Preparing CQI Action Plans due by 31 January

Preparing CQI Action Plans due by 31 January

Preparing CQI Action Plans due by 31 January 2016 3 Powerpoint Tools for Improving Services along the Patients Journey 31 December 2015 CQI Action Plans of ACCHOs Patient Journey Member ACCHOs of NACCHO are required to submit CQI Action Plans to the Commonwealth Department of Health by 31 January 2016. In August 2015, the Department issued a template which was developed to align with the core components in the draft National CQI Framework for Aboriginal and Torres Strait Islander Primary Health Care that are relevant at the local service level. There are 9 of these core components. In an accompanying Guide to developing the Action Plan, the Department gave examples of what to put in to their template. The Department said in its Guide that: The primary focus for CQI activity is the service being provided to Aboriginal and Torres Strait Islander people. The patient experience and the quality steps involved in the delivery primary health care is an important focus of attention when considering the issues to be prioritised in the CQI action plan. The NACCHO Secretariat has applied this primary focus to the Patient Journey through primary health care services and hospital care. Three Patient Journey Diagrams have been developed which Chief Executive Officers and senior managers of ACCHOs may like to consider using when they: (a) Prepare their PDSA Cycles for their CQI Action Plans; and (b) Review where they could possibly improve their systems, procedures, technologies or staff deployments If you want to ask any questions about the contents of this Table, please contact NACCHOs Chief Information Officer, Dr Robert Starling, at [[email protected]]. There are 3 Powerpoint Tools 1. The first Powerpoint Tool is an animated Powerpoint diagram of a generalised Patient Journey through an ACCHOs primary health care system 2.

The second Powerpoint Tool identifies the service interface for a Patient between the ACCHO and a visit to a Public Hospital 3. The third Powerpoint Tool identifies the steps in a typical Patients Hospital Stay Mapping the patient journey for CQI Action Plans The diagrams bring together the main points and recommendations from a number of sources including: ACCHOs Model of Well-being and Care (1971 on-going) COAG-CTG programmes (2010 on-going) Productivity Commission NIRA Report (2015) AHMAC Aboriginal and Torres Strait Health Performance Framework (2015) National Aboriginal and Torres Strait Islander Health Plan and Implementation Plan (2015) National Aboriginal and Torres Strait Islander Continuous Quality Improvement Framework and Implementation (2015) Standard Funding Agreement (2015) reporting requirement, namely: Online Service Report (OSR) and national Key Performance Indicators (nKPI) National Health Performance Authority MyHealthyCommunities (2015) How to use the first Powerpoint Tool NACCHO has prepared an animated Powerpoint diagram (switch to Slide Show mode in Powerpoint to click through the animation) of a generalised Patient Journey including single and/or multiple morbidities, expressed as a timeline over a period of one year

Most of the steps in this Patient Journey can be applied to other types of clients The diagram is divided into two halves: - The bottom half describes the ACCHOs processes in this part of the Patients Journey - The top half identifies the specialist, pharmacy and allied health services that might typically be provided The relevant MBS service Items have been identified at each point of service along the Patient Journey ACCHO Practice Managers, CEO and Service Medical Officers could review your ACCHOs service delivery processes and systems against this Patient Journey map as a guide to identify if and where Continuous Quality Improvements could be installed These improvements could then be documented in your CQI Action Plan If you want to discuss this map, please email Rob Starling, [email protected] Provider Partners Optometrist Dashed arrows Red referral, Purple - seen Green report provided and patient electronic health record updated Cardiologist 10970 81360* 82005* QAAMS Pathology Point of Care Testing Items New 73739 Diabetes diagnosis 73840- HbA1c 73844 - ACR Time Line Aboriginal Community Controlled Health Services Schematic of Patient Journey Primary Health Care

Speech Pathologist Note: PIP consent only after chronic disease determi ned 15+ MBS 715 MBS 16500 16590 MBS 721 GP Mgmt Plan (CD/TI) Health Check Antenatal Check Physiotherapist 10960 81335* GP+Pharma Medication Mgmt review MBS 900 Podiatrist Psychologist 10962 81340* Psychiatrist 8010080170 & 319+ 81355, Many item

