (e.g. riding a bike, sports etc.) immediately after injury

• If in doubt, sit it out!

Recommended graded return to sport/physical activityWhen moving through each stage, monitor how you are feeling and only progress to the next stage if no symptoms have occurred. If symptoms occur, rest and contact your GP, once medically cleared restart at the prior level of activity where no symptoms were experienced. Progression of exercise challenge can occur every 24 hours.

Graded return to activity Exercise for each stage of rehabilitation

1. No activity Complete physical and cognitive rest until feeling better (about 72 hours post injury)

2. Low levels of physical activity

Walking or stationary cycling keeping intensity less than 70% maximum heart rate

No resistance training e.g. running, weights, jumping

Running drills in sport, no head impact activities, limited body and head movement

2017-2018

96%consumers rated the patient liaison offi cer follow up as

good or exceptional

100%consumers felt their

complaint was managed professionally

1consumer perceived they

received a negative impact from making a complaint

62%consumers were satisfi ed with the outcome of their

complaint

2479 compliments

1355 complaints

Our patient publication review consumer working group commenced in December 2016.

The group meets every six weeks connecting staff and consumers to develop publications consumers really understand.

This input ensures patient information meets the National Standard 2, Partnering with Consumers, and aims to make patient information easily understood, relevant and accessible.

Patient publication review working group

Your experienceAt Sunshine Coast Health we have many ways to seek consumer feedback: • Complaints and compliments—by phone, face-to-face,

email or using our consumer feedback form (see Providing feedback on page 8).

• Patient experience surveys—provide a specifi c snapshot of patient experience. Queensland Health commissions several patient experience surveys across the state, and our Patient Experience and Consumer Engagement Team also support services to carry out their own surveys.

• Patient feedback postcards—with the opening of Sunshine Coast University Hospital we began a feedback postcard system for patients and visitors to let us know how we’re doing. While we may not be perfect you’ve consistently rated us as better than good! When you tell us about problems we do our best to fi x them.

Compliments and complaints

When things don’t go to plan, we try to put things right. Our compliments and complaints are managed by a dedicated team which works to resolve your concerns or pass on your thanks.

Our follow up consumer surveys show we manage these issues well.

For reference 2016/17 complaints 894, compliments 1546.

We are committed to ‘working with’ rather than ‘doing to’ people.

We involve consumers (patients, carers, family members) and the community in the planning, design, delivery and evaluation of our hospital and health services, this helps us deliver more effi cient and effective healthcare.

We communicate with our community through community events, media, social media and a new community newsletter ‘Community News’, launched in May 2018.

Partnering with you

Page 10: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 8

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Providing feedback

Call a patient experience advisor on 5470 5085 or 5470 6206

Email [email protected]

Or fi ll in a paper feedback form. These are available throughout our facilities and can be handed to staff, placed in a feedback box at the entrance of the facility you are attending or mailed to:

The Patient Liaison AdvisorSafety, Quality and Innovation Unit Nambour General HospitalPO Box 547, Nambour, Qld, 4560

Our staff can assist you to complete the form upon request. An interpreting service is also available if required.

Before opening Sunshine Coast University Hospital (SCUH) we asked, “what impact might it have on the experience of patients at all of our facilities?”

To answer this question, we sent more than 20,000 surveys to randomly selected inpatients and outpatients who attended our facilities in three stages over a one-year period. Our patients said we maintained a consistently high quality of care throughout a period of considerable change, with more than nine out of 10 patients at every facility always being provided good or very good care.

SCUH Patient Experience Impact Survey

Wave 1 - March 2017, benchmark survey

Wave 2 - September 2017, SCUH recently opened

Wave 3 - April 2018, SCUH opened one year

Patient experience survey

Page 11: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 9

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Possum ClinicHospitals can be daunting for kids and their parents, but our innovative POSSUM (Paediatric Outpatient Sedation Support Under Multi-disciplinary team) Clinic is providing new ways to guide children safely through procedures.

The clinic provides compassionate restraint-free sedation for kids who have endured multiple failed attempts of procedures such as injections, infusions and IV drips.

POSSUM Medical Lead and Paediatric Specialist, Dr Adrian Ting, says the clinic was started to deliver a different approach to procedures that cause signifi cant anxiety and distress in children with specifi c challenges, for example intellectual or physical impairment.

“Each procedure is individually designed. We use a combination of pharmacologic and non-pharmacologic support,” Dr Ting said.

“Our team consists of Paediatric Specialists, supporting medical staff, nurses, music therapy, occupational therapy, psychology and social work.”

Music therapy is one of the key differentiating techniques. Registered Music Therapist Cassandra Huntley uses music

to support children who visit POSSUM to engage in a way that switches on the ‘relaxation response’, they often begin to feel a sense of calm, becoming more relaxed and less anxious.

Craig, father of a POSSUM patient, said: “The positive impact the clinic has made for our family is huge. In the past, knowing we’d have to help hold our son down caused anxiety for the whole family. For his last procedure we couldn’t believe the difference.”

Did you know our hospitals provide free Wi-Fi for patients and visitors?

We know hospitals can be a place where you feel isolated from the outside world.

