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Falls prevention in Gunyah, a neurology and oncology ward in Sutherland Hospital
This project is designed to improve falls prevention in a medical ward in an acute care facility. It identifies the causes of inpatient falls to provide strategies in response.
Sutherland Hospital and Community Health Service
Added: 17 September 2019|Last updated: 1 October 2019
Don’t fall for it, follow the steps!
Post falls assessments are attended by nurses after patients have a fall in the St George Hospital emergency department.
St George Hospital
Added: 16 September 2019|Last updated: 1 October 2019
Addressing modifiable risk factors after mild stroke or transient ischaemic attack
Patients are often discharged without a care plan from the acute stroke unit following a non-disabling stroke or transient ischaemic attack. To address this issue, communication materials were developed alongside other initiatives, to support an increased incidence of exercise.
St George Hospital
Added: 16 September 2019|Last updated: 30 September 2019
Improving management of dental trauma in the emergency department
This project will provide a structured clinical and oral health referral pathway in the emergency department of Sutherland Hospital, for the first aid management of dental trauma.
Sutherland Hospital and Community Health Service
Added: 10 September 2019|Last updated: 25 September 2019
Breaking the drought: rural management of breast cancer-related lymphoedema
This six-month joint project implemented a lymphoedema screening clinic, providing comprehensive treatment for lymphoedema in the Lachlan Health Service. It involved a cross discipline collaboration for patients following breast cancer surgery.
Western NSW Local Health District
Added: 12 August 2019|Last updated: 28 August 2019
Sutherland Clinical Assessment and Nursing Documentation (SCAND) project
This project aims to improve the inconsistency of nursing documentation across Sutherland Hospital, focusing on the importance of clinical assessment in nursing. This goal is to consistently communicate nurse findings and actions through documentation in a patient’s healthcare record.
Sutherland Hospital and Community Health Service
Added: 16 July 2019|Last updated: 31 July 2019
FIB4NOF (Fascia Iliaca Block for Patients with Neck of Femur Fracture) at Nepean Hospital
This project is designed to promote the use of fascia iliaca block as a method of analgesia for patients who present to Nepean Hospital with a neck of femur fracture, as recommended by the ACI guidelines.
Nepean Hospital
Added: 28 June 2019|Last updated: 15 July 2019
tOTal Improvement
tOTal Improvement is designed to improve communication within the multidisciplinary team at Morisset Hospital and to better direct consumers’ support needs within the clinical rehabilitation program.
Morisset Hospital
Added: 17 April 2019|Last updated: 7 May 2019
Nurse - Patient Clinical Handover Engagement Huddle
An auditing process at Sydney/Sydney Eye Hospital revealed that patients are not as involved as they could be during the routine bedside handover processes that occur between nursing shifts. A project was established to address this, and in doing so, improve the safety and satisfaction of the patient.
Sydney Hospital and Sydney Eye Hospital
Added: 5 April 2019|Last updated: 22 April 2019
Food for Thought
This project implements a clinical pathway for referral and treatment that includes screening, triage, and assessment; and provides adults referred to Richmond Adult Community Mental Health Service with cognitive behavioural therapy – enhanced. This is a form of cognitive behavioural therapy specifically for eating disorders.
Northern NSW Local Health District
Added: 29 March 2019|Last updated: 12 April 2019
Clinical Patient Flow Rounds
This program evaluates and re-invents St Vincent's Hospital’s weekly rapid discharge rounds model. This is carried out by introducing ward-level clinical leads and creating better documentation around discharge plans. The goal is to improve safe and timely patient discharges.
St Vincent's Hospital
Added: 29 March 2019|Last updated: 12 April 2019
Preventative model of care at the Moruya dental clinic
This project explored how demand for dental services can be met and sustained over time, with a focus on preventative care.
Southern NSW Local Health District
Added: 15 February 2019|Last updated: 28 February 2019
REACH Out
REACH Out is an independent patient and family activated response system for small sites. The REACH response is provided by on off-site patient flow team via Telehealth.
Nyngan Multipurpose Service
Added: 15 November 2018|Last updated: 30 November 2018
Shared Clinical Review Across Four Rural Health Services
A project to implement a shared mortality and morbidity clinical review process across four small rural health services in northeast Victoria. The project includes development of standardised tools and the formation of a collaborative clinical review forum to help address the common risks experienced by patients in care at small rural health services in the region.
Albury Wodonga Health
Added: 26 September 2018|Last updated: 6 November 2018
What a Difference a Date Will Make
Various services in the local area were concerned about the increase in young adolescents presenting in crisis, with either potential self-harm or harm to others. Police and ambulance workers were often required to intervene, and emergency department beds used. This project aims to reduce the waitlist time for a multidisciplinary diagnostic assessment for older school age and adolescent children, by 25% by March 2018....
Nepean Blue Mountains Local Health District
Added: 26 September 2018|Last updated: 11 October 2018
Clinical History on Emergency X-Ray Referrals
Incomplete clinical history information on emergency x-ray referrals can lead to insufficient imaging, missed pathologies, longer time spent in emergency and higher radiation doses. This project aims to ensure that a concise clinical history is included on every emergency x-ray referral at the Cowra Health Service. This will enable accurate imaging and diagnostic reporting and lead to the best possible outcome for patients....
Western NSW Local Health District
Added: 17 September 2018|Last updated: 1 October 2018
Improving the Patient Journey for Mothers having an Elective Caesarean
Nepean Hospital established an Obstetric Pre-anaesthetic Assessment Clinic for high-risk obstetric patients and those undergoing an elective caesarean section. Anaesthetists at the clinic assess the patient and explain anaesthetic procedures in a way that allows patients to give informed consent.
Nepean Hospital
Added: 11 July 2018|Last updated: 25 July 2018
Home-Based Subcutaneous Immunoglobulin Replacement Therapy
Liverpool Hospital is implementing a home-based subcutaneous immunoglobulin replacement therapy program for patients with impaired immune systems.
Liverpool Hospital
Added: 28 May 2018|Last updated: 21 June 2018
The Asthma Follow Up Integrated Care Initiative
Sydney Children’s Hospital Randwick developed an integrated model of care for children with non-complex asthma, including care coordination, communication with general practitioners, parent education and emergency department resources and processes.
Sydney Children's Hospital Network
Added: 28 May 2018|Last updated: 12 June 2018
Reducing the Time Frame to Complete the Electronic Donor Record
This project developed a number of tools and guides to help staff collect data and enter it into the electronic donor record more efficiently.
NSW Organ and Tissue Donation Service
Added: 8 May 2018|Last updated: 23 May 2018
Winter, Spring, Summer and Falls in NSW Ambulance
NSW Ambulance introduced a falls package to address the year-round problem of falls in people aged 65 and over in the community. It incorporated a new falls risk assessment, protocol, clinical pathway and screening tool for paramedics, as well as education materials for consumers and general practitioners.
NSW Ambulance
Added: 2 May 2018|Last updated: 22 May 2018
Multiagency Coordination of Prenatal Risk
Central Coast Local Health District established regular meetings with the NSW Department of Family and Community Services and all health services involved in the care of pregnant women, in cases where there were child protection concerns.
Central Coast Local Health District
Added: 2 May 2018|Last updated: 21 May 2018
Saved by the Phone: Enhancing the Pre-admission Process
Staff at Blue Mountains District ANZAC Memorial Hospital implemented a standardised phone screening tool with fasting instructions, to prepare patients for their surgical procedure.
Blue Mountains District ANZAC Memorial Hospital
Added: 2 May 2018|Last updated: 16 May 2018
Improving Provision of Skin-to-Skin Care in Preterm Neonates
John Hunter Children’s Hospital developed a step-by-step guide to encourage the delivery of Kangaroo Care to premature babies, and provided education to staff and parents on the topic.
John Hunter Children's Hospital
Added: 2 May 2018|Last updated: 16 May 2018
Improving Collaborative Discharge Care Planning for Stroke Patients
St George Hospital developed an Allied Health Discharge Care Plan, established an allied health care coordinator role and implemented new administration processes, to support the transition of stroke patients out of hospital and into the community.
St George Hospital
Added: 27 April 2018|Last updated: 14 May 2018
Making the Health of the Nation Outcome Scale Work For Us
This project added an additional multidisciplinary team meeting to the Older Persons Mental Health Team schedule each week and adjusted the meeting agenda, to allow more time for mental health care reviews.
