M_Hooper.ppt

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M_Hooper.ppt

  1. 1. Statewide SA Retrieval Service Looking back. Moving forward. November 2008
  2. 2. Outline <ul><ul><li>Background </li></ul></ul><ul><ul><li>Change </li></ul></ul><ul><ul><li>Where we are heading: </li></ul></ul><ul><ul><ul><li>Governance and leadership </li></ul></ul></ul><ul><ul><ul><li>Retrieval Coordination </li></ul></ul></ul><ul><ul><ul><li>Workforce </li></ul></ul></ul><ul><ul><ul><li>Operations </li></ul></ul></ul><ul><ul><ul><li>Training </li></ul></ul></ul><ul><ul><ul><li>Clinical Governance </li></ul></ul></ul><ul><ul><ul><li>Time lines </li></ul></ul></ul>
  3. 3. Background <ul><li>A few drivers of change </li></ul><ul><ul><li>Risks </li></ul></ul><ul><ul><li>Coronial recommendations </li></ul></ul><ul><ul><li>Workforce dynamics </li></ul></ul><ul><ul><li>Costs (Financial & other. Overt and hidden) </li></ul></ul><ul><ul><li>Inefficiency, duplication and disintegration </li></ul></ul><ul><ul><li>Benchmark comparisons </li></ul></ul><ul><ul><li>Increasingly complex environments </li></ul></ul><ul><ul><li>Service demand & future challenges </li></ul></ul>
  4. 4. Progress <ul><li>Portfolio Executive -12/06 </li></ul><ul><li>Director commences -10/07 </li></ul><ul><li>Movement to Operations Division -12/07 </li></ul><ul><li>Strategy formation (SCAG) </li></ul><ul><li>Workshop -12/07 </li></ul><ul><li>Discussion paper -2/08 </li></ul><ul><li>Project plan development </li></ul><ul><li>Road show and stakeholder consultation (ongoing) </li></ul><ul><li>Feedback review - 5/08 </li></ul><ul><li>International visits 5/08 </li></ul><ul><li>Workshop 2 - 6/08 </li></ul><ul><li>Movement to CNAHS – 7/08 </li></ul><ul><li>Governance & leadership </li></ul><ul><li>Re-defining model (ongoing) </li></ul><ul><li>Implementation </li></ul>
  5. 5. Change………… <ul><li>‘ It is not the strongest of the species that survive, nor the most intelligent, but the one most responsive to change’ </li></ul><ul><li>Charles Darwin </li></ul>
  6. 6. The wind’s of change……….
  7. 7. “ The pessimist complains about the wind and builds walls. The optimist expects it to cease…….. one day. The realist………. builds windmills”
  8. 8. The momentum of change
  9. 9. Change………. <ul><li>There will be a single Statewide Retrieval Service for SA. </li></ul><ul><li>This will not be one of or a federation of existing services. </li></ul><ul><li>Current service delivery strengths will be extended. </li></ul><ul><li>We will develop a service for the present but most importantly for the future </li></ul><ul><li>There will be three core components to the new service…….. </li></ul>
  10. 10. Core components – SA Retrieval *PNPR = Paediatric, neonatal and perinatal retrieval Retrieval Coordination (Retrieval and transport) PNPR* Adult Retrieval & Rapid Response
  11. 11. Governance Minister for Health SA Health CNAHS ‘ SA Retrieval’ (Name TBC) Retrieval Clinical Coordination Adult Retrieval & Rapid Response Paediatric, Neonatal and Perinatal Retrieval
  12. 13. Leadership <ul><li>Director, Statewide SA Retrieval Services </li></ul><ul><ul><li>Increasingly operational </li></ul></ul><ul><li>Clinical Directors </li></ul><ul><ul><li>Retrieval Coordination </li></ul></ul><ul><ul><li>Training and Standards </li></ul></ul><ul><ul><li>Paediatric & Neonatal Retrieval </li></ul></ul><ul><li>Nursing </li></ul><ul><ul><li>Director (L5) </li></ul></ul><ul><ul><li>Operational/Management (L4) </li></ul></ul><ul><li>Paramedical </li></ul><ul><ul><li>Team leader </li></ul></ul><ul><li>Project & administrative team </li></ul><ul><ul><li>ASO 3 and 6 </li></ul></ul>
