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Centre for Healthcare Redesign
Centre for Healthcare Redesign
Eyes Open: Improving service delivery for the Royal North Shore Hospital ophthalmology service
The ophthalmology service delivers excellent ophthalmic care, however, patient and staff feedback demonstrate that the service delivers a poor patient and staff experience. This project focused on identifying opportunities for improvement that relate specifically to patient and staff experiences, and then implementing sustainable changes to address these experiences.
Royal North Shore Hospital
Added: 6 May 2019|Last updated: 9 October 2019
Dealing with the hard stuff: Southern NSW drug and alcohol clinical redesign project
Southern NSW Local Health District Drug and Alcohol services are aiming to improve the client experiences of D&A service provision with a focus on timely access, evidence-based treatment and pathways to ongoing care and support in the community. The project is implementing a number of solutions to improve triaging of referrals, standardise treatment pathways and models for collaborative, step-down care through partnerships with general practitioners and non-government organisations....
Southern NSW Local Health District
Added: 26 August 2019|Last updated: 29 August 2019
Making the difference – going beyond respect
This project explored how to enable Aboriginal patients to connect, or stay connected, with their culture throughout their journey in the Forensic Mental Health Hospital.
Justice Health and Forensic Mental Health Network
Added: 26 August 2019|Last updated: 29 August 2019
Karitane redesign intake systems project
This project aims to streamline the intake process to improve equitable and timely access for referred families.
Karitane
Added: 26 August 2019|Last updated: 29 August 2019
From interventional radiology scheduling to safety (Patient FIRSTs)
This project was a complete redesign of interventional radiology processes. This includes improving: scheduling practices, protocolling practices, patient experience, patient information, communication between team, clinical handover.
Illawarra Shoalhaven Local Health District
Added: 26 August 2019|Last updated: 29 August 2019
Quality control under the microscope
To provide a statewide quality control approach that delivers more timely and reliable diagnostic test results to assist in improving patient care by December 2020.
NSW Health Pathology
Added: 26 August 2019|Last updated: 29 August 2019
RAPID: Revamping the admission process to inpatient departments
RAPID is a collection of projects that were developed by staff at Shoalhaven Hospital to address a range of issues. These issues contributed to a delayed medical patient journey across three areas: limited bed access, aged care assessment team referral process, fragmented interdisciplinary communication.
Shoalhaven District Memorial Hospital
Added: 26 August 2019|Last updated: 29 August 2019
Healthy ED Healthy Hospital
The Healthy ED Healthy Hospital project aimed to improve safe and timely emergency care within an agreed timeframe in a bid to improve patient safety and outcomes.
The Maitland Hospital
Added: 26 August 2019|Last updated: 29 August 2019
Paediatric Access Support Service (PASS)
The Paediatric Access Support Service (PASS) aims to transfer patients to and from Sydney Children’s Hospitals Network inpatient settings efficiently. This would reduce associated workload, and improve the patient and staff experience.
Sydney Children's Hospital Network
Added: 28 August 2019|Last updated: 29 August 2019
Less time in ED: zero tolerance for patients with emergency department stays of more than 24 hours
St Vincent’s Hospital Sydney is working to improve patient and staff safety, and the overall experience in the emergency department. The focus is on eliminating extended lengths of stay in the ED.
St Vincent's Hospital
Added: 26 August 2019|Last updated: 29 August 2019
Care Coalition: Integrated Case Management for Opioid Treatment
South Western Sydney Local Health District Drug Health Services will develop a standardised Care Management Framework for all sites, in addition to professional development for staff, new clinic dosing hours and a review of clinical practices, service liaison and interagency collaboration.
South Western Sydney Local Health District
Added: 8 August 2016|Last updated: 12 July 2019
Saving lives in the morgue: forensic medicine social work
The forensic medicine social work service is being redesigned for people who are traumatically and suddenly bereaved, so they feel supported and well informed when facing a potentially disempowering and complex medical and coronial system.
NSW Health Pathology
Added: 6 May 2019|Last updated: 9 May 2019
EvE - Emergency vs Emergency (Surgery)
Westmead Hospital Division of Surgery and Anaesthetics is implementing a number of solutions to improve the surgical journey for Category 5 and 6 emergency patients. The project includes the development of pathways for patients to enable a more structured approach to the booking and completion of emergency surgery, including possible hospital admission avoidance for suitable patients. Business rules to ensure equity and clinical coordination and assessment....
Westmead Hospital
Added: 7 May 2019|Last updated: 9 May 2019
Integrating care for frequent service users in Goulburn
This project brings together the local ambulance service, general practice, hospital emergency department (ED) and community health centre resources to identify and respond to patients who repeatedly use one or more of these health services. These agencies will work collaboratively with the patient to provide a coordinated, targeted and timely response to the general health and social needs that the patient identifies as triggering their need for an emergency response....
Southern NSW Local Health District
Added: 6 May 2019|Last updated: 9 May 2019
Rethinking pathology testing in the ICU - arterial blood gas
To understand current ordering practices within the intensive care unit, specifically: who initiates arterial blood gas sampling; what are the clinical indications; when are these investigations performed; how many investigations are performed
Nepean Blue Mountains Local Health District
Added: 3 May 2019|Last updated: 9 May 2019
Creating an integrated and responsive community acute care mental health service: to improve the quality of consumer outcomes
Mental health community services should provide an integrated and comprehensive recovery service for consumers. However, services have operated in silos over previous years, which can result in a fragmented consumer journey. This clinical redesign project will focus on an integrated mental health community service for consumers.
Northern Sydney Local Health District
Added: 6 May 2019|Last updated: 9 May 2019
Ten to one: FASS Lidcombe sample receipt redesign project
To simplify and consolidate the receipt process for criminalistics and toxicology samples at the Forensic and Analytical Science Service, Lidcombe by improving efficiency, streamlining service delivery and enhancing the stakeholder experience.
NSW Health Pathology
Added: 6 May 2019|Last updated: 9 May 2019
NSWHP flow cytometry model of service
NSWHP flow cytometry services have developed over time, with no coordinated strategic plan to provide optimal care to all patients and service to all doctors throughout NSW. The opportunity of this project is to investigate all possible models of service and determine the best way in which to deliver a world class, value based public flow cytometry service that is renowned for both excellence and innovation....
NSW Health Pathology
Added: 6 May 2019|Last updated: 9 May 2019
A Joint Effort: patient centred redesign in rheumatology outpatients
This project aims to implement a sustainable and patient centred service for patients attending the rheumatology outpatient clinics at Royal Prince Alfred Hospital.
Royal Prince Alfred Hospital
Added: 24 April 2019|Last updated: 9 May 2019
Increasing Access and Efficiency of the Medical Imaging Department’s Service for Emergency Patients
This project improves the median turnaround time for emergency department patients receiving scans at Royal North Shore Hospital.
Royal North Shore Hospital
Added: 24 April 2019|Last updated: 9 May 2019
A piece of your heart: who fits where in your heart failure care?
This project aims to provide proactive care for heart failure patients in the Hunter New England Local Health District. It will support people with heart failure who are transitioning from hospital to home and back into the ongoing care of their general practitioner.