Sutherland Hospital and Community Health Service
Added: 30 April 2018|Last updated: 14 May 2018
Microbiology Extension of Services
The Department of Microbiology at Royal Prince Alfred Hospital reconfigured its staff rosters, to better manage peaks and troughs in specimen processing. This optimised staff workflow and enhanced the delivery of services to the local health district.
Royal Prince Alfred Hospital
Added: 27 April 2018|Last updated: 11 May 2018
Improving Blood Glucose Level Control Before Surgery
Prince of Wales Hospital screened all patients booked for elective cardiac surgery, to diagnose diabetes and identify those requiring blood glucose level control before admission.
Prince of Wales Hospital
Added: 26 April 2018|Last updated: 10 May 2018
Complex Care Coordination in NSW Emergency Departments
Royal North Shore Hospital is developing a clinical pathway for people who frequently present to hospital emergency departments with chronic pain and complex conditions, which will be rolled out across the state following evaluation of the pilot program.
Royal North Shore Hospital
Added: 23 April 2018|Last updated: 8 May 2018
Increasing Blood-Borne Virus Screening in the Community Setting
St George Drug and Alcohol Service established a clear process for blood-borne virus screening, by delivering training to staff and embedding the test into the initial assessment of new clients.
South Eastern Sydney Local Health District
Added: 15 February 2018|Last updated: 2 March 2018
Appropriate Distribution and Just Utilisation of Supplies Techniques (ADJUST)
Prince of Wales Hospital implemented a cost-saving strategy in the cardiothoracic intensive care unit, incorporating ordering and procurement practices, storage management and intra-hospital stock rotation.
Prince of Wales Hospital
Added: 15 February 2018|Last updated: 1 March 2018
Detecting Delirium in the Emergency Department
Belmont District Hospital implemented an education package for nursing staff, to improve the use of the Confusion Assessment Method (CAM) screening tool in the emergency department (ED). The CAM tool is an affordable and easy way to dramatically improve the outcomes of patients presenting to the ED with delirium.
Added: 14 February 2018|Last updated: 1 March 2018
The Patient’s Voice
Nepean Hospital provided patients in a trial ward with a template containing prompts, so they could deliver a handover of their healthcare journey once a day to nursing staff.
Nepean Hospital
Added: 24 May 2017|Last updated: 29 January 2018
Multidisciplinary Assessment and Documentation in Community Palliative Care
Croydon Community Health Centre implemented a new model of care, including scheduled multidisciplinary team meetings, revised documentation and communication processes, as well as training for emergency department and generalist nursing staff.
Sydney Local Health District
Added: 28 November 2017|Last updated: 12 December 2017
Quit and Smile
SESLHD trained dental professionals to help clients quit smoking and implemented a number of solutions to increase accountability and knowledge in this area.
South Eastern Sydney Local Health District
Added: 27 October 2017|Last updated: 10 November 2017
Completing the Admission Checklist in Mental Health Rehabilitation Units
Sutherland Hospital Mental Health Rehabilitation Unit implemented new policies and processes for managing admissions, then educated staff on the changes.
Sutherland Hospital and Community Health Service
Added: 27 October 2017|Last updated: 10 November 2017
It Takes Two
It Takes Two was designed to educate nursing staff and managers on NSW Health and local policies regarding medication handling, with the aim of improving patient safety in the emergency department.
St George Hospital
Added: 27 October 2017|Last updated: 10 November 2017
Running Away Causes Delay
This project reduced the number of patients who absconded (ran away) from the Coffs Harbour Mental Health Inpatient Unit, by implementing an environmental review, courtyard supervision, flexible visiting hours, multidisciplinary team reviews, leave prescriptions and capital works.
Mid North Coast Local Health District
Added: 23 October 2017|Last updated: 6 November 2017
Confusing Directions: Finding the Right Pathway for People with Delirium
Hunter New England Mental Health implemented a new screening tool and staff education to ensure patients with delirium are provided with the right care pathway.
Hunter New England Local Health District
Added: 23 October 2017|Last updated: 6 November 2017
Youth Health Risk Assessments at Northern Sydney Sexual Health Service
Northern Sydney Local Health District
Added: 18 September 2017|Last updated: 2 October 2017
A Clear Case: Improving Court Reports in Sexual Assault Cases
Mid North Coast Local Health District (MNCLHD) centralised requests for expert witness certificates (EWCs) and developed a new review process in collaboration with staff and NSW Police.
Mid North Coast Local Health District
Added: 18 September 2017|Last updated: 2 October 2017
Planning for Gastronomy Success
St Vincent’s Hospital Sydney (SVHS) improved patient information, treatment procedures and staff education, to ensure the placement of gastronomy feeding tubes aligned with best practice and Agency for Clinical Innovation (ACI) guidelines.
St Vincent's Hospital
Added: 18 September 2017|Last updated: 2 October 2017
Implementation of the HOTV Vision Chart in the Northern NSW Local Health District Statewide Eyesight Preschooler Screening Program
This project delivered education and resources on HOTV vision charts to all staff in Northern NSW Local Health District (NNSWLHD) who deliver the Statewide Eyesight Preschooler Screening (StEPS) Program.
Northern NSW Local Health District
Added: 8 September 2017|Last updated: 25 September 2017
A Coordinated Local Approach to Disordered Eating Services
This project improved care delivered to people with eating disorders in Broken Hill and surrounding areas in FWLHD. It focused on increasing clinicians’ skill and confidence by providing education sessions, improving access to resources and increasing opportunities for professional networking.
Broken Hill Health Service
Added: 25 August 2017|Last updated: 8 September 2017
Increasing the Appropriateness of Dietetic Referrals
This project addressed barriers experienced by nursing staff when using the malnutrition screening tool, by introducing staff education, streamlined education pathways and a cheat sheet for nursing staff.
South East Regional Hospital
Added: 23 August 2017|Last updated: 6 September 2017
Identifying and Managing Iron Deficiency and Iron Deficiency Anaemia
MLHD identified an alternative option for iron replacement therapy and developed guidelines to deliver it in the community setting where clinically indicated, in collaboration with patients and carers.
Murrumbidgee Local Health District
Added: 16 August 2017|Last updated: 25 August 2017
Proactive Escalation Planning to Resolve Demand
Belmont Hospital introduced a 24-hour escalation plan and daily emergency report, to help emergency department staff manage periods of high demand, without reducing the quality or timeliness of patient care.
Belmont Hospital
Added: 19 May 2017|Last updated: 5 June 2017
Improving Clinical Review in the Northern Sydney Home Nursing Service
This project defined the role of the resource representative and increased awareness of this role among staff at Northern Sydney Home Nursing Service, to ensure patients are referred to the most appropriate clinician.
Northern Sydney Local Health District
Added: 3 May 2017|Last updated: 17 May 2017
Diverting the Stream
Macksville Hospital developed a 24-month New Graduate Program for nursing staff that involved a 12-week intensive induction period, with clinical exposure and support over the course of the program.
Macksville District Hospital
Added: 13 March 2017|Last updated: 28 April 2017
Me, Myself and My Tribunal
The Forensic Hospital developed a tool to help patients prepare for their Mental Health Review Tribunal, held every six months. This tool was designed to increase the satisfaction of patients with their level of engagement in Tribunals.
Justice Health and Forensic Mental Health Network
Added: 23 March 2017|Last updated: 24 April 2017
Improving the Efficiency of External Pathology Results
The Heart and Lung Clinic at St Vincent’s Hospital Sydney implemented a number of changes to the way it follows up and communicates external pathology results. This included the development of a new standard operating procedure, a dedicated area for reviewing patient files, new staff rosters, patient information brochures, patient database updates and standardised communication tools.
St Vincent's Hospital
Added: 7 April 2017|Last updated: 21 April 2017
Identifying the Right Carer or Person to Contact for Patients at Blacktown Hospital
Blacktown Hospital educated administration staff on the importance of maintaining accurate contact details in patient records. It also displayed signage in the emergency department to remind families and carers to include their contact details on the patient’s admission form.
Blacktown Mount Druitt Hospital (Blacktown Campus)
Added: 14 March 2017|Last updated: 28 March 2017
The Justice Health & Forensic Mental Health Network’s Got Talent
The JH&FMHN is developing a talent management strategy to improve the access, allocation and appropriateness of learning opportunities for its staff.
