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Issue 1 – April 2018

Improvement Movement Newsletter

Welcome to the Improvement Alumni

Welcome to Redesign graduate alumni, the Improvement Alumni!

This is the first time an official alumni group has been formed to link the Agency for Clinical Innovation, Centre for Healthcare Redesign graduates. The alumni aims to provide a platform to connect and strengthen the improvement community through promotion, education and networking opportunities.

This unique alumni has been formed in response to your feedback indicating a desire to belong to a group supporting and promoting your improvement work. The survey, which went out late 2017, found that respondents wanted a connection to the Redesign school and fellow graduates with opportunities including networking, education and general updates.

At the ACI, we are excited to embark on this new opportunity to connect and continue the improvement journey with graduates and acknowledge the significant changes that have been made over the last decade.

‘It isn’t easy to achieve change in our health system and it takes the hard work and commitment of a community of improvement specialists to make a significant difference to our patients and staff.’

Raj Verma, Director of System Transformation Evaluation and Patient Experience, ACI

This is the inaugural edition of the official ‘Improvement Movement’ newsletter, which will be distributed every four months to alumni members. Here you will find updates and educational opportunities, profiles, articles of interest and the latest improvement news. The alumni program is planned as a phased scale up providing further opportunities and responding to your feedback and needs as the alumni grows. We may contact you from time to time to get opinion or feedback on future activities or alert you to relevant upcoming events. Later this year the Clinical Excellence Commission, Clinical Leadership Program graduates will join the alumni to form a combined state wide improvement alumni.

If you have received this email and prefer not to be involved you can opt out using the link at the bottom of the page.

Message to alumni from the Chief Executive, ACI

Dr Jean-Frédéric Levesque

The nurtured

According to definitions, the word alumni comes from the Latin for nurtured. This captures well the transformative nature of the Redesign School at the Centre for Healthcare Redesign. To be alumni is to have been nurtured - developed, encouraged, promoted and enhanced.

After more than 10 years of the school, with graduates having contributed more than 300 redesign projects, it is time for this collective force to channel its leadership, passion and commitment to improvement, to come together and further support the nurturing of future graduands.

Creating the alumni is opportune at this juncture in the history of healthcare redesign in New South Wales. We invite all graduates to join the alumni and join forces to implement changes in healthcare at the local level.

Be nurtured again, it’s in your nature!

Jean-Frederic Levesque

Redesign School 10th anniversary celebration

2017 marked the 10th anniversary of the Clinical Redesign School in NSW Health. To celebrate this significant milestone, the Centre for Healthcare Redesign (CHR) invited alumni, NSW Health staff and executives, redesign leaders and members of the original school development team to come together in Sydney in December 2017. This was the first time Redesign alumni and past teams were reunited, and a great opportunity for some long overdue catching up!

Some of the 2011 alumni members reunitedSome of the 2011 alumni members reunited. Photo: D Thomson.

Over the past decade, more than 500 participants have graduated from the CHR Clinical Redesign School, implementing over 300 projects that have contributed to improved patient outcomes and service delivery across NSW Health.

In 2016, the qualification for the school transitioned to a Graduate Certificate in Clinical Redesign, in partnership with the University of Tasmania. This was in recognition of the significant work and learning from the program.

This program has a proud history of supporting and facilitating innovation and change in healthcare, which was evident during the reunion celebration. Highlights included Katherine McGrath, former Deputy Director General, who spoke of her initial ‘school’ vision to grow ‘redesign engineers’ as internal consultants for service improvement and change across NSW Health. Several alumni also shared their own success stories about redesign journeys improving patient care – demonstrating how the program is achieving its objectives.

The Minister for Health, The Hon. Brad Hazzard, awarded certificates to current graduates and reiterated the ongoing importance of the School in supporting health staff to improve services across NSW.

The Minister for Health, The Hon. Brad Hazzard
The Minister for Health, The Hon. Brad Hazzard. Photo: D Thomson.

In the afternoon, the focus was the future of clinical redesign in healthcare and the ACI Chief Executive Dr Jean-Frédéric Levesque outlined further opportunities for the course in the coming years. Plans are underway to launch an official alumni program in 2018, to continue to build and support redesign and innovation leaders across NSW Health.

Redesign School 10th anniversary celebration

Clinical Redesign program - school update

More than 500 NSW Health staff have graduated from the NSW Agency for Clinical Innovation (ACI) Redesign School with a Diploma in Project Management, which in 2016 transitioned to the Graduate Certificate (Clinical Redesign) program. In this article we’ll look at what has stayed the same and what has changed at the School over the past 10 years.

What’s the Same?

Attending the school continues to be a challenging and rewarding experience. The School provides a great opportunity to individual staff to grow their skills and knowledge in leading service improvement and the organisations that support them.

We still have the GEM eLearning platform (moving to HETI online this year) and the face to face redesign workshops that provide practical resources, fun and interactive activities. There are three intakes per year with the final 2018 application period opening on 1 May.

