Change Champions & Associates February 2016 Newsletter sharing innovations in health care from around Australia and NZ
12 pages of the latest innovation news
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Info about Change Champions forthcoming events with more details at http://www.changechampions.com.au.
A definition of the term “smart hospitals” may thus be: “A smart hospital is a hospital that relies on optimised and automated processes built on an ICT environment of interconnected assets, particularly based on Internet of things (IoT), to improve existing patient care procedures and introduce new capabilities”.
Patient Safety in Indian Ambulatory Care settings By.Dr.Mahboob ali khan PhdHealthcare consultant
Despite the fact that the vast majority of health care takes place in the outpatient, or ambulatory care, setting, efforts to improve safety have mostly focused on the inpatient setting. However, a body of research dedicated to patient safety in ambulatory care has emerged over the past few years. These efforts have identified and characterized factors that influence safety in office practice, the types of errors commonly encountered in ambulatory care, and potential strategies for improving ambulatory safety.
ABSTRACT- There are various diseases which are preventable and one of high priority amongst them is the blindness.
Owing to insufficient ophthalmological healthcare facilities in the peripheral setup, the concept of camp surgery came into
existence for the developing nations so that maximum cases could be treated at a single sitting within a nominal
expenditure. Unfortunately if something goes wrong during mass surgery many people have to pay the price for it in terms
of permanent loss of vision. Hence it is of utmost importance that when so many people are getting operated for a
particular operation, there should not be any compromise in quality of care and standards of delivery of health services.
Key words- Cataract, Blindness, NPCB, Sterilization
A definition of the term “smart hospitals” may thus be: “A smart hospital is a hospital that relies on optimised and automated processes built on an ICT environment of interconnected assets, particularly based on Internet of things (IoT), to improve existing patient care procedures and introduce new capabilities”.
Patient Safety in Indian Ambulatory Care settings By.Dr.Mahboob ali khan PhdHealthcare consultant
Despite the fact that the vast majority of health care takes place in the outpatient, or ambulatory care, setting, efforts to improve safety have mostly focused on the inpatient setting. However, a body of research dedicated to patient safety in ambulatory care has emerged over the past few years. These efforts have identified and characterized factors that influence safety in office practice, the types of errors commonly encountered in ambulatory care, and potential strategies for improving ambulatory safety.
ABSTRACT- There are various diseases which are preventable and one of high priority amongst them is the blindness.
Owing to insufficient ophthalmological healthcare facilities in the peripheral setup, the concept of camp surgery came into
existence for the developing nations so that maximum cases could be treated at a single sitting within a nominal
expenditure. Unfortunately if something goes wrong during mass surgery many people have to pay the price for it in terms
of permanent loss of vision. Hence it is of utmost importance that when so many people are getting operated for a
particular operation, there should not be any compromise in quality of care and standards of delivery of health services.
Key words- Cataract, Blindness, NPCB, Sterilization
Check out the very latest on innovations projects from Australia and around the world....and then there are our bespoke soft skills workshops designed to support managers in VUCA workplaces
Sunway Medical Centre Installs CARESTREAM Vue PACS to Streamline Imaging Proc...Carestream
Sunway Medical Centre in Malaysia replaced its legacy solution with a CARESTREAM Vue PACS to gain new innovative features and functionality. The radiology department is using Vue PACS to help provide better patient care,
enhance clinical accuracy, and improve productivity.
We are all engaged in a hospital-wide a system of
patient flow or patient care. We are each part of the
whole. The emergency department is connected
to the ICU. The ICU is connected to the OR. The
discharge and discharge processes are connected
to our admission capabilities and capacity. It’s
like the “Dry Bones” song you learned as a child,
“The foot bone’s connected to the leg bone, the
leg bone’s connected to the knee bone, the knee
bone’s connected to the thigh bone” and so forth.
Overall flow, or “the system,” can only be improved
by applying several key strategic concepts to these
disparate but equal parts.
Presentation delivered by Steve Neorr, Chief Administrative Officer, Triad HealthCare Network at the marcus evans National Healthcare CXO Summit 2018 in Orlando FL
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Presentation by Rabindra Basnet on the basis of survey reports and other secondary method of available virtual realities evidences in modern healthcare system.
Yuri Quintana of BIDMC - November 11th Health Innovators Presentationmlkrgr
This is Yuri Quintana's presentation from November 11th's Health Innovators event "Leveraging Innovation to Improve Medication Adherence".
Please see more information about Health Innovators at http://www.healthinno.org.
Please visit http://www.bidmc.org/ to see more information about BIDMC
We've produced an annual report for the West of England Academic Health Science Network to showcase how the organisation is helping to enhance healthcare delivery.
7 Reasons Your Company Should Use A Digital Healthcare Solution.pptxMocDoc
Digital Healthcare Solution is one of the latest growing technology used by Healthcare Industries. So Here are the reasons why your company should use a Digital Healthcare
Check out the very latest on innovations projects from Australia and around the world....and then there are our bespoke soft skills workshops designed to support managers in VUCA workplaces
Sunway Medical Centre Installs CARESTREAM Vue PACS to Streamline Imaging Proc...Carestream
Sunway Medical Centre in Malaysia replaced its legacy solution with a CARESTREAM Vue PACS to gain new innovative features and functionality. The radiology department is using Vue PACS to help provide better patient care,
enhance clinical accuracy, and improve productivity.
