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Hand in Hand is project of
Nepean Blue Mountains
Local Health District in NSW.
This award winning
project connects Acute
Aged Care Services (AACS)
with patients located in
Residential Aged Care
Facilities (RACF) using Tele-
health.
By using video conferencing
consultation, ‘Hand in Hand’
has made it possible for
patients to attend a
consultation with a clinician
while remaining in their
home, avoiding the distress
associated with lengthy
travel and extended waits for
transport or transfers to
emergency departments.
The ‘Hand in Hand’ project
has seen reductions in
hospital readmission rates
and geriatric emergency
department presentations for
patients from selected RACFs,
improved patient satisfaction,
as well as reduced travel
times for the AACS team and
better use of resources.
Tanya Baldacchino,
Telehealth Nurse Manager,
says the ‘Hand in Hand’
project facilitates care in the
most appropriate setting with
the aim of delivering the best
possible health outcome,
benefitting patients by reducing
travel time and improving qual-
ity of care.
“Research has shown there is
an increase in confusion and
falls in hospital for elderly pa-
tients and patients have em-
phasized their distress when
waiting for extended periods in
busy emergency departments
or having to wait for outpatient
appointments,” said Tanya.
“By using Telehealth, the ‘Hand
in Hand’ project has made it
possible for residents in nursing
homes to remain in their homes
whilst receiving specialty care.
Patients can have the consulta-
tion in their room whilst being
supported by a nurse who is
familiar with the patient.”
“Continuity of care has also
improved as Telehealth
consultations often involve a
doctor that was involved in the
care of the patient while in
hospital.”
Read more about enablers and barriers
to telehealth at
http://www.aci.health.nsw.gov.au/
__data/assets/pdf_file/0006/300975/
ACI_Telehealth_Capability_Interest_Gro
up_Enablers_Barriers.pdf
Telehealth and Aged Care Working Hand in Hand in NSW
May 2016
Change Champions & Associates
Innovation Round Up
Summaries and links to
some of the interesting
innovations project we
have gathered from
Australia and overseas in
2016.
Inside this issue:
Telehealth & Aged Care 1
TENCS—Organisational
Resilience 2
3D Dementia App 2
Scabies Eradication 4
Pathway for Medical
Imaging Reports 6
Survivorship Care Plans
Toolkit 8
NDIS Transferability of
Models of Care 8
CEC Adult Antibiotic
Guideline for Severe
Sepsis and Septic
Shock
8
Canada’s Targeted
Medication Safety Best
Practices for Hospitals
10
SafeMedicationuse.ca 10
This project is a
collaboration of Macquarie
University, Australian Institute
of Health Innovation and the
Townsville Hospital and
Health Service, QLD.
The project consists of four
inter-related studies evaluat-
ing the implementation of
organisational resilience-
based interventions at
Townsville Hospital and
Health Service (THHS):
Study 1: Evaluation of the
ICU Escalation Plan
Study 1 aims to evaluate the
effectiveness an ICU
intervention, consisting of an
Escalation Work Place
Instruction with simultaneous
education and training on
resilient healthcare, which
will be implemented in the
ICU at THHS. Evidence
synthesised from this evalua-
tion will be used to inform
hospital executive of the
influence of resilient
healthcare principles on
operational planning and
patient safety
Study 2: Evaluation of the
Resilience and Patient
Safety (RAPS) Training
This study seeks to
determine whether the
RAPS training course is
successful in providing staff
with an understanding of
resilient healthcare
principles, and the skills
necessary to improve
resilient behaviours in the
workplace. It will provide
evidence on translation
into practice to add to the
growing amount of
research about resilient
healthcare, and provide
staff with the appropriate
tools to survive in an
increasingly stressful
environment, delivering
safe care on ‘the edge of
chaos’. It will also add to an
understanding of how
resilient healthcare training
might best be implemented
in other healthcare settings.
Study 3: Evaluation of
Negotiation Training
Study 3 aims to evaluate
the effectiveness of the
THHS intensive negotiation
training by investigating
whether staff members
have implemented the
integrative bargaining skills
in the time period since the
training, and if so, how and
when.
