A Productivity Tool for Health Advising

Richard Williams

Western Sussex Hospitals Trust

I’VE GOT THIS GIRL, SHE’S CHLAMYDIA POSITIVE. SHE THINKS HER DRINK MIGHT HAVE BEEN SPIKED. OH, AND HER PARTNER’S BISEXUAL AND USED NEEDLES – BUT DON’T WORRY, SHE DOESN’T WANT AN HIV TEST, SHE JUST WANTS THE TREATMENT…

CAN YOU SEE HER FOR A QUICK CHAT?

Context

• Understanding the Health Advising role

• Business/management culture

• Difficulties measuring efficacy/productivity

• Evidence

The Productivity Tool

Dimension Measure Rationale Evaluation

The Productivity Tool

Dimension Measure Rationale Evaluation

Clinical

(F2F & non F2F)

Teaching & Training

Development

Activity supportive of health advising

Activity supportive of clinic

Value Added

Clinical F2F

Dimension Measure Rationale Evaluation

Clinical F2F

Clinical F2F

Dimension Measure Rationale Evaluation

Clinical F2F PN

Provider Notification

Prevention

Health Education

WeSSI

Referrals received

Referrals made

Consultations

(complexity)

Consultations

(number)

Clinical F2F

Dimension Measure Rationale Evaluation

Clinical F2F PN Increase detection, Tx STI/HIV

Provider Notification

Prevention Reduce acquisition STI/HIV

Health Education Reduce psychological morbidity

WeSSI

2ndary prevention, PN

reduce morbidity, risk management Referrals received

Referrals made 2ndary prevention, reduce morbidity

Consultations (complexity)

Safeguarding, prevention, reduce morbidity

Consultations

(number)

Indication of workload

Clinical F2F

Dimension Measure Rationale Evaluation

Clinical F2F PN Increase detection, Tx STI/HIV

Audit

Provider Notification

Audit

Prevention Reduce acquisition STI/HIV Audit

(process & outcome)

Health Education Reduce psychological morbidity

Patient Satisfaction Questionnaire

WeSSI

2ndary prevention, PN

reduce morbidity, risk management

Audit

(interventions, new information received)

Referrals received Log

(Inpatients, Antenatal)

Referrals made 2ndary prevention, reduce morbidity

Log

(Psychology)

Consultations (complexity)

Safeguarding, prevention, reduce morbidity

Log

(PEPS, SA, U16, CSW)

Consultations

(number)

Indication of workload Log

(face 2 face, telephone)

Clinical non F2F

Dimension Measure Rationale Evaluation

Clinical Non F2F

Clinical non F2F

Dimension Measure Rationale Evaluation

Clinical Non F2F

Recall system

Comprehensive patient management

?

Positive results ?

Liaison (other depts, primary care)

?

Teaching and Training

Dimension Measure Rationale Evaluation

Teaching and Training

Teaching and Training

Dimension Measure Rationale Evaluation

Teaching and Training

STIF

Introduction to HIV

HIV Awareness

Observation

(Competency)

Increase detection, Tx STI/HIV

Improve PN

Reduce stigma

Risk management (confidentiality)

Log

(teaching & training)

Evaluation forms

Development

Dimension Measure Rationale Evaluation

Development

Development

Dimension Measure Rationale Evaluation

Development PN:

Community contact cards

Partner information leaflets

PN Competency pack

GMFA online PN service

PEP:

Patient information leaflets

Initiate new practice to drive up standards

Log

Activity supportive of health advising

Dimension Measure Rationale Evaluation

Activities supportive of health advising

Activity supportive of health advising

Dimension Measure Rationale Evaluation

Activity supportive of health advising

Supervision

(peer & managerial)

Maintain professional standards

Log

Supervision

(external)

Log

Appraisal

Maintain professional standards and identify gaps

Log

CPD Log

Activity supportive of clinic

Dimension Measure Rationale Evaluation

Activity supportive of the clinic

Activity supportive of clinic

Dimension Measure Rationale Evaluation

Activity supportive of the clinic

Meetings Coordination, continuity communication, and consistency of practice

Log

(PEP, A-N, CG)

Conference feedback

Maintain professional standards

Log

Value Added

Dimension Measure Rationale Evaluation

Value Added

Value Added

Dimension Measure Rationale Evaluation

Value Added Involvement on national/local bodies (SSHA, BASHH)

Assist in setting national/local standards

Log

Submission of abstracts

Giving presentations

Share best practice and maintain professional standards

Log

Benefits

• Overview of service

• Highlights gaps - extra resources

• Highlights work - reassurance

• Plan and set priorities

• Demonstrates value - productivity

• Report

ONCE UPON A TIME

“THE McSCREEN”

OH YES!

Audit

Dimension Measure Rationale Evaluation

Audit PN (C4, B)

Maintain and improve practice

Log

Provider notification

Log

HIV PN Log

CHIVA Log