This document discusses the Mappa project, which is an initiative by the Aboriginal Health Council of Western Australia (AHCWA) to create an online platform that maps out health services available in rural and remote Western Australia. Mappa aims to improve the patient journey, reduce missed appointments, and increase efficiency and safety for both patients and clinicians by consolidating information about visiting health services. Next steps include refining Mappa based on user feedback, enabling data owners to upload information, and expanding across Australia.
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The Hertfordshire Assembly (the multi agency partnership for Hertfordshire) will receive this presentation on 13th February 2018
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Finding and engaging new members is critical to the
success of Rotary. As our communities change, we need to
change with them. Recent university graduates and young
professionals represent a vast resource for new members
in developing communities. Join a panel of Rotary leaders
from Egypt, Greece, Kosovo, and Bangladesh to learn how
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leaders in their regions.
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NACCHO 2018 National Conference – MAPPA
1. NACCHO Members’
Conference and Annual
General Meeting 2018
Aboriginal health in Aboriginal hands | www.naccho.org.au
Stay connected, engaged and informed with NACCHO www.naccho.org.au/connect
‘Investing in What Works:
Aboriginal Community Controlled Health’
2. Aboriginal health in Aboriginal hands | www.naccho.org.au
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The content of this presentation is copyright. Apart from any use permitted under the
Copyright Act 1968, no part may be reproduced by any process, nor may any other
exclusive right be exercised, without the permission of the Aboriginal Health Council of
Western Australia, 450 Beaufort Street, Highgate, WA 6003.
®
3. Aboriginal health in Aboriginal hands | www.naccho.org.au
Stay connected, engaged and informed with NACCHO www.naccho.org.au/connect
The Aboriginal Health Council of Western Australia
(AHCWA) acknowledges the Aboriginal people of the
many traditional lands and language groups of
Australia.
AHCWA acknowledges the wisdom of Aboriginal
elders and leaders, both past and present, and pays
respect to Aboriginal communities of today.
AHCWA acknowledges the Aboriginal people of the
future, our young Aboriginal people, the carriers of
culture, of memories, of traditions, and of hopes and
aspirations.
®
4. Aboriginal health in Aboriginal hands | www.naccho.org.au
Stay connected, engaged and informed with NACCHO www.naccho.org.au/connect
Mappa Overview
AHCWA, its Member Services (ACCHSs) identified a lack of clarity (at all levels) to
do with the types of health services available in rural and remote WA.
There is currently no one single way of finding out what services are out in the
regions without relying on word of mouth, time-consuming proactive research, or
years of experience.
This is where Mappa will help.
• Bringing information and knowledge from all over Health together into place
• Showing people in the regions where services are, and when they are going to
be there
• Bringing information together, streamlining the ‘Patient Journey’
5. Aboriginal health in Aboriginal hands | www.naccho.org.au
Stay connected, engaged and informed with NACCHO www.naccho.org.au/connect
Original artwork by Ronda Clarke
The roots
Symbolises clients, Patients, AHWs,
AHLOs, Community, Country and
home. Without all of these people, the
tree does not grow.
The gum nuts
Represent our committee members. Without
communication and consultation between the
roots, the trunk and the gum nuts, the leaves
and the branches begin to die, which leaves
the trunk and the roots. This then means no
communication, no connection; programs do
not succeed, and the best health outcomes
for the clients and patients are lost.
The Branches and leaves
Depicts the growth of the programs,
communication and consultation
process. New connections join and
disappear over time.
The trunk
Represents AHCWA, listening, seeing,
advocating and communicating on behalf
of the ACCHSs, communities and their
people to the wider audiences at a local,
state and commonwealth level. The trunk is
the link holding everything and everyone
together.
®
6.
7. Aboriginal health in Aboriginal hands | www.naccho.org.au
Stay connected, engaged and informed with NACCHO www.naccho.org.au/connect
Why do we need Mappa?
Help with the client/patient journey
Reduce rates of Did Not Attends (DNAs)
Efficiency and safety of clinicians and clients/patients
®
8. Aboriginal health in Aboriginal hands | www.naccho.org.au
Stay connected, engaged and informed with NACCHO www.naccho.org.au/connect
Client / Patient journey & Did Not Attend (DNA) rates
What are the problems?
