All Projects

Implementation of Advanced Radiotherapy Technology to Improve Clinical Outcomes in Rural NSW

After the successful implementation of quality improvement projects, the technology utilisation rate (intensity-modulated radiotherapy and volumetric modulated arc therapy) rose to over 70% in 2020, compared to below 22% in 2017 and stereotactic ablative body radiotherapy treatment is now available at Central West Cancer Care Centre, Orange.

Orange Health Service

Added: 1 March 2021|Last updated: 15 March 2021

No buts about it – hospital gown review

This project looked at how the most common hospital gown used in NSW public hospitals could be improved for patients, clinicians and the health system. Patients report that the hospital gown is unsuitable mostly due to the lack of modesty it provides. The gown does not meet the needs of clinicians, as it can interfere with intravenous lines and does not provide access to the patient’s upper torso. It is often cut across the shoulder to accommodate clinical needs, and...

HealthShare NSW

Added: 15 December 2020|Last updated: 16 December 2020

The BONE Project: Building Orthopaedic Network Excellence

The Fracture Clinic redesign project commenced to meet the needs of the rapidly growing Orthopaedic outpatient clinic by redesigning the service and building an efficient and sustainable model with improved access and better experiences for staff and patients. The clinic is located at Port Macquarie Base Hospital on the Mid North Coast.

Mid North Coast Local Health District

Added: 15 December 2020|Last updated: 16 December 2020

The Big Wee Problem at Sydney Children’s Hospital Network

This project utilises Clinical Redesign Methodology in a multifaceted approach to prevent post-operative urinary tract infections in our Network.

Sydney Children’s Hospital Network

Added: 15 December 2020|Last updated: 16 December 2020

Gut Instinct: Optimising the Colorectal Patient Journey

This project aimed to optimise clinical care and experience provided to Colorectal patients undergoing Bowel Resection (with or without stoma) at RNSH through: - Provision of an intensive preoperative education package to patients and carers/family - Creating a standardised care pathway for the Multi-Disciplinary Team (MDT) to follow throughout the patient’s journey, which incorporated principles of Enhanced Recovery After Surgery (ERAS) for Colorectal Surgery....

Royal North Shore Hospital

Added: 15 December 2020|Last updated: 16 December 2020

Mental Health 4 Uplift

A project which aims to improve access to care for mental health patients by reducing their length of stay in the emergency department (ED) and reducing barriers to discharge from the Caritas, the mental health unit (MHU) in St. Vincent’s Hospital.

St Vincents Mental Health Service, St Vincents Hospital, Sydney

Added: 15 December 2020|Last updated: 15 April 2021

Psychiatric Emergency Care Centre (PECC) – The Next Generation

To redesign the Psychiatric Emergency Care Centre (PECC) unit within the Nepean Blue Mountains Local Health District (NBMLHD) Mental Health service to provide a more targeted specialised care by April 2020. • To improve the consumer experience and care when admitted to the PECC Unit. • To improve services for the adolescent population when admitted to an adult inpatient facility.

Nepean Blue Mountains Local Health District Mental Health Service – Psychiatric Emergency Care Centre (PECC)

Added: 15 December 2020|Last updated: 16 December 2020

Network Work Ready

Contribute to a skilled workforce by developing capable and confident graduate nurses.

Justice Health Forensic Mental Health Network; Organisational Development Unit.

Added: 15 December 2020|Last updated: 16 December 2020

Improving Graythwaite Outcomes (iGO)

The project focused on achieving better outcomes, reduced length of stay and improved experiences for patients admitted to Graythwaite Rehabilitation Centre (GRC), Ryde Hospital.

Ryde Hospital

Added: 5 November 2020|Last updated: 12 November 2020

Perioperative Project (Project POP)

The aim of the project was to to improve patient and staff experience through better management of surgical activity at Fairfield Hospital by December 2020.

Fairfield Hospital

Added: 5 November 2020|Last updated: 12 November 2020

Cataract Service Redesign Project Westmead Hospital

The Westmead Ophthalmology clinic currently has an increased waitlist for an initial cataract assessment appointment. The goal of this project is to reduce the clinic appointment wait time for patients requiring surgery by providing a comprehensive assessment and consent for surgery on the same day of appointment.

Westmead Hospital

Added: 5 November 2020|Last updated: 12 November 2020

A Brush with Justice

The Justice Health and Forensic Mental Health Network is implementing six identified solutions to improve access to oral health services for people in custodial and forensic settings across NSW.

Justice Health and Forensic Mental Health Network

Added: 5 November 2020|Last updated: 12 November 2020

Stay'n Deadly & Stay'n In: Reducing Incomplete Treatment

Stay'n Deadly & Stay'n In is providing Aboriginal patients with quick and timely access to treatment whilst allowing them to engage in further treatment that is convenient for them, if they are required to leave. It is important that they feel well supported in the emergency department by the Aboriginal health unit and have a positive experience when engaged with all staff....

