Team HealthWhat we’ve learned so far… Where we want to go… Team Health Advisory Committee Meeting             9 February 2...
What are we trying to do?To improve teamwork, communication andcollaboration for safer patient-centred care, andbetter sta...
What do we mean by Team Work?Interprofessional Education (IPE)   Occasions when two or more professions learn from, with a...
The patient perspective…This first report from theBureau of Health Informationshows clearly that patientsare calling out f...
The clinicians’ perspective…At the clinical unit level, 96% of respondents reportedthat they deliver patient care as part ...
What works? Multi-faceted strategies e-Learning modules across professional groups On-site coaching, debriefing and facili...
What we learned from ourConsultations• Need to acknowledge and build on what’s already out  there: LHDs, Universities, pro...
Program Model        Right Start: Transition to Work in Health        • Students in their last semester of study    1   • ...
Next Steps               Right Start: Transition to Work in Health      1        • Students in their last semester of stud...
Next Steps             Right Start: Foundational Skills             • New clinical graduates over first 2 years (10 000 ph...
Proposed Foundational Topics for new ClinicalGraduates       Foundational Topics for new Clinical Graduates1      Time Man...
Next Steps            Right Start: Foundational Skills     2      • New clinical graduates over first 2 years, (10 000 pha...
Next Steps             Building High Performing Teams     3       • Existing clinical teams             • 62 000 clinical ...
Topics to enhance team-based,patient-centred care     Proposed topics to enhance team-based, patient-centred care1    Unde...
Next Steps                  Building High Performing Teams          3       • Existing clinical teams                  • 6...
Feedback on the Plan• Clarification, Scope, Detail• Additional Foundational Skills topics (or sub-topics)• Identification ...
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Team health presentation to advisory commmittee 9 february 2012

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  • Make comment on consultation with local health district,pillars and other partners – the literature says what works, and the challenges to implementation are logistics and resourcing. The purpose of the consultation is to find out what programs are existing and to navigate the challenges
  • Team health presentation to advisory commmittee 9 february 2012