We are all engaged in a hospital-wide a system of
patient flow or patient care. We are each part of the
whole. The emergency department is connected
to the ICU. The ICU is connected to the OR. The
discharge and discharge processes are connected
to our admission capabilities and capacity. It’s
like the “Dry Bones” song you learned as a child,
“The foot bone’s connected to the leg bone, the
leg bone’s connected to the knee bone, the knee
bone’s connected to the thigh bone” and so forth.
Overall flow, or “the system,” can only be improved
by applying several key strategic concepts to these
disparate but equal parts.
Presentation delivered by Steve Neorr, Chief Administrative Officer, Triad HealthCare Network at the marcus evans National Healthcare CXO Summit 2018 in Orlando FL
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Presentation by Rabindra Basnet on the basis of survey reports and other secondary method of available virtual realities evidences in modern healthcare system.
Yuri Quintana of BIDMC - November 11th Health Innovators Presentationmlkrgr
This is Yuri Quintana's presentation from November 11th's Health Innovators event "Leveraging Innovation to Improve Medication Adherence".
Please see more information about Health Innovators at http://www.healthinno.org.
Please visit http://www.bidmc.org/ to see more information about BIDMC
We've produced an annual report for the West of England Academic Health Science Network to showcase how the organisation is helping to enhance healthcare delivery.
7 Reasons Your Company Should Use A Digital Healthcare Solution.pptxMocDoc
Digital Healthcare Solution is one of the latest growing technology used by Healthcare Industries. So Here are the reasons why your company should use a Digital Healthcare
2Running Head Nursing Informatics on Patient Outcomes 2Nurs.docxlorainedeserre
2
Running Head: Nursing Informatics on Patient Outcomes
2
Nursing Informatics on Patient Outcomes
The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
Nicole L Rosser
Walden University
NURS 6051
June 16, 2019
The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
According to Agha (2014) “Information technology has been linked to productivity growth in a wide variety of sectors, and health information technology (HIT) is a leading example of an innovation with the potential to transform industry-wide productivity.” Due to evidence-based practice research with informatics in the healthcare setting has proven to be a well-known, much needed entity. Studies have shown the efficiency of technology in healthcare improved documentation for healthcare providers and nurses. Healthcare technology also provides a means for organizations to communicate with each other without even picking up a phone. Another, aspect of technology in healthcare allows the healthcare team to monitor trends and changes in a patient’s status. For example, a critical patient on a cardiac monitor would alarm to quickly notify the nurse that a critical change has occurred for timely interventions to take place. With stroke being the fifth leading cause of death in the U.S. adopting Stroke Telemedicine into practice would be innovative for any organization. Much research has shown that healthcare facilities remain untrained and unprepared for stroke care and management.
Proposed Project
The project proposed to better equip my organization with treating stroke patients is Telestroke. According to the Mayo Clinic (2019) “In telestroke, also called stroke telemedicine, doctors who have advanced training in treating strokes can use technology to treat people who have had strokes in another location.” The use of this system is said to reduce wait time for an onsite neurologist and to increase one’s chances of receiving prompt treatment for a desirable outcome. This service will also save money by preventing Medicare and Medicaid from having to pay rehabilitation cost due to disabilities and long-term care. Telestroke will also provide efficient time for Tissue Plasminogen Activator (tPA). The drug tPA is an FDA-approved medication also known as a clot buster use in treating strokes to dissolve that which may be causing an ischemic stroke. However, it is contraindicated with a hemorrhagic stroke which may cause an excessive amount of bleeding if given due to the broken vessels that may have caused the stroke. This service has brought together neurologist and emergency physicians that feel using Telestroke will reduce geographical disparities and prevent increased cost from misuse of other medical facilities.
Stakeholder Impacted by This Project
One of the main stakeholdersthat would be affected in this project would be Dr. Buehler who is the regional director of all the Urgent Cares and Clinical Decision- ...
Presentation by PJ Gorenc, Nemours Center for Health Delivery Innovation at the Smart Health Conference 2018, held at Bally's Las Vegas on the 26-27th of April, 2018.
With almost half of oncology studies failing due to a lack of patient retention, there is a critical need to develop more efficient and patient focused strategies. Jessica Thilaganathan at CRF Health sits down with International Clinical Trials to explain why electronic clinical outcome solutions could be the answer. (Published with permission of International Clinical Trials).
The Good Apples Group EHRS ProjectSummaryYou are an employee.docxoreo10
The Good Apples Group EHRS Project
Summary
You are an employee of the Good Apples Group, a healthcare organization which runs MacIntosh Manor Hospital. The CEO of the hospital has made a priority for the hospital to enter the 21st century by converting its operations to an Electronic Health Records System. You have been assigned the role of project manager for this effort, and are therefore responsibility for ensuring that the needs of the hospital have been carefully assessed and that the planning process for bringing an EHRS online is effective.
The Organization
At first glance, MacIntosh Manor Hospital looks like any small town hospital, where the quality of care is certainly modern but the staff and patients still come to know each other and expect a down-to-earth pace. The Good Apples Group, a parent corporation maintaining several local clinics in addition to MacIntosh Manor, has worked hard over the years to maintain that balance of customer service and cutting edge patient care.
MacIntosh Manor Hospital is a 500-bed, critical access hospital in Shiminy, Pennsylvania. It is the largest hospital within 100 miles, and schedules between 22,000 to 26,000 visits a year. MMH provides surgical, medical and acute care, 24-hour emergency room services, outpatient services, health education, behavioral services, and home and hospice care to a primarily suburban region of about 124,000 residents. It employs 2200 people, including 275 physicians, and as a hospital is managed by its own CEO.
