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Northern NSW Integrated Care Collaborative Final Report

 

A Northern NSW Integrated Care Collaborative (ICC) was undertaken to encourage and support participating health services to deliver rapid, measurable, systematic and sustainable improvements in the care they collectively provided to patients in Northern NSW.

The Improvement Foundation  was contracted by the Local Health District (LHD) to support the ICC by providing specialist advice, access to existing collaborative methodology infrastructure, and ongoing support for the duration of the Collaborative program.

The support and adoption of integrated care in the region is thanks to the Executive Team leadership to support staff to trial the program and make changes at a local level, and  strong partnerships between Northern NSW LHD, North Coast PHN, United in Aboriginal Health and NSW Ambulance.

Read about the objectives, successes and lessons learned in the ICC Final Report.

March 16, 2017
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Better Outcomes for People with Chronic and Complex Health Conditions

APPCC Collabortive New.jpegThe Better Outcomes for People with Chronic and Complex Health Conditions report from the Primary Health Care Advisory Group presented to Department of Health identifies a model of care supported by a new way of funding that can transform the way we provide primary health care for Australians with chronic and complex conditions. Additionally it also found that the Australian Primary Care Collaboratives Program (APCC) was ‘beneficial to patients with chronic and complex condition’. Read the full report here.

April 13, 2016
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Report concludes that Primary Healthcare can be improved by Collaboratives

The Nation’s Primary Health Care System has shown significant improvements being involved in the Australian Primary Care Collaborative (APCC) Program* yet despite its demonstrable success, it has not been systematically embedded and sustained either nationally or in local health systems.

A recent report by the Grattan Institute showed the significant results that the Collaborative methodology has achieved through the APCC Program.  Traditionally, this Program has been delivered by the Improvement Foundation with rigour including face to face learning workshops but now the resources have been transformed into an online resource.

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April 04, 2016
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Nurse-led Quality Improvement in Primary Care

APNA IF Article Pic

Published in Primary Times, Volume 15, Issue 1 2015 by Australian Primary Health Care Nurses Association.

For the first time the Australian Primary Care Collaboratives Program (APCC) is delivering three new specialised waves that focus on greater engagement of general practice nurses to lead quality improvement work in a new nurse led quality improvement program, the Practice Nurse Lead Program. Read more…

May 18, 2015
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Improving Chronic Kidney Disease in Aboriginal patients

Improving CKD in Aboriginal Patients - HealthSpeak Summer 2015

Published in HealthSpeak Summer 2015 published by North Coast NSW Medicare Local

Wishing to improve the care of patients with Chronic Kidney Disease (CKD), Bugalwena General Practice in South Tweed Heads set a goal to increase the identification of Aboriginal and Torres Strait Islander patients with potential CKD so that specific management plans and team care arrangements could be provided.

 

 

 

 

 

 

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January 20, 2015
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Appointment Systems – top tips from APCC

Appointment systems – top tips from the Australian Primary Care Collaboratives Program

Practice managers have led the way in redesigning the care their practices provide through appointment systems.  You can improve patient care, team morale and practice profitability by thoughtfully doing the same.

Are you ready to start making some changes to your appointment system?

Here are some resources to help get you started: (more…)

October 21, 2014
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Vaccine System ranked in Top Four Innovations by Australian Doctor Magazine

vaccination_websmallPublished in Australian Doctor, 27 August 2014 by Amanda Sheppeard

Homegrown health-tech heroes
Meet four of Australia’s most innovative doctors in the field of health technology, from the first virtual GP service to a device that provides real-time feedback on pelvic floor exercises, these doctors reveal how their ideas became reality.

From the Hills Hoist clothesline and the glorious wine cask to the life-saving application of penicillin and the development of the bionic ear and the electronic pacemaker, Australians have been dreaming up big ideas in laboratories and backyard sheds for decades.
Despite our relative geographical isolation, Australia has an envied international reputation for its highly skilled IT workforce, and Australian doctors and health professionals are among a groundswell of everyday people identifying a need and finding the IT solution to meet it. Smart Practice meets four of them.

Improvement Foundation: The Vaccine Surveillance System

When non-profit organisation The Improvement Foundation was asked by the WA Department of Health to design and deliver a flu vaccine surveillance system, researchers and designers knew there had to be a simpler and faster process than the existing manual system.

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August 27, 2014
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Surveyors perceptions of the impact of accreditation

Surveyors’ perceptions of the impact of accreditation on patient safety in general practice

Article published in the Medical Journal of Australia, August 2014

Authors: Amr Abou Elnour, Andrea L Hernan, Dale Ford, Stephen Clark, Jeffrey Fuller, Julie K Johnson and James A Dunbar

“The APCC Program’s success in improving quality is evident, and was well endorsed by participants in our study to be a program that could promote and improve the patient safety culture in Australian primary care. With this in mind, we recommend that the APCC Program add patient safety to its agenda for improvement”.

