Problem Gambling Forum: Meeting in the Middle
Presented by ABACUS Counselling Training & Supervision Ltd to the Problem Gambling National Provider Forum May 2012
Ellis Jones - Tri-State Conference 2013 - Communicating ReformEllis Jones
Leading Age Services Australia (LASA) – Victoria, NSW-ACT and South Australia hosted the 22nd Annual Tri-State Conference & Exhibition in Albury on Sunday 24 – Tuesday 26 February. The conference's theme was 'Aged care: Reform or Revolution?'.
Speakers were invited to explore areas of critical importance to the aged care industry such as the effects of the Federal Government’s 2012 Living Longer. Living Better aged care reform package, changes to the ACFI, the Workforce Compact, governance of the Australian Charities and Not-for-Profits Commission Taskforce and the results of the National Institute for Labour Studies (NILS) Census.
As principal of an agency with a specialised aged care marketing practice, Rhod Ellis-Jones was asked to speak on what marketers need to know post aged care reform and touched on:
- how aged care is set to change with reform - particularly consumer directed care (CDC) - and what that means for community engagement and marketing
- the expectations of Baby Boomers in terms of information, control over health planning and lifestyle
- research as an opportunity to engage with referrer networks
- strategies for market differentiation
- cost effective tactics to make community engagement the only marketing a provider needs
This is his presentation.
Public and patient information, advice and advocacyCharityComms
Giles Wilmore, NHS Commissioning Board
Changing the game: positioning your charity to succeed in the new health service market conference
www.charitycomms.org.uk/events
This was the final deliverable for my B2B class. I was responsible for slides 9~13, along with the appendix which I felt would answer questions about where our pricing equation was being rooted from. Unfortunately, I have not personally followed-up on the implementation of our team\'s recommendations.
Problem Gambling Forum: Meeting in the Middle
Presented by ABACUS Counselling Training & Supervision Ltd to the Problem Gambling National Provider Forum May 2012
Ellis Jones - Tri-State Conference 2013 - Communicating ReformEllis Jones
Leading Age Services Australia (LASA) – Victoria, NSW-ACT and South Australia hosted the 22nd Annual Tri-State Conference & Exhibition in Albury on Sunday 24 – Tuesday 26 February. The conference's theme was 'Aged care: Reform or Revolution?'.
Speakers were invited to explore areas of critical importance to the aged care industry such as the effects of the Federal Government’s 2012 Living Longer. Living Better aged care reform package, changes to the ACFI, the Workforce Compact, governance of the Australian Charities and Not-for-Profits Commission Taskforce and the results of the National Institute for Labour Studies (NILS) Census.
As principal of an agency with a specialised aged care marketing practice, Rhod Ellis-Jones was asked to speak on what marketers need to know post aged care reform and touched on:
- how aged care is set to change with reform - particularly consumer directed care (CDC) - and what that means for community engagement and marketing
- the expectations of Baby Boomers in terms of information, control over health planning and lifestyle
- research as an opportunity to engage with referrer networks
- strategies for market differentiation
- cost effective tactics to make community engagement the only marketing a provider needs
This is his presentation.
Public and patient information, advice and advocacyCharityComms
Giles Wilmore, NHS Commissioning Board
Changing the game: positioning your charity to succeed in the new health service market conference
www.charitycomms.org.uk/events
This was the final deliverable for my B2B class. I was responsible for slides 9~13, along with the appendix which I felt would answer questions about where our pricing equation was being rooted from. Unfortunately, I have not personally followed-up on the implementation of our team\'s recommendations.
John Isitt, Resonant Media
Changing the game: positioning your charity to succeed in the new health service market conference
www.charitycomms.org.uk/events
Empowering and enabling charities to become trusted partners in the commissio...CharityComms
Charlie Peel, Neurological Commissioning Support
Changing the game: positioning your charity to succeed in the new health service market conference
www.charitycomms.org.uk/events
This training was presented to the Clinical Psychology Internships at the Walter Reed National Military Medical Center on the use of technology to address deployment related psychological health issues.