Justice Health and Forensic Mental Health Network
Added: 10 February 2017|Last updated: 24 February 2017
Reducing the Need for Red Cell Transfusions
This project implemented a guideline in the emergency department to help staff manage patients with chronic anaemia due to iron deficiency.
Nepean Hospital
Added: 13 December 2016|Last updated: 20 January 2017
Head Over Heels: Reducing Falls in the Delivery Suite
This project delivered an education program for staff and implemented a new process of cleaning the ventilation vents in delivery suite bathrooms, to reduce the risk of falls.
Royal Hospital for Women
Added: 9 December 2016|Last updated: 22 December 2016
GynaeLogical: It Makes Sense to Care for Women
This project streamlined its booking and referral processes, standardised templates and introduced electronic systems to ensure all patients received timely and appropriate care.
John Hunter HospitalBelmont Hospital
Added: 2 December 2016|Last updated: 16 December 2016
Stop the Drop: Preventing Perioperative Hypothermia
The steps in the perioperative pathway were reviewed and a number of interventions trialled to maintain the temperature of patients prior to, during and following surgery.
Blue Mountains District ANZAC Memorial Hospital
Added: 28 October 2016|Last updated: 29 November 2016
Gunyah Oncology Weekend Discharge Project
This project added potential discharges to the agenda of a weekly meeting and developed a discharge process where oncologists worked in teams of two during ward rounds.
Sutherland Hospital and Community Health Service
Added: 28 October 2016|Last updated: 11 November 2016
Improving the Preoperative Recording of Patient Dental State by Anaesthetists
CCLHD designed a new anaesthesia form, produced educational posters for staff and developed a dental package that encouraged anaesthetists to document the dental state of patients prior to surgery.
Central Coast Local Health District
Added: 23 September 2016|Last updated: 3 November 2016
Improving the Diagnostic Process for Patients with Mitochondrial Disease
This project developed next-generation sequencing protocols and a bioinformatics platform for diagnosing mitochondrial disease, as well as a diagnostic pipeline that improved the speed and accuracy of diagnosis.
Northern Sydney Local Health District
Added: 19 October 2016|Last updated: 2 November 2016
Streamlined Oral Health Pathway for People Living with a Mental Illness
Sydney Local Health District developed an electronic oral health assessment form that provides appropriate information to the oral health clinician, as well as a comprehensive summary that can be easily understood by the participant, their carer and general practitioner.
Sydney Local Health District
Added: 19 October 2016|Last updated: 2 November 2016
Reducing the Incidence of Omitted Medication Administration
This project improved education and workflow processes around medication administration, to reduce instances where patients either don’t receive their medication or don’t have a documented reason as to why their medication was not administered.
Dubbo Health Service
Added: 10 October 2016|Last updated: 24 October 2016
It’s All in the Delivery: Improving Clinical Documentation in the Community Healthcare Setting
The project will identify barriers to compliance and introduce solutions that aim to improve nursing assessments for new admissions at St George Hospital.
South Eastern Sydney Local Health District
Added: 26 September 2016|Last updated: 21 October 2016
Get It Write
The Subjective, Objective, Assessment and Plan (SOAP) methodology was selected as a prescriptive documentation style for use in all nursing progress notes. Staff education and resources were provided to support the implementation of this methodology in clinical practice.
Justice Health and Forensic Mental Health Network
Added: 23 February 2016|Last updated: 17 October 2016
Closing the Loop
Prince of Wales Hospital developed a communication pathway that reported incidental findings, unexpected findings and changes to provisional medical imaging reports back to the referring clinician within an agreed timeframe.
Prince of Wales Hospital
Added: 18 March 2016|Last updated: 17 October 2016
Missing Walking Belts and Sticks
Blacktown Hospital implemented a number of processes to track the use and improve the storage of walking belts and sticks in the Stroke and Aged Care Ward.
Western Sydney Local Health District
Added: 13 May 2016|Last updated: 17 October 2016
Reducing Seclusion Use in the Child and Adolescent Psychiatric Inpatient Unit
This project identified and examined the systemic issues leading to the use of seclusion at The Children’s Hospital at Westmead. It implemented preventative strategies to reduce the use of seclusion, including multidisciplinary team care plans, staff education, daily intake and handover meetings, as well as supervision sessions for nursing and allied health staff.
The Children's Hospital at Westmead
Added: 26 September 2016|Last updated: 10 October 2016
The Nursing and Midwifery Scope of Practice Framework
This project standardised the recruitment process and conducted training for nurses and midwives in SNSWLHD to help them understand their professional obligations and maintain the skills required to safely undertake their role in the organisation.
Southern NSW Local Health District
Added: 23 September 2016|Last updated: 10 October 2016
My Food Choice: Transforming Patient Food Services
This project reimagined the way hospital food is delivered to patients in public hospitals, using new workflow processes, menus, staff training and technology, while remaining inside the current budget footprint.
HealthShare NSW
Added: 23 September 2016|Last updated: 10 October 2016
Improving Laboratory Diagnosis of Influenza and Respiratory Syncytial Virus Infections
By introducing the routine use of rapid nucleic acid amplification tests, the median time for results of accurate laboratory tests for influenza and respiratory syncytial virus infections reduced from more than three days to less than 12 hours. This has the potential to significantly enhance infection prevention and control, inpatient bed management, appropriate antiviral prescribing and antimicrobial stewardship initiatives.
NSW Health Pathology
Added: 19 September 2016|Last updated: 4 October 2016
Hospital in the Home: An Innovative Partnership Model
This project developed a new model of care for its Hospital in the Home (HITH) program, by integrating the services delivered by ambulatory care and community health nursing teams.
Campbelltown HospitalCamden Hospital
Added: 15 September 2016|Last updated: 30 September 2016
Improving Prescription of Venous Thromboembolism Prophylaxis for Admitted Medical Patients
Liverpool Hospital implemented an education program for emergency department staff, to ensure venous thromboembolism prophylaxis is prescribed to all appropriate patients on admission.
Liverpool Hospital
Added: 29 April 2016|Last updated: 29 July 2016
Risky Business
A staff engagement and education process was developed by Bombala Multipurpose Service (MPS) and Delegate MPS, to improve admission documentation for high-risk patients.
Southern NSW Local Health District
Added: 4 July 2016|Last updated: 19 July 2016
Legs at Lakes: Improving documentation of care for clients with leg ulcers
CCLHD standardised the process of documenting care for clients with leg ulcers within the ComCare system.
Central Coast Local Health District
Added: 23 May 2016|Last updated: 9 June 2016
From Ice to Nice: Reducing the incidence of Inadvertent Hypothermia in the perioperative patient
CCLHD implemented a number of pre-warming strategies, to reduce the incidence of inadvertent hypothermia in surgical patients.
Central Coast Local Health District
Added: 8 April 2016|Last updated: 26 April 2016
Developing the State Record of Labour Document
This project is developing a statewide Record of Labour Document (ROLD) that standardises labour and delivery care for women and babies in NSW.
Office of Kids and Families
Added: 6 April 2016|Last updated: 20 April 2016
The Sustainability Through Empowerment Project
The endocrine department at Sydney Children’s Hospital Randwick implemented education strategies for clinicians and families, to increase awareness of alternative support options.
Sydney Children's Hospital Network
Added: 4 March 2016|Last updated: 8 April 2016
A Transdisciplinary Approach to Brain Injury Rehabilitation
The Hunter Brain Injury Service developed a new process for completing community access, upper limb and activities of daily living (ADL) assessments, using a transdisciplinary rehabilitation approach.
Hunter New England Local Health District
Added: 22 March 2016|Last updated: 8 April 2016
Collaborative Care Planning: With Me When It’s About Me
The Forensic Hospital made changes to its treatment and management plan, introduced the NSW Mental Health Care Plan and conducted staff and patient education on the value of developing a care plan in collaboration with consumers.
Justice Health and Forensic Mental Health Network
Added: 12 February 2016|Last updated: 8 March 2016
Show Me The Plan
JH&FMHN developed a streamlined chronic disease process that addressed the barriers to completing a multidisciplinary care plan, by engaging frontline clinicians.