Each year we see a wide range of projects from across the health system. This year we’re already helping to improve services ranging from beds and blood management, to backs and babies.

We continue to run specialty focus schools and are pleased to welcome NSW Health pathology on board for the second school of 2018. This school will focus on redesign projects aimed to improve ordering and processes, including pathology and imaging services.

Is there a specific theme within your organisation that could be improved? Get in touch with your redesign leader or the School to discuss it.

What’s Changed?

The Graduate Certificate (Clinical Redesign) is now in its third year and the ACI’s Centre for Healthcare Redesign (CHR) shares a strong partnership with the University of Tasmania to deliver the program. Read more about the partnership. The program is unique being the only known tertiary qualification in clinical redesign. This change has added more rigor to the deliverables, with each one being reviewed by experts and advice given to strengthen the project and the report. This happens prior to the university staff independently awarding a grade.

At CHR we practice what we preach so we are always aiming to improve the program and experience for our stakeholders. Several changes have been tried and implemented since the evaluation in 2013.

The curriculum continues to be updated, with an increasing focus on involvement of patients and consumers throughout the redesign cycle, and with additions of contemporary methods used in Human Centred Design and Innovation frameworks. Keep an eye out for the new look, updated Redesign Methodology and resources being launched soon.

This year we are placing a stronger emphasis on the design of solutions, and building concepts for feedback, prototyping and testing to strengthen this approach. We will also continue to focus on implementation to achieve outcomes.

We now strongly encourage teams to apply to tackle the projects, rather than individuals. This shares the workload and brings different perspectives to the table and we have seen some great collaborative projects as a result.

Our sponsors and redesign leads are more involved with the school. They both attend the first day to set up the project, and the latter are often involved with teaching, feedback and teleconference support as well as coaching and mentoring in the workplace.

To learn more about the School or for course details, please contact Bronwyn Paton, Course Manager Bronwyn.Paton@health.nsw.gov.au or Amelia Giles, Course Coordinator Amelia.Giles@health.nsw.gov.au.

NSW Redesign and Innovation Leaders – your local champion

The NSW Redesign and Innovation Leaders’ (R&IL) vision is to lead Redesign and Innovation across NSW Health to improve the effectiveness and efficiency of healthcare delivery.

The NSW Redesign and Innovation Leaders (R&IL) group is made up of 27 Redesign and Innovation Leader roles that sit within all NSW Local Health Districts and Specialty Health Networks including Ambulance Service of NSW, St Vincent's Network, Sydney Children's Hospitals Network and Justice & Forensic Mental Health Network and NSW Health Pathology.

Together with the Agency for Clinical Innovation, the R&IL play a major role in building and sustaining capability for redesign and innovation. These roles are your support for guiding and leading change. Get to know who your local leader is to tap into their vast knowledge and skills in project and change management, coaching and mentoring and leading change. Together with their wide network they can connect you with other districts, experts and teams who may be solving problems just like yours!

The R&IL regularly share their skills to spread capability for redesign and improvement through:

  • coaching staff from their organisation who are undertaking redesign projects and implementation of statewide initiatives
  • supporting the Graduate Certificate in Clinical Redesign program through the delivery of individual sessions and providing expert feedback to participants at their presentation days and marking project deliverables
  • sharing locally developed documents, toolkits and training materials
  • sharing approaches to supporting the implementation of project ideas.

The future of the R&IL is one of strong collaboration and cohesion, creating and promoting a positive experience of change in NSW Health. With expert skills and organisational knowledge the R&IL group is in a position to generate significant momentum for local and system improvement. The group is there to support you so get in contact and see what’s new in redesign and what’s happening in change in your organisation.

find your local Redesign and Innovation Leader

The ACI and UTAS: Partners in healthcare redesign education

Dr Pieter Van Dam

Dr Pieter Van Dam

Co-ordinator Professional Honours (Clinical Redesign)

School of Medicine

College of Health and Medicine| University of Tasmania

How the partnership began

The educational collaboration between the ACI and UTAS evolved from fortuitous timing. Professor Rick Iedema, who at the time held a conjoint position between UTAS and the ACI, lead the collaboration. The timing of the collaboration was perfect as the Commonwealth Government had funded UTAS to establish Health Services Innovation Tasmania (HSI Tas) to develop clinical redesign training programs aimed at building redesign capacity in Tasmania’s health system.

Out of the partnership grew the idea to unite the ACI’s CHR program with higher education academic qualifications. This aimed to handle the increased demand and to combine knowledge and expertise, while enabling students to achieve a university qualification.

The strategy was intended to use both the ACI and UTAS content to develop academic award courses. Adding training in research principles and methods in the form of an academic unit, Translational Research in Health Service Innovation, led to the creation of the Graduate Certificate (Clinical Redesign). In February 2016, after passing through all the obligatory university approval processes, the first students were admitted to the program.