John Isitt, Resonant Media
Changing the game: positioning your charity to succeed in the new health service market conference
www.charitycomms.org.uk/events
Empowering and enabling charities to become trusted partners in the commissio...CharityComms
Charlie Peel, Neurological Commissioning Support
Changing the game: positioning your charity to succeed in the new health service market conference
www.charitycomms.org.uk/events
This training was presented to the Clinical Psychology Internships at the Walter Reed National Military Medical Center on the use of technology to address deployment related psychological health issues.
Preventing Childhood Obesity though Parent-Provider Communication: A Social M...Kristina Ticknor
My thesis project at George Mason University on how childhood obesity can be prevented or reduced through parent-provider communication using a social marketing approach.
Overview:
Why is the integration of family planning (FP) and HIV/AIDS services important and how does it relate to the right to health?
What models of service integration are currently being implemented in Kenya?
What are the successes, outcomes and lessons learned from clients and providers in Kenya?
What can you do to advocate for the integration of FP and HIV/AIDS services and halt the feminization of AIDS?
Disclaimer: While this presentation focuses specifically on the integration of family planning services and HIV/AIDS testing and counseling services, it is important to note that this is just one example that falls within a more comprehensive approach to service integration. To address the AIDS epidemic, health systems must integrate HIV/AIDS services for prevention, care and treatment with non-HIV services such as primary care, maternal and child health, and reproductive health services, including family planning. Additionally, HIV/AIDS services should be connected to social and community-based services that address underlying determinants for health such as poverty, unemployment and legal inequalities.
My Blue Community is a national health and wellness community for Blue Cross Blue Shield members - healthcare meets Facebook type social networking site.
This presentation was for the 9th World Health Care Congress in Washington DC, April 16 -18, 2012.
Similar to Elizabeth Harnett - Acheiving Patient & Family Centred Care through Consumer Participation (20)
A presentation given by David Fitzsimons in the 'Delivering Safety & Quality: The Health Reform Agenda stream at the CHA Conference 2012, The Journey, in October.
Presented by Mr David Fitzsimons, Clinical Specialist Speech Pathologist from the Children's Hospital at Westmead, at the CHA Conference on 24 October 2012
A presentation given by Gabrielle Murphy at The Journey, CHA Conference 2012, in the 'Innovations in Mental Health Care for Children and Young People' stream.
A presentation given by Nick Kowalenko at The Journey, CHA Conference 2012, in the 'Innovations in Mental Health Care for Children and Young People' stream.
A presentation given by Prof. Phil Robinson at The Journey, CHA Conference 2012, in the 'Innovations in Mental Health Care for Children and Young People' stream.
A presentation given by Jacques Esterhuizen at The Journey, CHA Conference 2012, in the 'Innovations in mental Health Care for Children & Young People'
A presentation given by Susan Jury & Andrew Kornberg at The Journey, CHA Conference 2012, in the 'Enhancing Outcomes Through Innovations in Technologies' stream.
A presentation given by Cheryl McCullough at The Journey, CHA conference for 2012, in the 'Enhancing Outcomes Through Innovations in Technologies' stream.
A presentation given by Sonya Preston at The Journey, CHA Conference 2012, in the 'Delivering Safety & Quality: Innovations in Clinical Governance' stream.
A presentation given by Elizabeth Harnett at the CHA Conference 2012, The Journey, in the 'Delivering Safety & Quality: Innovations in Clinical Governance' stream.
A presentation given by Sue Peter at the 2012 CHA Conference, The Journey, in the 'Delivering Safety & Quality: Innovations in Clinical Governance' stream
A presentation given by Rachael Worthington at the 2012 CHA Conference, The Journey, in the 'Innovations in Supporting Acutely Unwell Children, Young People & Their Families' stream.
A presentation given by margaret Allwood at teh 2012 CHA Conference, The journey, in the 'Innovations in Supporting Acutely Unwell Children, Young People & Their Families' stream.
A presentation given by Sharon Payne at the 2012 CHA Conference, The Journey, in the 'Innovation in Supporting Acutely Unwell Children, Young People and Their Fmailies' stream.