    1. 1. Team HealthWhat we’ve learned so far… Where we want to go… Team Health Advisory Committee Meeting 9 February 2012 1
    2. 2. What are we trying to do?To improve teamwork, communication andcollaboration for safer patient-centred care, andbetter staff experiencesWhy are we trying to do this?• Increased staff motivation, well-being and retention• Decrease in staff turnover• Increased patient and carer satisfaction• Increased patient safety• Increase in appropriate use of specialist clinical resources• Reductions in patient mortality and critical incidents• Increase in access to and coordination of health services 2
    3. 3. What do we mean by Team Work?Interprofessional Education (IPE) Occasions when two or more professions learn from, with and about each other to improve collaboration and the quality of careInterprofessional Collaborative Practice (ICP) a patient-centred process of communication and decision-making that enables the separate and shared knowledge and skills of care providers to synergistically influence client/patient care (Way et al, 2000) 3
    4. 4. The patient perspective…This first report from theBureau of Health Informationshows clearly that patientsare calling out for Patients who felt their quality ofimprovements and that care was excellent were likelyimprovement in staff to have experienced excellenceteamwork, between doctors in staff teamwork.and nurses, is the actionmost likely to change a fair orpoor patient care experienceto an excellent one. Bureau of Health Information. (May 2010) Insights into Care: Patients Perspectives on NSW Public Hospitals 4
    5. 5. The clinicians’ perspective…At the clinical unit level, 96% of respondents reportedthat they deliver patient care as part of a team (orteams), and 94% reported that effective teamwork waseither the most important or in the top three mostimportant issues affecting the delivery of qualityhealthcare Clinical Excellence Commission (CEC) 2011. Safer Systems Better Care – Quality Systems Assessment Statewide Report 2011. Sydney: CEC. 5
    6. 6. What works? Multi-faceted strategies e-Learning modules across professional groups On-site coaching, debriefing and facilitationCurriculum that structures formal and informal interactions and isdesigned to facilitate enquiry Clinical placements and particularly rural clinical placements Champions in both health and education sectors Interdisciplinary program governance Links with other programs (Established international movement) 6
    7. 7. What we learned from ourConsultations• Need to acknowledge and build on what’s already out there: LHDs, Universities, proprietary programs, research, competency frameworks and existing high performing teams• Ensure curriculum is clinically-relevant and clinically- based (ie work determines the curriculum or case studies used)• Move on from pilot and demonstration programs 7
    8. 8. Program Model Right Start: Transition to Work in Health • Students in their last semester of study 1 • 5000 new clinical graduates a year • Building core skills & teamwork Right Start: Foundational Skills • New clinical graduates over first 2 years (10 000 phased) 2 • Builds on Transition to Work in Health (1), includes the use of Simulated Learning Environments Building High Performing Teams • Existing clinical teams 3 • 62 000 clinical staff • Network of facilitators, Settings Approach 8
    9. 9. Next Steps Right Start: Transition to Work in Health 1 • Students in their last semester of study • 5000 new clinical graduates a year • Building core skills & teamwork• Aims to better prepare new clinical graduates for work• Foundational + teamwork skills• Nine funded Expressions of Interest from tertiary providers in partnership with Local Health Districts• 300 final year clinical graduates have participated in these innovative pilots• Evaluation of programs in progress (quant and qual)• Showcase event planned for February 27, 2012• Successful modules will be enhanced & standardised 9
    10. 10. Next Steps Right Start: Foundational Skills • New clinical graduates over first 2 years (10 000 phased) 2 • Builds on Transition to Work in Health (1), includes the use of Simulated Learning Environments• Top ten Foundational Skills Module Topics identified through consultations and a review of literature• Common procedural, clinical and communication issues that may affect patient-centred care• Modules under development: Templates for participant and facilitator guides, assessment activities• Mapping of elements, competencies performance criteria to the Health Training Package (CS&H Industry Skills Council) 10
    11. 11. Proposed Foundational Topics for new ClinicalGraduates Foundational Topics for new Clinical Graduates1 Time Management2 *Knowing when and how to escalate for the deteriorating patient (Detect)3 Prioritising patient needs or tasks4 *Communicating clinical handover (JMO Handover)5 Communicating in medical records6 Expressing one’s opinion competently to colleagues7 Communicating with a challenging patient, family or peer8 Understanding the roles of other health professionals9 Breaking bad news10 Working with different cultures and demographics * Existing packages
    12. 12. Next Steps Right Start: Foundational Skills 2 • New clinical graduates over first 2 years, (10 000 phased) • Builds on Transition to Work in Health (1), includes the use of Simulated Learning Environments• Additional topics: – Ward Rounds – Medication safety 12
    13. 13. Next Steps Building High Performing Teams 3 • Existing clinical teams • 62 000 clinical staff • Network of facilitators, Settings Approach• Facilitated approaches with teams of staff to explore elements of team function & to generate and build on local improvement initiatives• Tender for Facilitator Training Packages that include: • Facilitation, Coaching, Program Management, Action Planning, Overviews of other comparable programs (EOC, Redesign) • Modules for teams include: Team Functioning, Collaborative Leadership, Role Clarification etc. and topics identified through consultation • Use of Simulated Learning Environments 13
    14. 14. Topics to enhance team-based,patient-centred care Proposed topics to enhance team-based, patient-centred care1 Understanding the roles of other health professionals2 Teamwork communication3 Team reflective practice and ways to facilitate4 Team purpose and values5 Engaging patients and their families to partner in decision-making6 Professionalism7 Collaborative decision making8 Team ethics, including confidentiality9 Knowing when and how to seek advice from other professionals10 Ongoing team learning
    15. 15. Next Steps Building High Performing Teams 3 • Existing clinical teams • 62 000 clinical staff • Network of facilitators, Settings ApproachFirst phase implementation: • Target 5 Metro & 4 Rural LHDs, 1 Speciality Network • Communication to CEs, trial sites assessed and identified (June) • Recruitment and Induction of 10 Facilitators (July @ HSM 2) • 3-day induction for Facilitators (Facilitator Training Package) (August) • 2-day training for Facilitators (Modules for Teams) (Late August)• Trialling of curriculum and approach (Sept – Nov)• Evaluation of curriculum, training package and facilitator network (Dec) 15
    16. 16. Feedback on the Plan• Clarification, Scope, Detail• Additional Foundational Skills topics (or sub-topics)• Identification of Subject Matter Experts (Foundational Skills) 16

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