NEWSLETTER For innovators in healthcare & beyond May 2013 (Connued p.2) P.1 P.4 P.6 P.8 P.14 P.16 On Leadership Alignment: The Choral Club Char Weeks Evaluang hand hygiene intervenons David Brain Expanding scope for non-medical prescribing in New Zealand Zowie Ransfield The PANcare Home Nursing Project Caroline Kelly NHS Conference– Speaker Experiences Anita Bamford-Wade & Roisin Dunne POINT OF VIEW: Naonal Standards and Improving Performance Dawn Skidmore UPCOMING WORKSHOPS The Change Implementer’s Toolkit 101 Creang a Culture of Innovaon Pathways to a Consumer Focused Organisaon – Governance and Managerial Approaches Delirium and the Older Person P.3 P.7 P.12 P.13 On Leadership Alignment: The Choral Club Leading a choir of managers seems a relavely straight for- ward, perhaps even, roune, task for an accomplished execuve. The synchronicity of organisaonal values, strategic and operaonal plans and key performance indica- tors ideally forms the sheet music for each manager’s song book. And all that is expected of manag- ers is that they read from the same sheet music and sing in glorious harmony. If only it could be that easy. In a recent arcle in Forbes online magazine, Ken Perlman and John Koer (hp://www.forbes.com/ sites/johnkoer/2012/11/28/the- disastrous-effects-of-a-mostly- aligned-execuve-team/) lament that many organizaons willingly accept that their execuve or management team is “mostly aligned” around strategy. They might be all singing strategy from the same sheet music, but each manager slightly reshapes the lyrics or tampers with the melody to suit their own interpretaon. The end result is a range of songs all recorded and mixed differently but sll known by the one name, organizaonal strategy. Lile wonder a mix of choral downloads is confusing to staff, especially where organizaonal values such as collaboraon are promoted with a cohesive and posive culture. When change is forced from way above or outside, managing even the most note perfect chorists to harmonise as one voice can be confronng to the most adept of conductors.
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range of innovations to provoke and promote change
with a focus on workforce, service development
opportunities, patient experience and safety.
HWNZ has undertaken demonstrations to explore the
possibility of non-medical prescribing, which will
allow patients to access medications through health
professionals other than their doctor.
Below are three examples that demonstrate the
effectiveness of new and expanded roles for
community pharmacists and diabetes nurse
specialists.
Community Pharmacy Anti-Coagulation
Management services Demonstration
Warfarin is the most commonly used oral
anticoagulant in New Zealand and is traditionally
managed in general practice, requiring patients to
visit their doctor and then the pharmacy for
collection of their prescription.
The community pharmacy anti-coagulation
management services demonstration allowed
community pharmacies to provide Warfarin to local
patients in collaboration with general practices.
The pharmacists used standing orders for dispensing
warfarin to selected patients while also having the
authority to modify a prescription in collaboration
with general practitioner colleagues.
The evaluation found it was a safe, effective service,
is acceptable to patients and other healthcare
providers and the costs per patient per year are
about 30% less for this service than for traditional
care.
The service continues to expand and since July 2012
has been funded under the national pharmacy service
contract with district health boards.
Diabetes Nurse Specialist
Prescribing Demonstration
In 2010, twelve diabetes nurse specialists took part in
four demonstration sites across New Zealand to test
the effectiveness and safety of diabetes nurse
prescribing. Over a period of six months, the
participating nurses prescribed a limited number of
medicines used for diabetes patients under the
supervision of an authorised prescriber.
Evaluation of the demonstration showed that
prescribing by diabetes nurse specialists resulted in
improved continuity of care for patients, reducing the
need for separate appointments for routine
prescriptions and reducing pressure on medical staff.
Following the success of the demonstration, the
Minister of Health authorised a second phase to
embed the service more widely in the sector. Fifteen
more nurses have undertaken the advanced training
in a further six demonstration sites, and will be
authorised to prescribe shortly.
Expanding scope for non-medical prescribing
in New Zealand
(Continued next page)
7
Creating a Culture of
This practical workshop draws upon the best international literature
and focuses on how to create a culture of innovation in health and
aged care.
Delegates will learn a step by step approach to creating a culture of
innovation in their organisation:
Define what constitutes “innovation” as a pre-requisite for
culture change
Understand the DNA of innovators and how they inspire others
Consider case studies of innovation in organisations
Look at strategies and tools for fostering innovation in your
organisation
Develop a road map for fostering innovation in your
organisation after the workshop
Suitable for Managers and Emerging Managers in All
Facilities and Departments
Clinical Pharmacist Prescribing Demonstration
To expand the role of pharmacists in frontline health
care, a postgraduate prescribing certificate was
developed by the pharmacy schools at Auckland and
Otago Universities to qualify clinical pharmacists as
designated prescribers.
Some 14 pharmacists are enrolled in the demonstration
cohort, working in both hospital settings and primary
care. They are currently undertaking the training, and
will then work with a designated medical practitioner
who acts as a mentor and provides advice in a team
environment.
Cabinet has approved the necessary amendment to the
Medicines Act 1981 and the Misuse of Drugs Act 1975,
and the demonstration will begin when the amend-
ments have been passed.
