Table Top Abstracts—Session 1 (2:00 3:00pm) · 2016-11-10 · Table Top Abstracts—Session 1...
Transcript of Table Top Abstracts—Session 1 (2:00 3:00pm) · 2016-11-10 · Table Top Abstracts—Session 1...
Table Top Abstracts—Session 1
(2:00-3:00pm)
Collaborative Approaches to Patient Care
Please select 2 topics for Session 1.
TABLE 1 TABLE 2 TABLE 3
TABLE 4 TABLE 5 TABLE 6
Table Copy Only—Please do not mark
Available at checkup.org.au/outreachforum
Table 1 | Lifestyle Therapies and Training Solutions & Save the Children Australia
Clare Griffin, Business Lead, Lifestyle Therapies and Training Solutions
Elizabeth Gallard, North Queensland Programs Manager, Save the Children Australia
TITLE: Out of the clinic: Collaboration to provide services where people gather Traditionally health care services in rural communities have operated in a clinic based model where
clients are expected to attend a clinic or hospital to receive services. LTTS and Save the Children Australia
have formed a collaboration that sees a shift in the way services are offered to clients. Namely allied
health services working with support groups in offering services where the clients are, whether that be in
a park, in a home, at a refuge or under a tree.
This collaboration has led to better support services for both allied health teams and support workers as
well as holistic support for families or individuals accessing either services. Working across both regional
and remote communities, Save the Children Australia and LTTS have built a model that enables
vulnerable families to access allied health services at the time they need them outside of a clinic
environment. Across Queensland this collaboration has been more successful through the incorporation
of additional external stakeholders and the further collaborations across multiple industries.
This presentation will outline the who, what and how of this collaboration as well as an analysis of the
strengths, challenges, learnings and opportunities into the future.
Table Top Hosts - Session 1 (2:00pm—3:00pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table 2 | ISIS Psychology Services
Hazel Burscough, Psychologist
TITLE: Telehealth in the community
The benefits of providing a complementary telehealth service to enhance patient access and improve out-
comes in patient care in rural and remote areas.
Outline of Collaborative Model/Approach:
Telehealth services provided to the community of Cherbourg in collaboration with the local AMS. The tele-
health service is complementary to face to face visits.
Challenges implementing the model/approach:
Technical issues e.g. internet/phone coverage.
Clients being available at the designated time.
Overcoming a resistance to not being face to face.
Practices that don’t work in an Indigenous Community – cultural issues.
Engagement with Community Elders
Restrictions with Medicare are inflexible.
Key successes/outcomes:
Clients are able to receive a consult in their own home, as many of the Cherbourg clients live outside of the
community in rural areas and either find it hard to travel or currently rely on the transport service to pick
them up and deliver them to Cherbourg for their face to face sessions.
I would like to see this service offered in other areas that I visit as many people travel many kilometers
from farms to attend and will help to respond immediately with crisis situations that may arise. Tele-health
allows the patients to get more services to supplement their Medicare allowance.
Table Top Hosts - Session 1 (2:00pm—3:00pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table 3 | Gidgee Healing
Mel Roirdan, Director – Service Planning and Development
TITLE: Integrating health, early childhood and education to improve health outcomes for Aboriginal
children across the Lower Gulf region
In recognition of the significant gaps in the early life outcomes of Indigenous children in the Gulf of
Carpentaria region, coupled with the knowledge that child health and early childhood learning are entirely
inter-dependent, Gidgee Healing has extended its model of care to ensure an integrated continuum of care
exists between its Maternal and Child Health services and the Early Childhood and Education sectors.
Outline of Collaborative Model/Approach:
Working in a close partnership with the Mornington Island and Doomadgee communities, Gidgee’s
Maternal and Child Health Service now includes Allied Health/Child Development professionals working
across various community-based settings, including playgroups; long day care centres; kindergartens;
schools and the Children and Family Centres (CFCs). This integrated, cross-sectoral approach has
multiplied the impact that could have been realised by a stand-alone health service through the alignment
of effort among partners - enabling the timely identification and management of children with
developmental issues in their early years. In accordance with the principles of community-control, Gidgee’s
approach places particular emphasis on the involvement of families/carers in their child’s care, recognising
the critical importance of family involvement if our services are to affect real change and improve the
health and developmental outcomes for our children.
Gidgee Healing is working with our partners Save the Children Australia and Lifestyle Therapies and
Training Solutions (LTTS) to deliver a comprehensive suite of locally-tailored child health, development and
family support programs to support pregnant mothers, parents, infants, toddlers and school-aged children,
including vulnerable children with complex needs. In doing so, we are working to fill a long-standing gap
that exists across the region.