The benefits of the partnership

This partnership benefits the recognition of both the ACI and UTAS as experts in the field of healthcare innovation. The Graduate Certificate allows the graduating students to become more rounded healthcare improvement experts who are capable of addressing process redesign problems and evidence-practice gaps. It also gives a higher academic recognition of their work. The collaboration in providing education has become a ground-breaking initiative in developing skills for the healthcare workforce leading to better student, patient and organisational outcomes. The Graduate Certificate is the first tertiary course in this field of health service improvement.

Future collaboration

Now the Graduate Certificate course has been well established, the ACI and UTAS are exploring an evaluation study to determine the long-term outcomes of the program. The aim is for more collaborative research and this vision has started with the establishment of a Clinical Redesign and Ethics Working Group, with the intention to publish some of the great work that has been undertaken in clinical redesign.

Learning pathways: Professional honours (Clinical Redesign)

The Graduate Certificate (Clinical Redesign) has been designed to articulate with the second year of the professional honours and builds on the previous achievements made. The study pathway includes three units: Health Research Methods, Major Project A and Major Project B. During the year students will write a 10,000-word dissertation  and draft paper for publication, with the support and guidance of UTAS and the ACI staff. Completing this pathway provides the option of direct access to enrolment in higher research degrees (including a PhD or Professional Doctorate).

The collaboration between the ACI and HSI Tas will continue to evolve, offering more exciting opportunities with many improvements in the educational programs already implemented over the past two years.

All enquiries can be directed to either Dr Pieter van Dam Pieter.vandam@utas.edu.au or Dr Phoebe Griffin Phoebe.griffin@utas.edu.au

Graduate Certificate Conversion program

Conversion graduates receiving their certificates from the Hon. Brad Hazzard at the 2017 December graduation

Conversion graduates receiving their certificates from the Hon. Brad Hazzard at the 2017 December graduation

Graduate Certificate Conversion program

The ACI and UTAS are offering graduates of the former Clinical Redesign Program (Diploma in Project Management) the opportunity for their prior learning to contribute towards achieving a Graduate Certificate (Clinical Redesign) conferred through UTAS. The conversion involves completing the Translational Research in Health Service Innovation unit which builds on your redesign learning, strengthens links between research knowledge and practice and links you to the latest evidence on Implementation Science.

The Graduate Certificate runs as a partnership between the ACI and UTAS. The feedback to date from conversion students has been outstanding. The pathway to convert the Diploma in Project Management to a university award graduate certificate acknowledges previous education and experience with clinical redesign, offers the opportunity to revise and refresh prior learnings and to fill gaps in knowledge with online content and academic support. The program is delivered under a scholarship agreement with fees fully covered for eligible students.

All enquiries can be directed to either Dr Pieter van Dam Pieter.vandam@utas.edu.au or Dr Phoebe Griffin Phoebe.griffin@utas.edu.au

In Profile

Peter Rophail

We interview Peter Rophail, an alumni from 2012 to see where his redesign journey has taken him and what advice he has for new graduates to the redesign community.

Hi Peter, can you start by telling us a little on your background and current role

I started my career as a physiotherapist. In 2012 I moved from Allied Health management to a lead role in the Blacktown & Mount Druitt Hospitals Expansion Project. I’ve since moved into hospital operations. My current role is Operations Director for Critical Care and Medicine at Westmead Hospital – one of the state’s largest clinical divisions.

When did you do the Redesign course?

I completed the Diploma of Project Management in 2012. Our team looked at the first 48 hours of a patient’s admission.

Where has redesign taken you since completing your diploma?

Redesign has undoubtedly been the single biggest influence on my career. Contemporary healthcare management is all about change. Initiating change. Leading change. Managing change. Redesign gave me the skills and knowledge I needed to be able to do some really transformational things, which has in turn opened numerous doors for me.

What are your biggest Achievements since graduating?

I received the NSW Health Collaborative Leader of the Year in 2016. The BMDH Expansion Project has also won 13 major awards including four NSW Health Awards, an International Award for Excellence in Healthcare Improvement and three Design and Health International Academy Awards.

Congratulations, that’s a great achievement and something to be very proud of. What advice would you give to new graduates?

You have been gifted the tools to genuinely transform the system - don’t be afraid to use them!

Upcoming Events

2018 PHC Research Conference
Measuring and Improving Value in Primary Health care
Melbourne, 1-3 August

Lean Thinking and Practice
2018 Australasian Summit
Melbourne, May 29th – June 1st

Health Beyond Research and Innovation showcase 2018
SWSLHD and The Ingham Institute
Warwick Farm, NSW June 6-7th

International Forum on Quality and Safety in Healthcare
Institute for Healthcare Improvement and BMJ
Melbourne, 10-12 Sept 2018

Essentials of Care Showcase 2018
24th May, International Convention Centre (ICC), Sydney

An introduction to project management
HETI course codes: Online: 150273974 Jumpstart one day workshop: 154553764

The Agency for Clinical Innovation (ACI) events calendar

The Clinical Excellence Commission (CEC) events calendar