Being able to connect to the internet for free helps both patients and their loved ones to stay connected. The power of instant contact can really lift your spirits and comfort patients missing their families and friends.

Accessing the Wi-Fi • Select the ‘QH-FreeWiFi’ network on your device. • Read the terms and conditions. Once you agree and accept

you will be connected to the free Wi-Fi service. • You will need to re-accept the terms and conditions after

12 hours of continuous use, or if your device is inactive for more than 30 minutes.

“Each procedure is individually designed. We use a combination of pharmacologic and non-pharmacologic support.”Dr Adrian Ting.

Free Wi-Fi at our hospitals

Page 12: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 10

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Page 10

A partnership between Sunshine Coast Health’s Mental Health and Addiction Service and the Queensland Eating Disorders Service has started a new community adult eating disorders service to assist consumers, carers, MHAS clinical staff and the community sector. The Eating Disorders Service team includes a psychiatrist, experienced nurse, allied health worker and a dietitian.

The team uses proven assessment and treatment methods to help improve the quality of life for adults and their families who have, or are at risk of having, an eating disorder. The team also provide consultation and training for clinicians.

This new service provides more localised, free support for the Sunshine Coast community, and improves partnerships among health professionals to help improve management of eating disorders.

New service for eating disorders

Sunshine Coast Health has partnered with Queensland Police Service, to launch Queensland’s fi rst Hospital Watch.

This unique partnership in crime prevention began at Nambour General Hospital in 2017.

The Hospital Watch program brings Sunshine Coast Health staff, Queensland Police, Neighbourhood Watch and the local community together with the aim to discourage crime in and around the hospital.

Nambour General Hospital, Director of Nursing and Facility Manager, Graham Wilkinson said it was hoped the program would foster community spirit and a sense of pride in the area.

“Hospital Watch will increase the community’s perceptions of safety, as well as reassuring our patients and staff,” Mr Wilkinson said.

Superintendent Darryl Johnson, District Offi cer of the Sunshine Coast said criminal offences often occurred in the surrounding areas of hospitals.

“This includes violence, property theft and anti-social behaviour,” he said.

“A signifi cant amount of this criminal behaviour is preventable and can be deterred by the adoption and fostering of proactive partnerships with the community and by following simple crime prevention strategies such as placing valuables in a safe area and keeping a look out for suspicious behaviour.

“Hospital Watch is a Queensland fi rst, with an aim to minimise the incidence of preventable crime, by encouraging people to report crime and suspicious activity in the Sunshine Coast Health facilities and in nearby car parks.”

To help support the program, people are encouraged to report any suspicious activity around Nambour General Hospital to Policelink on 131 444 or directly to the hospital 07 5470 5146.

Hospital watch a Queensland fi rst

Page 13: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 11

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

People requiring hospital and health services in our region can benefi t from inpatient care in their own home, or residential care facility. Sunshine Coast Health provides this unique approach with our Hospital in the Home (HITH) service. From 2014 to 2018 more than 1000 patients were cared for through the service.

HITH Clinical Director Dr Ted Chamberlain said HITH was the delivery of short term and after-hospital care in the patient’s home as a substitute for being in hospital.

“HITH is an innovative model of care that provides patients with a safe and high quality alternative to traditional hospital treatment, in the comfort of their own home,” he said.

“Most patients prefer to be treated in the privacy of their home, with their family or friends on hand.”

“They can resume their usual activities and routines more quickly.”

Joshua Taylor, a HITH patient from Eudlo, appreciates the convenience of receiving hospital-level care in the comfort of his own home.

“The hospital in the home program allowed me to be at home with my children, eat my own food when I wanted and sleep in my own comfortable bed for a night of uninterrupted sleep.”

“I didn’t even know it was an option at fi rst, it was defi nitely a wonderful experience for my family,” Joshua said.

HITH care is provided by clinicians from many specialties including infectious diseases, gerontology, general practice, emergency medicine, orthopaedics, cardiology, paediatrics, respiratory, and surgery.

Gympie Hospital has again received Baby Friendly Health Initiative (BFHI) accreditation by the Australian College of Midwives.

The hospital promotes and supports a family-friendly workplace and is proudly BFHI accredited until 2020 through the college and UNICEF/World Health Organisation.

Gympie Hospital’s Nurse Unit Manager, Women’s and Families, Shaneen Osborne said BFHI aimed to help facilities to create an environment where breastfeeding is the norm and practices known to promote health and wellbeing of all babies and their mothers are put into place.

“In a baby friendly hospital like Gympie Hospital, breastfeeding mothers are given consistent, accurate information and support; and we ensure there is space, time and support for breastfeeding mothers who return to work,” Ms Osborne said.

“With this ongoing assistance, a woman can continue to be well-supported in her breastfeeding for the following months and years.”

Hospital in the home

Baby friendly Gympie Hospital

Page 14: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 12

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

One of the new services available at Sunshine Coast University Hospital is the paediatric critical care unit, which provides care for critically ill children aged up to 16 years.

Paediatric critical care Director Dr Paula Lister said the opening of the unit meant fewer children had to be transferred to Brisbane for treatment.

“This is an exciting new service for our region which offi cially began on 29 January 2018.