Study 4: Evaluation of
Patient Centred Advanced
Care Surgical Planning
The fourth study aims to
evaluate the feasibility of
the new patient-centred
advanced care planning
surgical model of care,
including potential benefits
to patients and clinicians.
Evidence synthesised from
this evaluation will be used
to inform future guidelines
for surgery on frail high-risk
patients at THHS.
The TENCS Model: Organisational Reslience at Townsville Hospital
and Health Service
3D ‘dementia-friendly home’ app to assist carers and empower people living with dementia
enables the home to be
made more dementia-
friendly. This can allow
the person to stay in their
own home, enjoy their
regular lifestyle activities
and remain engaged
with their community for
longer.
“This app aims to enable
people living with
dementia to maintain
their independence and
continue living at home.
It may also help build on
their self-esteem, which
can have a profound
impact on the quality of
life for a person living
with dementia, as well
as families and carers,”
according to CEO,
Alzheimer’s Australia
Victoria, Maree
McCabe.
https://
www.dementiadaily.org.au/3d
-dementia-friendly-home-app-
to-assist-carers-and-empower-
people-living-with-dementia/
Alzheimer’s Australia
Victoria has released The
Dementia-Friendly
Home tablet app, which
provides carers with
ideas to make their home
more accessible for
people living with
dementia.
With 70 per cent of
people with dementia
living in the community,
the app, which uses inter-
active 3D game technol-
ogy Unreal Engine, Page 2
Change Champions & Associates
Read more
https://
aihi.mq.edu.au/
project/tencs-model-
organisational-
resilience-townsville-
hospital-and-health-
service
Page 3
May 2016
HURRY FOR EARLY BIRD REGISTRATIONS
Open until midnight 27 April 2016
REGISTER NOW AT http://www.changechampions.com.au
Preventing Unnecessary Hospital Emergency
Department Transfers for Older People
5-6 May 2016 The Park Event Space, Lakeside Dr, Albert Park, Melbourne, Victoria
Crusted scabies is a highly contagious and chronic form of the skin disease,
scabies. Scabies is endemic in remote indigenous communities in Australia.
Between 7 and 10 indigenous children suffer from scabies at least once
before their first birthday. One in every 270 people in the Northern Territory
has crusted scabies. Elimination of crusted scabies is the crucial first step to
addressing scabies. People with crusted scabies often suffer in silence with
pain and disfigurement (crusting and rotting flesh) similar to the social stigma
of leprosy. If left untreated these individuals have a 50% mortality rate over 5
years.
One Disease is a not for profit organisation that aims to eliminate crusted
scabies from remote indigenous communities. The One Disease Crusted
Scabies el imination campaign is known in the community as the
Healthy Skin Program.
The Healthy Skin Program’s strategy is built to promote ownership and
understanding of crusted scabies so patients work together with local clinics
to manage the disease themselves.
The three components of the Healthy Skin Program strategy include:
Partnership
Develop and manage ongoing relationships with community elders and
clinic staff to gain a sense of ownership
Treatment
Identify, educate and manage confirmed Crusted Scabies patients in
partnership with family and local clinics to minimise re-infestation
Elimination
Remote surveillance of Crusted Scabies patients and their families in
partnership with the Centre for Disease Control and NT Department of Health
Join the Mob, find out more or donate at
http://www.onedisease.org
Eliminating Crusted Scabies from Remote
Indigenous Communities
Page 4
Change Champions & Associates
The Australian Centre for the Medical Home
A person centred medical home is the general practice which is chosen by a person
to be responsible for their ongoing, comprehensive, whole-person medical care.
In a medical home, patients and their families have a continuing relationship with a
particular GP, this partnership is supported by a practice team, and other clinical
services in the ‘medical neighborhood’ wrap around the patient and their families as
required. http://medicalhome.org.au/
Page 5
May 2016
www.changechampions.com.au
The Hospital After Hours
23 May 2016
Sir Stamford Hotel
93 Macquarie St Sydney, NSW
Registrations now Open
With keynote presentations from
Dr Robert Herkes, Australian Commission for Safety and Quality in Health
Care
Peter Sivey, La Trobe University, VIC
NSW Clinical Excellence Commission
This project, being
implemented in May
2016, is showcased on the
NSW Agency for Clinical
Innovations website.