MMH’s mission is to provide for the residents of Shiminy high quality services that enhance the quality of life and promote healthy lifestyles for patients, clients, employees, organization and communities. In its community MMH seeks to lead by example through compassionate, caring and comprehensive health care services.
The direction of MacIntosh Manor’s strategic vision change greatly in 2010 when Dr. Phillip Kapp was named CEO of the Good Apples Group and made it clear that his own successes with implementing EHRS and related technologies in healthcare facilities in the Philadelphia area would be the kind of challenge he wished to take on again with MacIntosh Manor Hospital. Kapp formed a strategic planning committee to assess the use of technology and what MMH should implement, and to determine and monitor a migration path.
Around the same time that Dr. Kapp took charge of the Good Apples Group, a federal mandate was issued that hospitals nationwide need to be using electronic medical records by 2015, giving Kapp and the strategic planning committee even more incentive to act quickly. The committee recommended beginning the transition to EHRS immediately and implementing both financial and clinical solutions.
“Creating a ubiquitous and common platform for timely access to clinical information is crucial for patient care and patient safety. By giving physicians and nursing staff access to the information they need at the point ...
Capstone Project Change Proposal Presentation for Faculty Review a.docxbartholomeocoombs
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Assessment Description
Create a 10-15 slide Power Point presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in the digital classroom for feedback from the instructor.
PICOT Question (See other file uploaded)
Interventions
Falling incidences can cause several complications, including health care costs, severe health issues, immobility, etc. With the severity of this issue, appropriate interventions should take place. In this context, proper monitoring is one of the significant interventions to prevent this incidence (Huang et al., 2020). Hence, incorporating educated and efficient technicians while providing patient care can be an essential step. Yet, due to decreased mobility or functionality, older people often require help in doing basic activities, in this aspect, providing help to the patients while changing to hospital-approved gowns (Liu-Ambrose et al., 2019). In addition, one significant and effective intervention is providing quick education to the patient regarding fall prevention strategies (Radecki, Reynolds & Kara, 2018). Another critical aspect is providing a safe environment for clinical care. Outpatient clinics should improve their workflow and environmental condition, such as removing hazardous materials, and keeping the floor clean and dry, so that the clinic can provide a safe area for older patients. These interventions can help prevent falls (Guirguis-Blake et al., 2018).
Benchmark - Capstone Change Project Objectives
1. Prevent elderly falls in an outpatient radiology clinic.
Rationale: Falls occur as age advances due to individual risk factors or environmental factors. For example, gait or balance deficits, chronic conditions, medications, and footwear the patient is wearing. Assisting these patient populations can prevent falls in the department.
2. Educate patients and people in the community on how to prevent falls.
Rationale: Educate patients regarding physical changes and chronic health conditions that cause or probability of falls.
3. Provide a safe environment for clinical care in the outpatient clinical setting.
Rationale: Design the clinical area accessible to patients in wheelchairs, with assistive devices, and with mobility deficits. Have handrails on walls and hallways for support, clean, non-skid floors, and lighted pathways in hallways, rooms, and bathrooms.
4. A patient care technician (PCT) is available in the outpatient clinical area for patients.
Rationale: Having a PCT in the clinical area, especially around the dressing rooms, would benefit the patients needing help when changing to hospital-approved gowns and monitoring patients for risk.
Five Data-driven Patient Empowerment StrategiesHealth Catalyst
Data plays a big role toward empowering patients to become more involved in their care. With data, digital tools, and education, patient empowerment can act like a blockbuster drug to produce exceptional outcomes.
Data empowers patients five ways:
Promotes patient engagement.
Produces patient-centered outcomes.
Helps patients practice self-care.
Improves communication with clinicians.
Leads to faster healing and independence.
Clinicians using creative, innovative care strategies, and patients with access to the right tools and technology, can produce remarkable results in terms of cost, health outcomes, and experience.
The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth A Foreword PIERS FAWKES Founder & President, PSFK Labs labs.psfk.com Imagine a future where wearable technologies track key areas of your life to provide timely prompts about your health, and the data gathered can be uploaded securely to the cloud. Instead of going into the doctor’s office for a checkup, you would schedule a video consultation to discuss your recent readings. In instances when you need further care, your visits would be coordinated by medical records that flow seamlessly between key members of hospital staff and your care would be supported by relevant information that prepares you for what’s next. Your surgeon would be able to look at your results alongside the wider patient population or seek advice from specialists around the world to determine an optimal treatment plan; the effectiveness of which would determine their compensation. While the realities of the current model of healthcare tell a different story, we’re beginning to see exciting signs of change against daunting challenges. The World Economic Forum estimates that unless current trends reverse, five common ‘lifestyle’ diseases— cancer, diabetes, heart disease, lung disease and mental health problems—will cost the world $47 trillion in treatments and lost wages. Add that figure to a system that could see a shortage of 90,000 doctors in the US alone by the end of the decade, and the picture becomes bleak. Rather than view these as insurmountable obstacles, we choose to see a landscape full of opportunity. Despite a slow regulatory process a host of new mobile and social tools, sensor technologies and devices are being developed for an industry in need of change. These innovations are poised to improve health lifestyle choices and change the way care is delivered. We’re excited to share this patient-centered vision in our latest report.