Hunter New England Local Health District
Added: 28 November 2018|Last updated: 13 December 2018
I AM: Identifying and Addressing Malnutrition
The I AM Project aims to implement a more sustainable and accurate screening process at Prince of Wales Hospital for patients who are malnourished, or at risk of malnutrition.
Prince of Wales Hospital
Added: 7 December 2018|Last updated: 13 December 2018
Implementing and Embedding the National Surgical Quality Improvement Program in NSW
This project focuses on designing tools and resources for NSW hospitals to implement the National Surgical Quality Improvement Program (NSQIP) in their service.
Agency for Clinical Innovation
Added: 10 December 2018|Last updated: 13 December 2018
ODDS Project: Clinical Consumables
The Ordering, Delivery, Distribution and Storage project at Blacktown Hospital aims to improve the effectiveness and efficiency of consumable stock management practice; this includes imprest and non-stock items.
Blacktown Mount Druitt Hospital (Blacktown Campus)
Added: 19 November 2018|Last updated: 13 December 2018
Breathe Easy: eliminating unwarranted clinical variation for patients with chronic obstructive pulmonary disease
The Breathe Easy project aims to eliminate varying treatment outcomes and clinical uncertainty for patients with exacerbation of chronic obstructive pulmonary disease, admitted to South East Regional Hospital in Bega.
South East Regional Hospital
Added: 20 November 2018|Last updated: 13 December 2018
Breath of Fresh Air: Paediatric Long Term Ventilation
This project aims to provide a coordinated, equitable and integrated service for children requiring invasive long term ventilation, and their families. It also aims to support the needs of long term ventilation children at home and in the community, and provide access to a comprehensive package of ambulatory care services to decrease admission rates and days spent at hospital.
Sydney Children's Hospital Network
Added: 4 December 2018|Last updated: 13 December 2018
Engaging Patients as Partners in Care
This project brings together patients, families, carers and healthcare staff to act as partners in care and treatment planning.
South East Regional Hospital
Added: 4 December 2018|Last updated: 13 December 2018
Environmental Cleaning of Ambulances
To reduce the risk of healthcare associated infections in NSW Ambulance. This will provide safer care for patients and improve the working environment for paramedics.
NSW Ambulance
Added: 7 December 2018|Last updated: 13 December 2018
Improving resident activity levels in the aged care facility on Norfolk Island
We worked closely with the community, staff, residents, and families of those living in the aged care facility on Norfolk Island to address their most pressing issue; the activity levels of the residents.
South Eastern Sydney Local Health District
Added: 5 December 2018|Last updated: 13 December 2018
Keeping our Community Staff Safe
This project aims to improve the identification of clients who may be violent or aggressive towards St Vincent’s Hospital Network staff working in the community.
St Vincent's Health Network
Added: 19 November 2018|Last updated: 13 December 2018
Better Cardiac Care for Aboriginal People, Burlu Kirra Kirra/Na
This project aims to improve patient outcomes for Aboriginal people with cardiac conditions in far west NSW, starting with the Broken Hill Catchment Region, by providing access to a cultural specific program in the identified communities.
Far West Local Health District
Added: 19 November 2018|Last updated: 13 December 2018
A Tooth in Time Saves Nine: Redesigning the Denture Journey
The CCLHD Oral Health Service is improving the provision of denture services. There will be a fairer and more efficient patient journey through the system, improved communication with patients, and clearer processes for staff. The waiting list for denture assessment will be reduced, and patients will be clinically assessed rather than rely solely on a telephone triage questionnaire.
Central Coast Local Health District
Added: 20 November 2018|Last updated: 13 December 2018
Flow of Emergency Theatre Cases at Hornsby
This project will improve the safety and efficiency of the emergency surgical patient journey.
Hornsby Ku-ring-gai Hospital
Added: 17 September 2018|Last updated: 1 October 2018
We’ve Got Your Back – Improving Access to Care
Wait times for patients to see a neurosurgeon at Westmead Hospital were previously as long as 12 months. By using existing clinical resources and identifying waste within the current system, patient wait times for appropriate treatment of back pain have been significantly reduced. The project also identified an opportunity to increase revenue by up to $450,000 per annum.
Westmead Hospital
Added: 15 August 2018|Last updated: 30 August 2018
Sterilising and Perioperative Clinical Redesign
The project team identified an opportunity to enhance the patient experience at Concord Hospital by increasing operational efficiency between the sterilising department and operating theatres. Following a review, a range of recommendations were implemented to improve inter-departmental communication and processes, streamline workflows, and enhance workforce morale.
Concord Repatriation General Hospital
Added: 20 August 2018|Last updated: 30 August 2018
Break Down: Improving Secondary Fracture Prevention
While local specialist services are available to help prevent secondary fracture, in the Richmond area, only 10% of those at risk are being assessed. This project will improve identification and referral for at-risk patients and help improve patient awareness of the risk of secondary fracture.
Lismore Base Hospital
Added: 20 August 2018|Last updated: 30 August 2018
Improving Access to Non-Acute Mental Health Beds
This project creates efficiencies in the provision of non-acute mental health beds across the Northern Sydney Local Health District by improving referral and communication processes and providing a better overall experience for patients and staff.
Macquarie Hospital
Added: 20 August 2018|Last updated: 30 August 2018
When’s it my turn? The Maitland Hospital Paediatric Ambulatory Care Service
The project focuses on the referral, waitlist and appointment booking processes of the Maitland Hospital Paediatric Ambulatory Care Service to deliver timely, efficient and effective care to children.
The Maitland Hospital
Added: 27 August 2018|Last updated: 30 August 2018
Optimising Pre-operative Patient Blood Management
Wollongong Hospital implemented a program to optimise the pre-operative haemoglobin and iron stores of patients undergoing major elective colorectal, upper gastrointestinal tract and orthopaedic surgery. This will prevent avoidable blood transfusions and their complications, along the patient peri-operative journey.
Illawarra Shoalhaven Local Health District
Added: 27 August 2018|Last updated: 30 August 2018
We can’t prevent falls! A myth-busting falls prevention initiative in Wagga Wagga and Gundagai
Falls are a major health issue for older people, and falls prevention is a high priority for the Murrumbidgee Local Health District. This project implemented changes to improve the quality and safety of patient care by reducing the number of falls, harm from falls, and associated increase in length of stay at the orthopaedic ward of Wagga Wagga Base Hospital and Gundagai Multipurpose Service....
Murrumbidgee Local Health District
Added: 20 August 2018|Last updated: 30 August 2018
Unlocking Care: Improving Access to GP Services in Adult Correctional Centres
The Justice Health & Forensic Mental Health Network is implementing six identified solutions to improve access to general practitioner services in correctional centres across NSW.
Justice Health and Forensic Mental Health Network
Added: 22 August 2018|Last updated: 30 August 2018
Breaking Down Barriers: Improving Access to Paediatric Rehabilitation
This project implemented changes to improve the transfer of care from John Hunter Children’s Hospital to HNEkidsRehab, for paediatric patients who need specialist rehabilitation care.
Hunter New England Local Health District
Added: 18 April 2018|Last updated: 3 May 2018
Collaborative Care Outreach for Residential Aged Care Facilities
The ‘A Collaborative Care Outreach for Residential Aged Care Facilities in SLHD’ (ACCORD) project aims to deliver improvements in clinical leadership, education, processes and connections between the Access Care Team and Residential Aged Care Facility Outreach Service.