Justice Health and Forensic Mental Health Network
Added: 12 February 2016|Last updated: 4 March 2016
No More Loafing Around
The Elouera Unit promoted healthy weight through education and review of the meal provision program, in collaboration with patients.
Justice Health and Forensic Mental Health Network
Added: 19 February 2016|Last updated: 4 March 2016
Improving Peritonitis Rates in the ISLHD Renal Service
The renal unit at ISLHD developed a structured home visit program and implemented changes to the staff orientation program, as well as training for patients and staff.
Illawarra Shoalhaven Local Health District
Added: 27 January 2016|Last updated: 11 February 2016
Let’s Bring Healthy Back to Cowra
The Cowra ‘Let’s Bring Healthy Back’ nine-week program used a multidisciplinary approach, using the expertise of a dietician, social worker, exercise physiologist, Aboriginal health worker and community nurse to help the Cowra community lose weight and improve their health and wellbeing.
Western NSW Local Health District
Added: 13 October 2015|Last updated: 13 November 2015
Correcting the Tap Leakages
Grafton Base Hospital encouraged general practitioners to follow a new care pathway for patients requiring an ascitic tap procedure, to reduce avoidable emergency department admissions and improve the patient experience.
Grafton Base Hospital
Added: 21 October 2015|Last updated: 9 November 2015
Improving Management of Long Stay Patients
Liverpool Hospital implemented a sustainable process for monitoring, management and early escalation of long stay patients. The goal was to provide a structure for helping clinical teams develop appropriate and high-quality patient management plans.
Liverpool Hospital
Added: 8 July 2015|Last updated: 4 November 2015
Making National Emergency Access Target (NEAT) Work
This project examined the sequence of events from arrival to the ward and transfer of patients admitted to an inpatient ward through the emergency department, to identify improvements that would reduce the number of admitted patients with an ED length of stay of more than four hours.
Tamworth Rural Referral Hospital
Added: 12 October 2015|Last updated: 26 October 2015
Physiotherapy Training Audit
This project identifies gaps between the skills that new graduate and Level 1 physiotherapists have gained via study and the skills required to work within the physiotherapy department of Broken Hill Health Service. This gap analysis will allow individual professional development pathways to be developed for physiotherapists, to maintain a high quality of service within the physiotherapy department.
Broken Hill Base Hospital
Added: 12 October 2015|Last updated: 26 October 2015
Falls Prevention Assessment in Occupational Therapy
This project developed guidelines and resources to improve occupational therapist staff compliance with departmental protocols in place at Blacktown Mount Druitt Hospital.
Western Sydney Local Health District
Added: 9 October 2015|Last updated: 23 October 2015
Improving the Accuracy of Electronic Patient Records
This project implemented training and staff communication to improve the accuracy and amount of data collected in the electronic patient record, with a focus on pathology International Classification of Diseases (ICD) code, disease stage, tumour laterality, date of diagnosis, performance status and acute radiation toxicity.
Crown Princess Mary Cancer Centre
Added: 8 October 2015|Last updated: 22 October 2015
Care Coordination Screening and Triage
This project implemented a screening and triage tool within the outpatient cancer service at Illawarra Shoalhaven Local Health District, to improve the care coordination of patients during their treatment journey.
Illawarra Shoalhaven Local Health District
Added: 6 October 2015|Last updated: 21 October 2015
Workload Management of Donor Adverse Events Follow-Up
This project identified ways to optimise the use of nursing resources, to meet donor care, customer service and risk management requirements.
Australian Red Cross Blood Service
Added: 13 October 2015|Last updated: 20 October 2015
Appropriate Pressure Prevention Loan Equipment (APPLE) Project
The APPLE project developed a new process to obtain and store Alternating Pressure Air Mattresses at Orange Health Service. Patients identified at ‘high risk’, those who have an existing pressure injury and/or those who are clinically indicated, are provided with pressure relieving equipment in a timely manner.
Western NSW Local Health District
Added: 21 September 2015|Last updated: 20 October 2015
Stepping Out of the Box
A group rehabilitation class was established for eligible clients in weeks 6-12 of the Blacktown Transitional Aged Care Program, incorporating education, physical activity and social activities.
Western Sydney Local Health District
Added: 14 July 2015|Last updated: 4 September 2015
Paediatric Bed Days Saved
This project developed a new model of care to allow children with standard or medium risk acute lymphoblastic leukemia, who have received high dose methotrexate, to be discharged within two days instead of five.
The Children's Hospital at Westmead
Added: 13 July 2015|Last updated: 27 July 2015
End of Life Care at Bowral Hospital
This program will provide better and more appropriate clinical care to the dying patient and their family, through improved education, End of Life Care policies, referral pathways, nursing resources and the use of volunteers as support for carers.
Bowral Hospital
Added: 8 April 2015|Last updated: 9 June 2015
The Future of Service Cohesion
This project developed an integrated model of care that facilitated early discharge from inpatient units and transferred care back to the community, with home-based treatments provided by an Acute Care Team.
Croydon Community Health Centre, Concord Centre for Mental Health
Added: 25 May 2015|Last updated: 9 June 2015
Chronic Disease Oral Health Pilot Project
A Chronic Disease Oral Health Service has been established at Royal North Shore Hospital (RNSH), with a dental officer and oral health therapist. The service provides an expedited course of dental care with a strong focus on oral hygiene for chronic disease patients. A referral pathway to this clinic has been implemented using a referral form that is completed by chronic disease services....
Royal North Shore Hospital
Added: 18 May 2015|Last updated: 25 May 2015
Smoothing the Way for Central Venous Access Device Insertions: Reducing road-bumps for cancer patients
Approximately 50 CVADs are inserted per month by CVAD Procedural Clinical Nurse Consultants (CNC) at SVH. By implementing small-scale changes within the hospital, SVH has been able to reduce the usual incident rate for CVAD patient bookings from one in five at the beginning of 2014, to one in 20 by the end of the year.
St Vincent's Hospital
Added: 4 May 2015|Last updated: 18 May 2015
NSW Forensic Patient Needs and Services Project
This project conducted a detailed examination of forensic mental health services in NSW and assessed the needs of current forensic patients, to see whether they are being met. This information will inform the need for service reform and development.
Justice Health and Forensic Mental Health Network
Added: 4 May 2015|Last updated: 18 May 2015
Fit for Work
This project aims to reduce overall sick leave rates of Mid North Coast Local Health District (MNCLHD) staff by introducing a ‘Fitness Passport’ program, which targets 850 staff and encourages them to attend a gym on a regular basis.
Mid North Coast Local Health District
Added: 1 May 2015|Last updated: 15 May 2015
Diet Changes
Patients transition through their episode of care and often require changes to their diets based on allergies, intolerances, procedural and/or diagnostic requirements. Clinicians often become confused by the diet choices available and do not assess the patient’s diet history due to a lack of understanding on the impact that an incorrect diet can have on the patient. This project aimed to investigate the causes of the errors and develop solutions that were systematic, achievable and sustainable....
Gosford Hospital
Added: 31 March 2015|Last updated: 15 May 2015
Decreasing Tissue Retention in Coronial Autopsies
This project examined the issue of coronial autopsy tissue retention and implemented policies and practices that reduced the amount of tissue retained and the proportion of autopsy cases where tissue was retained, without decreasing the quality of service provided.
NSW Health Pathology
Added: 1 May 2015|Last updated: 15 May 2015
Multidisciplinary Teams in Focus: Improving the Journey of the Person with Complex Needs
This project aims to enhance multidisciplinary teamwork in a rural hospital, by ensuring that acute ward and community health staff participate in care planning for admitted patients and improve the interface between the acute settings and community health services.
Deniliquin Health Service
Added: 4 May 2015|Last updated: 4 May 2015
Model of Care for People with Eating Disorders
Illawarra Shoalhaven Local Health District is establishing a model of care for people with eating disorders, in line with Stage 1 implementation of the NSW Service Plan for People with Eating Disorders 2013-2018.
Illawarra Shoalhaven Local Health District
Added: 8 April 2015|Last updated: 22 April 2015
Improving Admitted National Emergency Access Targets Performance
A four-bed Emergency Medicine Unit (EMU) is planned for the ED of Orange Health Service, to admit selected patients with conditions that can be dealt with in less than 24 hours but don’t require high-level nursing care or monitoring. This will avoid referrals, formal admission and registrar review, ensuring rapid transfer home after a short stay. Patients with certain conditions will be admitted to the EMU on specific pathways to ensure compliance, avoid bed block and enable nurse-led transfer of...