In the fi rst six months we cared for more than 100 seriously ill children who would have otherwise been transferred to Brisbane for treatment.

“Our aim is to provide a high level of care for young patients right here, closer to homes,” Dr Lister said.

“Many children with life threatening and potentially recoverable illnesses or injuries may now be cared for at Sunshine Coast University Hospital.

“Some complex cases will still be transferred to Brisbane’s Lady Cilento Children’s Hospital for care, but even these children will often benefi t from improved intensive care stabilisation before transfer.”

The paediatric critical care unit is staffed by a multidisciplinary team including paediatric intensivists, specialised paediatric critical care nursing, and allied health staff.

Caring for sick kids closer to home

Page 12Page 12Page 12Page 12Page 12

New diabetes clinic for Aboriginal and Torres Strait Islanders Aboriginal and Torres Strait Islander people on the Sunshine Coast can now directly benefi t from a new diabetes clinic at the Caloundra Health Service.

Clinical Director of Endocrinology and Diabetes, Dr Shyam Sunder said this clinic was established in direct response to feedback from our patients and the community.

“The operation of this exciting new clinic will crucially involve important collaboration between the endocrinology and diabetes service and the Aboriginal and Torres Strait Islander health promotion team to target a real area of need.

“Aboriginal and Torres Strait Islander people are three and a half times more likely to have diabetes and four times more likely to be hospitalised with diabetes related conditions,” Dr Sunder said.

“Diabetes occurs at a younger age in Indigenous people and its complications can therefore develop earlier than is the case for the non-Indigenous population.

“Early intervention in the form of risk factor modifi cation and good management of diabetes will help with closing this gap.”

The clinic is run by a multi-disciplinary team, including an endocrinologist and other key members of the diabetes service such as a diabetes educator and a dietitian, as well as Aboriginal and Torres Strait Islander health workers.

Page 15: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 13

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

In 2018, the Sunshine Coast Mental Health and Addiction Service and North Coast Aboriginal Corporation for Community Health, extended the successful Cultural Healing Program into the Gympie and Cooloola region.

The aim of the program is to increase access and improve integrated mental health services for the Aboriginal and Torres Strait Islander community in the area.

The team offer support for mental health which takes into account people’s physical, social, emotional, cultural and spiritual wellbeing.

The Cultural Healing Program’s staffi ng is a combination of Aboriginal and Torres Strait Islander mental health workers and mental health clinicians, who work together to triage, assess and support our mob. This ensures a safe and supportive clinical and cultural practice.

The service is available to people who are suffering from or at risk of a mental health issue or are in need of social, emotional or cultural and/or spiritual support and: - live within the Sunshine Coast Health region - identify as an Aboriginal and Torres Strait Islander or are non-indigenous family members.

Cultural healing program—Gympie

Better use of resources for healthcare

We know that to deliver the best care we need to work across teams and organisations, and be part of the community that we serve. We continue to look for ways use our resources more effi ciently to integrate care and reach out to those in need across the Sunshine Coast and Gympie regions.

Heart week’s focus on Indigenous healthIndigenous Australians are 70 per cent more likely to die from cardiovascular diseases, so the health service’s Aboriginal and Torres Strait Islander health team ran an educational event at Nambour in May 2018.

The Heart Week event included traditional games, a yarning circle, discussing heart health questions and taking the time to share the programs the health service for the Aboriginal and Torres Strait Islander community.

Sharon Barry, Sunshine Coast Health’s Program Manager for Aboriginal and Torres Strait Islander Health, said Aboriginal and Torres Strait Islander heart health still lagged behind that of non-Indigenous Australians.

“Aboriginal and Torres Strait Islanders have higher levels of risk factors such as smoking, physical inactivity, overweight and obesity, diabetes and high blood pressure.

“We know that giving Aboriginal and Torres Strait Islander families and individuals the skills and education to make decisions and drive outcomes in respect to these risk factors is critical.

“And, as with all healthcare, prevention is better than cure, which is why events like these are so important” Ms Barry said.

Ms Barry said the event was an opportunity to create a genuine partnership with Indigenous leaders, elders and communities to continue working towards closing the gap on life expectancy between Indigenous and non-Indigenous Australians.

2

Page 16: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Page 14

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Sunshine Coast University Hospital’s gastroenterology and hepatology department is helping cure Hepatitis C sufferers in the Sunshine Coast and Wide Bay regions.

The Sunshine Coast Hepatitis C Partnership (supported by the Department of Health’s Clinical Excellence Division) is providing an innovative and rapid access service to patients across the two regions.

Acting Clinical Director of Gastroenterology and Hepatology, Dr Jonathan Mitchell said the community-based, nurse-led Hepatitis C (HCV) clinic offered a mobile fi broscan service to patients at multiple locations across the region.

This simple, quick and painless test uses ultrasound to screen for liver disease by assessing the amount of HCV-related scarring in the liver.

“The scan is followed by a rapid decision on treatment through a multi-disciplinary team meeting run by hepatologists (liver specialists),” Dr Mitchell said.

“The amount of liver scarring infl uences the choice of treatment and the follow up required.”

“If necessary, treatment is prescribed by a specialist and is able to be monitored by the patient’s GP, with ongoing support from the Hepatology Partnership.