Sydney Local Health District
Added: 24 April 2018|Last updated: 3 May 2018
End the Wait for Endoscopy at Wollongong Hospital
Wollongong Hospital developed electronic scheduling systems, patient education materials and a clinical review process, to reduce wait times in its Endoscopy Unit.
Added: 24 April 2018|Last updated: 3 May 2018
Reviewing Ambulance Dispatcher Administrative Responsibilities
This project is looking at opportunities to streamline and integrate the administrative duties of ambulance dispatchers, to increase the amount of time they have available to deliver care to people in the community.
NSW Ambulance
Added: 29 March 2018|Last updated: 3 May 2018
Preoperative Iron Deficiency Identification and Management
Sydney Local Health District developed a clinical pathway to identify patients who have iron deficiency anaemia. A strategy was implemented to manage identified patients with intravenous iron therapy prior to high-risk elective surgery.
Sydney Local Health District
Added: 29 March 2018|Last updated: 3 May 2018
Partners in Care
This project supports staff who are trained in health coaching but are not providing it to patients on a regular basis. It also introduced an evaluation framework to continually assess the training and support needs of staff in South Eastern Sydney Local Health District.
Added: 24 April 2018|Last updated: 3 May 2018
Storks
Sydney Children’s Hospitals Network in partnership with HealthShare NSW is developing a standardised service delivery model for the safe, timely and efficient transport of newborn babies to appointments and back, and to local hospitals.
Sydney Children's Hospital Network
Added: 24 April 2018|Last updated: 3 May 2018
Westmead Hospital Echocardiography Clinic Redesign
This project aimed to optimise the efficiency and sustainability of the Echocardiography Clinic at Westmead Hospital, by streamlining processes, distributing resources efficiently and delivering better services to the Western Sydney community, ahead of the opening of the new acute services building in 2020.
Westmead Hospital
Added: 24 April 2018|Last updated: 3 May 2018
Towards a Better Fit: Defining a Forensic Mental Health Patient
The Forensic Hospital implemented measures to improve the quality and compliance of patient outcome measures collected, including staff education and data feedback sessions, a user-friendly glossary and the development of a program to facilitate the analysis of HoNOS and other outcome measures.
Justice Health and Forensic Mental Health Network
Added: 6 March 2017|Last updated: 28 April 2018
Get It Together: For People with Multidisciplinary Healthcare Needs in the Community
This project pulls together multidisciplinary teams around their clients, as it has been shown that when people are included in care that is coordinated, they have better health and wellbeing.
Nepean Blue Mountains Local Health District
Added: 28 November 2017|Last updated: 15 December 2017
MediREACH: Improving Medication Safety for Patients
Murrumbidgee Local Health District developed a process to ensure all patients have a best possible medication history recorded on admission to hospital.
Murrumbidgee Local Health District
Added: 27 November 2017|Last updated: 15 December 2017
The Hep C Triple C: Care, Coverage and Cure
The JH&FMHN implemented a number of solutions to provide equitable and efficient access to the new curative hepatitis C virus medication in correctional centres across NSW.
Added: 27 November 2017|Last updated: 15 December 2017
Hit the Ground Running: Improving Access to Pulmonary Rehabilitation
This project aimed to improve access to pulmonary rehabilitation and embed it as standard practice after admission to Coffs Harbour Health Campus for exacerbation of chronic obstructive pulmonary disease.
Coffs Harbour Health Campus
Added: 27 November 2017|Last updated: 15 December 2017
The SIMPLE Project: A Sustainable Inventory Management Process for Lean Environments
Sutherland Hospital implemented a new procurement process, to provide staff with efficient access to products that deliver safe patient care in the right place, at the right time.
Sutherland Hospital and Community Health Service
Added: 27 November 2017|Last updated: 15 December 2017
Transit Lounge Remodel
Royal North Shore Hospital designed and implemented an efficient, patient-centred model of care in the transit lounge, which improved patient flow and satisfaction.
Royal North Shore Hospital
Added: 28 November 2017|Last updated: 15 December 2017
LifesmilesGOLD: Making oral health Care more accessible for more people
LifesmilesGOLD for Oral Health has introduced a change in our appointment scheduling. Appointment books are customised for each clinic to match demand. Urgent patients receive quicker access for their urgent treatment. There are more appointments available for patients who have less urgent oral health needs.
Murrumbidgee Local Health DistrictSouthern NSW Local Health District
Added: 20 August 2015|Last updated: 1 November 2017
Eye Focus
Westmead Hospital developed and implemented a series of policies, protocols and guidelines to better manage referrals from health professionals and improve waiting times in its ophthalmology outpatient clinics.
Westmead Hospital
Added: 15 August 2017|Last updated: 25 August 2017
Better Flow, Better Journey: Improving Mental Health Acute Care
MNCLHD introduced a number of solutions to improve the flow and patient journey through its Mental Health Acute Care Services.
Mid North Coast Local Health District
Added: 23 August 2017|Last updated: 25 August 2017
Police Ambulance Early Access to Mental Health Assessment via Telehealth
HNELHD provided iPads to police and ambulance staff, so they can access mental health triage and support for consumers at the scene of the emergency.
Hunter New England Local Health District
Added: 15 August 2017|Last updated: 25 August 2017
The Sexual Assault Crisis Response Project
The Violence, Abuse and Neglect Service developed integrated and cost-effective solutions to support clients who present to the emergency department at Wollongong Hospital following a sexual assault.
Illawarra Shoalhaven Local Health District
Added: 15 August 2017|Last updated: 25 August 2017
Improving Patterns of Care for Oncology Inpatients
This project conducted a review of the care delivered to patients admitted to the oncology and palliative care wards at Westmead Hospital. As a result, changes were implemented that aimed to improve the coordination of care, reduce length of stay and streamline the discharge process.
Westmead Hospital
Added: 15 August 2017|Last updated: 25 August 2017
Nambucca Valley Specialist Wound Intervention Service
This project improved access to community wound clinics, so patients who have or are at risk of wounds can consistently receive best practice care in a timely manner.
Mid North Coast Local Health District
Added: 18 August 2017|Last updated: 25 August 2017
Eurobodalla Birthing Partners
This project developed a new model of care, where pregnant women at Eurobodalla Maternity Service were offered a known midwife who was an integral part of their antenatal, birth and postnatal journey.
Southern NSW Local Health District
Added: 16 August 2017|Last updated: 25 August 2017
Access, Choice and Equity in Community Palliative Care
This project developed a palliative care referral and triage process and education program in SLHD, with a focus on services delivered in the community.
Sydney Local Health District
Added: 17 August 2017|Last updated: 25 August 2017
Redesigning Services for Aboriginal Mothers and Children
This project examined the patient journey for Aboriginal families accessing maternal and early childhood services within CCLHD. It identified opportunities for improving access to care, cultural support, patient information and education, coordination and integration of care in partnership with the Aboriginal Medical Service.
Central Coast Local Health District
Added: 15 August 2017|Last updated: 25 August 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
Redesigning the Orthodontics Journey
This project aims to reduce waiting times and improve the quality of care delivered to orthodontic patients at the Sydney Dental Hospital.