Orange Health Service
Added: 31 March 2015|Last updated: 17 April 2015
Coordinating Mental Health Transfer of Care
Essential to seamless transfer of care is the engagement of and communication with relevant clinicians from the inpatient and community settings, as well as the consumer or carer during discharge planning. This project has highlighted the real issues underlying care coordination, which have persisted and become more complex as local services have evolved. An objective analysis of these issues has occurred with focused strategies and an implementation plan that places the patient at the centre of care....
Murrumbidgee Local Health District
Added: 31 March 2015|Last updated: 17 April 2015
Emergency Nurses Extended Practice Project
This project focused on ensuring that patients presenting to the emergency department are able to receive appropriate treatment by an appropriate person, within triage benchmark timeframes, and provided escalation of care to a senior medical officer as required. It was implemented with a supporting clinical governance structure, clinical nurse protocols and standing orders, as well as an education and training program, which defines the extended scope of the emergency registered nurse....
South Eastern Sydney Local Health District
Added: 31 March 2015|Last updated: 17 April 2015
Sugar Gum - Diabetes and Gum Disease
Gum disease is a chronic inflammatory disease which has a direct impact on blood sugar levels, yet diabetic patients are not routinely referred for oral health checks. This project works with high risks groups such as the elderly, people with chronic disease and Aboriginal people. It encourages people with diabetes to make healthy choices by educating them on the importance of oral health and its impact on blood sugar levels. Following dental evaluation, treatment and education, home packages are given...
Menindee Health Service
Added: 23 March 2015|Last updated: 25 March 2015
Community Nursing Palliative Care Procedure
This procedure will provide a process from registration of a new client, assessment tools, monitoring tools and end of life pathway tool and bereavement follow up for the generalist community health nurses. It will provide Generalist Community Nurses and Palliative Care Nurses with a structured format and standardised processes and tools to use when assessing palliative care clients.
Tweed Byron Health Service Group
Added: 18 February 2015|Last updated: 10 March 2015
Gosford Surgical Admissions Centre Waiting Room Project
The Gosford Surgical Admissions Centre (GSAC) is a short stay surgical admissions centre providing care to 1350 elective patients per month. The project aim is to improve the patient satisfaction rate by focusing on communication, the waiting room environment, the admission processes and streamline documentation.
Gosford Hospital
Added: 23 January 2015|Last updated: 25 February 2015

ACI Research Framework
Aim: To guide all research the ACI undertakes, commissions or partners in, to ensure this research meets the highest ethical, scientific, regulatory and professional...
Benefits: This framework ensures that ACI research meets the highest ethical, scientific, regulatory and professional standards.
15 October 2014
Rural Innovations Changing Healthcare (RICH) Forum
Aim: To offer a conference without the travel where projects can be presented from the nearest participating venue. RICH is an annual ‘virtual’ foru...
Benefits: Using a combination of face to face, videoconference and social media, the one day forum links 17 satellite hubs across rural NSW bringing together a mix o...
10 October 2014
Centre for Healthcare Redesign (CHR) Graduate Certificate Program
Aim: The Centre for Healthcare Redesign (CHR) Program aims to: Increase capability within the Health System to deliver, redesign and service improvement activities;&...
Benefits: The CHR Graduate Certificate Program builds capability in Project Management, Change Management and Redesign through a combination of eLearning, face-to-face tr...
11 August 2016
Palliative and End of Life Care: A Blueprint for Improvement
Aim: The Blueprint aims to guide services and Local Health Districts in constructing their own localised models of care.
Benefits: The Blueprint emphasises the need for an integrated approach to care whereby relationships between specialist palliative care providers and care providers acros...
22 February 2016
Emergency Surgery Redesign
Aim: To provide a reference tool for Local Health Districts when initiating the redesign of emergency surgery practices.
Benefits: There are multiple benefits, including:Improved patient outcomesEnhanced patient and surgical team satisfactionIncreased trainee supervision in emergency surger...
30 May 2014
48 Hour Follow Up Evaluation
Aim: To determine what proportion of eligible patients receive follow up; and whether the provision of enhancement funding has had any impact on rates of follow up.&...
Benefits: The 48 Hour Follow Up program was conceived as a result of the NSW Walgan Tilly Redesign project, which aimed to address gaps in health care and to improve...
5 January 2016
ACI Building Co-design Capability Strategy
Aim: The Strategy aims to build capability in patient experience and co-design thinking, methods and practices within the ACI and across NSW Health by empl...
Benefits: Delivering more person-centred and sustained health care improvement as a result of working in partnership with consumers, carers and health care workers.Strong...
8 December 2016
Rural Health Network
Aim: To provide a co-ordinated approach to the implementation of models of care and innovation for rural communities, including the use of technology; To develo...
Benefits: To support rural and remote clinicians and provide co-ordination between ACI, health service providers and consumers in rural areas to inform and drive improved...
20 January 2014
ACI Guidelines for Home Enteral Nutrition (HEN) Services (2nd edition)
Aim: To provide a generic best-practice framework for the care of people needing HEN.
Benefits: The ACI Guidelines for HEN services promote a coordinated, multidisciplinary and patient-centred approach for people requiring HEN.
13 April 2015
Implementation of the Statewide Pain Plan
Aim: To document and implement a statewide pain strategy to reduce the burden of chronic pain in the community.
Benefits: Following the implementation of the NSW Pain Plan, there will be greater access to expert services, and improved support for primary care, for people living in ...
20 January 2014
NSW Rehabilitation Model of Care
Aim: To implement a consistent model of care for rehabilitation services which supports equity of access, appropriateness of care, and the provision of care in the l...
Benefits: Through the provision of early, intensive rehabilitation, patients will benefit from:
Shorter lengths of stay in hospital due to more intensive therapy service...
20 January 2014
Osteoarthritis Chronic Care Program (OACCP) Model of Care
Aim: The OACCP aims to provide interventions that support people with osteoarthritis of the hip and/or knee to:
Self-manage their condition and co-morbidities; ...
Benefits: The OACCP model of care has been implemented and evaluated in eight LHDs in NSW. Most of the participants have been on the NSW public hospital wa...
9 February 2015
Blood and Marrow Transplant Environmental Cleaning (BMTEC) Project
Aim: To ascertain the methods by which units are cleaned (e.g. frequency and process), resourcing, training, and education of environmental service personnel and cli...
Benefits: With the support of the BMT Network Council and ACI, the BMTEC project provides the following benefits: (i.) Enhanced compliance with the Environmental Cleanin...
20 April 2018
Toolkit for Adolescents and young people with chronic pain: Supporting transition or direct entry to adult services
Aim: To develop a statewide toolkit of resources to assist pain clinics managing adolescents and young people aged 14-25 years with chronic and complex pain. The too...
Benefits: The experience of young people entering adult services will be assisted by having age appropriate treatments, approaches and resources available.
The transition...
26 April 2016
Home Enteral Nutrition (HEN) Factsheets and Brochures
Aim: To provide information about HEN for consumers and health professionals.
Practical information for health professionals about HEN in NSW.
Benefits: Improved support for consumers accessing HEN services.
13 April 2015
Clinical Innovation Program – Spread of Innovation
Aim: The aim of the ACI Clinical Innovation Program is to:Accelerate implementation of ACI Models of Care and Guidelines; Assist in the sharing and sp...
Benefits: Improved implementation and system uptake of models, with demonstrated patient and health system benefit; Reduction in time and effort for LHDs to replicat...
7 August 2014
NSW Subcutaneous Insulin Prescribing Chart
Aim: To standardise an adult subcutaneous insulin chart and minimise risks in insulin prescription, administration and documentation.
Benefits: The chart combines prescription and administration with blood glucose, ketone monitoring and glycaemic management. It links all the necessary information for gl...
16 July 2015
Care of Adult Patients in Acute Care Facilities with a Tracheostomy
Aim: To improve the safety and quality of care provided to adult patients with a tracheostomy in NSW hospitals.
Benefits: Reduce number of, and severity of adverse events in adults with tracheostomy
Improve patient experience and outcomes
Improve staff experience in caring for pati...
