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Team Health Right Start presentation 27 February 2012


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Presentation by Danielle Byers & Rob Wilkins at the Right Start Forum 27 February 2012

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Team Health Right Start presentation 27 February 2012

  1. 1. Forum aimsTo showcase and facilitate the dissemination of educationalresources generated from Team Health’s ‘Right Start’ initiativeTo facilitate networking between ‘Right Start’ projectcoordinators and forum participants, to foster futurecollaboration and development 1
  2. 2. Team HealthWhat we’ve learned so far… Where we want to go… Team Health Right Start Forum 27 February 2012 2
  3. 3. 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 3
  4. 4. 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) 4
  5. 5. 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 5
  6. 6. 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. 6
  7. 7. 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) 7
  8. 8. 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 8
  9. 9. 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 Foundations • 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 9
  10. 10. Progress so far 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• August 2011 CETI called for Expressions of Interest from tertiary providers in partnership with Local Health Districts• Nine projects were funded• Evaluation tools chosen - Work Self-Efficacy Inventory (Raelin, 2010) and the Interprofessional Socialization and Valuing Scale (King et al, 2010)• Over 300 final year clinical graduates took part during October 2011 – February 2012• Evaluation of projects in progress• Showcase event February 27, 2012• Build on successful Right Start projects 10
  11. 11. What does the data say?• Preliminary data analysis suggests: – overall ‘Right Start’ projects have made a difference – some projects have significantly improved students’ work self-efficacy i.e. participants are more confident – some projects have shown improvements in participants’ comfort, behaviour and attitude towards interprofessional collaboration• As we continue to add to the evidence-base for ICP, we will add power• Final analysis including, qualitative data analysis still to come 11
  12. 12. Where to from here? Foundations • 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 ‘Foundations’ 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) 12
  13. 13. Where to from here… Building High Performing Teams 3 • Existing clinical teams • 62 000 clinical staff • Network of facilitators, Settings ApproachFirst phase implementation: • Target LHDs and Speciality Networks • Identify trial sites and assess • Recruit and Induct of Team Health Facilitators • Develop Facilitator Training Package and High Performing Teams Modules • Trial curriculum • Evaluate curriculum, training package and facilitator network 13
  14. 14. Questions?Danielle Byers Rob WilkinsLearning & Teaching Learning & TeachingCoordinator Coordinator02 9844 6527 02 9844 14