Sydney Dental Hospital
Added: 16 August 2017|Last updated: 25 August 2017
Reducing 28-day mental health readmissions
The project aims to reduce 28-day mental health readmissions in Western Sydney Local Health District by identifying the key issues which lead to high readmission rates, and to implement targeted solutions to address these factors. Changes to the admissions, care co-ordination and discharge processes were implemented. Consumer, family and carer input into care planning was emphasised, along with the patient journey from admission to discharge and transition to the community....
Western Sydney Local Health District
Added: 26 April 2017|Last updated: 28 April 2017
Testing Times: Reducing Variation in Pathology Testing
This project identified a number of strategies to reduce pathology costs and clinical variation in the testing process, including enhancements to the patient’s electronic medical record, development of best practice guidelines, staff education and improved reporting mechanisms.
Western NSW Local Health District
Added: 7 April 2017|Last updated: 28 April 2017
STAT MH: Safe, Timely Access to Mental Health
This project will implement a number of solutions to reduce clinical variability and length of stay in acute adult mental health inpatient units. These include a new model of care, new care coordination and discharge process, new patient flow and demand management systems, enhanced consumer engagement, and workforce review and development.
South Western Sydney Local Health District
Added: 14 March 2017|Last updated: 28 April 2017
The Grin and Grow Health Pathway
A new model of care was developed to provide preventive oral health care for children and young people in the Out of Home Care Health Pathway Program. The model includes a streamlined referral process to public oral health services, a matrix of clinical care and simplified reporting procedures.
Southern NSW Local Health DistrictMurrumbidgee Local Health District
Added: 14 March 2017|Last updated: 28 April 2017
Book It: The Planned Patient Admission Project
This project aims to introduce a transparent Referral for Admission process within Nepean Blue Mountains Local Health District. A review of existing processes, policies, documentation and support provided to staff and consumers was undertaken.
Nepean Blue Mountains Local Health District
Added: 26 April 2017|Last updated: 28 April 2017
Redesign of Maternity Services at Macksville Health Campus
This project introduced a new service, where midwives at Macksville Health Campus deliver pregnancy and postnatal care to women in their home. It involves flexible rostering patterns to maximise existing staff and reduce staffing inefficiencies.
Mid North Coast Local Health District
Added: 7 April 2017|Last updated: 28 April 2017
Totally Hip (and Knee)
This project reviewed the journey of patients undergoing an elective total hip or knee replacement at the Tweed Hospital. In consultation with staff and patients, a range of improvements were implemented, including preoperative assessments, patient information brochures, clinical pathways and pain management.
The Tweed Hospital
Added: 6 March 2017|Last updated: 28 April 2017
Waist Less: Part of the Sustainable Connections for Overweight and Obesity in Paediatrics Project
The Waist Less project aims to improve clinical processes and resources at the CHW, to increase the identification and management of children with obesity and their families. It is part of the Sustainable Connections for Overweight and Obesity in Paediatrics (SCOOP) project, which aims to develop streamlined models of care and health pathways for children with obesity and their families within primary, secondary and tertiary healthcare settings in Nepean Blue Mountains and Western Sydney Local Health Districts, improving equity and...
Sydney Children's Hospital Network
Added: 18 April 2017|Last updated: 28 April 2017
Pharmaceutical Procurement Proves Prosperous
This project developed a process for the procurement (selection and purchasing) of medications that considered patient benefits, prescriber choice, cost and logistics. This included the development of a Pharmaceutical Procurement Pack, as well as open communication and engagement with key stakeholders.
Central Coast Local Health District
Added: 14 March 2017|Last updated: 28 April 2017
Medication Reconciliation: A Prescription for Safety
This project aims to reduce medication errors, by ensuring the patient’s medicines are accurately documented on admission to hospital and any changes are communicated to the patient and carer when they are discharged or transferred to another care provider.
Wollongong Hospital
Added: 15 March 2017|Last updated: 28 April 2017
Feeling Safe in the Emergency Department
This project optimises consumer and staff safety in the ED and ensures SWSLHD provides consistent, therapeutic care to all mental health patients.
South Western Sydney Local Health District
Added: 29 November 2016|Last updated: 22 December 2016
Needle Syringe Program + Caring for the Community
This project will redesign the SLHD Needle Syringe Program in partnership with service users and staff, to expand access to primary healthcare services and offer psychosocial support for service users with complex needs.
Sydney Local Health District
Added: 15 December 2016|Last updated: 16 December 2016
One Size Does Not Fit All
This project provides support to consumers at risk of developing one or more lifestyle-related chronic diseases, with increased access to healthcare services and programs that help them make healthy lifestyle choices.
Far West Local Health District
Added: 18 November 2016|Last updated: 16 December 2016
From Medical Excellence to Personal Confidence
St Vincent’s Hospital Sydney reviewed its Hospital In The Home service and implemented a number of improvements, including care pathways, inclusion and exclusion criteria, online referral processes, communication among healthcare teams and shared care planning with patients.
St Vincent's Hospital
Added: 2 December 2016|Last updated: 16 December 2016
Building Bridges and Pathways: Improving Service Access for Young People
This project involved six mental health services working together to improve communication and referral pathways, so that young people receive the care they need as quickly and efficiently as possible.
Northern Sydney Local Health District
Added: 2 December 2016|Last updated: 16 December 2016
Sharing the Caring: General Practitioner Antenatal Share Care
This project examined the causes of a substantial decline in general practitioner antenatal share care on the Central Coast over the last 15 years and implemented solutions to reinvigorate the model of care.
Central Coast Local Health District
Added: 9 December 2016|Last updated: 16 December 2016
Bowral and District Hospital Preadmission Clinic Redesign Project
This project reviewed the journey of adult elective surgery patients at BDH and developed a series of measures to streamline and improve the booking, pathology, clinical review, admission, surgery and post-operative processes.
Bowral and District Hospital
Added: 9 December 2016|Last updated: 16 December 2016
Preop to Theatre: Ready and On Time
This project redesigned the preoperative screening and triage process, as well as operating theatre and pre-admission clinic staff work schedules. Patient information brochures were revised and new systems introduced, including text message reminders, operating theatre forecast planning meetings and team communication huddles.
Shoalhaven Hospital
Added: 5 December 2016|Last updated: 16 December 2016
My Check-in For Surgery: Elective Surgery Pre-admission Project
Canterbury Hospital implemented measures to improve patient and clinician satisfaction and hospital efficiency, by enhancing elective surgical pre-admission processes. These included a review of communication, screening and assessment tools, booking processes, roles and responsibilities, accountability and escalation processes.
Canterbury Hospital
Added: 2 December 2016|Last updated: 16 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
Emergency Surgery: Why The Wait?
The Tweed Hospital implemented a number of solutions to streamline and improve the surgical journey of emergency surgery patients. These included education for staff and patients, development of new care pathways and implementation of electronic booking and referral systems.
The Tweed Hospital
Added: 30 November 2016|Last updated: 16 December 2016
Providing Appropriate Care for Residents in Aged Care (PAC4RAC)
This project aims to reduce the number of unnecessary ambulance transfers of aged care residents, by developing a patient-centred care model. This model will determine the most appropriate care pathway, allow clinicians to deliver timely healthcare services and provide the patient with appropriate care in their home.