“It is great that patients are able to have their treatment initiated though this fantastic rapid access program, close to home.

“Patients can ask their GP to organise a referral into the service, or call our Hepatology Nurse about the program,” Dr Mitchell said.

Recent advances in medicine mean that in most cases, Hepatitis C can now be successfully treated.

The project partnership is funded by the Queensland Health Integrated Care Innovation Fund (ICIF) and the Australian Centre For Health Services Innovation (AusHSI) until December 2018.

Four medical students from Griffi th University’s Rural Clinical School began 12 months of medical training in the Longlook program at Gympie Hospital in January 2018.

Gympie Hospital’s Clinical Director Dr Frank Le Bacq said staff were excited to welcome the students, who were taking the opportunity to further their training by learning medicine in a regional community.

“It’s a win-win situation: we get to invest in these students who may well go on to work here in the Gympie Hospital; and they get a fi rst-hand understanding of what it’s like to provide health services in a regional community,” Dr Le Bacq said.

The Longlook program is an extended rural placement program funded through the Australian Department of Health’s Rural Health Multidisciplinary Training program and coordinated by Queensland Rural Medical Education.

Curing Hepatitis C in the community

Longlook at Gympie Hospital

Page 17: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 15

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Longlook at Gympie Hospital

Community members in the Sunshine Coast and Gympie regions talked about their experiences of care at the end of life at several Sunshine Coast Health workshops in 2018. Health consumers ageing from 29 to 80+ who had cared for their loved ones and friends at the end of life told their stories to staff at a range of community venues.

Dr John Endacott, Sunshine Coast Health Geriatrician and Clinical Service Director for Community Integrated and Sub Acute Services, facilitated the groups, which he said aimed to improve the quality of care for patients and families.

“We invited members of the community to spend an afternoon with us sharing their stories about care at the end of life, whether they are patients currently receiving end of life care or friends or relatives of people who have received end of life care,” Dr Endacott said.

Forums also included discussions with Aboriginal and Torres Strait Islander community members.

The focus groups provided rich information to help services learn what to improve and what to keep doing well and the success of the project means the team are planning to repeat the process annually.

“Life is not nought to 70, nought to 80, nought to 90. Life is from A to B and it’s what you do in between A to B that’s important. I’ve lived my life. I’ve done more than most people. Yeah, there’s a few things I haven’t done, but, hey, everyone goes through life and there’s a few things they haven’t done.”

19-year-old patient, as told by his father at the forum.

Touching stories of care at the end of life

Clean hands conga lineAs part of global hand hygiene day this year, Sunshine Coast Health coordinated a progressive conga-line across the fi ve health facilities in the health service.

This initiative was to raise awareness of the importance of clean hands, focusing on the prevention of health care associated sepsis through hand hygiene and infection prevention and control action. Sepsis is estimated to affect more than 30 million patients every year worldwide.

About 650,000 people acquire a healthcare associated infection in Australia healthcare facilities annually—of which between 8500 and 12,500 patients will die.

This is up to 10 times more people than were killed through motor vehicle accidents in Australia in 2016.

Page 18: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 16

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Page 16Page 16 Page 16

A successful hospital avoidance program that began at Gympie and Maleny hospitals is now being rolled out across Sunshine Coast Health.

The program involves regular reviews for patients with complex conditions who often present to emergency departments. The reviews look at ways to help such patients get extra care and coordinate better with GPs or other health professionals to stop them from needing to attend hospital as often.

Nurse navigators are experienced nurses who help educate patients with complex health needs so they can better understand their health conditions. They partner with the patient and the patient’s GP to help coordinate care.

This helps patients to self-manage, participate in decisions about their health care and improve their health.

A 74-year-old Nurse Navigator client in Gympie, who suffers from Parkinson’s, said: “The Nurse Navigator Services means a lot to us, they are all very professional in their work. My condition means I have anxiety attacks when going into enclosed rooms. I also feel very uncomfortable in the presence of people. Jennifer Farmer, my Nurse Navigator, relaxes me in about fi ve minutes.

“She has so many helpful ideas and support on how to go about it. Jennifer is very much up to date with the latest information and never stops thinking about how she can help. This service is greatly needed, they give a lot to the quality of life for patients and their carers,” she said.

There is a team of 12 Nurse Navigators across Gympie, Nambour and Caloundra, including a northern and southern Nurse Navigator exclusively for Child and Youth of complex needs.

Nurse navigators helping keep patients out of hospital

Page 19: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 17

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Page 16

A $1.3 million Australian Government funding boost will expand Sunshine Coast Health’s ability to care for children dealing with Fetal Alcohol Spectrum Disorder (FASD) and their families.

Service director Dr Heidi Webster said the funding would result in an increase in the total number of clients by 45 per year and will run until 2020.

“Our child development service forms part of a consortium comprising the Gold Coast and Sunshine Coast University hospitals, led by Professor Sharon Dawe from Griffi th University’s Menzies Health Institute, along with the University of the Sunshine Coast, The University of Queensland, Queensland Institute for Urban Indigenous Health and Kummara Association,” Dr Webster said.