Prince of Wales Hospital.
NSW has developed a
communication pathway
that reported incidental
findings, unexpected
findings and changes to
provisional medical
imaging reports back to
the referring clinician
within an agreed
timeframe.
The aim for the pathway
is to reduce delays in
communicating medical
imaging results to
referring clinicians, so that
diagnosis and treatment
can be undertaken in a
timely manner.
Some of the perceived
benefits of implementing
the pathway include:
Reduced unnecessary
delays in providing test
results to referring
clinicians.
Improved
communication and
collaboration between
medical imaging and
clinician teams.
Allows patients to be
diagnosed and treated
in a timely manner.
Improves patient
experience and
satisfaction with the
medical imaging
service.
Improves staff
satisfaction and
provides clarification
on processes, roles and
responsibilities.
Improves patient flow
through the medical
imaging department.
Reduce the risk of
adverse outcomes and
associated litigation.
The scope of the project
has been defined in
terms of the following
objectives:
Tier 1: Incidental,
significant findings to
be sent within one
working day
Tier 2: Unexpected,
non-urgent findings
to be sent within five
workings days
Tier 3: Significant
changes to a
provisional or
previous report to be
sent within one work-
ing day of the
change.
Find out more at
http://
www.aci.health.nsw.gov
.au/ie/projects/closing-
the-loop
Closing the Loop—a pathway for medical imaging reports
Inviting Stories for our August 2016 Edition
Our readers are interested in
Quality and safety
Patient flow and
redesign
Productivity
improvement
Care of older people
Leadership
Integrated care
Green hospitals
Patient experience
Health literacy
Mobile technologies
Submit your story and
pictures to
Are you excited about the
achievements of your
innovation project?
We are now inviting
submissions of stories of
around 150-300 words for our
May 2016 newsletter.
Picture, links to other websites
etc are welcomed. Page 6
Change Champions & Associates
The focus of this event is on how the sustainability of implemented initiatives to improve
patient flow has been demonstrated.
Topics of interest include, but are not limited to:
Whole of system approaches
Whole of hospital redesign
Patient journey
Managing system and operational dynamics
Decision support
Contingency planning, protocols including scalability of escalation/surge
responses etc
Calls for Abstracts
Sustaining Improvements in Patient Flows
25-26 August 2016, Gold Coast, Queensland
Page 7
May 2016
A Healthy Hospital is…. a Happy, Safer and More Productive Place for Care
20-21 October 2016, Melbourne, Victoria
The seminar showcases successful initiatives that have positively impacted on quality,
safety and performance by improving workforce and organisational culture.
Topics to be presented include, but are not limited to:
Health facility wide culture reform programs including those inspired by patient
feedback
Professional College reforms to address issues around workforce culture and
behaviour
Building respectful relationships so that all staff feel valued and can deliver their
best, especially how this was achieved and any challenges
ICT and Hospital Community Integration
2017, Queensland
More information coming soon.
The Australian Cancer Sur-
vivorship Centre has pub-
lished a tool kit to assist
health care professionals
to develop and
implement survivorship
care plans for cancer
patients in the post active
treatment phase.
A survivorship care plan is
intended to facilitate the
delivery of patient
centred care by
enhancing
communication
between the patient and
the oncology team and
coordination of care
between the oncology
team and the patient’s
primary care provider.
There are three
components to a
survivorship care plan:
▪ A treatment summary
for both health profession-
als and consumers
▪ A follow up plan
▪ A post treatment care
plan.
Download a copy of the
toolkit at
http://www.petermac.org/
sites/default/files/
Cancer_information/
Austra-
lian_Cancer_Survivorship_
Cen-
tre_Survivorship_Care_Plan
_toolkit_Jan_2016.pdf
NSW’s Clinical Excellence Commission has recently published in
March 2016 an update of its Adult Antibiotic Guideline for Severe
Sepsis and Septic Shock.