NSW AmbulanceNorthern Sydney Local Health DistrictTwilight Aged Care
Added: 7 December 2016|Last updated: 16 December 2016
Save a Leg: Building Integrated Diabetes Foot Services in Western Sydney
This project developed a 60-second diabetic foot screening tool and educated patients, nurses and clinicians on the importance of using the tool and completing regular foot checks. Electronic referral templates and clinical pathways were also developed, to improve timely access to hospital foot services.
Western Sydney Local Health District
Added: 1 December 2015|Last updated: 18 October 2016
Plan Early: My Future Care
This project delivers advance care planning to patients with end-stage chronic lung disease, by implementing staff training, standardising work practices for Advance Care Plan documentation, engaging general practitioners and using an evidence-based tool that predicts the risk of death within 12 months.
Prince of Wales Hospital
Added: 16 August 2016|Last updated: 20 September 2016
Fed up: improving nutritional care for emergency and orthopaedic trauma surgery patients
This project implemented a new process for measuring and managing preoperative fasting in emergency and orthopaedic trauma patients, with education provided to staff and patients on preoperative fasting best practice.
Gosford Hospital
Added: 2 August 2016|Last updated: 19 August 2016
It’s Time: Smoother, Faster Services for Cancer Patients
This project developed initiatives to reduce waiting time and delays for patients receiving chemotherapy and other treatments in the haematology and oncology units at Concord Cancer Centre, within Concord Repatriation General Hospital. New business processes were developed, patient information brochures distributed, patient education needs reviewed, a staff education ladder developed and minor building and refurbishment works planned.
Concord Repatriation General Hospital
Added: 12 August 2016|Last updated: 19 August 2016
The Very Long Corridor
Mid North Coast Local Health District developed a clinical guideline that allows stable patients with specific diagnoses to have a direct bed-to-bed transfer from Kempsey District Hospital to Port Macquarie Base Hospital, with contingency plans for situations that may negatively impact the patient.
Mid North Coast Local Health District
Added: 8 August 2016|Last updated: 19 August 2016
Consumer Conversations: A Drug and Alcohol Project
This project developed a sustainable consumer engagement program that involved consumer representatives in all areas of service delivery, improvement and monitoring.
Nepean Blue Mountains Local Health District
Added: 19 July 2016|Last updated: 19 August 2016
Maximising and Sustaining Home-Based Dialysis Therapies
This project reviewed the service delivery model for patients with End-Stage Kidney Disease who require dialysis therapy. Solutions include a new clinical pathway, training manual and staff training, with revised patient education packages and refurbished training units at Royal Prince Alfred Hospital.
Sydney Local Health District
Added: 15 August 2016|Last updated: 19 August 2016
The Redesign of General Medicine Services Across The Sydney Children’s Hospitals Network
This project reviewed the admission pathway and model of care for admitted general medicine patients, and optimised the workforce structure to improve the delivery of safe, efficient and high-quality care.
Sydney Children's Hospital Network
Added: 12 August 2016|Last updated: 19 August 2016
2 Become 1: Combining Multi-Site Rehabilitation Services
This project relocated Maitland Hospital rehabilitation services to a new expanded rehabilitation facility at Kurri Kurri Hospital, relieving the pressure on acute services at Maitland Hospital.
The Maitland HospitalKurri Kurri Hospital
Added: 8 August 2016|Last updated: 19 August 2016
#FixIt: The Ryde Hospital Fracture Clinic Redesign Project
Ryde Hospital refurbished its Fracture Clinic, developed an information sheet for patients and created a streamlined model of care, to reduce waiting times and improve the patient experience.
Ryde Hospital
Added: 19 July 2016|Last updated: 19 August 2016
ReADI: Redesigning Access and Discharge Through Innovation
Royal Darwin Hospital redesigned its patient flow systems, with an estimated date of discharge tool and electronic patient journey board.
Top End Health Service, Northern Territory
Added: 26 April 2016|Last updated: 28 April 2016
Improving Surgical Access for Patients
This project simplified the admission and bookings process for elective surgeries at Westmead Hospital, by introducing administration procedures including monthly speciality waiting list reports, a local policy compliance procedure and SMS reminders for patients.
Westmead Hospital
Added: 18 March 2016|Last updated: 28 April 2016
PsychED for Kids
To provide young people aged 12-17 years with timely access to mental health assessments in the emergency department, with the aim of reducing avoidable admissions and length of stay in hospital.
Mid North Coast Local Health District
Added: 14 April 2016|Last updated: 28 April 2016
seESaW: Elective Surgical Waitlist
This project developed a virtual elective surgery waitlist for 10 surgical sites in MLHD, using data interface software.
Murrumbidgee Local Health District
Added: 20 April 2016|Last updated: 28 April 2016
One in the Bed
Broken Hill Base Hospital implemented a streamlined discharge process, a discharge lounge and a Hospital in the Home service, to improve the flow of patients through the emergency department.
Broken Hill Base Hospital
Added: 15 April 2016|Last updated: 28 April 2016
Go With The Flow
CCLHD developed a new referral pathway and model of care, to improve access to mental health services in the community.
Central Coast Local Health District
Added: 8 April 2016|Last updated: 28 April 2016
No Bones About It
This project decreased unnecessary time spent in orthopaedic clinics, reduced the number of patients per clinic to a safe and manageable level and standardised follow-up pathways for orthopaedic patients.
The Children's Hospital at Westmead
Added: 26 April 2016|Last updated: 28 April 2016
KIT SMART: Improving Health Outcomes for Aboriginal People with Diabetes
A KIT SMART program was developed to improve data entry, monitoring and reminders, roles and processes, and models of care for diabetic patients at Awabakal Aboriginal Primary Health Care Centre.
Awabakal Aboriginal Primary Health Care Centre
Added: 8 April 2016|Last updated: 28 April 2016
IVALUE: Valuing Aboriginal Learning and Utilisation in Employment
The IVALUE initiative supported the implementation of new orientation and accountability processes to improve the way Orange and Cowra Community Health Services engage and utilise Aboriginal Health Workers to provide clinical services to Aboriginal clients accessing care.
Western NSW Local Health District
Added: 20 April 2016|Last updated: 28 April 2016
ACCESS: A Central Coast Endoscopy Service Solution
This project developed a standardised, direct referral pathway for public colonoscopy services from the general practitioner.
Central Coast Local Health District
Added: 15 April 2016|Last updated: 28 April 2016
Bellingen Theatre Initiative
Coffs Clinical Network introduced new surgical services at Bellingen Health Campus and developed a centralised surgical waitlist, referral and admission process across Coffs Harbour, Macksville and Bellingen Health Campuses.
Mid North Coast Local Health District
Added: 11 April 2016|Last updated: 28 April 2016
Preventing Catheter-Associated Urinary Tract Infections
This project developed nurse-led protocols for the insertion, removal and management of indwelling urinary catheters at John Hunter Hospital.
Hunter New England Local Health District
Added: 8 February 2016|Last updated: 26 February 2016
The Home for Lunch Project
The Home for Lunch Project addressed barriers to safe, timely and efficient discharge of children, using a whole of health approach.