Avoidable travel for health care
Time away from home, family and country causing mental and
physical strain
Road blocks in the patient journey
Cultural awareness
®
9. Aboriginal health in Aboriginal hands | www.naccho.org.au
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Efficient and safe discharge from hospitals
Cultural awareness
Geographical / Environmental awareness
Clinician perspective
What are the problems?
®
10. Aboriginal health in Aboriginal hands | www.naccho.org.au
Stay connected, engaged and informed with NACCHO www.naccho.org.au/connect
How can Mappa make positive change?
Mappa combines many different sources of public
information that already exists from a wide range of
sources and organisations.
Mappa brings this information together for the benefit
of improving the patient journey.
®
11. Aboriginal health in Aboriginal hands | www.naccho.org.au
Stay connected, engaged and informed with NACCHO www.naccho.org.au/connect
• Improve functionality of Mappa based on feedback from the controlled live
trial;
• Create access for data owners / custodians to upload visiting schedules and
cultural information;
• Develop a road map for expansion across WA, Australia and internationally,
(WA to be rolled out before we progressing)
• Three year funding proposal currently with Commonwealth
Where to from here?
®
12. Aboriginal health in Aboriginal hands | www.naccho.org.au
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mappa@ahcwa.org
AHCWA and the Mappa team would like to give special thanks to:
The WA Department of Health, the Mappa Steering Committee, our Aboriginal
Community Controlled Health Services, Royal Perth Hospital, the WA Country Health
Service, Rural Health West and all the other health service providers that have supplied
information and support to the project so far.
And NACCHO for having given us this great opportunity to present to you all today.
Thank you.
®
Editor's Notes
Opening slide
Vicki
Introductions
Vicki
Acknowledgement
Vicki
So how did Mappa come about?
AHCWA and its Member Services (ACCHSs) and their communities identified a lack of clarity at all levels about the types of health services available in rural and remote WA.
A mapping and gapping exercise was undertaken to better-understand the complexities across the health sector, to find out what the issues were, and what can be done to help.
It was recognised that there is a lack of clarity, at all levels (clinical, admin etc.), about the type of services available through out rural and remote WA. There is no single way or data base of knowing what services are out in rural and remote WA, without relying on word of mouth, time-consuming proactive research, and years of experience.
There are people and groups in rural and remote areas that don’t know what services are being provided in their own community, when specialists or other health providers are visiting their communities or region.
This can sometimes force people to travel huge distances to receive health care.
For those of you that don’t know about Mappa. Mappa is an online mapping platform that displays health services throughout rural and remote WA. Its main goal is to help our rural and remote communities to better-access health services in their communities and regions, also to assist with the patient journey between mainstream health and back to our Aboriginal Community Controlled Health Services.
This is done by displaying the locations, opening hours, and contact details of permanent & visiting specialists, outreach clinics and other health related services, helping local people have better-access to local health services, and also helping clinicians better-coordinate the patient journey.
At the end of the day, Mappa is a communication tool.
Ronda
As we just saw in the animation, Mappa works to promote access to health services closer to home, with family, and on country. So when the AHLO
By mapping and gapping throughout the WA health system, many issues were noted that impacted the closure of health gaps.
There were issues with:
The client/patient journey & knowing what services are out there for which areas;
The high ‘Did Not Attend’ rates among Aboriginal and Torres Strait Islander clients and patients, when we know there is a lot more to people ‘not showing up’ showing up for appointments;
Identifying Issues while balancing the needs of the clinicians with the needs of our patients;
Let’s explore some of these issues…
-next slide-
Ronda
It is well known that there are many issues throughout the patient journey:
(DEFINITION) The Patient Journey is defined as a sequence of care events which a client/patient follows from the trigger of illness, or need of care, through to their being discharged, or returning home.
Avoidable travel – In WA we are lucky enough to have visiting specialists travelling, and outreach health services that go to, or near many of our remote communities – but there is currently no ONE PLACE to find out what these schedules or services are.
People who live or work in the communities might know about some of these services, but what about the other people? What about the clinicians in the regional centres, or in major cities who need to refer their patients back to the big cities and towns, because they don’t know what services are out in the regions or what services that are closer to home for the clients and patients.
Time spent away from home – Because people are being sent all over WA for health care, people are spending a lot of time away from home, and away from family. We know that the road to recovery is very bumpy when we’re away from home, and without our family as a support network.