Digital Therapeutics / Digital Health Innovation Rawane Jabara
Ampersand & Ampersand is a digital health and therapeutics agency based in London. We specialise in co-developing clinically relevant software that puts patients at the heart of their health management. "Digital therapeutics represent a new generation of healthcare that uses innovative, clinically-validated disease management and direct treatment applications to enhance, and in some cases replace, current medical practices and treatments." - Digital Therapeutics Alliance. Check out our work here and get in touch. 3amp.com rawane@3amp.com
Over the last decade we have seen an increasing emphasis on improving efficiency an cutting waste in healthcare. In this seminar, the focus is on showcasing successful initiatives to improve patient flows, especially those where there is evidence of sustainability over time.
In this edition....Summaries of innovation projects
Resident transfers from aged care facilities to emergency departments: Can they be avoided?
NSW Trauma App
Queensland’s Digital Hospital
Investigating the relationship between emotional intelligence and transformation leadership in Nurse Managers
Embedding Consumer Engagement in Organisational Governance — Moving Consumers on Committees from Tokenistic to Having an Impact
UK Report Alcohol’s Impact on Emergency Services
A practical seminar that's designed to help you pick up tips for improving consumer and carer engagement. REGISTRATIONS OPEN at http://www.changechampions.com.au
Presenters at this seminar will showcase their innovations programs and share their knowledge on outpatient service improvement with 20 minute presentations on topics such as:
1. Reconciling demand and capacity to drive throughput and reduce wait lists
· managing ratio and discharge strategies to generate capacity
· contribution of activity based funding as a driver for improved service delivery
· data collection as a tool for predicting future resource requirements
2. Improving referrals, referral management, bookings and scheduling etc (eg through centralised hubs etc)
3 . Successful pathways that cover the continuum of care from referral to discharge
4. Innovations in service and care integration (including acute, hospital avoidance, ambulatory, intermediary, primary care networks, GP Super Clinics, community and outreach services)
5. Clinical redesign and flow improvement strategies
6. Patient focused models of care (including nurse/allied health led, reduce burden of patient transport etc)
7. Stakeholder engagement strategies that have delivered demonstrable outcomes for outpatients
· public private partnerships
· new business models that create opportunities to improve capacity
8. Information technologies as a tool for supporting the integrated delivery of efficient outpatient services
Are you ground down from working in an aggressive environment where your manager is also stressed to the max?
Are you under constant pressure and fighting to stay on top of what you need to do?
Are you leading a team fatigued by change with more on the horizon?
Are you providing services where patient/client/customer demand cannot be adequately met?
Working in health (and other industries) is challenging and often stressful. There are heavy workloads, insufficient
resources to meet demands as well as high expectations from patients. When you combine these pressures with the complexity and risk of the work, the inherent emotional labour and constant change, resilience becomes a key requisite for working effectively. Register at http://www.changechampions.com.au
How do you manage your energy every day?
If you are over trying to manage your time so that you can do everything on your wish list on time all the time, this workshop might be for you.
Are you ground down from working in an aggressive environment where your manager is also stressed to the max?
Are you under constant pressure and fighting to stay on top of what you need to do?
Are you leading a team fatigued by change with more on the horizon?
Are you providing services where patient/client/customer demand cannot be adequately met?
Working in health (and other industries) is challenging and often stressful. There are heavy workloads, insufficient resources to meet demands as well as high expectations from patients. When you combine these pressures with the complexity and risk of the work, the inherent emotional labour and constant change, resilience becomes a key requisite for working effectively.
Register as an individual or rally the team and enjoy a 20% discount on the registration
fee when you register 4 or more people at once.
This full day workshop is for those of you who are still trying to fathom the value of using social media and how your clients or customers might benefit. It will also help you to navigate in a benefit focused approach the plethora of platforms that are on offer
"Glenn is remarkably knowledegable in this area. An excellent presentation, easy to listen to, informative and comfortable environment to ask questions and feel heard and respected" - Sally Wade, Operations Manager, Corangamite Libraries Corporation, VIC
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Artificial Intelligence to Optimize Cardiovascular Therapy
Change Champions & Associates February 2016 Newsletter
1. Monash Health leads the way
in appropriate imaging
A new app, free from the iTunes
store, has been developed to
provide doctors, nurses and
allied health practitioners with
fast, accessible and evidence-
based decision support at the
bedside when they are
considering a referral for
imaging.
The "RANZCR Clinical Decision
Rules" app also can be used to
facilitate shared decision making
with patients, parents, and
carers about why imaging may
or may not be needed for their
particular situation.
Stacy Goergen, Director of
Research, Monash Imaging, and
Adjunct Clinical Professor,
Departments of Medical
Imaging and Surgery, led the
Royal Australian and New
Zealand
College of Radiologists' project to
develop the app as part of a
larger project to create
interactive, web-based
educational modules for
appropriate imaging.
Monash Health in Victoria, is the
only health service in Australia to
integrate the RANZCR web-based
educational modules for
appropriate imaging on its
learning management system with
policy documents on the Monash
Health intranet and now bedside
point of care electronic decision
support. The web–based educa-
tional modules are available from
the RANZCR for implementation on
hospital, health service, university,
and professional college learning
management systems.
Documentation of the use of a
validated clinical decision rule
(CDR), when applicable, in the
medical record is good practice
from both the perspectives of
patient safety and organisational
risk management.