Sydney Children's Hospital Network
Added: 7 January 2016|Last updated: 21 January 2016
VIP Project: Reducing Re-presentations and Readmissions to Hospital for Very Intensive Patients
The VIP project developed a strategy to identify Very Intensive Patients (VIPs) who are at high risk of re-presenting to hospital and implemented methods to address their medical and psycho-social needs. This new model of care has reduced the need for hospital-based care by using interagency partners in the primary care sector to provide support for VIPs in the community.
Hunter New England Local Health District
Added: 18 December 2015|Last updated: 20 January 2016
Pathways to Health: General Practitioner Referrals to Nepean Hospital
The project developed a standardised referral process for emergency department admissions and increased awareness of outpatient clinics and community health services among general practitioners in Nepean Blue Mountains Local Health District.
Nepean Hospital
Added: 13 November 2015|Last updated: 6 January 2016
Improving Timely Access and Attendance in Outpatients
This project implemented processes to improve the availability of appointments, including a referral triage system, appointment reminders and a new non-attendance policy.
Westmead Hospital
Added: 9 December 2015|Last updated: 18 December 2015
Step in Time
This project made changes to its staffing and administrative processes, to deliver a more timely and efficient orthopaedic service to patients at Gosford and Wyong Hospitals.
Central Coast Local Health District
Added: 30 November 2015|Last updated: 3 December 2015
Improving Patient Participation at The Forensic Hospital
The Forensic Hospital implemented collaborative care planning, developed a patient participation framework and recruited a consumer consultant to engage consumers and advocate for their needs.
Justice Health and Forensic Mental Health Network
Added: 1 December 2015|Last updated: 3 December 2015
Home in the Hospital
This project provided a home-like environment for permanent aged care residents, with improved socialisation and mobility. It also involved residents in care planning and increased the use of Transitional Aged Care Program resources.
Narromine Hospital and Community Health
Added: 2 December 2015|Last updated: 3 December 2015
Use of Professional Interpreters for Surgical Consent
This project aims to reduce barriers in using professional interpreters for surgical consent, including the availability of interpreters, staff knowledge, skill and confidence, patient knowledge and service systems.
South Eastern Sydney Local Health District
Added: 30 November 2015|Last updated: 3 December 2015
Who’s My Voice?
This project worked in collaboration with residential aged care facilities (RACFs) to assess current practices and develop a robust, sustainable and transferable process to deliver Advanced Care Planning in RACFs.
South Eastern Sydney Local Health District
Added: 30 November 2015|Last updated: 3 December 2015
Don’t Restrict My Ability: Improving Care and Communication for Restricted Weight Bearing Patients
This project aimed to improve the patient flow of restricted weight bearing (RWB) patients through the acute orthopaedic service, by implementing a reconditioning program that optimised recovery following surgery. Communication processes were also incorporated into the model of care, to keep patients informed and improve their experience.
Concord Repatriation General Hospital
Added: 27 November 2015|Last updated: 3 December 2015
Eloura CARES: Collaborate, Acknowledge, Respect, Empower, Strengthen
Shellharbour Hospital developed a model of care that provides engaging, therapeutic, recovery-orientated mental health services to consumers, their carers and families.
Shellharbour Hospital
Added: 30 November 2015|Last updated: 3 December 2015
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
Triple CCC Project - Care, Communication, Coordinate
The project team redesigned and implemented a new care coordination model which has transformed care delivery on the medical respiratory ward, improving safety, patient, carer and staff satisfaction.
Shellharbour Hospital
Added: 7 August 2015|Last updated: 4 November 2015
Seamless Transitions: The Pathway Home
Royal North Shore Hospital redesigned the process of transferring information from the hospital to primary and community health services, including reintroducing a transfer of care risk screening tool and expanding the acute and post-acute care liaison role.
Royal North Shore Hospital
Added: 12 October 2015|Last updated: 27 October 2015
Young People Exiting Care: Out of Home Care Health Pathways Program Stage 3
This project is in response to the request from NSW Kids and Families to address the identified cohort ‘Young People Exiting OOHC’ as part of the statewide OOHC Health Pathways Program.
South Eastern Sydney Local Health District
Added: 19 August 2015|Last updated: 7 September 2015
Once Is Not Enough
The project aims to address barriers that impact the attendance of women aged 50 to 69 years in the BreastScreen program, including health literacy, access for Culturally and Linguistically Diverse women and awareness of the program among General Practitioners in Sydney Local Health District.
Sydney Local Health District
Added: 14 April 2015|Last updated: 1 September 2015
PleDG: Please don’t go, it’s worth the wait
Health outcomes are poorer for patients if they disengage from a service before receiving or completing care. This project is working to ensure that at the Broken Hill Health Service emergency department: patients receive the right care at the right time and in the right place; patients needing access to emergency care can access it when they need it; patients will remain engaged with the emergency services to achieve optimal management of their medical conditions; staff can focus on their...
Broken Hill Base Hospital
Added: 20 August 2015|Last updated: 26 August 2015
Improving Queanbeyan Health Service Admitted National Emergency Access Target
At Queanbeyan Health Service (QHS) 74% of patients admitted to an emergency department bed stay longer than four hours. In 2014 Admitted National Emergency Access Target (NEAT) performance in QHS was 36%. This project implements solutions to improve patient flow and improve NEAT by 20% in 2015.
Queanbeyan District Hospital
Added: 20 August 2015|Last updated: 25 August 2015
An Innovative Allied Health Approach to Cancer Care Services: Removing the 'Band-Aid Effect'
Nepean Cancer Care Centre (NCCC) was established in 1998, setting up a comprehensive specialised interdisciplinary allied health team to support the care needs of the cancer patients throughout their cancer journey. Allied health services are experiencing the demand of a growing cancer care service. This project is working to ensure the most efficient, effective use of allied health resources to support the best patient journey....
Nepean Blue Mountains Local Health District
Added: 18 August 2015|Last updated: 25 August 2015
Beat it! Every patient, every time
The Beat It! (Beat the Mental Health National Emergency Access Target) project used clinical redesign methodology to identify barriers to the timely and efficient assessment, treatment, admission or discharge of mental health consumers presenting to Wyong Hospital emergency department. Solutions were developed to address the root causes of delays to reduce lengthy waiting times and enhance the consumer experience. Improved communication and collaboration between the divisions and teams will also enhance staff and consumer satisfaction....
Wyong Public Hospital
Added: 6 August 2015|Last updated: 21 August 2015
Eas-e-Referrals
Patient referrals between general practice and Illawarra Shoalhaven Local Health District (ISLHD)specialist services are about to get easier thanks to a joint initiative of the ISLHD and COORDINARE – South Eastern NSW Primary Health Network. From May 2015, enhancements to current referral processes will include: a new electronic referral template that will auto-populate from patient records in general practice; the ability to transmit referrals directly and securely via Argus to the Illawarra Diabetes Service; the availability of a simple brochure...
Illawarra Shoalhaven Local Health District
Added: 7 August 2015|Last updated: 21 August 2015
Improving Your Image: Timely Access to Radiology Services
Imaging departments across NSW are struggling to balance emergency, inpatient and outpatient care with resources. The increasing demand for medical imaging presents further difficulties in meeting expected timeframes, particularly for examination and reporting turnaround times.
