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Communication across disciplines

Communication across disciplines. GMCT Peter Castaldi, Chief Executive. ACHSE State Conference 4 May 2007. Networks. Renal Home Enteral Nutrition Stroke Imaging – Radiology – Nuclear Medicine Cardiac Transition Care Urology Gastroenterology Orthopaedics. Spinal Cord Injury

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Communication across disciplines

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  1. Communication across disciplines GMCT Peter Castaldi, Chief Executive ACHSE State Conference 4 May 2007

  2. Networks • Renal • Home Enteral Nutrition • Stroke • Imaging – Radiology–Nuclear Medicine • Cardiac • Transition Care • Urology • Gastroenterology • Orthopaedics • Spinal Cord Injury • Brain Injury Rehab. • Severe Burns • Ophthalmology • Gynaecological Oncology • Aged Care • Bone Marrow Transplant • Neurosurgery • Transition Care • Respiratory Medic ine

  3. Transparency • Composition of networks • Clinician Co-chairs • Medical • Allied Health/Nursing • Committee • whole network • elected executives • Network Manager

  4. Aids to consensus • Agenda built up considering models of care and clinical plans • Objectives of relevance to disciplines • Data accumulated – Information & Communication Technology support for defining MDS, collection, collation, reporting, communication and analysis • Liquid Office introduced

  5. Network achievements Stroke • Initiation of Acute Stroke Units • Access to 50% of stroke patients • Improvements in length of stay, inhalation pneumonia, rehabilitation experience, morbidity, discharge to home (rather than nursing home)

  6. Gynaecological Oncology • Agreed protocols • Access from rural areas • Nurse education • Palliative care guidance

  7. Renal services • Demand for Dialysis • Access to services • Transplant outcomes

  8. The sedation working party Gastroenterology • Colonoscopy efficiency • Sedation for procedures – collegial input • Development of Graduate Certificate in Gastroenterology with UTS - 10 Nursing Scholarships

  9. Severe Burns • Limited locations • Cross-institutional appointments • Timely transfers and feedback • Prevention strategies

  10. Spinal Cord Injury • Broad church encompasses wide range of health clinicians across care continuum • Strong voice for consumers through non-government organisations eg. Police & Community Youth Club • Other government agencies – Dept Ageing Disability Home Care; Motor Accident Authority

  11. Transition Care • Bridging the gap between paediatric and adult care for long term patients of the health system with chronic conditions and or disabilities • Coordinators established in adult facilities attached to paediatric hospitals to spearhead changes • Strong voice for consumers/carers

  12. Influence • Newsletter monthly, “Clinician Connect” • Aged Care booklet • Eye Emergency Manual • Home Enteral Nutrition Review • Care-related databases eg. Cardio- Thoracic , Neurosurgery • Metropolitan Hospital Forum

  13. greater metropolitan clinical taskforce Clinical Services Redesign Consumer Working Party NSW Stroke Services Network Coordinating Committee (70 clinicians) • Community Education • Research training • Research applications Research Working Party NSW Rural Institute of Clinical Services & Teaching Protocols Working Party • CIAP • Guideline & protocols Clinical Excellence Commission Strategic Planning Working Party • Stroke unit development • Rural stroke services Australasian Stroke Unit Network • Education & training • Recruitment & retention Workforce Planning Working Party • Pathway to tPA project • NSW Ambulance stroke education Pre Hospital & Emergency Working Party National Stroke Research Institute • Minimum data set • TASC ON Line • NSRI Audit results Outcomes & Measurement Working Party National Stroke Foundation Education & Professional Development Working Party • Educational program • Conference planning Post Acute Reference Group Working Party • Service gap delivery • Workforce

  14. NSW Rural Health Taskforce

  15. NSWRenal PlanningWorking Group Rural Working Group Transport Working Group Renal Purchasing StrategySteering Group Dialysis Working Group Guidelines & StandardsAccess & EquityStatewide PlanningMeasurementNew technology Advise DOH: re. purchasing strategy for renal supplies PreventionWorking Group InformationManagement Group CKD Prevention Strategy WorkforceEducation &Training Group Advanced Trainee Program Renal Group Nursing Models of Care Nurse Practitioner Guidelines Dialysis Min. Data Set Transplant Working Group Increase in Transplantations since 2002 Service Planning with ARCBS Nutrition Guidelines Statewide On-call roster

  16. Emerging Challenges • Continuing engagement • Maintain relevance • Source of advice • Connection with agencies

  17. The Future • Build strong links between Metro & Rural agencies • Build national / international links • Challenges • Service provision • Distribution • Access

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