“This substantial investment in the health of our community will allow us to provide accurate assessment and support of children who have had prenatal alcohol exposure.

“There will also be the opportunity to provide support in the community and across early childhood and school settings. Early diagnosis and support is essential for children with a FASD. Early to middle childhood is a time when children learn important foundational skills around managing their own behaviours, learning to plan activities and follow more complex instructions.

“Children with FASD need extra help in developing these skills; and there is growing evidence that supporting children and their families at this critical time reduces some of the detrimental effects of prenatal alcohol exposure.

“We are delighted to receive this funding so we can help more children improve foundational skills in early childhood and to work with carers, parents and teachers to support their children’s development.”

The Child Development Service relocated from Maroochydore to Caloundra Health Service in 2018, as part of a $17 million redevelopment of the Caloundra facility.

Police and Clinical Early Responders (PACER)

Collaborating to support Fetal Alcohol Spectrum Disorder

In 2017 a new partnership between Sunshine Coast Health’s Mental Health and Addiction Service (MHAS) and the Queensland Police Service (QPS) was launched to provide a safer, more cost-effective response to mental health crises in the local community.

The Police and Clinical Early Responders (PACER) initiative builds on evidence that the combined skills and knowledge of police and mental health clinicians leads to more appropriate resolution of mental health crises in the community.

MHAS and QPS positions work side by side so that they can respond together when contacted via QPS Communications to support fi rst responders (either QPS or Queensland Ambulance Service) in a mental health crisis.

The PACER clinician makes sure people experiencing a mental health emergency receive the most appropriate and least restrictive care.

PACER differs from usual service provision in that it is a mobile mental health crisis response acting as a secondary mental health and police response, informed by ‘real time’ police and mental health background information, assessing the person close to the time of crisis.

From the consumer’s perspective, PACER offers early intervention in their mental health crisis and avoidance of potentially inappropriate delays and restrictions to their liberty.

PACER receives all referrals/requests for service response directly from QPS communications and is operational from 4pm to 10pm Thursday, Friday, Saturday and Sunday evenings.

Page 20: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 18

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Venue for statewide education events

As Sunshine Coast Health grows we are striving to improve, and as we expand we must continue to focus on safety. Our new tertiary hospital is a superb base for researching, teaching and learning, and supporting our other facilities as they evolve. In 2017-2018 Sunshine Coast Health Institute (SCHI) hosted numerous statewide education opportunities, the Sunshine Coast medical school was announced, the health service won awards for innovation, as well as substantial research grants.

Better outcomes for our local population

Some of the statewide events hosted at SCHI in 2017-18:• Queensland Physiotherapist Rehabilitation Network • State Wide Pre-hospital Trauma Course • 2nd Annual Queensland Critical Care Research Forum• 1st Queensland Hospital Pharmacy Collaborative Research

Symposium • Australian Cardiovascular Health and Rehabilitation Association

and National Heart Foundation Secondary • Prevention in Cardiology Symposium• Association of Queensland Nursing Leaders• Children’s Health Australasia Conference.

SCUH Medical School announcedIn August 2017 we confi rmed that Griffi th University will operate a medical school at Sunshine Coast University Hospital.

This provides a pathway for Sunshine Coast residents to study and then practice locally in the community, providing vital GP and other medical services.

Griffi th University Deputy Vice Chancellor (Engagement) Professor Martin Betts said the formalisation will allow Griffi th to commit to the 25-year partnership with Sunshine Coast Health, University of the Sunshine Coast and TAFE Queensland to train the next generation of doctors for the Sunshine Coast.

“The fact that the Sunshine Coast University Hospital is a medical teaching hospital also means that there is the opportunity for important health and medical research on the Sunshine Coast,” Professor Betts said.

On 18 June Associate Professor Jennifer Williams was welcomed as the new Deputy Head of the Griffi th University Sunshine Coast Medical School.

From 2019 Griffi th University students are expected to begin their education and the medical school would expand along with the hospital.

3

Page 21: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 19

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Sunshine Coast Health’s Safety Quality and Innovation Unit hosted Queensland Health’s Clinical Excellence Division’s pilot Open Disclosure Training Program. Open disclosure is the open discussion with the patient, their family, carers and other support persons, about incidents that result in harm to a patient while receiving healthcare. The two-day program was hands-on with participants role-playing real life examples with paid actors to develop and refine their skills in what is often a challenging situation for patient, family and staff. Feedback from participants was extremely positive and the team from the Clinical Excellence Division were impressed with the calibre and engagement of participants.

The Sunshine Coast is home to the first integrated exercise physiology service for cancer patients helping more than 400 patients in 2017-2018, thanks partly to a major fundraiser organised by the health service’s foundation Wishlist.

Sunshine Coast Health exercise physiologist Curtis Forbes has spearheaded the new initiative which combines a safe and regular exercise space specifically for patients undergoing chemotherapy, radiation and immunotherapy.

Termed ‘exercise medicine’, a growing body of research has linked enhanced patient outcomes with exercise during cancer treatment.

“It can help manage many of the common side effects of treatment, speed up return to usual activities, improve quality of life and some research has shown that it can reduce the risk of cancer returning,” Mr Forbes said.

