Hand in Hand is project of Nepean Blue Mountains Local Health District in NSW. This award winning project connects Acute Aged Care Services (AACS) with patients located in Residential Aged Care Facilities (RACF) using Tele- health. By using video conferencing consultation, ‘Hand in Hand’ has made it possible for patients to attend a consultation with a clinician while remaining in their home, avoiding the distress associated with lengthy travel and extended waits for transport or transfers to emergency departments. The ‘Hand in Hand’ project has seen reductions in hospital readmission rates and geriatric emergency department presentations for patients from selected RACFs, improved patient satisfaction, as well as reduced travel times for the AACS team and better use of resources. Tanya Baldacchino, Telehealth Nurse Manager, says the ‘Hand in Hand’ project facilitates care in the most appropriate setting with the aim of delivering the best possible health outcome, benefitting patients by reducing travel time and improving qual- ity of care. “Research has shown there is an increase in confusion and falls in hospital for elderly pa- tients and patients have em- phasized their distress when waiting for extended periods in busy emergency departments or having to wait for outpatient appointments,” said Tanya. “By using Telehealth, the ‘Hand in Hand’ project has made it possible for residents in nursing homes to remain in their homes whilst receiving specialty care. Patients can have the consulta- tion in their room whilst being supported by a nurse who is familiar with the patient.” “Continuity of care has also improved as Telehealth consultations often involve a doctor that was involved in the care of the patient while in hospital.” Read more about enablers and barriers to telehealth at http://www.aci.health.nsw.gov.au/ __data/assets/pdf_file/0006/300975/ ACI_Telehealth_Capability_Interest_Gro up_Enablers_Barriers.pdf Telehealth and Aged Care Working Hand in Hand in NSW May 2016 Change Champions & Associates Innovation Round Up Summaries and links to some of the interesting innovations project we have gathered from Australia and overseas in 2016. Inside this issue: Telehealth & Aged Care 1 TENCS—Organisational Resilience 2 3D Dementia App 2 Scabies Eradication 4 Pathway for Medical Imaging Reports 6 Survivorship Care Plans Toolkit 8 NDIS Transferability of Models of Care 8 CEC Adult Antibiotic Guideline for Severe Sepsis and Septic Shock 8 Canada’s Targeted Medication Safety Best Practices for Hospitals 10 SafeMedicationuse.ca 10
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Transcript
Hand in Hand is project of
Nepean Blue Mountains
Local Health District in NSW.
This award winning
project connects Acute
Aged Care Services (AACS)
with patients located in
Residential Aged Care
Facilities (RACF) using Tele-
health.
By using video conferencing
consultation, ‘Hand in Hand’
has made it possible for
patients to attend a
consultation with a clinician
while remaining in their
home, avoiding the distress
associated with lengthy
travel and extended waits for
transport or transfers to
emergency departments.
The ‘Hand in Hand’ project
has seen reductions in
hospital readmission rates
and geriatric emergency
department presentations for
patients from selected RACFs,
improved patient satisfaction,
as well as reduced travel
times for the AACS team and
better use of resources.
Tanya Baldacchino,
Telehealth Nurse Manager,
says the ‘Hand in Hand’
project facilitates care in the
most appropriate setting with
the aim of delivering the best
possible health outcome,
benefitting patients by reducing
travel time and improving qual-
ity of care.
“Research has shown there is
an increase in confusion and
falls in hospital for elderly pa-
tients and patients have em-
phasized their distress when
waiting for extended periods in
busy emergency departments
or having to wait for outpatient
appointments,” said Tanya.
“By using Telehealth, the ‘Hand
in Hand’ project has made it
possible for residents in nursing
homes to remain in their homes
whilst receiving specialty care.
Patients can have the consulta-
tion in their room whilst being
supported by a nurse who is
familiar with the patient.”
“Continuity of care has also
improved as Telehealth
consultations often involve a
doctor that was involved in the
care of the patient while in
hospital.”
Read more about enablers and barriers
to telehealth at
http://www.aci.health.nsw.gov.au/
__data/assets/pdf_file/0006/300975/
ACI_Telehealth_Capability_Interest_Gro
up_Enablers_Barriers.pdf
Telehealth and Aged Care Working Hand in Hand in NSW
May 2016
Change Champions & Associates
Innovation Round Up
Summaries and links to
some of the interesting
innovations project we
have gathered from
Australia and overseas in
2016.
Inside this issue:
Telehealth & Aged Care 1
TENCS—Organisational
Resilience 2
3D Dementia App 2
Scabies Eradication 4
Pathway for Medical
Imaging Reports 6
Survivorship Care Plans
Toolkit 8
NDIS Transferability of
Models of Care 8
CEC Adult Antibiotic
Guideline for Severe
Sepsis and Septic
Shock
8
Canada’s Targeted
Medication Safety Best
Practices for Hospitals
10
SafeMedicationuse.ca 10
This project is a
collaboration of Macquarie
University, Australian Institute
of Health Innovation and the
Townsville Hospital and
Health Service, QLD.
The project consists of four
inter-related studies evaluat-
ing the implementation of
organisational resilience-
based interventions at
Townsville Hospital and
Health Service (THHS):
Study 1: Evaluation of the
ICU Escalation Plan
Study 1 aims to evaluate the
effectiveness an ICU
intervention, consisting of an
Escalation Work Place
Instruction with simultaneous
education and training on
resilient healthcare, which
will be implemented in the
ICU at THHS. Evidence
synthesised from this evalua-
tion will be used to inform
hospital executive of the
influence of resilient
healthcare principles on
operational planning and
patient safety
Study 2: Evaluation of the
Resilience and Patient
Safety (RAPS) Training
This study seeks to
determine whether the
RAPS training course is
successful in providing staff
with an understanding of
resilient healthcare
principles, and the skills
necessary to improve
resilient behaviours in the
workplace. It will provide
evidence on translation
into practice to add to the
growing amount of
research about resilient
healthcare, and provide
staff with the appropriate
tools to survive in an
increasingly stressful
environment, delivering
safe care on ‘the edge of
chaos’. It will also add to an
understanding of how
resilient healthcare training
might best be implemented
in other healthcare settings.
Study 3: Evaluation of
Negotiation Training
Study 3 aims to evaluate
the effectiveness of the
THHS intensive negotiation
training by investigating
whether staff members
have implemented the
integrative bargaining skills
in the time period since the
training, and if so, how and
when.
Study 4: Evaluation of
Patient Centred Advanced
Care Surgical Planning
The fourth study aims to
evaluate the feasibility of
the new patient-centred
advanced care planning
surgical model of care,
including potential benefits
to patients and clinicians.
Evidence synthesised from
this evaluation will be used
to inform future guidelines
for surgery on frail high-risk
patients at THHS.
The TENCS Model: Organisational Reslience at Townsville Hospital
and Health Service
3D ‘dementia-friendly home’ app to assist carers and empower people living with dementia