26 June 2015
The Nutrition and Mental Health Toolkit
Aim: The purpose of the toolkit is to provide guidance, tools and resources to support the:Implementation of the Nutrition Standards for Consumers of Inpatient Menta...
Benefits: The toolkit will assist LHDs / Networks and/or facilities in both developing and implementing an action plan to meet the requirements of the Nutrition Standards...
13 April 2015
State Cardiac Reperfusion Strategy (SCRS)
Aim: To improve care for all patients in NSW with a suspected Acute Coronary Syndrome (ACS) and reduce the time from symptom onset to reperfusion for patients with S...
Benefits: Care is tailored to specific settings so that all patients, regardless of their geographical location or presentation pathway can benefit from early access to s...
21 May 2015
Understanding the Role of Health Economics at ACI
Aim: Improved decision-making to support the delivery of sustainable, system-wide change proposals.
Benefits: Describes how health economics will be integrated into the work of the ACI;
Articulates the objectives and principles of the ACI economics function and te...
20 January 2014
Minimum Standards for Safe Procedural Sedation
Aim: To support the safe provision of procedural sedation (in non-operating-theatre settings) across NSW public hospitals, ensuring all clinicians who provide sedati...
Benefits: A consistent approach for procedural sedation across NSW, Local Health Districts (LHDs) and hospitals;
Appropriate skills and training for all clinicians ...
21 August 2015
Nutrition Standards for Paediatric Inpatients in NSW Hospitals
Aim: To define the types and amounts of foods that must be offered to paediatric patients on standard hospital menus.
Benefits: An evidence-based guide on food and nutrition for paediatric patients in hospital.
20 June 2014
Diagnostic Report to Inform the Model for Palliative and End of Life Care Service Provision
Aim: The Diagnostic Report aims to define the problems associated with the provision of palliative and end of life care and to better understand the root causes of t...
Benefits: This Diagnostic phase has identified key challenges in the provision of care to people approaching and reaching the end of life. By identifying and refining the...
5 August 2014
Support Network for the Local Health District Redesign and Innovation Leaders Group
Aim: To enable, support and challenge group members to achieve their mission of driving healthcare quality and efficiency through shared knowledge, collaborative com...
Benefits: This network can generate significant momentum for local and system change by optimising relationships within and across clinical and geographical boundary line...
5 August 2016
Endoscopy Information System (EIS)
Aim: To develop a high-quality endoscopy reporting system to ensure that an accurate assessment of NSW endoscopy services can be undertaken against accepted pat...
Benefits: The implementation of a standard EIS across NSW Health will:Provide accurate statewide information on endoscopic procedures carried out in NSW public ...
23 September 2014
Parenteral Nutrition Factsheet
Aim: To provide introductory information about parenteral nutrition for patients and their carers. Parenteral nutrition is a specialised nutrition solution deli...
Benefits: Improved information for consumers accessing parenteral nutrition.
20 June 2014
Nutrition Standards for Adult Inpatients in NSW Hospitals
Aim: To define the types and amounts of foods that must be offered to patients on standard hospital menus in NSW.
Benefits: To provide an evidence-based guide on food and nutrition in hospitals.
13 April 2015
Diet Specifications for Adult Inpatients
Aim: To provide detailed specifications for a range of therapeutic diets for adults in NSW public hospitals.
Benefits: The specifications provide an evidence-based guide on food and nutrition for adult inpatients in hospital.
13 April 2015
1 Deadly Step
Aim: The 1 Deadly Step program promotes screening, early detection and follow up of chronic disease in Aboriginal communities in NSW. The unique component of 1 Deadl...
Benefits: The 1 Deadly Step project is an initiative of the Chronic Care for Aboriginal People Program (CCAP). This project demonstrates how the CCAP Model of Care c...
4 January 2016
NSW Pain Clinic Referral Form and Process
Aim: To provide a consistent method when making a referral from primary care to a tertiary pain service, irrespective of where the service is located.
Benefits: All services will have the same triage criteria and process for accepting patients from primary care.
17 November 2014
Care of Confused Hospitalised Persons (CHOPs) program
Aim: Provide simple strategies to improve the care outcomes of older patients with confusion in NSW hospitals, through:increased staff knowledge and skills to i...
Benefits: Increased screening, improved risk assessment and more appropriate treatment and management of confusion.Increased awareness, knowledge and skills of staff to b...
14 August 2015
NSW Standardised Pain Charts (adult)
Aim: Development and implementation of statewide charts to be used at the bedside when delivering Patient Controlled Analgesia (PCA), ketamine infusions and neuraxia...
Benefits: Benefits include improved safety and quality of care for patients.
15 December 2014
Pleural Drains in Adults - Consensus Guidelines
Aim: Improve the standard of clinical practice in the insertion, management, trouble shooting and removal of pleural drains in adults within NSW hospitals.
Benefits: Improve patient experience and outcomes.
Increase awareness of ‘good’ practice in relation to pleural drains.
Support managers and clinicians to imp...
15 January 2016
NSW Chronic Pain Clinics Information Flyer
Aim: To provide information to consumers and primary care clinicians on the purpose and approach of various pain management services, alongside relevant contact deta...
Benefits: Benefits include improved information for consumers on available pain-management services in NSW. The flyer outlines each of the publicly-funded pain management...
22 January 2014
Inclusion in Mainstream Health Services: Using Visuals for people with intellectual disability
Aim: This project aims to improve communication between people with disabilities and health professionals in busy mainstream healthcare environments by developing an...
Benefits: Using visual aids for people with intellectual disability in busy healthcare environments can assist with communication and allay fear and confusion for t...
10 July 2015
Nutrition Standards for Consumers of Inpatient Mental Health Services in NSW
Aim: To define the types and amounts of foods that must be offered on the menu for people admitted to inpatient mental health facilities in NSW .
Benefits: Implementing the standards will:Support recovery; Help people achieve good physical and mental health; Meet the needs and expectations of consumers.
13 April 2015
Standards for High Risk Foot Services (HRFS) in NSW
Aim: “The Standards” will be used to:Provide a consistent definition for HRFSReduce clinical variation, aligning existing services tostate, national and ...
Benefits: Facilitate equity of access to an appropriate level of foot care for all patients in NSW by supporting a basis for standardising the clinical servicesImprove ca...
18 June 2015
Nurse Delegated Emergency Care (NDEC) Project
Aim: To provide timely, quality care for patients presenting to EDs in rural and remote areas with low risk, low acuity conditions, and to empower Registered Nu...
Benefits: For patients - access to timely and quality care for less-urgent conditionsFor nurses - a validated and authorised framework to work within their scope of pract...
17 August 2016
Telehealth Pilot for Pain Management
Aim: To implement the telehealth toolkit and test and modify its application in the real setting of a pain clinic.
Benefits: Telehealth is a modality that can be utilized to improve access for people to specialized healthcare who live in rural and remote regions.It also provides suppo...
16 July 2015
Electronic Persistent Pain Outcome Collaboration - routine patient outcomes reporting of pain management intervention
Aim: The NSW pain plan provided funding and an outline of a system of collecting and analyzing data from NSW pain clinics which quantified patient outcomes...
Benefits: The routine collection and analysis of data regarding patient outcomes is an important aspect of service delivery and improvement. The data enables benchmarking...
25 February 2015
Home Enteral Nutrition (HEN) Cards
Aim: To improve HEN care and communication between health professionals, via practical reference cards.
Benefits: Improved support for consumers accessing HEN services.
13 April 2015
The Musculoskeletal Primary Health Care Initiative
Aim: The Musculoskeletal Primary Health Care Initiative aims to plan, implement and evaluate a ‘one-stop’ program of care within primary care settings fo...
Benefits: The Musculoskeletal Primary Health Care Initiative proposes the benefits will be that validated musculoskeletal models of care can be provided in primary health...
9 February 2015
ACI Innovation Awards
Aim: ACI Innovation Awards were introduced at the seven rural Local Health District Quality Awards 2014, and at the HETI Statewide Rural Health and Researc...
Benefits: Winning projects are loaded onto the new ACI Innovation Exchange, replacing Australian Resource Centre for Healthcare Innovation (ARCHI) as a one-stop-shop for ...