“I’ve welcomed individuals to my clinic who have been in wheelchairs and weeks later seen them return to walking in the mornings at Alexandra Headland, Mooloolaba spit or the boardwalk at Bulcock Beach.

“I’ve even known numerous individuals who have climbed Mt Coolum while going through treatment.”

One of the patients that has been making great use of the Wishlist funded equipment is Bob McMillan, who has been exercising three times a week with Mr Forbes. Mr McMillan said he has prostate cancer and believes he gets benefits from exercising straight after radiation treatment.

“I did my research and read about the benefits of exercise physiology and asked about it at Sunshine Coast University Hospital. They put me onto Curtis,” Mr McMillan said.

Mr Forbes said physical activity also played an important role in the prevention of cancer including colorectal, breast and endometrial cancer, as well as emerging evidence associated with reduced risk of other cancers such as prostate, lung and ovarian cancer.

The service will continue to develop pathways, utilising staff and technology to expand its reach to cancer patients within the broader health service. This reduces travel time and inconvenience and means patients can have updated medications information and a management plan available all without having to travel beyond Gympie.

Open disclosure training program

Combating cancer with exercise

Page 22: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 20

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Sunshine Coast Health Research Day 2017

In 2017 the health service welcomed two Independent Patient Rights Advisors (IPRAs) to provide mental health patients and their support persons independent assistance and information in relation to rights under the Mental Health Act 2016.

The role of a Rights Advisor is to work cooperatively with both patients and the staff of the Mental Health and Addiction Service to ensure patient rights under the Act are safe guarded and patient health and wellbeing is promoted. Rights Advisers also work with the patient’s nominated support persons, family, carers and other support persons.

The IPRA role has grown fast. Since July 2017, monthly occasions of service have increased from 52 to 322 per month in 2018. About 66 per cent of these provisions of service are follow up after an initial provision of service.

The IPRAs also partner with the mental health service education coordinators to provide staff education on topics relevant to working with patient rights.

Both Advisors have several years’ experience working with patients and their support persons within mental health service environments to promote recovery-oriented services and reduce the stigma associated with mental illness.

To contact a Rights Advisor phone 5470 5546 or email [email protected]

More than 200 Sunshine Coast Health staff, consumers and delegates from universities and TAFE gathered at Sunshine Coast Health Institute on 15 November to see a wide range of research presentations for our 2017 Annual Research Day.

Guests enjoyed a presentation from keynote guest speaker, Professor Emeritus Alan Mackay-Sim, from the Griffi th Institute for Drug Discovery, Griffi th University.

The Australian of the Year 2017 discussed his pioneering spinal cord injury research, which has involved leading a Brisbane team in a world-fi rst clinical trial in which the patient’s own olfactory cells were transplanted into their injured spinal cord in the fi rst stages of a therapy to treat human paraplegia.

Support for mental health patients

Page 23: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

This year Gympie Hospital celebrated 150 years of service. The hospital has a long and proud history of serving the community. It fi rst opened as Nashville Miners Hospital in 1868, and in true community spirit, it was funded by subscription collected from the community.

The facility began life as two tents before being moved into a building at the present site of the Masonic Hall on Channon Street. It was moved to the current site in 1869 and a two storey brick hospital was built in 1888, with the fi rst formally trained nurse graduating in 1923. Its modern day premises were completed in October 1986.

Gympie Hospital was one of the largest training hospitals in Australia, with one of the fi rst Queensland male nurses being trained at Gympie.

Today, Gympie Hospital continues to provide healthcare excellence to the community and remains one of the largest employers in the region.

Director of Nursing and Facility Manager, Nicole White said the hospital has celebrated with staff past and present and the community this year, with a number of events.

In March, in partnership with the Country Women’s Association the hospital hosted a morning tea for 200 staff past and present, in October the facility hosted a Soiree, and in September the hospital unveiled a commemorative plaque.

“We are very excited and privileged to not only provide ongoing patient care for the region, but to celebrate and reminisce with our past and present staff.

“The plaque is a long-lasting legacy dedicated to past, present and future staff, and our ongoing commitment to the Gympie community.

“In 2017/18 our team provided care for 14,000 inpatients and more than 30,000 emergency department presentations.

We feel privileged to provide patient care for our region well into the future,” Ms White said.

150 years of service in Gympie

Page 24: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 22

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Sunshine Coast Health’s Community Care Unit (CCU) has won a national award for an initiative that helps mental health residents manage their own medication.

The CCU is a mental health residential rehabilitation facility. Residents have a persistent and serious mental illness and generally stay in the CCU between six months to two years. During this time, the aim is to improve resident’s mental and physical wellbeing, and their ability to live as independently as possible. Staff of all disciplines help residents understand their medication, involvement and subsequently medication adherence. To support a consistent approach, the team at CCU developed a special system to administer medicine, called Stages of Medication Administration (SOMA). Mental Health Education Team Clinical Nurse Consultant (CNC) Larissa Hallam and CCU CNC Paul Dawson say SOMA was developed after staff recognised the need to improve the delivery of medication. “We developed this initiative to educate and empower our residents to manage their own medication. The development team worked with the whole team at CCU and consulted with pharmacy and medical staff to work out a system which would suit CCU residents and support recovery,” Ms Hallam said. SOMA enables staff members to determine each resident’s level of ability to independently manage their own medication, communicate this to a team (including the resident and their family/carers) and support them to become more independent in a standardised manner. The model has an education component built into each stage to support progression through the stages. Staff developed a training package, workplace instruction and medication assessment as part of the program, and say the national recognition has blown them away.