Get the App - Bedside Clinical Decision Support
for Appropriate Imaging
AMBUS - A South Australian First
In an Australian first, an
ambulance bus able to carry
and treat 12 patients at a
time will join South Australia’s
ambulance fleet.
The 12m bus can carry six
patients on stretchers and
another six sitting. There is
also room for two
clinicians treating patients
and a paramedic drive.
It’ll give paramedics a criti-
cal advantage when
attending major
incidents resulting in
multiple casualties, like
bushfires and car crashes.
Photo: SAAS
http://www.adelaidenow.com.au/
news/south-australia/new-
ambulance-bus-can-carry-up-to-12-
patients/news-story/
aeeaaa2e7658292ed-
c0103f965d1ce6c
February 2016
Change Champions & Associates
Innovation Round Up
Summaries and links to
some of the interesting
innovations project we
have gathered from
Australia and overseas in
2016.
Inside this issue:
Beside CDS for 1
AMBUS 1
Australian Atlas of
Health Care Variation
2
Medicines Clinic 4
U Book 4
Physios in pain
Management in RACF
6
ICE Training Package 8
eCALD Resource 8
Culture Change Insights 9
Dogs4Dementia 9
EI 10
Dr Stacy Goergen,
Director of Research,
Monash Imaging, VIC
http://
www.linkedin.com/
pulse/get-app-bedside
-clinical-decision-
support-imaging-stacy-
goergen?trk=prof-post
Cont on page 2….
2. The RANZCR CDRs
app will be particularly
valuable in rural and
remote emergency set-
tings where there may be
limited multidisciplinary
support for frontline clini-
cal staff.
It will help to improve the
safety, appropriateness
and efficiency of patient
care across Monash
Health by standardising
pre - test risk assessment
prior to referral for imag-
ing. The team plans to
research the
effect of this approach to
appropriate imaging
education on imaging
utilisation and test
positivity rates in 2016.
Completion of the web
based education
modules will be a
prerequisite for Monash
Health interns and ad-
vanced trainees from
2016, to ensure they have
the knowledge base to
enable them to make
wise decisions about
imaging referrals. The
app will reinforce this
training at the bedside.
The app has the joint en-
dorsement of the Austra-
lian College of Emer-
gency Medicine and the
Royal Australian and New
Zealand College of
Radiologists.
The Choosing Wisely Aus-
tralia campaign (http://
www.nps.org.au/media-
centre/media-releases/
repository/choosing-
wisely-australia-launching
-in-2015)
initiated by NPS
MedicineWise has also
endorsed the app to
support the Royal
Australian and New
Zealand College of
Radiologists' Choosing
Wisely recommendations.
The CDRs featured in the
app are extensively
validated and,
importantly, each CDR
provides inclusion and
exclusion criteria for the
rule, so clinicians will
know if it applies to their
particular patient.
The conditions covered
are common in the ED
and inpatient settings
and include:
1. Blunt head trauma -
adult and paediatric
2. Cervical spine trauma -
adult and paediatric
3. Suspected pulmonary
embolism - pregnancy
and post-partum
4. Suspected pulmonary
embolism - non pregnant
adults
5. Suspected DVT
6. Blunt ankle trauma -
adults and children.
The app is available now
for Apple devices - free
to download from the
iTunes App Store and will
soon be available from
Google Play for android
devices.
To download the app to
your iPhone or iPad, type
"ranzcr" into the search
box on the iTunes Store.
Get the App - Bedside Clinical Decision Support for Appropriate Imaging
(continued from page 1)
Australian Atlas of Healthcare Variation
across Australia, across
areas such as antibiotic
prescribing, surgical,
mental health and
diagnostic services.
It is the first time that data
from the Medicare Benefits
Schedule (MBS),
Pharmaceutical Benefits
Scheme (PBS) and
Admitted Patient Care
National Minimum Data Set
(APC NMDS) have all been
used to explore variation
across different healthcare
settings. The atlas is
presented alongside the first
national
recommendations for
action.
Access the data items within
each chapter or to
download the full version of
the Australian Atlas of
Healthcare Variation
http://
www.safetyandquality.gov.au/
atlas/
In collaboration with
Australian, state and
territory governments,
specialist medical
colleges, clinicians and
consumer representatives,
The Australian Commission
on Safety and Quality in
Health Care has
developed the
first Australian Atlas of
Healthcare Variation.
The atlas presents a clear
picture of substantial
variation in healthcare use
Page 2
Change Champions & Associates
Caption describing pic-
ture or graphic.
3. Page 3
February 2016
Improving
Consumer and Carer
Engagement in Health Care
29 February, 2016
Pavilion Room, The Arts Centre
100 St Kilda Rd, Melbourne Victoria
Register now for early bird at
http://www.changechampions.com.au
4. This project presents the
results from a pilot of
community-
based Medicines and
Health Literacy Clinics with
final-year pharmacy
students at the University
of Otago. The clinics are
intended to not only
provide an authentic
learning experience for
the students themselves,
but also to create an
opportunity for improving
health literacy amongst
the Otago population.
The clinics offer a patient-
centred health informa-
tion opportunity to
improve health literacy in
the community. The
HLMC (also known as a
‘Brown Bag Medication
Review’) encourages
patients to bring all of their
medicines and
supplements to a
community setting without
appointment or cost.