10 October 2014
Osteoporosis Refracture Prevention Model of Care
Aim: To ensure people who sustain a minimal trauma fracture have access to early identification, diagnosis, treatment, and follow-up for osteoporosis.
Benefits: Benefits include improved patient outcomes, better utilisation of hospital services, and reductions in health system costs for at risk people.
9 February 2015
Chronic Pain and Spinal Cord Injury Project
Aim: The aim of this initiative was to provide web-based resources for consumers who live with spinal cord injury and chronic pain in addition to a clinical navigati...
Benefits: The project has developed extensive resources and a service model that are now accessible to consumers and clinicians.
12 February 2015
NSW Health Coaching Panel (pilot phase)
Aim: Establish a coaching panel to provide high quality, easy to procure coaches for the health services to:build capability for improvement, implementation and lead...
Benefits: High quality coaches will be pre-assessed and appointed to the coaching panel.LHD / SHN Senior Project Leads and Managers will increase capability for...
7 August 2014
Reducing Unwarranted Clinical Variation (UCV) Taskforce
Aim: To oversee the development and implementation of a system-wide approachto identify, address and reduce Unwarranted Clinical Variation (UCV).
Benefits: To refine care processes and implement evidence-based models of care tosupport improved patient outcomes.
17 November 2013
Regional Aged Care Hospital Avoidance Compendium Report 2014
Aim: To provide a snapshot of current established Regional Aged Care Hospital Avoidance Models of Care as a ‘one-stop-shop’ for service providers to view...
Benefits: The Compendium will provide a synthesis and analysis of options; programs, the resources and partnerships required for implementation and sustainability, key st...
10 October 2014
Rehabilitation Implementation Toolkit
Aim: To facilitate the implementation of the Rehabilitation Model of Care.
Benefits: The Toolkit assists Rehabilitation Implementation leads and other key LHD stakeholders to understand the value delivered in current care settings, while i...
16 January 2014
Health Pathways Implementation and Evaluation
Aim: The ACI is supporting three sites to implement and four sites to evaluate Health Pathways. Local services review and clarify their patient pathways between prim...
Benefits: Creates clear referral pathways between services
Provides comprehensive service information for referring clinicians
Links clinicians to the appropriate best pr...
5 December 2013
WentWest Child Development Care (CDC) Coordination Project Evaluation
Aim: To improve the health, growth and development of children through awareness of developmental concerns and service supports.
Benefits: Early identification of need and awareness of services to support patients and families and professionals.
16 July 2015
Stroke Clinical Variation Statewide Strategy (SCVSS) & Stroke Clinical Audit Process (SCAP) V2
Aim: The SCVSS will ensure the delivery of best quality care through a process which regularly assesses clinical variation , determining and correcting its cau...
Benefits: Reduction in mortality and functional outcomes for stroke (ischaemic and haemorrhagic) patients admitted to NSW public hospitals.
14 July 2015
Develop and Implement an ACI Knowledge Management (KM) Approach
Aim: To partner with Health Services to develop and implement an approach that supports collaboration, learning capability and sharing knowledge about innovation and...
Benefits: A robust KM approach will serve NSW Health by ensuring:
Both small and large-scale innovations and improvements generated across health services are recognised...
30 May 2014
Cystic Fibrosis Model of Care
Aim: Maintain or improve the health and wellbeing of people with CF
Provide consumers with greater choice for how and where care can be safely and effectively provid...
Benefits: Better meet the health care needs of people with CF in NSW now and into the future
Build capacity within the health system to provide timely and effective care
15 January 2016
Improving the Medical Inpatient Journey with Criteria Led Discharge
Aim: To reduce delays when a patient is medically ready to return home from hospital.
Benefits: A formalised criteria-led discharge process has the potential to:
Improve patient experience: patients are able to get home sooner;
Enhance patient safet...
30 May 2014
Music & Memory
Aim: To improve the experiences of consumers in NSW Health services through Music & Memory.
Benefits: International evaluations have shown that Music & Memory:reduces depression, anxiety and painhelps awaken the mind and restore identityparticipants are happ...
4 August 2016
Surgery Redesign School
Aim: The School is aimed at project leaders who are responsible for implementation of surgical models of care, or improving operating theatre efficiency.
Benefits: Increased awareness and skills in project management, change management and Accelerated Implementation Methodology (AIM).
30 May 2014
Minimum Standards for the Management of Hip Fracture in the Older Person
Aim: To improve the outcomes of patients with fractured hips requiring surgery and management in NSW.
Benefits: Reduced medical complications, reduced hospital stays and improved patient outcomes.
7 April 2015
Pain Management Network Website
Aim: Provide freely accessible, evidence based information to consumers with chronic pain; Provide evidence based tools and resources for clinicians to assist t...
Benefits: A major objective of the NSW pain plan is to support the management of chronic pain in the primary care setting. The development of an evidenced based webs...
20 June 2014
Eye Emergency Manual - Smart Phone App
Aim: To provide a quick and simple guide to recognizing important signs and symptoms and management of common eye emergencies for medical and nursing staff in Emerge...
Benefits: This initiative has provided easy access to highly graphical overview of signs, symptoms and management of common eye emergencies.
2 June 2014
Fascia Iliaca Blocks for older people with hip fracture
Aim: To develop a toolkit of resources facilitating Fascia Ilaica Block (FIB) as a method of pain management in hip fracture.
Benefits: To assist in the practical application of effective pain management as referred to in the Minimum Standards for Hip Fracture;
To reduce the harm arising f...
9 November 2015
Understanding Program Evaluation: An ACI framework
Aim: To provide a framework for undertaking evaluations of programs and projects. Programs include projects, models of care, clinical pathways and guidelines, and ot...
Benefits: High-quality evaluation supports accountability and provides a rigorous evidence base toinform health-service development and program design.Program evaluation ...
18 November 2013
Community Acquired Pneumonia Clinical Variation
Aim: To assist clinicians and managers within NSW hospitals to investigate and address clinical, process and systems factors that may contribute to unwarranted varia...
Benefits: Improve patient outcomesReduce unwarranted variation in outcomes following admission for CAP
26 June 2015
High Volume Short Stay Surgical Units (HVSSS)
Aim: The HVSSS Unit Model emerged as a model of care from the Surgery Futures – A Plan for Greater Sydney project (released January 2011).
This toolkit p...
Benefits: Improved access to planned surgical services;
Improved service efficiency, regarding both operating theatre and bed utilisation;
Extended range of p...
30 May 2014
12 Key Learnings from the Diagnostic Report to Inform the Model for Palliative and End of Life Care Service Provision
Aim: To present the 12 Key Learnings from the Diagnostic process that will directly inform the Model for Palliative and End of Life Care (PEoLC) Service Provision in...
Benefits: The key learnings of the Diagnostic Report provide the ACI with the basis on which to develop solutions and a Model of Care that directly address the core ...
5 August 2014
Accelerating Implementation Methodology (AIM)
Aim: To increase Implementation capability across NSW Health; To embed AIM principles in large-scale program and model of care implementation; To apply AIM...
Benefits: Given the scale and pace of change-initiatives there is an ongoing demand for increased capability in applying AIM principles across the NSW Health system. The ...
17 January 2014
NSW Stroke Reperfusion Project (SRPP)
Aim: To improve early access to thrombolysis for ischaemic stroke patients.To improve pre-hospital assessment by paramedics for identification of stroke through a va...
Benefits: There are multiple benefits involved in this project:To train paramedics in the application of the ‘FAST’ (Face, Arm, Speech and Time) stroke assess...
25 June 2015
How to Develop and Implement a Model of Care
Aim: Providing a methodology for ACI networks to use when creating a model of care (MoC), and to assist networks to implement models that they have developed.
Benefits: Brings together change-management techniques to create five key phases when developing a model of care: Project Initiation; Diagnostic; Solution Desig...
18 November 2013
Medical Imaging District Services (MIDS) Implementation Toolkit (business model)
Aim: To assist Local Health Districts implement a more business-like approach to the delivery of Medical Imaging clinical services for sustainability and better pati...
Benefits: Timely access to services and reporting to enable better patient care
Appropriate referrals, optimal use of imaging
Economies of scale across the LHD reduc...
25 February 2015
Patient Experience and Consumer Engagement (PEACE) Methodology
Aim: The Patient Experience and Consumer Engagement (PEACE) methodology supports the ACI’s ongoing commitment to promote meaningful engagement and consumer-led...