A presentation by Melissa Fox at the CHA Conference 2012, The Journey, in the 'Innovations in Supporting Acutely Unwell Children, Young People & Their Families' stream.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Are There Any Natural Remedies To Treat Syphilis.pdf
Elizabeth Harnett - Acheiving Patient & Family Centred Care through Consumer Participation
1.
2. Family-Centred Care at The Children’s
Hospital at Westmead
http://youtu.be/rxiswGvZxZQ
Video – made by the Family Advisory Council on
PFCC
3. Why involve consumers?
Consumers have a unique viewpoint of the
service that providers don’t have
They are also experts in their lives
If we want a service that will meet their
needs, we have to know what those needs
are
We all have a right to be involved in
decisions about things that could affect us
4. Benefits of Consumer
Participation
We can learn about how consumers experience the services we
provide
Allows us to identify gaps in existing services
Provides an opportunity for joint problem solving in areas of common
concern
We’re more likely to get it right if we involve consumers
It’s likely to lead to fewer complaints
Can engender consumer support for the organisation and its services
Allows us to prioritise our improvement efforts
Gives consumers a greater sense of 'ownership' over services and over
their health
5. The Consumer Participation Spectrum
• To convey information
• Poster, leaflet, website, advertisements
Increasing level of consumer input
Inform
• To seek feedback which may be incorporated
Consult • Surveys, focus groups, public forums
• To work in partnership with consumers
Collaborate • Working groups, advisory councils, committees
• Consumers are given decision-making power
Empower • Consumer-run councils, citizen juries
6. Our Consumer Participation &
Partnerships Program - 2008
Information for patients & families
Information for staff
Rights & Consultation with patients & families Family Advisory Consumer
Responsibi- Staff training on involving consumers Council participation
lities: Adults conference
Working in partnership with consumers
Empowering families
Ward Rights & Suggestion Community reps Community
information Responsibiliti box on Public reps on
sheets es: Adults feedback Accountability Health Care
Committee Quality
Committee
Handbook Consumer Fact sheets NSW Health Quality Involving Rehab & Brain Grace (NICU)
for Families participa-tion Patient Improve- children & Injury Parent Parent
guidelines Survey ment families in Advisory Council Advisory
Surveys improve- Council
ment
The Consumer Participation Spectrum
INFORM CONSULT COLLABORATE EMPOWER
Increasing level of consumer input
7. Consumer Participation & Partnerships
Activity - 2008
4.1% of improvement activities involved consumers
The Family Advisory Council was consulted three
times
15 consumers on hospital committees
We had huge amounts of feedback from patients and
families
8. Boosting consumer participation
New workshops for staff eg focus groups, surveys, family-
centred care
New fact sheets eg focus groups, surveys
New Consumer Participation Policy and Guidelines
11. The Family Advisory
Council & Patient &
Family-Centred Care
Also contains info about other CHW
consumer advisory councils
www.chw.edu.au/parents/fac/
14. Families Online
A different model of engagement
We wanted broader involvement of families
Wider community representation
Wanted a forum that was going to be more accessible for
busy families and those who live outside the Sydney metro
area
Families Online, an email advisory panel, was born
More than 30% of current members live in rural or
regional NSW
15. Families Online
How does it work?