Table Top Hosts - Session 1 (2:00pm—3:00pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table 4 | Torres and Cape Hospital and Health Service
Denise Newman, Ear Health Co-ordinator – Southern
TITLE: Ear, Nose and Throat (ENT) Surgical Project
A joint collaboration to provide ENT surgical procedures in Cairns in September 2016 demonstrated
working together in strengthening partnership and engaging services at local level.
Outline of Collaborative Model/Approach:
Partnership approach through:
Small network group meetings were formulated with TCHHS ( Experts advisory group)
Using Services Mapping exercises – to identify service gaps.
Developing Patients ENT flow chart and Patients Journey as a Frame Work.
Engaging Non-Government ( Private Sector) and Government Services
Communicating with local services.
Challenges implementing the model/approach:
Monitoring & Evaluation Approach:
Short time frame – 6 months
Distance to travel – Patients traveling to Cairns
Paper work – Private hospital admission paper work
Communication – between contracts and agreements.
Resources – Health workers on ground
Key successes/outcomes:
Leadership Approach;
Successfully reaching our target goal through:
Coordination & Facilitation
Expert advice
Commitment and dedication
Table Top Hosts - Session 1 (2:00pm—3:00pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table 5 | Institute for Urban Indigenous Health
Amy Hagstrom, Adult Occupational Therapy Team Leader
TITLE: Working together to achieve daily living goals for Aboriginal and Torres Strait Islander clients in
adult occupational therapy
Discussing Institute for Urban Indigenous Health’s (IUIH) collaborative adult occupational services including a case study
Outline of Collaborative Model/Approach:
IUIH occupational therapists are integrated into existing community controlled Aboriginal medical services. This allows them to work closely with an Aboriginal health worker, Care coordination and Supplementary Services coordinator, GP, podiatrist, physiotherapist and other allied health who are also integrated into the clinic. IUIH occupational therapist might meet with clients at the clinic or in their home, often in conjunction with the client’s care coordinator. This allows for collaboration and follow up. On the first visit they will chat with a client and their family about daily life and explore strengths, supports and challenges for the client and their family. They might also walk through the clients home to ensure this is set up to meet the client's needs. The client, family and therapist will decide if there are any particular things to work together on. The occupational therapist then works closely with other services in the community to ensure our clients have access to the services they need. For example joint visits with specialist public and private services (eg. spinal outreach team, department of housing, University of Queensland hypertonicity clinic). The occupational therapist will help clients to access funding to get equipment or make modifications to their home to make things easier for them at home or to access the community. They access a variety of funding options including MASS, CAEATI, Home Assist Secure, aged care services, HACC and CCSS. They also work with clients to practice strategies to help them manage any chronic conditions. Close links with the CCSS team in south East Queensland often allow for same day provision of equipment which is required to help clients stay safe at home.
Challenges implementing the model/approach:
Time is required to build strong relationships with clinic staff, other allied health and other service providers in the local community.
Staff turnover in other organisations can make building links an ongoing challenge
Access to funding for equipment can take time, and this creates risk for clients
Travel, time spent with the client, collaboration and linking with services as well as completing appropriate applications for funding is time consuming and thus can reduce the number of clients seen per clinic day.
Key successes/outcomes:
Increased access to services and equipment for our clients (services they are eligible for but have not previously
been accessing)
Clients reported achieving success at goals surrounding activities of daily living. 86% of clients reported meeting
their functional goals most or all of the time after OT involvement.
Table Top Hosts - Session 1 (2:00pm—3:00pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table 6 | Clarity Hearing Solutions
Grant Collins, Principal Audiologist/Managing Director
TITLE: Improving the hearing journey of rural and remote Queenslanders
How patient centred care results in positive patient outcomes.
Clarity Hearing Solution’s collaborative approach to addressing hearing health for patients in
traversing the health system without leaving their community.
How each community is different and adapting to community wants, needs and traditions results in
best outcomes
Outline of Collaborative Model/Approach:
A collaborative approach including synergistic relationships with Aboriginal and Torres Strait Primary Health Medical Organisations, Queensland Health & private sector. Challenges implementing the model/approach:
Community Expectations
Weather Restrictions
Referral Pathways
Tracking patients
Coordinating and organising patients through ATI and non-ATI organisations
Key successes/outcomes:
Successful Clinical Outcomes
Community gratitude
Communication and coordination with local key players
Diverse and multiple funding options
Flexible clinical staff
Table Top Hosts - Session 1 (2:00pm—3:00pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table Top Abstracts—Session 2
(3:10-4:10pm)
Collaborative Approaches to Patient Care
Please select 2 topics for Session 2.