“We are a relatively small team who are very passionate about what we do, and work hard, but we didn’t think we had a chance at winning when you look at some of the previous winners, so to be recognised by a National Medicinewise Award is fantastic,” Team Leader Alistair Russell said.

Innovative Community Care Unit win national award

Page 25: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 23

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Nambour Emergency Department program wins $100,000 research grant

A Nambour General Hospital specialist has been awarded a prestigious research grant by the Emergency Medicine Foundation for her work to improve emergency care for older people.

Dr Elizabeth Marsden received a $100,000 research grant to evaluate ways of extending the fl agship Geriatric Emergency Department Intervention (GEDI) program to other hospitals in Queensland.

The program, established and grown locally at Nambour Hospital over the past several years, and now also operating at the Sunshine Coast University Hospital has brought major improvements to the care of the elderly.

The GEDI program involves specially trained GEDI nurses doing structured comprehensive assessments for patients aged over 70 who present to ED.

Dr Marsden said such assessments went beyond the single condition that patients often presented with and enabled a holistic care to be provided in hospital and after discharge.

“This allows us to develop shared care plans with other providers, resulting in avoidance of hospitalisation and improved quality of life,” she said.

“This minimises unnecessary waits in the emergency department, which if prolonged, is an unsuitable environment for older people.”

The grant will allow evaluation of the program that will hopefully provide the necessary data needed to see it rolled out in other emergency departments in Queensland and across Australia.

Getting patients home soonerWhen patients are well it makes sense that they return home as soon as possible, so in January 2018 staff at Sunshine Coast University Hospital worked on a project to reduce the time it takes to discharge inpatients.

The project focused on improving the use of the Transit Unit for discharging patients, improving team communication, better managing patient expectations, and organising better discharge coordination.

Regular short rounding meetings were used to help staff prioritise patients to be discharged, while patient communication boards were installed next to beds so that both patients and staff can see important information such as the planned date of discharge and names of clinicians.

In the wards where the project was trialled the average length of stay for patients was reduced by almost half a day, and the rate of patients who knew their expected date of discharge almost doubled.

Nurse Unit Manager, Helen Beatty said the ‘rapid rounds’ improved effi ciency, reducing the need for other longer meetings.

“The 15-minute rapid rounds provide us with clear communication between all team members, especially between medical and allied health staff, engagement has increased. And the patient communication boards are a great idea,” Ms Beatty said.

Page 23

Page 26: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 24

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Maleny Soldiers Memorial Hospital celebrates 30th anniversary

Residents in Maleny helped us celebrate Maleny Soldiers Memorial Hospital’s 30th anniversary in October 2017.

On 14 October, staff and Maleny Soldiers Memorial Hospital Auxiliary members hosted a fête to celebrate 30 years since the hospital was opened at its current location.

The hospital was originally built as a memorial to those who took part in World War I, was offi cially opened as a private hospital on 21 October 1920 and gazetted as a general public hospital on 21 May 1921.

The original Maleny Soldiers Memorial Hospital served the community until a new facility was built across the road and was offi cially opened on 17 October 1987, with the old building being removed and the old site used the new Maleny Ambulance Station.

Acting Director of Nursing Glennis McAlpine said the fête was an opportunity to welcome the community and help raise funds for the Hospital Auxiliary.

“It’s also an opportunity for us to show our proud history in this community” she said.

The community event featured food stalls, entertainment, a Maleny’s Got Talent competition, games and fun activities for children, health services displays, and Back to Maleny– Born in Maleny (a competition for all those born in Maleny Hospital).

“It was a great day, so many staff and community members showed support of our hospital and our auxiliary,” Ms McAlpine said

“The auxiliary is tireless in its fundraising activities which support the purchase of new equipment for the hospital.

“We are also fortunate to have very active community groups who work with our Auxiliary to benefi t us.

“Over the past 30 years, many items of equipment have been purchased thanks to the kind donations and fund raising activities of the community, Maleny Hospital Auxiliary and local community clubs.”

Page 27: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 25

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Service changes: - 34 beds to 49 beds - expanded palliative care and ophthalmology services - range of outpatient and community services in addition to the existing minor injury and illness clinic.

CHS Facility Manager and Director of Nursing Dave Johnson said the vision for the CHS redevelopment had been a collaborative one.

“The end result will be a relevant and contemporary facility able to deliver an excellent service with integrity while still maintaining the relaxed ‘Caloundra feel’ the community has experienced in the past,” Mr Johnson said.

A major $86 million redevelopment at Nambour General Hospital will support critical areas of emerging health service needs and complement the distinct roles of the other Sunshine Coast hospitals and health services. The redevelopment will have a contemporary design enabling better access for patients and visitors. It will establish Nambour General Hospital as a hub for integrated health care and coordinated community services. Construction is expected to commence early 2019 with fi nal stages of construction completed in September 2022.