Benefits: The PEACE methodology captures consumer input and harnesses direct patient and carer experience to inform ACI activities.
23 February 2015
A Clinician’s Guide: Caring for people with gastrostomy tubes and devices
Aim: The Guidelines are a practical resource for clinicians to assist them in providing standardised care for children and adults who have a gastrostomy tube or devi...
Benefits: The Guidelines provide a practical, evidence-based approach to the care of patients with gastrostomy tubes and devices in NSW.
13 July 2015
Factsheet on Food and Nutrition in NSW Hospitals
Aim: To provide introductory information for patients and their carers about food and nutrition care in NSW hospitals.
Benefits: Benefits include clear information for consumers on food and nutrition care provided in hospital.
13 April 2015
Telehealth Resource Package
Aim: To assist in the implementation of Telehealth as a service delivery method.
Benefits: Telehealth is a tool that can improve the delivery of health care programs to patients and provide equity of access, especially for people who may be disadvanta...
3 March 2016
Framework for the Statewide Model for Palliative and End-of-Life Care Service Provision
Aim: To inform the development of a comprehensive model of care for equitable palliative and end-of-life care service provision in NSW.
Benefits: The Framework is the foundation for advancing work towards the Network’s vision that all NSW residents have access to quality care based on assessed need ...
20 January 2014
Pre Procedure Preparation / Perioperative Toolkit
Aim: To review the NSW Health Guideline: Pre-Procedure Preparation Toolkit.
Benefits: To review the existing toolkit to ensure it supports best practice for pre procedure care for patients undergoing surgery or a procedure.The existing toolkit wa...
11 August 2015
Investigating Clinical Variation in Acute Care
Aim: The aims of the ACI Investigating Clinical Variation in Acute Care project are to identify clinical variation in the inpatient management of COPD, CAP and CHF a...
Benefits: Unwarranted clinical variation (UCV) is an ongoing barrier to providing safe and effective care for patients. Recognising and addressing UCV has been identified...
13 March 2017
Guidelines for Research in the Area of Intellectual Disability
Aim: To guide people interested in conducting research in the field of intellectual disability, including how to include people with intellectual disability themselv...
Benefits: Research guidelines are often not tailored to inclusive research for people with intellectual disability. This paper suggests different models of how this may o...
12 November 2013
Stroke and Vision Defects Study: Phase 1 Validation of a Vision Screening Tool
Aim: To validate the effectiveness of the Tool developed for use by stroke clinicians, in detecting the presence of vision defects in patients diagnosed with stroke.
Benefits: The Vision Screening Tool will facilitate rehabilitation and recovery for patients with stroke by detecting both acquired and long standing vision defects.
3 July 2014
Hepatitis C: A guide to current treatment and care
Aim: To provide health care managers and staff with information to help design and implement services for the best care for patients with hepatitis C in their own en...
Benefits: Improvements in clinical practice and patient care.
9 December 2014
Clinical Variation in 30 Day Mortality for Acute Myocardial Infarction
Aim: To examine clinical
variation in 30 Day mortality for patients presenting with Acute Myocardial
Infarction to hospitals throughout NSW.
Benefits: Increased understanding of the factors that contribute to unwarranted
clinical variation (UCV) in 30 day mortality for Acute Myocardial Infarction.
If UCV is co...
6 November 2013
Statewide Burn Injury Service (SBIS) Telehealth Project
Aim: To establish a Telehealth model of care for the Statewide Burn Injury Service.
Benefits: There is significant potential for Telehealth to focus on patient centred care and improve the quality of care for:Patients by providing services that will allo...
16 April 2015
Guidelines for the use of Telehealth for Clinical and non-Clinical Settings in NSW
Aim: The Agency for Clinical Innovation (ACI) Rural Telehealth Working Group has developed state-wide Guidelines for those using telehealth across NSW. The aim of th...
Benefits: Ability to reduce wait times;
Focus on patient centred care closer to home;
Additional way of providing broader care options;
Implementation o...
3 March 2016
Non-Invasive Ventilation (NIV) Guidelines for Adult Patients with Acute Respiratory Failure
Aim: Provide clinicians in critical care areas and specialist respiratory care units with best practice guidance regarding the provision of NIV for appropriately sel...
Benefits: Improve patient experience and outcomes
Reduced need for invasive ventilation, prolonged mechanical ventilation and tracheostomy
Reduce length of stay
26 June 2015
Transition Care Principles
Aim: The principles document for the transition of young people with chronic conditions from paediatric to adult care has been developed by the Agency for Clinical I...
Benefits: Despite agreement about the importance of effective transitional care, there is little evidence to inform best practice about both the process of and what const...
20 October 2014
Acute Myeloid Leukaemia (AML) Model of Care
Aim: To optimise the quality of care for patients with AML and enable a consistent approach to the provision of care. It provides a set of principles and outlines th...
Benefits: Key points included in this model are:Mechanisms to ensure early identification and referral to an AML treatment centreA multidisciplinary team (MDT) approach t...
10 July 2015
Improving Patient Outcomes from Cataract Surgery Study
Aim: The primary aim of the research is to explore patient-centred outcomes of cataract surgery in Australia and the effectiveness of currently available tools to as...
Benefits: While there is a large body of knowledge describing visual improvement following cataract surgery, we currently know little about the expectations that Australi...
8 December 2014
Operating Theatre Efficiency Strategies
Aim: Following the Auditor-General’s report, Performance Audit: Managing operating theatre efficiency for elective surgery, the ACI will work with the Ministry...
Benefits: Increased collaboration and support for operating theatre efficiencies.
20 January 2014
Catalogue of Research on Intellectual Disability (NSW)
Aim: Identify current research and research gaps concerned with intellectual disabilities.
Benefits: Awareness of what research is current in the field of intellectual
disability in NSW, including gaps, funding sources, and identification of
suggestions for min...
4 December 2013
Access to Health Services for People with Intellectual Disability: The Patient Story
Aim: To
inform people with intellectual disability, and their carers, about how the health
system works to address their needs; To
give health professionals ins...
Benefits: Adapting the health service needs of people with intellectual disability
according to their identified needs.
4 December 2013
Mapping of Services within NSW Health for People with an Intellectual Disability
Aim: Develop a web based service directory of available NSW Health service and resources for people with an Intellectual Disability.
Identify existing specialist ser...
Benefits: Information collected will be developed into a web based service directory for use by clinicians/health professionals, consumers and their families/carers.
The ...
2 June 2014
Assistants to the Anaesthetist
Aim: During an episode of anaesthesia, the anaesthetist must be assisted by another appropriately trained person, in order to ensure the safety and quality of care f...
Benefits: Standardising education and training requirements for the anaesthetic assistant;
Ensuring safe and efficient anaesthesia;
Ensuring anaesthetic assis...
21 August 2015
Model of Care for Prevention and Integrated Management of Pressure Injuries in People with Spinal Cord Injury and Spina Bifida
Aim: To promote a model of care which focusses on supporting self-management and education strategies for the person with Spinal Cord Injury (SCI) / Spina Bifida (SB...
Benefits: There are an estimated 6,500 individuals living in NSW with spinal cord injury (SCI) and spina bifida (SB), who have an overall lifetime incidence of press...
7 June 2016
Specialist Outpatient Services Improvement Project
Aim: This collaboration is designed to support the achievement of providing equitable access to timely, quality care, efficiently and sustainably, in the outpatient ...
Benefits: It is intended that this initiative will provide the system leadership and direction required to achieve the following service outcomes:Services that are respon...
10 October 2014
Blood and Marrow Transplantation Long Term Follow Up (LTFU) Project
Aim: The primary goal of this project is to develop clinical guidelines for management of patients following allogeneic blood and marrow transplant. The guidelines a...
Benefits: LTFU assists early recognition of complications, survival and quality-of-life issues for patients post-BMT transplant. These benefits have been supported b...
5 August 2016
Framework for Urinary Continence in Children and Young People
Aim: This initiative aims to provide leadership, support and advice on development of a framework for paediatric urinary continence that includes evidenced based gui...
Benefits: The potential benefits include:
development of state wide evidenced based guidelines for clinicians that aim to improve patient care
development of an educatio...
4 January 2016
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