Service Planning for New Workforce Models Shelley Horne Director Clinical Service Reform, SA Health April 2011
Mar 30, 2015
Service Planning for New Workforce Models
Shelley Horne Director Clinical Service Reform, SA HealthApril 2011
SA’s Health Care Plan
Reforms aimed at:
> Rebalancing the system components
> Matching services to local population needs
> Designing models of care informed by evidence
> Achieving these outcomes within the constraints posed by future workforce availability
Statewide Service Plans
> Some fundamentals> An iterative process> Layers of detail> First layer of recommendations
• Confirm system wide model of care• To inform development of Master Plans• Detail in relation to early priorities
Content
> System level vision of Model of Care including:• expected changes in trends in clinical practice
• Critical relationships
• Any changes required to improve quality and safety
• Information technology that may assist
> System level identification of workforce issues requiring focus & description of future plans
> Teaching and research issues
Regional Service Construct
Integrated service delivery models including:> Prevention, screening, early intervention, primary
health care services, community based specialist services, inpatient based specialist services, ongoing services and support
> Agreed clinical protocols and patient pathways to ensure seamless transition.
> Facility and Communication mechanisms to support• Major hospital
• General hospitals
• GP Plus Health Care Centres
• GP Plus Health Networks
Service plans and reform focus areas
> Plans from Clinical Networks:• Cancer, maternal and neonatal, cardiology, mental
health, renal, rehabilitation, orthopaedic, child health, stroke, palliative care, older people health services
> Plans from focussed groups of clinicians• Medical imaging, Paediatric Services, Allergy/
Immunology
> Plans for specific populations• Aboriginal health Care Plan, Veteran’s Health Care
Plan
> Service Redesign • Outpatient services, acute medical units, direct
admission arrangements,
Related Planning
> Model of Care for the System – models of care developed by Statewide service plans and Clinical networks reflect this whole of system view
> Application of Model of Care to facility design> Workforce arrangements reflect the needs of the
model of care and models of care reflect known workforce availability
> Teaching and research> Clinical Network outputs> Other Statewide Service plan outputs
Model of care - overview
Reflects:> Future patient profile> Future patient needs> Arrangements that best suit optimum pathways> Groupings of patients with like needs> Contemporary clinical practice> Advances in functional design for optimal healing> Advances in technology
Enhanced roles within new service models
> Significant growth in Nurse Practitioner and enhanced nursing roles across:• ED, Palliative Care, Geriatric, Cancer,
Midwifery, Mental Health, Chronic disease management
Exploring potential for other roles in community settings:• minor injury illness, allergy,
> Exploring enhanced AHP, medical assistant roles.
An example
> The Cancer Clinical Practice Nursing Director (CNAHS) will:
> Provide advanced clinical nursing care to oncology patients/clients.
> Provide corporate professional advanced clinical nursing advice, mentoring and leadership to cancer nurse practitioners and nurse practitioner candidates.
> Provide strategic and operational leadership in the development of the cancer nursing clinical services across the CNAHS consistent with the principals and priorities of the SA Health Care Plan, Statewide Cancer Clinical Network and Statewide Cancer Control Plan.
Food for thought
> Workforce planning incorporating new/ enhanced roles.• How can planners understand the impact of
new/ enhanced roles on existing roles?• How will the staffing profile required for service
delivery be determined?• Balancing subspecialisation with generic
requirements
A possible process
> Start with patient/population needs. > Establish model of care > Match needs with skills & expertise.> Match skills/expertise with available
optimised disciplinary roles.> Renegotiate roles.> Refine workforce projections.
A palliative care example
Psychosocial Biomedical
A palliative care examplePsychosocial Biomedical
Medical Work
Nursing Work
Social Work
Spiritual Care Work
A palliative care examplePsychosocial Biomedical
Palliative Medicine
A palliative care examplePsychosocial Biomedical
Palliative Medicine
Nurse Consultant
A palliative example Psychosocial Biomedical
Palliative Medicine
Nurse Consultant
Social Worker
A palliative care examplePsychosocial Biomedical
Palliative Medicine
Nurse Consultant
Social Worker
Bereavement Councillor
A palliative care examplePsychosocial Biomedical
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Welfare Officer
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Welfare Officer
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
Psych
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
Psych
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
Psych
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
Psych
Pharm
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
GPSI
Psych
Pharm
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
GPSI
Psych
NP
Pharm
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
Community Network Faciliator
GPSI
Psych
NP
Pharm
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
Community Network Faciliator
AIN/PCW
GPSI
Psych
NP
Pharm
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
AIN/PCW
The Therapists
GPSI
Psych
NP
Pharm
Bereavement Councillor
A palliative care example
Palliative Medicine
Nurse Consultant
Social Worker
Pastoral Carer
Clin Psychol
Welfare Officer
Community Network Faciliator
AIN/PCW
The Therapists
GPSI
Psych
NP
Pharm
Bereavement Councillor