The redevelopment will deliver:• An expansion of wards (inpatient units) including mental health services, surgical services and medical services with

a focus on families and older persons• A larger emergency department with additional beds• New medical imaging equipment with increased service capacity• A new Acute and Restorative Care ward (inpatient unit)• A new same day rehabilitation service model to encourage the transferring of care from an inpatient to ambulatory

setting• Expansion and collocation of short stay wards close to the emergency department and surgical services • Improved designed of the renal dialysis unit, Central Sterilising Unit, Oncology and Day Unit Infusion Therapy units,

and kitchen facilities.

The redevelopment works at Caloundra Health Service (CHS) are due to be completed in 2019. Chief Executive, Adjunct Professor Naomi Dwyer has been pleased by the progress.

“A particular highlight of the redevelopment will be a landscaped courtyard with direct access from the inpatient bedrooms for palliative care patients and their families.

“The courtyard was designed to provide a stress free outdoor environment for patients, visitors and staff featuring varied height seating and bush tucker plants,” she said.

“Screens, paving and other elements of the landscape have been designed around a history of Caloundra theme. Staff, community, traditional owners and the Caloundra Hospital Auxiliary were consulted during the design process.”

Caloundra Redevelopment

Our future

Nambour General Hospital Redevelopment

Page 28: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 26

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

The opening of Sunshine Coast Health Institute (SCHI) collocated with Sunshine Coast University Hospital launches a new era in health education, research and clinical training on the Sunshine Coast.

SCHI is a state-of-the-art education, training and research facility formed by a partnership between Sunshine Coast Hospital and Health Service, University of the Sunshine Coast, TAFE Queensland and Griffi th University.

Bringing education, training and research together enables us to keep improving the training and education of the next generation of nurses and doctors for the Sunshine Coast.

The institute’s Director Anton Sanker said SCHI was a key part of the SCUH campus.

“It’s very much about having the capacity to train the doctors, nurses and allied health professionals of the future,” he said.

The institute provides students at the diploma to bachelor and postgraduate levels with a direct pathway to employment at SCUH, while course coordinators working in proximity to the new hospital are able to ensure course content is relevant and practical, giving students the skills they’ll need to work in a modern hospital setting.

“I think there’s very much an intention that training here would lead to pathways to employment,” Mr Sanker said.

Education at SCHI includes: • training programs to up-skill existing

health professionals • hands-on clinical training for

students studying to become health professionals

• postgraduate training of medical students

• undergraduate and post-graduate education and training for nursing and allied health students

• clinical and innovative research • technical simulation training • lectures, presentations and

conferences for large groups.

The SCHI’s the limit

Page 29: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 27

Wishlist is the Sunshine Coast Hospital Foundation; a not-for-profit organisation dedicated to fundraising for the needs of Sunshine Coast Hospital and Health Service.

Each year, Wishlist pledges more than $1 million towards: - research projects - medical equipment and support projects - staff scholarships and education funding. This year, thanks to the ongoing support from the Sunshine Coast community, they have been able to fund many great health initiatives across Sunshine Coast hospitals. Some of these include:

Wishlist

Sunshine Coast University Hospital• $21,290 for a LUCAS chest compression system for the Cardiac

Catheter Laboratory.• $25,000 for equipment for a Queensland-first integrated

Exercise Physiology Service for cancer patients accessing care across Sunshine Coast Hospital and Health Service.

• $5000 for a Sensory Garden for mental health patients receiving treatment in the Older Persons Mental Health Unit.

• $4000 for iPads to be used by paediatric patients as a distraction tool while in the operating suite.

• Continued funding of the Clown Doctor Service to bring smiles to sick patients.

Nambour General Hospital • $30,000 for a Dementia Garden at the Acute and Restorative

Care Unit to be constructed during the Nambour General Hospital redevelopment.

• Management of Reed Charity House in Nambour—the emergency accommodation centre supporting the needs of Nambour General Hospital and the Sunshine Coast University Hospital.

• Continued funding for TV rental for renal patients, the Cancer Care Centre and ward 1D.

Gympie Hospital• $19,532 for a paediatric Telehealth Service at Gympie Hospital

to connect young patients with specialists at Sunshine Coast University Hospital.

• $4088 for a Masimo Sleep Study Monitor and equipment for the Paediatric and Women’s Health Unit.

• $33,000 for a neuro-perfusion package to assist stroke victims. • $30,697 for a C-MAC Laryngoscope for Gympie Emergency

Unit for difficult airway management (fundraised by the 2017 Children’s Hospital Foundation Woolworths Wall Token Appeal).

Caloundra Health Service • $44,012 for music therapy at Dove Palliative Care. The program

will run until 2020 at 15 hours per week.• $1200 for voice recorders and associated equipment for the

Client Biography Service at the Dove Palliative Care Unit.• $430,000 worth of ophthalmology equipment to vastly expand

and improve public eye services.

Page 30: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community

Page 28

Sunshine Coast Hospital and Health Service Quality of Care Report 2017-2018

Page 31: Quality of Care Report 2018 | Sunshine Coast Hospital and ... · • Fostering meaningful, two way dialogue between the health service and the wider community to increase community