Mental and physical strain – It is no secret that being away from these support networks (family, culture, home and country) while unwell, can cause mental and sometimes physical strain, depending on what the condition is… We’ll show you how Mappa can help with that.
Road blocks on the patient journey - Like we saw in the animation, we’ve got people driving tens of hours to get to their appointments. PJ was lucky enough to get picked up by some people heading into town, when his car broke down. But not everyone is that lucky. If that first leg of the journey is unsuccessful, that means you miss all of the busses and flights that are booked to make the journey flow, so you can get to your appointment. Which brings us to the DNAs, or the ‘Did Not Attend’ rates. We’ve been told countless times that in Perth, there are major hospitals whose outpatient appointment ‘Did Not Attend’ rates for Aboriginal patients has never decreased, it’s only ever gone up.
That might be because when something goes wrong on that 10 hour drive on an unsealed road to the nearest bus station, there’s not a lot that can be done. And when a community is closed for cultural ceremony and there’s no way to get in or out, we’ll show you how Mappa can help with these issues.
-next slide-
Ronda
We also know that clinicians have their own set of issues and concerns they must overcome, and their own protocols and processes that must be followed.
Faster discharge – We’ve been told by major hospitals that there is constantly a top priority to increasing the efficiency and safety of discharge (particularly for Aboriginal patients who come from rural and remote regions).
Currently, if someone was being discharged, and the discharge staff were trying to organise follow-up care for where their client/patient is from, that clinician might need to make 3, 4 or 5 different phone calls to see what kind of services are out there, run to the other side of the hospital to talk to a senior staff member with more experience, and then that senior staff member would have to forage through some draws and some maps to answer the question.
After all that, there might be no clear answer, so that person gets referred back to the city (which may be 20+ hours away) for a follow-up appointment in two weeks. Depending on how the first journey went, that person might be very reluctant to return…
Cultural & Geographical awareness – Many clinicians are simply unaware of where their rural / remote patients come from. For example, like we saw in the animation, PJ was from Balgo.
We’ve heard of clinicians confusing Balgo with Balga (a suburb north of Perth) – that one letter is the difference between 11 kilometres, and 3,000 kilometres, a 15 minute drive, and a 40 hour drive.
We’ll show you how Mappa can help with that…
Lachlan
Through Mappa, we are breaking down siloes to bring together information for the benefit of clients, patients and health professionals everywhere.
Mappa includes information that is implied and understood but sometimes is not always formally written down. Information like, alternate names for communities and towns, languages that are spoken in particular areas, and we’re even looking to include details like which pharmacy works with which health service, community event information, cultural events and that sort of thing.
But enough talking, let’s have a look at the website.
MAPPA DEMO HERE:
https://mappa.org.au/
https://mappa.gispro.com.au/
DEMO LAYOUT
Three letter search (Balgo)
Wirrimanu
Place Tab – cultural awareness, geographical awareness (knowing where people are coming from), things that effect the patient journey
Health Tab – distances (avoidable travel), health care closer to home, contact details for the discharge staff
Travel tab – geographical awareness, place to place travel, sometimes the closest place as the crow flies, isn’t always the easiest to access
Vicki
Right now, we in testing with a few key players across the northern half of Western Australia, and with 7 teams at Royal Perth Hospital (a major public hospital in the Perth CBD). We are asking nearly 120 test users to put the website to the test, to exploit and expose any issues or problems with the interface, and feedback on the way the website looks and works.
For Mappa to reach full potential, one of the most important parts of it working is to ensure that data custodians (those organisations who run and plan visiting and outreach service schedules) are able to control the information that is displayed. So one of the next big jobs for us, is to create fail-proof ways for these groups to upload information into Mappa.
Mappa looks to help reduce the impact of many different issues across the health sector, but some of these issues are relevant across the nation. So if funding will allow, we’d like to take Mappa across Australia, and even overseas, to help all people better-access health care in the right place, at the right time. Having said that we will be ensuring that WA has been rolled out before we progress further.
We have submitted a 3 year proposal to the Commonwealth – we have been asked to do some work around the platform that MAPPA operates from – this is about are there other platforms that are currently funded by the Commonwealth that we could back onto that would some $ spent that could be better used to further develop the system.