TABLE 1 TABLE 2 TABLE 3
TABLE 4 TABLE 5 TABLE 6
Table Copy Only—Please do not mark
Available at checkup.org.au/outreachforum
Table 1 | Lifestyle Therapies and Training Solutions & Save the Children Australia
Clare Griffin, Business Lead, Lifestyle Therapies and Training Solutions
Elizabeth Gallard, North Queensland Programs Manager, Save the Children Australia
TITLE: Out of the clinic: Collaboration to provide services where people gather Traditionally health care services in rural communities have operated in a clinic based model where clients
are expected to attend a clinic or hospital to receive services. LTTS and Save the Children Australia have
formed a collaboration that sees a shift in the way services are offered to clients. Namely allied health
services working with support groups in offering services where the clients are, whether that be in a park,
in a home, at a refuge or under a tree.
This collaboration has led to better support services for both allied health teams and support workers as
well as holistic support for families or individuals accessing either services. Working across both regional
and remote communities, Save the Children Australia and LTTS have built a model that enables vulnerable
families to access allied health services at the time they need them outside of a clinic environment. Across
Queensland this collaboration has been more successful through the incorporation of additional external
stakeholders and the further collaborations across multiple industries.
This presentation will outline the who, what and how of this collaboration as well as an analysis of the
strengths, challenges, learnings and opportunities into the future.
Table Top Hosts - Session 2 (3:10pm—4:10pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table 2 | Institute for Urban Indigenous Health
Tabs Basit, Work It Out Research and Quality Coordinator Katrina Rae, Exercise Physiology Clinic Lead
TITLE: Work It Out – A collaborative approach to chronic disease self-management for Aboriginal and
Torres Strait Islander people. Discussion of the program including case studies and referral pathways.
Outline of Collaborative Model/Approach:
Work It Out (WIO) is a chronic disease self- management program. It is integrated into existing community controlled Aboriginal Medical Services. The program is multi-disciplinary and is facilitated by an accredited exercise physiologist or physiotherapist. Allied health staff who are integrated into the clinic and providing 1-1 services also contribute to the program, providing education sessions and building relationships with clients. For example, at one location the Queensland Health cardiac nurse regularly participates in the program which leads to integrated service delivery. Integration in the clinic allows staff to work closely with an Aboriginal health worker, Care coordination and Supplementary Services coordinator, GP and other allied health who are also integrated into the clinic. The program is delivered at a local gym facility. Discharge with a difference – Work It Out is one part of a client’s health and wellness journey and they can connect and reconnect with the program according to their needs.
Challenges implementing the model/approach:
Timetabling to cover multiple sites and to balance allied health professionals 1-1 caseloads and participation in
the program
Ensuring referral pathways are utilised to maximise revenue but also doesn’t limit client access.
It takes time to build strong relationships between staff. IUIH values and supports staff to make time for
relationship building as a priority. This is ongoing as there is staff movement at clinics and other services.
Key successes/outcomes:
Clients are integrated into a comprehensive, culturally appropriate Aboriginal and Torres Strait Islander
Community Controlled Health Organisations
Clients value the connections they make with other clients and staff and report this enhances their social and
emotional wellbeing
Work it Out runs at 14 locations across South East and Central Queensland
364 clients currently attend the program
66% of WIO clients maintained or reduced their waist circumference
82% of WIO clients maintained or improved their cardiovascular fitness
70% of WIO clients maintained or lost weight
Table Top Hosts - Session 2 (3:10pm—4:10pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table 3 | Queensland Aboriginal and Islander Health Council
Mark Mitchell, Hearing Health Project Officer
TITLE: Keeping up with best practice – Lend me your ears
It has become increasingly clear that some strategies developed to support early intervention approaches to reduce the impact otitis media, while diligently implemented by many dedicated individuals and organisations, is insufficient to realise meaningful improvements in health and educational outcomes for Aboriginal children. The development of the Qld Deadly Kids, Deadly Futures Hearing Health Framework has provided an opportunity to review the evidence and focus on best practice. This presentation will highlight a number of strategies that will support the implementation of new models of care in early childhood and hearing health.
Outline of Collaborative Model/Approach:
The framework has been developed in partnership with key partners across health, education and early childhood. A high level steering committee that reports to the Ministers of Health & Education ensures action plans are developed and reported on.
Challenges implementing the model/approach:
The process has been skilfully lead by Queensland Children’s Hospital Health Service. A positive working relationship from the beginning of the QAIHC Hearing Health Project has ensured there was a shared vision of best practice so the process went smoothly.
Key successes/outcomes:
The implementation plan for key actions from the Framework provides services with an opportunity to
review and redesign the delivery of hearing health services to fit with best practice.