The radiology department will assist referring clinicians in making the patient’s journey through the hospital as efficient as possible by minimising delays, and improving timely access to medical imaging services....
Nepean Hospital
Added: 19 August 2015|Last updated: 21 August 2015
Too Long to Wait
The prevalence of Gestational Diabetes Mellitus (GDM) and Type 2 Diabetes (T2D) in the Canterbury area has been increasing over the years and this trend is expected to upsurge with the new reference range for diagnosing GDM introduced in 2015. This project addresses an urgent need to improve systems and processes and realign its resources to ensure that pregnant women attending the clinic receive optimal and timely care....
Canterbury Hospital
Added: 18 August 2015|Last updated: 21 August 2015
About Face Project: Clinical Redesign of Cleft and Craniofacial Services
This project is about starting the journey towards the provision of better, more organised and coordinated care to ensure the best possible cleft and craniofacial services and experience for patients and their families.
Sydney Children's Hospital Network
Added: 18 August 2015|Last updated: 21 August 2015
Patient Safety Starts with ME
This project installed a patient safety board and innovation board to engage staff in the process and allow patients and visitors to see how clinical practice impacts on safety and quality.
Hastings Macleay Clinical Network
Added: 13 July 2015|Last updated: 28 July 2015
Breast in the West
This project aims to increase awareness of the benefits of mammograms among General Practitioners and women in Western Sydney, through education and training initiatives.
Westmead Breast Cancer Institute
Added: 10 April 2015|Last updated: 23 April 2015
A Pain in the Gut
This project will audit the medical records of Australian Refined Diagnostic Reference Group G70 – Other Digestive System Disorders patients at Gosford Hospital to investigate the reasons for increasing length of stay and implement strategies to decrease this rate.
Gosford Hospital
Added: 16 April 2015|Last updated: 23 April 2015
eSURG: Streamlining the Admission Process for Surgery at St George Hospital
The project will improve the Recommendation for Admission process for patients undergoing upper gastrointestinal surgery. The solutions developed will simplify the process for patients, surgeons and admissions staff by reducing inefficiencies and unnecessary delays.
St George Hospital
Added: 20 April 2015|Last updated: 22 April 2015
Re-ACT: Redesigning Allergy Care Together for Children
This project is developing streamlined health pathways, improving operational systems, standardising diagnostic services and developing an education framework for health professionals to provide integrated care for children with diagnosed or potential food allergies.
Sydney Children's Hospital Network
Added: 17 April 2015|Last updated: 22 April 2015
Ready, Set, Go! Effective Discharge Planning at St Vincent’s Hospital
This project implemented a range of tools to reduce discharge delays at every stage of the patient journey, reducing length of stay and improving patient satisfaction and access to inpatient beds.
St Vincent's Hospital
Added: 20 April 2015|Last updated: 22 April 2015
General Practitioner and Mental Health Collaborative Care Project
This project improves the way primary care and mental health services work with consumers to manage their physical health. The new model of care establishes and develops roles and responsibilities, communication pathways, ongoing care and escalation strategies, with an annual review to accommodate the individual needs of each consumer.
Sydney Local Health District
Added: 17 April 2015|Last updated: 22 April 2015
Sugar S.N.A.P – Supporting the Needs of Aboriginal People
This Dubbo Diabetes Integrated Care Project works across sectors to ensure an integrated approach to the care of Aboriginal people with diabetes. Fundamental to this approach is giving Aboriginal people an authentic voice in the way care is delivered to them.
Western NSW Local Health District
Added: 20 April 2015|Last updated: 22 April 2015
The Sugar Fix
The project focused on planning, coordinating and integrating diabetes services in the local community and primary healthcare system. Newly diagnosed patients with Type 2 Diabetes Mellitus (T2DM) will be managed using appropriate referral pathways led by their general practitioner.
South Eastern Sydney Local Health District
Added: 14 April 2015|Last updated: 22 April 2015
Strong Voice Healthy Communities
To establish culturally appropriate mechanisms to ensure MNCLHD engages and works with Aboriginal patients, families and communities to plan and evaluate health services and to ensure effective partnerships with Aboriginal communities are established to improve the quality and safety of care provided.
Mid North Coast Local Health District
Added: 4 December 2014|Last updated: 5 February 2015
Count Me In: To Improve Patient Care
Without clearly documenting non admitted patient activity, the District will never be able to fully describe the importance of clinical care provided to patients who are not formally admitted to hospital. How they help keep people healthy and in the community and how they assist in providing advice and treatment options for patients and their carers that do not revolve around physically being in a hospital....
Hunter New England Local Health District
Added: 4 December 2014|Last updated: 8 December 2014
Stepping Home with Cellulitis
Stepping Home with Cellulitis results in reduced length of stay for patients admitted to RNSH with Cellulitis through implementation of a clinical pathway.
Royal North Shore Hospital
Added: 4 December 2014|Last updated: 8 December 2014
RESCUERS: Reduce elective surgery cancellations utilising existing and realigning services
An elective surgical project was conducted across the three hospital sites of Manly, Mona Vale and Hornsby. The aims of the project were to reduce the number of “no bed” cancellation of elective surgery to improve access to surgery. To increase the types of procedures that can be performed as Day Only procedures and improve access to surgery.
Manly HospitalMona Vale HospitalHornsby Ku-ring-gai Hospital
Added: 4 December 2014|Last updated: 8 December 2014
Hand in Hand: Connecting Acute Aged Care Services with Residential Aged Care Facilities
This project aims to provide care to patients in their home for patients who are living in Residential Aged Care Facilities. This will be through either face to face consultations or consultations using Telehealth (video conferencing). This project will also smooth the process for those patients who do need to go to hospital, avoiding lengthy stays in busy Emergency Departments.
Nepean Blue Mountains Local Health District
Added: 4 December 2014|Last updated: 8 December 2014
Pre Admission Clinic Managing Attendance Numbers (PACMAN)
This is a clinical redesign project being undertaken at Concord Repatriation General Hospital that is focused on improving the patient journey for elective surgery patients by reducing delays in the Pre Admission Clinic and reducing cancellations on the day of surgery.
Concord Repatriation General Hospital
Added: 4 December 2014|Last updated: 8 December 2014
Lymphoedema Management in Occupational Therapy
This approach is focused on facilitating early intervention with improved awareness of the chronic condition and referral pathway. Solutions aim to empower patients with the ability to independently self-manage with support of an integrated care approach with community health and EnableNSW to minimize long episodes of care with the outpatient service. Improved efficiencies with a service agreement and planned patient journey aim to help meet the demand of the service and reduce the wait time for treatment....
Sydney Local Health District
Added: 4 December 2014|Last updated: 8 December 2014
Improving Outpatient Services Across Bega Valley Health Service
Bega Valley Health Service Executive highlighted the need to develop sustainable outpatient clinics across the health service to improve patient access and experience and meet the demands of the community while being cost effective and aligning processes with Activity Based Funding criteria.
Bega District Hospital
Added: 4 December 2014|Last updated: 8 December 2014
Heart to Heart: Partnering Patients with their Healthcare
This project aims to work with acute, community and primary care services to better support patients with chronic heart failure to live well, at home.