  13. 14. Retrieval Coordination <ul><li>One centre </li></ul><ul><li>One number (+ ‘000’) </li></ul><ul><li>Co-located with SAAS </li></ul><ul><li>Retrieval and transport </li></ul>
  14. 15. Retrieval Coordination <ul><li>Multi-agency coordination: </li></ul><ul><ul><li>Health (Medical and SAAS) and RFDS </li></ul></ul><ul><li>Best practice models: </li></ul><ul><ul><li>National </li></ul></ul><ul><ul><li>International </li></ul></ul><ul><ul><li>Clinical network integration </li></ul></ul><ul><li>Innovative ideas: </li></ul><ul><ul><li>Workforce (Critical Care Nursing) </li></ul></ul><ul><ul><li>Process </li></ul></ul><ul><ul><li>IT and technology </li></ul></ul><ul><ul><ul><li>Asset tracking </li></ul></ul></ul><ul><ul><ul><li>Teleconference </li></ul></ul></ul><ul><ul><ul><li>Telemedicine and video streaming </li></ul></ul></ul><ul><ul><ul><li>Tasking & CAD systems </li></ul></ul></ul><ul><ul><ul><li>Point of care data entry ( V ictorian A mbulance C linical I nform. S ystem) </li></ul></ul></ul><ul><li>Clinical Governance and audit </li></ul>
  15. 16. Workforce <ul><li>The right people (skills, knowledge and attitude ) </li></ul><ul><li>Retrieval team: </li></ul><ul><ul><li>Familiarity </li></ul></ul><ul><ul><ul><li>Each other </li></ul></ul></ul><ul><ul><ul><li>Equipment </li></ul></ul></ul><ul><ul><ul><li>Environment </li></ul></ul></ul><ul><ul><ul><ul><li>Clinical </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Other </li></ul></ul></ul></ul><ul><ul><li>Safety </li></ul></ul><ul><ul><ul><li>Team </li></ul></ul></ul><ul><ul><ul><li>Patient </li></ul></ul></ul><ul><ul><li>Flexibility </li></ul></ul><ul><ul><ul><li>Across tasks </li></ul></ul></ul><ul><ul><ul><li>Across platforms </li></ul></ul></ul><ul><ul><li>Redundancy </li></ul></ul><ul><ul><li>Efficiency and effectiveness </li></ul></ul><ul><ul><li>Avoidance of a ‘split system’ within adult service </li></ul></ul>
  16. 17. National Comparisons – Adult Retrieval R: Doctor + Retrieval Nurse H: Doctor, Retrieval Nurse (IHT) and Paramedic (1°) F: Doctor, Retrieval Nurse and RFDS Flight Nurse South Australia R: N/A H: N/A F: Doctor + Flight Nurse Northern Territory R: N/A H: Paramedic +/- Doctor F: Doctor + RFDS Flight Nurse WA R: N/A H: Paramedic F: Doctor & Paramedic Tasmania R: Paramedic + Doctor H: Paramedic + Doctor F: N/A ACT R:MICA Paramedic +/- Doctor H:MICA Paramedic +/- Doctor F:MICA Paramedic +/- Doctor Victoria R: Doctor & IC Paramedic H: Doctor & IC Paramedic F: Doctor & RFDS Flight Nurse Queensland (major centres) R: Doctor & SCAT Paramedic H: Doctor & SCAT Paramedic F: Doctor & Flight Nurse NSW (non-regional) TEAM COMPOSITION STATE
  17. 18. Adult team flexibility <ul><ul><li>Across platforms. Across tasks </li></ul></ul>
  18. 19. Workforce <ul><li>Adult & RR (team of 2) </li></ul><ul><ul><li>Medical </li></ul></ul><ul><ul><ul><li>Consultants </li></ul></ul></ul><ul><ul><ul><li>Fellows </li></ul></ul></ul><ul><ul><ul><li>Registrars </li></ul></ul></ul><ul><ul><li>Paramedic/Nursing </li></ul></ul><ul><ul><ul><li>Dual qualification? </li></ul></ul></ul><ul><ul><ul><li>‘ Practitioner’ level </li></ul></ul></ul><ul><li>N&P (team of 2) </li></ul><ul><ul><li>Medical </li></ul></ul><ul><ul><ul><li>Consultants </li></ul></ul></ul><ul><ul><ul><li>Fellows </li></ul></ul></ul><ul><ul><ul><li>Registrars </li></ul></ul></ul><ul><ul><li>Nursing </li></ul></ul><ul><ul><ul><li>‘ Practitioner’ level </li></ul></ul></ul><ul><ul><ul><li>Neonatal & Paediatric </li></ul></ul></ul>Relatively small groups performing complicated tasks frequently