Download a copy at http://www.cec.health.nsw.gov.au/__data/
assets/pdf_file/0005/299417/SEPSIS-KILLS-Adult-Antibiotic-Guideline-for
-Severe-Sepsis-Septic-Shock-version-2.pdf
Survivorship Care Plans Toolkit
Adult Antibiotic Guideline for Severe Sepsis
And Septic Shock
Evaluating the Transferability of Innovative Models of Care
experience and support
more independent living of
clients living with Acquired
Brain Injury and Spinal Cord
Injury.
It also aims to provide:
▪ the Transport Accident
Commission (TAC) and
Disability Services Providing
Organisations (DSPOs) in
Victoria with a better
understanding of the gaps
that exist between current
practice and best
practice in comparable
contexts elsewhere, and;
▪ opportunities for the TAC
and DSPOs to consider the
implementation of new
care models, or elements
of them.
Download the report at
http://www.iscrr.com.au/__data/
assets/
pdf_file/0009/401958/096-
Evaluating-the-transferability-of-
Innovative-Models-Of-Care.pdf
A team from Monash
University’s Institute for
Safety, Compensation
and Recovery Research
has recently published a
study to identify good
practices and innovations
in service delivery models
locally and
internationally; in disability
and related care sectors.
The study identifies issues
around the transferability
of innovative models of
care to enhance client
Page 8
Newsletter Title
Caption describing picture or
graphic.
“The start-up of the NDIS
is driving change in the
disability care sector”
Page 9
Volume 1, Issue 1
Sydney Metropolitan & Outer Metropolitan Level 4 Paediatric Units Improving Health Care for Children and Adolescents in NSW
Wednesday 8– Friday 10 June 2016 The Hydro Majestic Hotel Blue Mountains
Great Western Highway Medlow Bath NSW
DRAFT PROGRAM & REGISTRATION at http://www.changechampions.com.au
‘BUILDING A STRONGER NETWORK’ Strategies for developing your MP4 Service
The Institute of Safe
Medication Practices
(ISMP) in Canada has
released its 2016-2017
Targeted Medication
Safety Best Practices for
Hospitals.
The purpose is to is to
identify, inspire, and
mobilize widespread,
national adoption of
consensus-based best
practices for specific
medication safety issues
that continue to cause
fatal and harmful errors
in patients, despite re-
peated warnings in
ISMP publications.
The 11 selected best
practices are:
1. Dispense vinCRIStine
(and other vinca alkaloids)
in a minibag of a
compatible solution and
not in a syringe.
2. a) Use a weekly dos-
age regimen default for
oral methotrexate in
electronic systems when
medication orders are en-
tered.
b) Require a hard stop
verification of an
appropriate oncologic
indication for all daily oral
methotrexate orders.
c) Provide specific patient
and/or family education
for all oral methotrexate
discharge orders.
3. a) Weigh each pa-
tient as soon as possible on
admission and during
each appropriate outpa-
tient or emergency de-
partment encounter.
Avoid the use of a stated,
estimated, or historical
weight.
b) Measure and docu-
ment patient weights in
metric units only.
4. Ensure that all oral
liquids that are not com-
mercially available as unit
dose products are dis-
pensed by the pharmacy
in an oral syringe.
5. Purchase oral liquid
dosing devices (oral sy-
ringes/cups/droppers) that
only display the metric
scale.
6. Eliminate glacial ace-
tic acid from all areas of
the hospital.
7. Segregate, sequester,
and differentiate all neuro-
muscular blocking agents
(NMBs) from other medica-
tions, wherever they are stored in the organization.
8. Administer high-alert
intravenous (IV) medica-
tion infusions via a pro-grammable infusion pump
utilizing dose error-
reduction software.
9. Ensure all appropriate
antidotes, reversal agents,
and rescue agents are
readily available. Have
standardized protocols
and/or coupled order sets
in place that permit the
emergency administration
of all appropriate anti-
dotes, reversal agents, and
rescue agents used in the
facility. Have directions for
use/administration readily
available in all clinical ar-
eas where the antidotes,
reversal agents, and
rescue agents are used.