Sign up through the CHW website
Email added to secure and confidential database
Maximum of two emails a month sent seeking feedback or
invitation to complete survey
Requests for consultation come from staff all around the
Hospital
16. What has been the impact?
In 2011:
15% of improvement activities involved consumers
The FAC was consulted 18 times (23 times in 2010)
70 consumers were on hospital committees
17. The Consumer Participation and Partnerships Program at
The Children’s Hospital at Westmead
In 2008
Rights &
Responsibilities:
Adults
Consumer
Participation
Guidelines
Carers at Kids DAM (Adolescent CHW Quality Community reps on
Newsletter Medicine) Publication Improvement Health Care Quality
Surveys Committee
Ward Information Grace (NICU) PFCC talk at nurses’ Involving Children and Rehab Parent Grace (NICU)
Sheets Newsletter orientation their Families in Advisory Council Parent Advisory
Improvement Council
Workshop
Handbook for The Chemo NSW Health Patient Suggestion Box Community reps on Family Advisory Families educating Consumer
Families Chronicle (Oncology Survey Feedback Public Accountability Council gen med doctors Participation
Publication) Committee Conference
INFORM CONSULT COLLABORATE EMPOWER
The Consumer Participation Spectrum Increasing level of consumer input
18. The Consumer Participation and Partnerships Program at
The Children’s Hospital at Westmead
By 2012
The Experiences Of
Young People in a In 2008
Paediatric Hospital
video
A Day in the Life of Fact Sheets for staff Incident and PFCC training –
a Family Advisory on working with complaints data & consumer
Council video consumers consumer feedback involvement
analysed by FAC
Rights & Rights & PFCC training for How to Run a Focus Oncology Parent FAC & YAC
Responsibilities: Responsibilities: staff Group - Staff Advisory Council presentations at
Adults Adults, Young Workshop International,
People, Children National & State
conferences
Consumer Consumer Family Centred How to Conduct a Families Online, an Families educating
Participation Participation Policy Care Orientation Survey - Staff online advisory panel gen med registrars
Guidelines Video Workshop & fellows
Carers at Kids DAM (Adolescent CHW Quality Adolescent Satisfaction Youth Advisory Community reps on
Newsletter Medicine) Publication Improvement Survey Council Health Care Quality
Surveys Committee
Ward Information Grace (NICU) PFCC talk at nurses’ Involving Children and Rehab Parent Grace (NICU) Consumer Training
Sheets Newsletter orientation their Families in Advisory Council Parent Advisory
Improvement Council
Workshop
Handbook for The Chemo NSW Health Patient Suggestion Box Community reps on Family Advisory Families educating Consumer
Families Chronicle (Oncology Survey Feedback Public Accountability Council gen med doctors Participation
Publication) Committee Conference
INFORM CONSULT COLLABORATE EMPOWER
The Consumer Participation Spectrum Increasing level of consumer input
19. The needs of young people at The
Children’s Hospital at Westmead
Video – made by the Youth Advisory Council
http://www.youtube.com/watch?v=qCN303QIDrs
&feature=youtube_gdata_player
Good morning my name is Elizabeth Harnett and I am the Head of the Clinical Governance Unit at the CHW in Sydney Australia and I am so pleased to be here and speaking with you this afternoon about how we have achieved PFCC through our CP Program.
As I said none of my consumer advisors could be here so here is some of their stories and some background to our CP & PFCC program at CHWA Day in the Life of a Family Advisory Councilhttp://www.youtube.com/watch?v=0qsRn7K8S1A(skip forward to 4:15)
I know with this audience I don't really need to go over this but as the amazing families who I have the privilege of working with have so eloquently already said on the DVD- Consumers have a unique viewpoint of the service that providers don’t have- They are also experts in their & their children's lives- If we want a service that will meet their needs, we have to know what those needs are- We all have a right to be involved in decisions about things that could affect usIt makes so much sense it is hard to understand why this is still so difficult to achieve systemically across the board at every level in every situation.
- We can learn about how consumers experience the services we provide - Allows us to identify gaps in existing services- Provides an opportunity for joint problem solving in areas of common concern- We’re more likely to get it right if we involve consumers- It’s likely to lead to fewer complaints- Can engender consumer support for the organisation and its services- Allows us to prioritise our improvement efforts- Gives consumers a greater sense of 'ownership' over services and over their health
There are many spectrums on which you can base a discussion of increasing consumer participation leading to PFCC and this is the one which we have chosen based on the International Association of Public Participation IAP2 – it has been useful for us to use a framework to measure our progress and to analyse where the gaps were in trying to achieve systemic PFCC.
