Managing our
pipeline of innovation

We use a pipeline of innovation to identify, test and scale clinical innovation that has high-potential and demonstrated value to the health system, clinicians and the community.

There are four points along the pipeline: continuous improvement (refining), piloting innovations (evolving), spreading promising innovations (evolving), scaling demonstrated innovations (transforming).
The ACI’s pipeline of innovation.

Innovative projects may enter at different points across the pipeline. For example, as a new idea with strong evidence and high potential; or as a promising innovation piloted at a local level, with potential for spread and scale across the health system.

Standardising nurse-initiated emergency care across NSW

The ACI is leading the development, spread and scale of the Emergency care assessment and treatment (ECAT) Program. This statewide co-designed initiative aims to standardise nurse-initiated emergency care.

Watch a 2-minute animation about the program

  • Leverages existing models of care across rural and metropolitan emergency departments.
  • Driven by 6 subcommittees with 182+ members from the ACI; Ministry of Health; Clinical Excellence Commission; Health Education and Training Institute; eHealth NSW; NSW local health districts and specialty health networks; clinicians and consumer representatives.
  • Involved the development of 73 clinical protocols (adult and paediatric) and 27 focused assessments presented in print and digital formats.
  • Supported by an education pathway for emergency nurses across NSW.
  • Implementation to progress in 2024.

The protocols are available in print and digital formats.

Creating a culturally safe environment for Aboriginal people

Gadjigadji - My Rehab, My Journey is a co-designed web resource to help rehabilitation and health services create a culturally safe environment for Aboriginal people in rehabilitation. Derived from a clinically led idea, co-designed and launched at five sites in 2021, the program has been spread and scaled across NSW, with 40 rehabilitation services now using the resources.

  • Involves strong engagement with clinicians and Aboriginal health staff from most local health districts, Aboriginal Community Controlled Health Services and Local Aboriginal Land Councils.
  • The tools and resources can be applied to other clinical areas.
  • Gadjigadji was a finalist in the 2023 NSW Health Awards.

Watch a 2-minute video about Gadjigadji

“More than 40 rehabilitation services across NSW have adopted the resources as a team. Clinicians have reported improved relationships with Aboriginal patients; improved engagement with rehabilitation services and improved health outcomes.”

Jenni Johnson, Stream Manager, Trauma, Pain and Rehabilitation, ACI.

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