Typical discussions centre
around answering patient
concerns, verifying what is
being taken, identifying
medication interactions or
errors and improving
aspects of adherence.
Download the full report
as a PDF from
https://
akoaotearoa.ac.nz/
download/ng/file/group-
7/medicines-clinic-a-novel
-learning-opportunity-for-
understanding-health-
literacy.pdf
Medicines Clinic – A novel opportunity for
understanding health literacy
U Book- Patient Focused Bookings
no administration input
Allows administration
staff to book patients in or-
der of priority and time
waiting
Reduces the amount of
administration time required
to book an outpatient ap-
pointment
Uses a colour coded
system so that staff can
visually track where patients
are in the system
View real time demand
and capacity at the click of
a button down to service
level
Bulk printing of patients
letters
2013/14 there where
16486 referrals
DNA rate sustained @
1.4%
7% reschedule rate by
patient on line saving ad-
ministration time
Year on year increase
in on line bookings
Phase 2 – pilot phase
They identified early on that
the main gains with the U-
book system would be in
the area of follow up
appointments. This is now
being piloted in gynaecol-
ogy service. These
include:
Allows patients to pa-
tients to either phone and
make a mutually agreed
appointment with clerical
staff or directly book on
line via the internet, requir-
ing no administration input
Reduces the amount
of administration time re-
quired to book an outpa-
tient appointment
Uses a colour coded
system so that staff can
visually track where pa-
tients are in the system
View real time de-
mand and capacity at
the click of a button down
to service level
Bulk printing of pa-
tients letters
2013/14 there where
47295 follow up appoint-
ments referrals
Clinical management
of patients who do not
contact us within the
agreed time frames.
These are the patients
that would usually DNA.
Dawn Livesey and the
team at Hutt Valley District
Health Board, NZ are
implementing the U book
system. U Book has been
developed for patients to
be able to make their own
outpatient appointments.
Patients receive a referral
letter inviting them to make
their appointment using
Ubook, or via the usual
method of phoning the
booking office
Patient empowerment is at
the core of the Ubook
concept, but the system
also has the benefit of
streamlining the booking
administration process.
Phase 1- in place
U-book was implemented
in a service by service
phased approach First Spe-
cialist Appointments only.
There are several
components to U-book,
including:
Allows patients to pa-
tients to either phone and
make a mutually agreed
appointment with clerical
staff or directly book on line
via the internet, requiringPage 4
Change Champions & Associates
6. The Physiotherapy Pain Man-
agement Program is an ini-
tiative within UnitingCare
NSW/ACT Arrunga aged
care home. It involves an
innovative non-
pharmacological treatment
approach to care.
The program, which has
been underway for over 4
years looks at the overall
effects of the various pain
interventions used in
managing chronic pain in
the elderly with the view to
demonstrate a benefit for
residents in reduced and
better managed pain and
thus improved quality of life.
Physiotherapists attend the
home and carry out the
pain management clinic
four days a week, treating
painful areas with therapy
modalities and interventions
such as hydrocollator heat
packs, massage, joint
mobilisation and TENS
(transcutaneous electrical
nerve stimulation).
Physiotherapist assistants
help by assisting residents to
get to the pain clinic,
assisting with resident
positioning, and preparation
and application of heat
packs.
Some residents who are
unable to visit the pain clinic
are attended to in their
rooms. Every month, the
facility management and
the physiotherapist meet to
review the pain program in
detail. During this time, the
residents’ pain is discussed
and the program is
re-evaluated.
The residents attending the
pain clinic are treated as a
group receiving heat packs
while the physiotherapist
attends to the residents
with interventions, ensuring
privacy and dignity. This
social approach provides
an additional positive
effect, allowing for
interaction with other
residents and opens up
discussions for various ways
of dealing with pain.
Data was collected over
eight areas including
analgesia usage, reported
pain levels and activities of
daily living such as activity,
sleep and mobility.
1. Change in dosage/
frequency of medication
2. Change in type of
medication according to
WHO analgesic ladder
3. Change in pain
score/level
4. How pain affects
sleep
5. How pain affects
general activity level
6. How pain affects mo-
bility
7. How long pain returns
after taking medication
8. How has medication
or interventions relieved
pain in the past week
This data has been
collected from residents’
assessments and charts
and are then re-evaluated
using their most recent
documentation (six to nine
months later). The use of
analgesia was then
analysed against the WHO
(World Health Organiza-
tion) analgesic ladder to
reflect the movements of a
treatment plan over six to
nine months for controlling
pain.
The results indicate that
most (85%) of the residents
on the program have
improved or maintained
their pain status over time.
With both the sensation
(through medication) and
the source of the pain
(through physiotherapy
interventions) being
addressed, the residents
reported positive
outcomes and improved
quality of life.
Across all eight areas, 11%
of residents improved, 74%
maintained and 15%
regressed. All 40 residents
on the program reported
subjective improvements,
in particular coping better
with their day and enjoying
the therapy interventions.
More information
Celedonia
Laverty, claverty@unitingcarenswact.org.
au or (02) 8878 6481, or Sri Mat-
tapalli, smattapalli@unitingcarenswact.o
rg.au on (02) 8878 6492.
Physiotherapy Pain Management Program
Inviting Stories for our May 2016 Edition
Our readers are interested in
Quality and safety
Patient flow and re-
design
Productivity improve-
ment
Care of older people
Leadership
Integrated care
Green hospitals
Patient experience
Health literacy
Mobile technologies
Submit your story and
pictures to
info@changechampions.com.au
Are you excited about the
achievements of your
innovation project?