So three years ago we had achieved much as you can see from this table of elements, we had a FAC, several PAG’s groups as well as a few community reps in high level committees, and had a few examples of where we were working in close collaboration with families and had a consumer participation conference which was gave CP reps a chance to really contribute at the highest level of the organisation – but while we had pockets of excellence (and were judged very well against our peers and colleagues in the rest of healthcare) we did not have a systematic approach and had way too much activity in the consult spectrum
Just a few facts about where we were at 3 years ago- 4.1% of all improvement activities involved consumers -The Family Advisory Council was consulted only three times that year regarding high level strategic issues- 15 consumers were on hospital committees - We had huge amounts of feedback from patients and families about what we were doing well and what needed to improve but we were not really utilising this information well as we could and it was a bit of a one way flow of information.We decided that we really needed to do better and needed to take a systematic approach – we used much of the IPFCC as inspiration & resources to guide the journey and tried to dedicate some more human resources to the endeavour.
With a full time consumer participation coordinator on board in 2008, we set out to expand the program (this was achieved by reallocating a half time medical clinical risk manager position which means I had to take on more of this work to gain a focus on FCCC and this was a lesson that every organisation needs to learn is that this requires a focus and a dedication of human resources – not alot but you must have a little.SO what did we doWe looked at education – the courses we were running, new fact sheets on a range of issues – one of our most popular is on surveys is one of the most accessed fact sheetsThe updated policy and new guidelines helped further embed the practice of consumer participation and the culture of family-centred careNew consumer advisory councils give staff and consumers more ways of working together.Training for consumers was provided in 2010, which included representatives from all the Hospital’s consumer councils, other than the Youth Advisory Council (YAC). This was done at the suggestion of FAC members in the 2009 annual evaluation.
New consumer advisory councils gave staff and consumers more ways of working together – higher on the spectrum – collaborating and moving more into empowerment. With the increased focus on staff education on PFCC and in how to work with consumers we have seen a dramatic increase in the collaboration work of FAC, PAG’s and the amount that their advice has been sought.Very importantly we realised that our focus for too long had been on children and families but most of our consultation and collaboration was with parents and the voice of young people were not being effectively heard or utilsed to make the system better and improve their experiences of care – to discuss how we have rectified this is another talk and is on tomorrow but briefly we established a YAC and from the outset this was a partnership with young people with a high degree of collaboration and at times empowerment and I plan to show you a little snippet of their work later in this talk.
Training for consumers was provided in 2010, which included representatives from all the Hospital’s consumer councils, other than the Youth Advisory Council (YAC). This was done at the suggestion of FAC members was part of the feedback obtained in the 2009 annual evaluation of the FAC (now all our CAC’s have an annual evaluation and annual plan to keep us on track and keep the groups as well as the whole system continuously improving)This training very much focussed on participants gaining advocacy skills and strategies to help them with the work of systemically improving PFCC across the system.We had in 2011 a CP conference which was very well attended and included some high level speakers from the State and then locally about the PFCC work happening in the hospital, network and across the state and country.
I ‘d now like to spend a bit of time talking about an exciting initiative, which is our first “virtual CAC” Why did we want to do this - We wanted broader involvement of families- Wider community representation- Wanted a forum that was going to be more accessible for busy families and those who live outside the Sydney metro area- Families Online, an email advisory panel, was born- More than 30% of current members live in rural or regional NSW
- Sign up through the CHW website- Email added to secure and confidential database- Maximum of two emails a month sent seeking feedback or invitation to complete survey- Requests for consultation come from staff all around the Hospital
Improvement activities involving consumers up from 4.1% in 2008 to 15% in 2011FAC consultation – only 3 times in 2008, 23 times in 2010 as there was a lot of activity at the hospital and 18 times in 2011Consumers on committees, only 15 in 2008 now 70 and our online group is growing much more quickly that the other groups which is interesting
One of our biggest achievements alongside Families Online in this time was the establishment of the YAC in 2010 – which gave us an opportunity to hear from and partner with YP – who we had really not been doing a great job of listening to before this. I would just like to finish up now with a great DVD which the YAC made on working with YP and involving them in decision making about their care (an area which requires major improvement at the Hospital)Video – made by the Youth Advisory Council – I’m just going to show you a couple of minuteshttp://www.youtube.com/watch?v=qCN303QIDrs&feature=youtube_gdata_player(skip forward to 3 minutes)