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August 18, 2014
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eHealth indicators enable GPs to compare their results against national averages

Article published in Slattery’s Watch 4 August 2014

In consultation with the National E-Health Transition Authority and Australian Medicare Local Alliance, the Improvement Foundation’s qiConnect data portal has been developed to help healthcare organisations use and share data to manage the implementation of meaningful quality improvement programs and for health services to monitor and track improvements over time.

August 04, 2014
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Mistakes happen: developing a patient safety collaborative

Article published in the Snapshot of Australian Primary Health Care Research 2014 by the Primary Health Care Research and Information Service (PHCRIS), page 14

There are over 700 000 avoidable hospital admissions per year in Australia, many of which could be reduced by: fewer medication errors in the frail and elderly, improved communication between general practitioners (GPs) and the wider health care community, and improved recording systems.

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August 04, 2014
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Interactive dashboard to graph PCEHR indicators

Article published in Pulse+IT Magazine, written by Kate McDonald on 31 July 2014.

The Improvement Foundation has developed a new interactive dashboard and a set of eHealth indicators for its qiConnect portal, which allows general practices to automatically upload data on certain clinical measurements for analysis and benchmarking.

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July 31, 2014
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Diabetes program highlights need to focus on comorbidities

Article published in 6 Minutes Newsletter on 24 July, 2014 by Rachel Worsley

The management of comorbidities is one of the most pressing challenges in the care of diabetes patients, says Dr Dale Ford, the clinical adviser to the non-profit Improvement Foundation.

“Up to 80% of diabetes patients have comorbidities. Often people don’t want to have multiple people looking after different parts of the condition,” says Dr Ford, whose organisation set up the Australian Primary Care Collaboratives (APCC),  which trains GPs and nurses to improve the care of people with chronic diseases.

The program celebrates its tenth year in 2014, and has so far worked with more than 3,500 primary health professionals with more than 320,000 diabetes patients on their books.

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July 24, 2014
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Program Highlights Prevention and Comorbidities

Program highlights prevention and comorbidities article published in Diabetes Educators Update on 23 July, 2014 by Rachel Worsley

The management of comorbidities is one of the most pressing challenges in the care of diabetes patients, says Dr Dale Ford, the clinical adviser to the non-profit Improvement Foundation.

“Up to 80% of diabetes patients have comorbidities. Often people don’t want to have multiple people looking after different parts of the condition,” says Dr Ford, whose organisation set up the Australian Primary Care Collaboratives (APCC),  which trains GPs and nurses to improve the care of people with chronic diseases.

(more…)

July 23, 2014
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e-Health Revolution

eHealth Opinion article written by Dr Andrew Knight, published in Medical Journal of Australia’s InSight magazine, July 2014.

THE benefits of having an effective electronic health record seem obvious. Rapid sharing of information, reduction of duplication and greater ownership by patients of their health information offer hope of reduced harm and savings in time and money.

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July 22, 2014
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Vaccination Surveillance System takes out iAward

Vaccination Surveillance System takes out iAward– article published in iTWire, 10 July 2014  by David Swan

Not-for-profit organisation The Improvement Foundation and technology partner OBS have won the South Australian iAward in the Health category, with a solution developed for the Western Australian Department of Health.

The award was for the design and development of the ‘Vaccination Surveillance System’, a vaccine surveillance system allowing WA Health to monitor adverse vaccine reactions “faster than ever before.”

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July 10, 2014
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Using a QI collaborative to implement eHealth Records in primary care practices

The eCollaborative: using a quality improvement collaborative to implement the National eHealth Record System in Australian primary care practices

Published in the International Journal for Quality in Health Care,

Authors: ANDREW W KNIGHT, CRAIG SZUCS, MIA DHILLON, TONY LEMBKE AND CHRIS MITCHELL

Abstract
Quality problem
The new national patient-controlled electronic health record is an important quality improvement, and there was a pressing need to pilot its use in Australian primary care practices. Implementation of electronic health records in other countries has met with mixed success.
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June 12, 2014
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Collaboratives’ contribution to cardiovascular patient outcomes

APHCRI Centre of Research Excellence (CRE) in Primary Health Care Microsystems Stream 2, jointly with Improvement Foundation (IF) Australia which runs Australian Primary Care Collaboratives (APCC) Program, commenced a project in March 2014 to investigate the impact of the APCC Program on cardiovascular disease (CVD) outcomes.

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April 09, 2014
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Appointment Zen – shaping demand and matching capacity

Appointment Zen – shaping demand and matching capacity / written by APCC Clinical Advisory Andrew Knight and Clinical Director Tony Lembke

Published Australian Family Physician, Volume 43, No.4, April 2014 Pages 234-238

Download PDF version

Background
Ten years of experience with hundreds of general practices in the Australian Primary Care Collaboratives program has provided many lessons for improving practice appointment systems.

Objective
In this article, we describe how general practitioners can, by actively managing our appointment systems, reduce waiting times and delays, improve patient care, improve our quality of life and improve practice financial viability.

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April 05, 2014
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