  19. 20. Operations <ul><li>Dedicated service capacity </li></ul><ul><ul><li>Adult ( up to 3 teams) </li></ul></ul><ul><ul><li>Neonatal & Paediatric (1 team) </li></ul></ul><ul><li>Operational base issues </li></ul><ul><ul><li>Interim </li></ul></ul><ul><ul><ul><li>Old CHC base </li></ul></ul></ul><ul><ul><li>Long term </li></ul></ul><ul><ul><ul><li>Joint Emergency Services? </li></ul></ul></ul><ul><ul><ul><li>Assistance? </li></ul></ul></ul><ul><li>Improve: </li></ul><ul><ul><li>Rapid Response capacity </li></ul></ul><ul><ul><li>Team development/CRM </li></ul></ul><ul><ul><li>‘ Empty leg’ helicopter costs </li></ul></ul><ul><ul><li>Service identity </li></ul></ul><ul><li>Allow: </li></ul><ul><ul><li>Service expansion </li></ul></ul>
  20. 21. Training <ul><li>Post-graduate educational opportunities </li></ul><ul><ul><li>Supported </li></ul></ul><ul><ul><li>Aiding recruitment and retention </li></ul></ul><ul><li>Harness in-house resources </li></ul><ul><ul><li>Personnel, other agencies, experience….. </li></ul></ul><ul><li>Links with developing National programs </li></ul><ul><ul><li>JCU </li></ul></ul><ul><li>Actively encourage Research </li></ul><ul><li>Actively encourage innovation </li></ul><ul><li>Standardise safety training </li></ul><ul><li>College re-accreditation </li></ul>
  21. 22. Clinical Governance <ul><li>‘ A culture of safety’ </li></ul><ul><ul><li>Open, multi-agency and qualitative processes </li></ul></ul><ul><li>Continuous service enhancement </li></ul><ul><ul><li>Closed loop processes </li></ul></ul><ul><ul><li>Links with ongoing training </li></ul></ul><ul><ul><li>Relevant KPI measures </li></ul></ul><ul><li>Supported training </li></ul><ul><ul><li>TeamSTEPPS </li></ul></ul><ul><ul><li>CPI program </li></ul></ul><ul><ul><li>TRM course </li></ul></ul><ul><li>Alignment with State, National and International quality and safety frameworks </li></ul><ul><ul><li>AIMS </li></ul></ul>
  22. 23. Timelines <ul><li>July 2008 (Governance and leadership) </li></ul><ul><li>January 2009 (Service models) </li></ul><ul><li>January 2010 (Implementation) </li></ul>Stage 1 Stage 2 Stage 3
  23. 24. Rural workforce support/engagement <ul><li>Coordination </li></ul><ul><ul><li>Point of contact </li></ul></ul><ul><ul><li>Advice, transport and/or retrieval </li></ul></ul><ul><ul><li>Network integration </li></ul></ul><ul><li>Response </li></ul><ul><ul><li>Time </li></ul></ul><ul><ul><li>Standardisation </li></ul></ul><ul><li>Training opportunities </li></ul><ul><li>Clinical Governance and audit </li></ul><ul><ul><li>Feedback </li></ul></ul><ul><ul><li>Q&S </li></ul></ul><ul><ul><li>Research </li></ul></ul>
  24. 25. My commitment <ul><li>To deliver a… </li></ul><ul><ul><li>safe </li></ul></ul><ul><ul><li>rapidly responsive </li></ul></ul><ul><ul><li>innovative </li></ul></ul><ul><ul><li>sustainable </li></ul></ul><ul><ul><li>efficient </li></ul></ul><ul><ul><li>effective </li></ul></ul><ul><ul><li>leading </li></ul></ul><ul><ul><li>patient focussed </li></ul></ul><ul><ul><li>outcome driven </li></ul></ul><ul><li>service for the SA Health Care region </li></ul>
  25. 26. Where we are heading…….. <ul><li>“ Leaders who inspire realise there will always be rocks in the road ahead of us. </li></ul><ul><li>They will be stumbling blocks or stepping stones; it all depends on how we use them.” </li></ul>

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