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Innovation Exchange Projects by Type

Centre for Healthcare Redesign

The Graduate Certificate in Clinical Redesign program gives NSW health staff the opportunity to learn and apply skills in project management, improvement science and implementation science in a comprehensive, challenging and well supported environment.

As an outcome of the program, project teams complete a service improvement project, which improves the quality of care we deliver to patients, and learn a set of skills that will be invaluable in their healthcare career.

The projects in this collection have been completed by NSW health staff who have participated in the Graduate Certificate in Clinical Redesign.

Eye Focus

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

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

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 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

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

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

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

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

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

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

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

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

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

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

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

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

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)

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

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

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

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

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

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

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

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

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

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

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

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

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

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?

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)

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

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

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

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

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

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
Care Coalition: Integrated Case Management for Opioid Treatment

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: 19 August 2016
Consumer Conversations: A Drug and Alcohol Project

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

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

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

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

#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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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?

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

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

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

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

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

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

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

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

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

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'

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

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

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
LifesmilesGOLD: Making oral health Care more accessible for more people

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: 21 August 2015
Improving Your Image: Timely Access to Radiology Services

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

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

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

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

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

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

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

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

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

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

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 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

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

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

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

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

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)

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

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

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

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

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

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

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

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

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

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)

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

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

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 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

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

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

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

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

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

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