10. Eliminate all 1,000 mL
bags of sterile water
(labeled for “injection,”
“irrigation,” or “inhalation”)
from all areas outside of the pharmacy.
11. When compounding
sterile preparations,
perform an independent verification to ensure that
the proper ingredients
(medications and diluents)
are added, including
confirmation of the proper
amount (volume) of each
ingredient prior to its
addition to the final
container.
All the details at
http://www.ismp.org/
tools/bestpractices/
TMSBP-for-Hospitals.pdf
SafeMedicationUse.ca is a website supported through a grant from Health Canada
where consumers are able to report medication incidents through newsletters and
provide other healthcare safety tips as well
Canada’s Targeted Medication Safety Best Practices for
Hospitals
SafeMedcationUse.ca
Page 10
Newsletter Title
This story can fit 100-150 words.
The subject matter that appears in newsletters is virtually endless. You can include stories that focus on current technologies or innovations in
your field.
You may also want to note business or economic trends, or make predictions for your customers or clients.
If the newsletter is distributed internally, you might comment upon new procedures or improvements to the business. Sales figures or earnings
will show how your business is growing.
Some newsletters include a column that is updated every issue, for instance, an advice column, a book review, a letter from the president, or an
editorial. You can also profile new employees or top customers or vendors.
Page 11
Change Champions & Associates
Page 11
“I’ve learned that people will forget what you said, people will forget what you did ,but people will never forget how they made you feel”
Maya Angelou
REGISTER at http://www.changechampions.com.au
Places still available in Sydney and Brisbane
Emotional Intelligence for Leaders
Also available, Emotional Intelligence Assessments with Action Planning
Coaching
In this full day introductory workshop, you will:
Gain an overview of the science and value of emotional intelligence
Consider the impact on performance of positive and negative emotions in the workplace
including the impact on individuals, productivity and organizational outcomes
Understand six competencies of the Genos International model of emotional intelligence
for leaders
Participate exercises where you try working with the competencies for emotional intelligence
Discover some tips and develop an action plan for improving your own emotional intelligence
Take away your Genos International Introduction to Emotional Intelligence work book
About Change Champions & Associates
Change Champions & Associates
PO Box 302
Kew VIC 3101
M: 0467635150
W: www.changechampions.com.au
Innovate with us on our Facebook page
or on Linked In
Change Champions & Associates designs and produces
seminars for health professionals. We also showcase
leadership development, practice development, service
and quality improvement initiatives across the spectrum of
health and interrelated facilities and the across the
continuum of care.
We are a small coalition of the committed working with our
partners to deliver a great seminar experience. We work for
cost recovery, rather than for profit.
In collaboration with our consultants, we aim to provide
valuable and practical learning experiences for a broader
range of professionals from all sectors. These opportunities
will include workshops, in houses at your facility no matter
where (we are strong supporters of those in rural and remote
areas), group and individual coaching sessions delivered by
accredited professionals.
By the end of 2016, our website will be redeveloped to en-
able a more interactive relationship with our supporters,
streamline our seminar registration process and provide
better functionality to enable networking and the sharing of
innovation projects in Australia and New Zealand
and beyond.
Sustain Success Online Resilience Program
Coaching sessions are confidential,
individualized and conducted by
telephone
Put your best foot forward in 2016!
If you are under the pump and not sure that you are
managing as well as you could, this online program, Sustain
Success, will help you to build your resilience at work and
beyond.
Best of all its easy! There is no need to ask your manager for
permission for time off to attend a course. No need to feel
embarrassed about your capacity to cope. No need to
consider withdrawing or watering down decision making
because you feel that your ability and your confidence are
living on different planets.
Developed by revered, organisational psychologist, Kathryn
McEwen, here's an opportunity to reflect on the way work
pressure impacts on the way you function at work and
beyond. You can complete the program, in your own time
and at your own pace.
Better, you will be supported by a Resilience at Work
Accredited coach. This is not a one size fits all program. One
75 minute coaching session is included in the
program
Bitten off More than you can
Chew??