10968 numbers . (Quarterly, semi-annual, periodic reviews) 723 Team Care Plan Consent for SIEHCP e-Referral Review Other PHC Provider e.g. Private GP, Super-Clinic Nephrologist GPMP/TCA Review 732, MHTP 2712 Case Conference items 735 - 758 AICCHS Pharmacy (S100) Annual Review 715 9-12mnths 732 3-6 months 2712 between 4 weeks to 6 months after initial MHTP 2700,2701,2715,2715,2712, 2713 Group 80000- GP Mental 80020 Health Care Plan, Review & Cons Explanation of conditions and care options Need to add PIP, MBS and EPC etc. Item numbers on arrows;

In future can add to arrows: . Admin costs, current and with SIEHR/SIEHCP NACCHO 2015 . Savings in tests/treatments; . Gap between activities on time line indicates waiting time. . Add location of providers and get distances to be travelled (access) Model developed by Robert Starling and Amanda Hand (2009) updated by QAIHC/NACCHO 2015 How to use the second Powerpoint Tool NACCHO has prepared a Powerpoint diagram of a generalised Patient Journey that involves a visit to a Public Hospital (switch to Slide Show mode in Powerpoint to click through the animation) The diagram illustrates how a period of time in hospital fits in with the longer term Patient Journey ACCHO Practice Managers, CEO and Service Medical Officers could review your ACCHOs service delivery processes and systems against this Patient Journey map as a guide to identify if and where Continuous Quality Improvements could be installed between ACCHOs and Hospital Admissions and Discharge activities These improvements could then be documented in your CQI Action Plan If you want to discuss this map, please email Rob Starling, [email protected] Provider Partners Optometrist Schematic of Patient Journey Primary Health Care incl. a stay in hospital Dashed arrows Red referral, Purple - seen Green report provided and patient electronic health record updated 10970 81360* 82005* QAAMS Pathology Point of Care Testing Items

New 73739 Diabetes diagnosis 73840- HbA1c 73844 - ACR Aboriginal Community Controlled Health Services Speech Pathologist Note: PIP consent only after chronic disease determined 15+ MBS 715 MBS 16500 16590 Health Check Antenatal Check MBS 721 GP Mgmt Plan (CD/TI) Other PHC Provider e.g. Private GP, Super-Clinic GP+Pharma Medication Mgmt review MBS 900 . SIEHR/ SIEHCP/eReferral e-Discharge 723

Team Care Plan Consent for SIEHCP e-Referral Review Hospital Visit - Hospital detailed records with Care Plan Case Conference items 735 - 758 AICCHS Pharmacy (S100) Annual Review 715 9-12mnths 732 3-6 months 2712 between 4 weeks to 6 months after initial MHTP 2700,2701,2715,2715,2712, 2713 Group 80000- GP Mental 80020 Health Care Plan, Review & Cons Explanation of conditions and care options Need to add PIP, MBS and EPC etc. Item numbers on arrows; In future can add to arrows: . Admin costs, current and with SIEHR/SIEHCP NACCHO 2015 . Savings in tests/treatments; . Gap between activities on time line indicates waiting time. . Add location of providers and get distances to be travelled (access) Model developed by Robert Starling and Amanda Hand (2009) updated by QAIHC/NACCHO 2015 How to use the third Powerpoint Tool NACCHO has prepared a Powerpoint diagram of a generalised Patient Hospital Stay

The diagram is divided into two halves: - The bottom half describes the Hospital processes in the Patients Journey The top half identifies the specialist services that might typically be provided The diagram illustrates the importance of a Patients primary health data being available when there is an admission to hospital and the importance of detailed information about actions undertaken while in hospital to improve patient care when returning to their community ACCHO Practice Managers, CEO and Service Medical Officers could review your ACCHOs service delivery processes and systems against this Patient Journey map as a guide to identify if and where Continuous Quality Improvements for Continuity of Care at admission and Discharge with the Hospital Sector could take place These improvements could then be documented in your CQI Action Plan If you want to discuss this map, please email Rob Starling, [email protected] Specialist Services Optometrist Enter Here Speech Pathologist Surgeon Cardiologist Physiotherapist Diagnostic Imaging Podiatrist Psychologist Pathology Consent for access to SIEHR/ SIEHCP

Psychiatrist Nephrologist . Time Line Hospital/Acute Services Schematic of Patient Journey Hospital stay Medical options summaries Observations and Measurements Care Plan/ Hospital Record DMO/Specialist Primary Carer Update SIEHR SIEHCP Discharge Summary PHC Provider e.g Private GP, ACCHO, Super-Clinic Referrals Consent documents including Informed Financial Consent statements NACCHO 2015 Model developed by Robert Starling and Amanda Hand (2009) updated by QAIHC/NACCHO 2015

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