Table Top Hosts - Session 2 (3:10pm—4:10pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table 4 | Central Queensland Regional Aboriginal & Islander Community Controlled Health Organisation
& Queensland Aboriginal and Islander Health Council
Melena McKeown, Acting CEO, CQ RAICCHO
Faye McGown, Communication Support Officer, QAIHC
TITLE: Growing Healthy Jarjums – The Biloela Tucka Time program
This Presentation will be delivered via video format
Engaging 30 Aboriginal and Torres Strait Islander primary school-age students of Biloela State School in an extended learning program aimed at consolidating in-class learning about household financial management and making healthy eating choices on a budget. The 30 students have very good attendance at school and an after-school homework group under the supervision of the school liaison officer, who would administer the program with the support of the school. It is anticipated this project would commence third term 2016 over a 10 week period.
Outline of Collaborative Model/Approach:
Working in collaboration with the following organisation to deliver our Tucka Time project:
Education Queensland staff; Principal, Aboriginal Liaison Officer, Teaching Staff, Chaplain– assisting with supervision and delivery of program.
Mothers Group – parents of students who attend the program. Assist with supervision and delivery of program. Dishes cooked are donated to the Mothers Group to have at Breakfast Club.
Woolworths Biloela – donation of ingredients, assist with the delivery of program. Conducted a store tour for students Queensland Police Service – assist with the delivery of the program.
Savour of Flavour – Deliver the cooking program.
Wendy Hannan- seamstress – made the aprons and head scarves.
Challenges implementing the model/approach:
Sourcing a reasonable priced Nutritionist/ Dietitian to deliver part of the program.
Key successes/outcomes:
Children are engaged
Children are encouraging parents to cook with them on a regular basis – 75% of the children in the program live in households of 5 or more people so the healthy eating project is touching a large number of people.
Children are bringing suggestions to us regarding healthy recipes.
Parents have welcomed their children’s interest; this has in turn ignited their desire to interact more with each on a basic communication level.
Teacher use the cooking classes as leverage for better outcomes with the homework classes. Children don’t wish to miss out therefore complete their homework tasks in a timely manner.
A sense of pride has come about as a result of the students cooking dishes that are utilised for the breakfast club the following day.
Table Top Hosts - Session 2 (3:10pm—4:10pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table 5 | Townsville Aboriginal and Islanders Health Service
Lynette Anderson, Executive Manager Outreach
TITLE: Improving Aboriginal & Torres Strait Islander health through collaboration
Outline of Collaborative Model/Approach:
This presentation will showcase the Townsville Aboriginal and Islander Health Service (TAIHS) & Townsville Hospital and Health Service collaborative arrangements including:
Shared care model of maternal & child health.
TAIHS Outreach Clinics established.
Establishment of share care model of Social and Emotional Wellbeing Services.
Challenges implementing the model/approach:
Differing timeframes for action.
Collaboration needs to be resources and legitimised at Senior Management and Board level.
Differing organisational attitudes.
Key successes/outcomes:
Workforce building together.
Continuity of care for patients.
Enhanced primary health care pathways.
Table Top Hosts - Session 2 (3:10pm—4:10pm). Please select 2 topics.
Collaborative Approaches to Patient Care
Table 6 | Cunnamulla Aboriginal Corporation for Health (CACH)
Kerry Crumblin, Chief Executive Officer
Ann-Marie Mitchell, Senior ATSIHW
TITLE: Collaboration between CACH AMS and South West Hospital Health Service
Outline of Collaborative Model/Approach:
The collaboration was formed in August 2015 with Queensland Country Practise as transition managers to provide permanent GP services to CACH and the Cunnamulla Community, under a joint collaboration between Cunnamulla Aboriginal Corporation for Health and South West Hospital Health Service. This is the first such collaboration undertaken in Queensland.
Challenges implementing the model/approach:
Challenges faced have included building an effective team to manage and deliver our model of care to deliver Holistic Preventative PHC Services incorporating Aboriginal Health and Non indigenous health needs in our remote community under one umbrella. We have 36 visiting services and coordinate them on a monthly basis. We have Check-up funded, Private and Qld Health Allied Health Service providers visit our community.
Key successes/outcomes:
Our Clients in Cunnamulla now have a 24 hour a day GP services, including a fully functional Health Centre addressing the community needs in our service region.
Continuity of Care with the same Gp’s retuning regularly, access to medical care, providing Holistic Preventative Primary Health Care Services.
Building a sustainable workforce through empowerment and education of our staff, and providing a culturally safe experience for our clients.
Engaging Qld Health and Allied Health Service Providers to provide culturally safe and integrated Primary Health Care.
Table Top Hosts - Session 2 (3:10pm—4:10pm). Please select 2 topics.
Collaborative Approaches to Patient Care