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    M_Hooper.ppt M_Hooper.ppt Presentation Transcript

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