We are now inviting
submissions of stories of
around 150-300 words for our
May 2016 newsletter.
Picture, links to other websites
etc are welcomed.Page 6
Change Champions & Associates
7. The focus of this event is on how the sustainability of implemented initiatives to improve
patient flow has been demonstrated.
Call for abstracts open until 20 March 2016.
Details about the range of topics likely to be covered at http://
www.changechampions.com.au
Calls for Abstracts Currently Open
Sustaining Improvements in Patient Flows
20-21 June 2016, Gold Coast, QLD
Preventing Unnecessary Emergency Department Transfers for Older People
5-6 May 2016, Melbourne, VIC
Share lessons learnt from innovations designed to improve patient safety, quality and
efficiency in hospitals after hours.
Call for abstracts open until 21 February 2016.
More information about the range of topics likely to be covered at http://
www.changechampions.com.au
Page 7
February 2016
Caption describing picture
or graphic.
The Hospital After Hours
23-24 May 2016, Sydney, NSW
Addresses opportunities and challenges by showcasing strategic approaches and
innovations programs that assist to
alleviate demand and capacity pressures on hospital emergency departments
(ED)
enable older people living in the community/residential aged care (RACF’s) to
receive timely, appropriate urgent care
assist vulnerable older people to avoid potentially unnecessary transfers to hos-
pital emergency departments.
Call for abstracts open until 15 February 2016. More information at http://
www.changechampions.com.au
8. The use of Ice (crystal
methamphetamine) in Aus-
tralia has received much
attention. There is a pressing
need for support for people
who use crystal metham-
phetamine, their families,
friends, and co-workers.
Information is needed that
provides an accurate
picture of the prevalence of
crystal methamphetamine
use in Australia, which
population groups are most
at risk, details of intervention
options available, and steps
that can be taken to help
people who use crystal
methamphetamine receive
the necessary treatment.
Treatment has been found
to be effective in helping
people who use crystal
methamphetamine and
there is a strong need for the
community to work together
to achieve the best
outcomes for all involved.
The National Centre for
Education and Training on
Addiction (NCETA) at
Flinders University, SA, has
developed a Training
Package for health profes-
sionals as part of
the Victorian Government’s
Ice Action Plan.
The Training Package is
designed to meet the needs
of a wide range of frontline
workers including those
from the health and
welfare, education,
criminal justice and trans-
port sectors. It was
developed following an
extensive consultation
process to identify key
learning needs.
This package provides
information and resources
for frontline workers to en-
hance their existing skills
and knowledge. The
Training Package is very
broad and comprehensive
in its approach, but has a
specific focus on the
identification and care of
people who are
intoxicated with, and/or
withdrawing from, crystal
methamphetamine and
their families and carers.
The package provides
useful material to guide
workers’ practice when
assisting clients and their
families, and working with
their colleagues.
The package has 7 inde-
pendent but
complementary modules,
with each containing up to
8 topics. The Training
Package is designed to be
flexible with content that
suits a variety of needs.
The package covers a
broad range of issues
including:
-Information about crystal
methamphetamine and its
use and harms
-How crystal
methamphetamine use
affects people and
communities
-Worker safety and
preventing, managing and
recovering from crystal
methamphetamine-
related critical incidents
.Legal issues
-Using crystal
methamphetamine with
alcohol and other drugs
-Communicating with and
supporting people who
use crystal
methamphetamine
-Preventing and
intervening in crystal
methamphetamine use
-Organisational responses
to crystal methampheta-
mine.
https://
nceta.androgogic.com.au/
ICE: Training for Frontline Health Professionals
eCALDTM Resource Development
New Zealand health
workforce.
The provision of
eCALDTM courses and
resources "for working
with patients" is funded
by the Ministry of Health
as part of the Northern
Regional
Alliance’s Asian,
Migrant and Refugee
Health Action
Programme.
http://www.ecald.com/
eCALDTM resources and
courses have been de-
veloped by Waitemata
DHB’s Asian Health
Support Services to
address the need for
CALD cultural
competence training
and information for thePage 8
Change Champions & Associates
9. Edgar Schein’s, 20 Organisational Culture Change Insights
“Preliminary results from an overseas study
show that the presence of the specially
trained dogs can help support the person with
dementia and carer, extending their capacity
to live at home,” Professor Cunningham says.
“Reduced hospitalisation and delayed
admission to residential aged care are
possible outcomes we will be evaluating as
well as the positive impact these beautiful
dogs can have on the care-giving relationship
and carer wellbeing.”
Assistance Dogs Australia’s Top Dog, Richard
Lord says, “Assistance Dogs Australia is
enjoying working closely with HammondCare
in this ground breaking project.”
“We know that our experience in providing
service dogs for people with physical
disabilities, children with autism and for those
suffering from PTSD will hold us in good stead
when working with the participants in the
project.”
http://www.dogs4dementia.com.au/
A pilot project, which will see people
diagnosed with dementia partnered up
with a specially trained assistance dog,
has been expanded from two to five
states.
HammondCare Dementia Centre’s Dogs 4
Dementia was first launched in NSW and
Victoria in April 2015. It has since been
expanded to include South Australia,
Tasmania and Queensland.
Director of the Dementia Centre, /Prof
Colm Cunningham, says the Dogs 4
Dementia project is expected to bring
significant benefits to people living with
dementia at home with a carer.