HWNZ is committed to thinking of innovative ways to
develop services and improve patient outcomes.
Zowie Ransfield
Communications Co-ordinator
Communications & Strategic Engagement
Health Workforce New Zealand
National Health Board, Ministry of Health
NEW WORKSHOP across Australia
Visit our website: www.changechampions.com.au to download the full PDF flyer or to register online in your state. In-house opportunities at your organisation are also available upon request
8
The PA N c a r e Home Nursing Project
The project is the first Victorian and first support services project to be funded by the Avner
Nahmani Pancreatic Cancer Foundation. Avner, whom the Foundation was named after, was
diagnosed with pancreatic cancer in September 2007 and died thirteen months later. Prior to
his passing, Avner’s wish was to make a difference to those affected by the disease and to
offer future patients hope of better outcomes. Avner and his wife Caroline, along with many
great supporters, established the Avner Nahmani Pancreatic Cancer Foundation. It is the only
Foundation in Australia dedicated exclusively to pancreatic cancer.
Pancreatic cancer has the worst survival rates of all cancers, with 5-year survival rates
languishing at 5.2% across Australia; median survival rates are between 3 and 6 months and
there is very little in the way of dedicated support for sufferers.
Like many other terminally ill patients, it was Avner’s wish that he would die at home, sadly
that didn’t happen and it was this experience that led to the establishment of the PANcare
project.
The $430,000, 2-year project funded by Avner’s Foundation is a comprehensive care model
that will place specially-trained registered nurses in pancreatic cancer patients’ homes in their
final nights. Peter MacCallum Cancer Centre’s Dr. Natasha Michael, Consultant in Palliative
Medicine and Associate Professor Mei Krishnasamy Director Cancer Nursing Practice and
Research co-lead the project.
(Continued next page)
9
The PANcare project was launched in January and operates
in Western and Central Melbourne and collaborators
include hospitals across this region and Palliative Care
providers – Melbourne City Mission and Mercy Palliative
Care.
The PANcare project will test the feasibility and
sustainability of a comprehensive care planning service for
patients with advanced pancreatic cancer patients
The project will be carried out in three stages:
1. Set up stage: Appointment of project team, review of
academic literature on the topic area, case notes audit,
development of a detailed evidence based research
protocol and training material and implementation of a
training program for registered nurses
2. Go live stage: Offering a program of comprehensive care
planning to patients with advance pancreatic cancer
that will facilitate care at home at the end of life
including the provision of night nurses.
3. Close out stage: Evaluation of service model (including
DOWNLOAD THE PDF FLYER TO READ ALICE ROTA -BARTELINK’S BIO AND FOR MORE DETAILS ABOUT THE WORKSHOP
23
A master class on managing older clients living with
Alcohol Related Brain Injury (ARBI)
The Challenge of
Long Term
Alcohol Abuse
in Older Adults
Make an inquiry for your facility!
To facilitate the transfer of skills and knowledge
gained through evaluative research into the
provision of appropriate support to clients living
with alcohol related brain injury (ARBI) this
presentation will provide education on the
effects of long-term alcohol abuse on an older
person and advice on strategies to assist service
providers with managing behaviours of concern
among older clients living with ARBI.
Master Class Aim
Workshop Outline
Introduction
Alcohol & Alcoholism
Symptoms
Alcohol and the Ageing Body
Comorbidity
Alcohol and the Brain
The Role of a Neuropsychologist
Treatment
Managing Challenging Behaviour
Aggressive Behaviour
Self Care Practices - Staff
Case Profile
Conclusion
“This Master Class aims to improve the life quality of this often forgotten and neglected group of people by providing participants with an understanding of their unique set of care needs and imparting the skills required to enhance the delivery of effective care and support.”
- Alice Rota-Bartelink
Download the PDF flyer from our website
www.changechampions.com.au and fill out
the expressions of interest form
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When Change is Lobbed On You From A Great Height:
A “how to” workshop for change implementers and recipients
L bbed n
Bring your challenges to this full day workshop!
Don’t quite know what to do when you have been directed from far above to implement a
change in your workplace or team? Had no buy-in to designing a change that you are
responsible for implementing in your workplace? Accountable for making a change that you
don’t really understand or don’t agree with? Know that your team is not going to be happy
with more change or another change that seems to make very little sense? Feeling over-
whelmed? Blue? Perhaps, just tinsy bit cynical? Feel like a junior tennis player facing Serena
Williams or Roger Federer for the very first time?
If you answered yes to any one of these questions, this workshop is for you.
Let’s get out from underneath and start playing your own game. Believe it or not, you can
make top down change directives work for you and your team.
Visit our website and download the PDF flyer for
UPCOMING 2013 DATES across Australia and New Zealand
Suitable for middle level managers, team leaders and coordinators
www.changechampions.com.au
25
Change Champions & Associates invites you to contribute to this publication!
Are you or your organisation working on a new project or initiative? We’d love to hear about it!
Please send us a 1 page article highlighting the major aspects
of the initiative you are part of.
Email articles, suggestions and advertising enquiries to Diane Vatinel at: [email protected]