Blacktown Mount Druitt Hospital (Blacktown Campus)Blacktown Mount Druitt Hospital (Mount Druitt Campus)
Added: 5 December 2014|Last updated: 8 December 2014
Unlocking the door to chronic disease management in custody
This program aims to improve the health of patients with chronic disease whilst in custody as well as connecting them to community services upon release to ensure their continuum of care. Following three years of implementation, this current initiative relates to the redesign of the program to increase patient access through improved identification of patients with chronic disease and the application of risk stratification to measure a patient’s risk of hospitalisation for appropriate management of care....
Justice Health and Forensic Mental Health Network
Added: 5 December 2014|Last updated: 8 December 2014
St Vincent's Hospital Surgery Redesign
A program of work to improve theatre efficiency and redesign surgical patient flow at St Vincent's Hospital, Darlinghurst. Results include a reduction in elective day of surgery cancellations from an average of over 8.4% to 3.9% and achieving the target (less than 2%), on time starts have improved from 37% to 55% and theatre throughput has increased with no increase in staffing or budget....
St Vincent's Hospital
Added: 13 July 2012|Last updated: 17 October 2014
MAx Clinical Redesign
The MAx Clinical Redesign project aims to improve clinical processes of multidisciplinary referral, intake and assessment for children with multiple risk factors and vulnerabilities, with a focus on children entering Out-of-Home Care (OOHC).
Sydney Local Health District
Added: 27 August 2012|Last updated: 14 October 2014
Aged Care Therapeutic Interventions by Volunteers
The ACTIVe Program on the Acute Aged Care Ward at Royal Prince Alfred Hospital was designed to improve the hospital experience of older patients. Elderly hospitalised patients can experience a decline in their physical and mental abilities. This can make it difficult for them to fully recover from illness and return to their previous ability to function. Trained volunteers providing therapeutic interventions can reduce the consequences of delirium and assist in maintaining patient cognition and physical functioning. Volunteers play an...
Royal Prince Alfred Hospital
Added: 31 January 2012|Last updated: 10 October 2014
Someone’s Sleeping in My Bed
To review and streamline the discharge process on an acute medical and surgical ward in order to reduce waiting times for patients at all stages of their hospital journey.
Prince of Wales Hospital
Added: 19 August 2014|Last updated: 10 October 2014
Addiction Inpatient Redesign Project
The project aims to streamline the admission process to the two drug health wards. From admission, staff will work with the patient to develop a comprehensive care plan for their discharge back to the community, ensuring access to education and services to help keep them well. This will in turn reduce the number who are readmitted after relapse and help to keep people healthy in their community....
Concord Repatriation General Hospital
Added: 19 August 2014|Last updated: 10 October 2014
Stop Assess and Move Smarter (SAMS)
The Stop Assess and Move Smarter (SAMS) Project is an initiative of the Western Sydney Local Health District Manual Handling Team to strategically reduce manual handling risks at Blacktown Mt Druitt Hospital (BMDH) to measurably improve patient and staff safety. The objectives of the project are to: Reduce the workers compensation claims attributed to manual handling injuries to BMDH staff by 5% by December 2014 Measurably improve the manual handling experience of BMDH admitted patients by December 2014 Measurably improve...
Blacktown Mount Druitt Hospital (Blacktown Campus)Blacktown Mount Druitt Hospital (Mount Druitt Campus)
Added: 19 August 2014|Last updated: 9 October 2014
Cool, Calm and CollectED
Incident Information Management System (IIMS) reports and the Restraint and Seclusion Register in Wollongong Hospital Emergency Department (WH ED), did not support the anecdotal reports of aggressive incidents. Well documented evidence of the frequency and type of aggression that staff encounter, assists in the planning for a safe, stable environment and appropriate services. It also ensures that the patient is receiving the appropriate treatment and management, with the least restrictive practice. This project developed training and solutions to ensure a...
Wollongong Hospital
Added: 19 August 2014|Last updated: 9 October 2014
Wellness, Independence, Self-actualisation and Rehabilitation Program
The project aimed to design and implement a model of care for the Wagga Wagga Mental Health Sub-Acute Unit. The decision was made to design a new service model rather than adopt an existing model of care used by another District or service. The model created was based on feedback from consumers, families, carers, mental health staff and staff of other service partners. The model reflects the unique needs of the District. It is a product of what stakeholders within...
Wagga Wagga Base Hospital
Added: 1 August 2014|Last updated: 9 October 2014
Stranded Sam to the Rescue of Long Stay Patients
"Stranded Sam" is an organisation wide communication strategy. The strategy aimed to: build understanding of factors that keep patients in hospital longer than their acute illness and the impact on the patient and the hospital when care is not coordinated, increase the visibility and transparency of waste within the hospital and engage key stakeholders and support the change management project.
St Vincent's Hospital
Added: 13 July 2012|Last updated: 30 September 2014
Patient Reception - Bursting the Bottleneck
At the Sydney Sexual Health Centre, the addition of fast track services had a negative impact on reception of clients, substantially increasing administration staff workload and causing reception bottlenecks. These bottlenecks increased the length of the patient journey, with patients experiencing long wait times before seeing a clinician. A Computer-Assisted Self-Interviewing (CASI) system was developed enabling patients to electronically self-register for appointments. The new system produced reductions in reception process time, medical record preparation, registration time....
Sydney Sexual Health Centre
Added: 14 November 2012|Last updated: 30 September 2014
Neurosciences Length of Stay Project
The Prince of Wales Hospital (POWH) is a tertiary hospital and a Neurosciences hub, providing specialist Neurology and Neurosurgery services. It was identified that length of stay (LoS) for neurosciences patients at the POWH was above the state benchmark. A multidisciplinary project was undertaken to explore opportunities to optimise the patient journey and improve access to services and reduce LoS. Evaluation reveals impressive results with improved access to beds due to patient flow, enhanced coordination of care more than 20%...
Prince of Wales Hospital
Added: 1 October 2013|Last updated: 30 September 2014
Discharge on Time ... Every Time
This project at Nepean Hospital aims to improve the flow of patients throughout the hospital, thus improving the overall patient journey by:
increasing the number of discharges by 10am to 30% hospital wide within a 12 month period
realigning the mismatch between discharge and admission times within 12 months
increasing the confidence and satisfaction of patients, carers and staff regarding the discharge date and time within a 12 month period....
Nepean Blue Mountains Local Health District
Added: 25 July 2013|Last updated: 30 September 2014
Kids Acute Liaison in Mental Health
The Kids Acute Liaison in Mental Health (KALM) project established a clear pathway and guideline for all Mental Health presentations to the Emergency Department (ED). This improved collaboration between the ED and Psychological Medicine, ensuring patient care was always the prime focus. This also helped eliminate lengthy delays for patients which in turn improved the National Emergency Access Targets (NEAT).
The Children's Hospital at Westmead
Added: 19 August 2014|Last updated: 26 September 2014
Care To Come Home: CaTCH
A new Model of Care is being introduced at Lachlan Health Service (LHS) – Forbes and Parkes. Hospital in the Home (HITH) provides a choice of care at home or at a daily clinic instead of being admitted to hospital. This will provide quality care with less disruption for a smooth patient journey.
Western NSW Local Health District
Added: 19 August 2014|Last updated: 26 September 2014
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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