“For the first time in Australia we’ll see
expert Dementia Centre consultants
working together with Assistance Dogs
Australia instructors to place dogs with
couples, at a time when a diagnosis of
dementia may have just been received.
“Each couple and dog will be carefully
matched and will be supported by both
organisations for the duration of the pilot.
Page 9
February 2016
Dogs for Dementia Pilot Expanded
Tim Kuppler from the Culture University recently interviewed Edgar Schein, who pioneered
culture change in organisations. Follow the link below to read Dr Schein’s 20
organisational culture insights and watch the interview video excerpt which covers a
concise explanation of the following culture fundamentals:
Don’t over-simplify culture. It’s far more than “how we do things around here.”
Focus on a problem and how culture is influencing it instead of trying to change
culture directly.
Culture is always helping and hindering problem solving. It’s important to understand
both.
Be very specific about behaviour, how it’s impacting your problem and the future
state of the behavior you want to see.
http://www.cultureuniversity.com/20-organizational-culture-change-insights-from-edgar-
schein/
10. This story can fit 100-150 words.
The subject matter that appears in newsletters is virtually endless. You can include stories that focus on current technologies or innovations in
your field.
You may also want to note business or economic trends, or make predictions for your customers or clients.
If the newsletter is distributed internally, you might comment upon new procedures or improvements to the business. Sales figures or earnings
will show how your business is growing.
Some newsletters include a column that is updated every issue, for instance, an advice column, a book review, a letter from the president, or an
editorial. You can also profile new employees or top customers or vendors.
Page 10
Change Champions & Associates
Page 10
In this full day introductory workshop, you will:
Gain an overview of the science and value of emotional intelligence
Consider the impact on performance of positive and negative emotions in the workplace
including the impact on individuals, productivity and organizational outcomes
Understand six competencies of the Genos International model of emotional intelligence
for leaders
Participate exercises where you try working with the competencies for emotional intelligence
Discover some tips and develop an action plan for improving your own emotional intelligence
Take away your Genos International Introduction to Emotional Intelligence work book
“I’ve learned that people will forget what you said, people will forget what you
did but people will never forget how they made you feel”
Melbourne, Adelaide, Canberra, Sydney, Brisbane & Your Facility 2016
REGISTER at http://www.changechampions.com.au
Emotional Intelligence for Leaders
Also available—Strictly confidential leadership self assessments, 180˚ and 360˚ with action planning and
coaching. Enquiries at info@changechampions.com.au
11. Page 11
February 2016
Page 11
Agile Project Management
for Health Care
COURSE REGISTRATION 2016
With Accredited Trainer, Julie Faoro
Melbourne, Adelaide, Sydney and Brisbane
The course will:
Explain how to lay the foundations for successful agile projects
Explain how an agile project is managed
Clarify the different management styles needed for successful agile projects
(compared to "traditional" projects)
Provide integration with PRINCE2®.
Improve time-to-market and project success rates while simultaneously
accelerating results by encouraging stakeholder involvement, feedback and
effective controls.
Achieve better communication and control over projects and adapt project
plans without disrupting the project budget, timescale and scope.
Develop professionalism in employees and include agile certification in em-
ployee professional development scheme
Who should attend?
Project Managers, Project Officers, Managers, and team leaders from
government, health, aged care and not for profit sectors
Any area of the health care system that wish to introduce change on time
and on budget.
More details at http://www.changechampions.com.au
12. About Change Champions & Associates
Change Champions & Associates
PO Box 302
Kew VIC 3101
M: 0467635150
E: info@changechampions.com.au
W: www.changechampions.com.au
Innovate with us on our Facebook page
or on Linked In
Change Champions & Associates designs and produces
seminars for health professionals. We also showcase
leadership development, practice development, service
and quality improvement initiatives across the spectrum of
health and interrelated facilities and the across the
continuum of care.
We are a small coalition of the committed working with our
partners to deliver a great seminar experience. We work for
cost recovery, rather than for profit.
In collaboration with our consultants, we aim to provide
valuable and practical learning experiences for a broader
range of professionals from all sectors. These opportunities
will include workshops, in houses at your facility no matter
where (we are strong supporters of those in rural and remote
areas), group and individual coaching sessions delivered by
accredited professionals.
By the end of 2016, our website will be redeveloped to en-
able a more interactive relationship with our supporters,
streamline our seminar registration process and provide
better functionality to enable networking and the sharing of
innovation projects in Australia and New Zealand
and beyond.
Sustain Success Online Resilience Program
Coaching sessions are confidential,
individualized and conducted by
telephone
Put your best foot forward in 2016!
If you are under the pump and not sure that you are
managing as well as you could, this online program, Sustain
Success, will help you to build your resilience at work and
beyond.
Best of all its easy! There is no need to ask your manager for
permission for time off to attend a course. No need to feel
embarrassed about your capacity to cope. No need to
consider withdrawing or watering down decision making
because you feel that your ability and your confidence are
living on different planets.
Developed by revered, organisational psychologist, Kathryn
McEwen, here's an opportunity to reflect on the way work
pressure impacts on the way you function at work and
beyond. You can complete the program, in your own time
and at your own pace.
Better, you will be supported by a Resilience at Work
Accredited coach. This is not a one size fits all program. One
75 minute coaching session is included in the
program
Bitten off More than you can
Chew??
info@changechampions.com.au