St Vincent's Health Network

Added: 5 November 2020|Last updated: 12 November 2020

Capacity Leveraging, Earlier Access, Redefining Early Discharge

Capacity Leveraging, Earlier Access, Redefining Early Discharge is a partnership between Justice Health, Forensic Mental Health Network and Corrective Services New South Wales, to develop a joint access strategy to create effective and efficient patient flow at the Metropolitan Remand and Reception Centre in Silverwater.

Justice Health and Forensic Mental Health Network

Added: 5 November 2020|Last updated: 12 November 2020

Taking ‘Baby Steps’ towards starting pregnancy care sooner

Five key solutions, targeting referral, bookings management and care delivery were co- designed with consumers with the aim of improving access and increasing the number of women commencing specialised antenatal care earlier in pregnancy. Outcomes achieved include an increase in clinic capacity with 524 appointments freed up for other patients (in eight months), a reduction in waste and a more streamlined antenatal service aligned to recommended practice guidelines....

Auburn Hospital and Community Health Services

Added: 5 November 2020|Last updated: 8 December 2020

Feeling Hip Again: Gold Standard Care for Hip Fracture Patients at St Vincent's Hospital

This project aims to improve the delivery of care to hip fracture patients at St Vincent's Hospital Sydney (SVHS). Standardisation of care processes will lead to improved patient flow, patient experience and staff satisfaction.

St Vincent's Hospital

Added: 5 November 2020|Last updated: 12 November 2020

Right Patient Right Bed

Right Patient Right Bed examined ways to minimise clinical risk where there are delays in transferring patients from Kempsey District Hospital to Port Macquarie Base Hospital.

Kempsey District Hospital

Added: 20 August 2020|Last updated: 3 September 2020

Optimising Screening and Isolation for Carbapenemase-producing Enterobacterales

Screening for carbapenemase-producing enterobacterales (CPE) and isolation in single rooms while awaiting test results is recommended for hospitalised patients who are at risk of CPE carriage. However, single rooms are limited in hospitals and isolation can adversely impact on patients. This project studied the effect of a rapid CPE test on reducing the time that patients are unnecessarily placed in isolation pending screening results....

Royal Prince Alfred Hospital

Added: 18 August 2020|Last updated: 3 September 2020

Hospital acquired complications and documentation enhancement project

This project is designed to clarify the validity of HACs as coded via clinical coding. It aims to review and assess the HACs, highlighting areas of clinical practice which require training or overhaul to reduce production of HACs. Documentation education will also take place to boost content-related activity, and to support the attraction of optimum National Weighted Average Units.

South East Regional Hospital

Added: 27 May 2020|Last updated: 12 June 2020

Bega Valley Health Service Mentoring Program

This ongoing project pairs new or inexperienced staff with senior, more experienced staff. The objective is to enable staff development, which can lead to added confidence and enhanced clinical practice, as a result of passing on knowledge and skills.

Bega District Hospital

Added: 27 May 2020|Last updated: 12 June 2020

Improved Comprehensive Service for Adolescents who Re-present to the Emergency Department

This project has two objectives. Firstly, it is designed to improve the mental health service for adolescents who present to Lismore Base Hospital’s emergency department. Secondly, it is designed to provide a more streamlined and comprehensive after care service in order to prevent re-presentations to the ED.

Lismore Base Hospital

Added: 22 April 2020|Last updated: 10 June 2020

Pursuing a cure for Alzheimer’s – but where are the patients?

There is no cure for Alzheimer’s disease and the Neuropsychiatry Service clinical trials team work tirelessly to discover an effective treatment. Patients with an Alzheimer’s disease diagnosis are not often referred through the service.

Hunter New England Local Health District

Added: 24 March 2020|Last updated: 20 April 2020

Improving pre-hospital major trauma clinical performance

This project aims to identify reasons for the secondary retrieval and address areas where improvements to paramedic management may be made.

NSW Ambulance

Added: 24 March 2020|Last updated: 20 April 2020

Healthy Lifestyles Project for newly arrived young people

This project addressed two significant gaps in service provision for newly arrived young people from refugee and migrant backgrounds: prevention of rapid weight gain during the settlement and post arrival period; intervention for weight issues for those arriving overweight or obese.

South Eastern Sydney Local Health District

Added: 4 March 2020|Last updated: 20 April 2021

Finger food menu on the specialised dementia and delirium ward

The introduction of finger foods will potentially: increase the opportunity to encourage or enable self-feeding; improve quality of life; increase oral intake and promote weight stabilization while in hospital; and improve the nutritional intake of patients admitted to the dementia and delirium ward.

Hornsby Ku-ring-gai Hospital

Added: 18 February 2020|Last updated: 23 March 2020

Bread tags for wheelchairs

Bread tags for wheelchairs is an initiative taking place at St George Hospital, aimed to encourage the separation of waste. The initiative contributes to the overall aim to completely eliminate desk rubbish bins at the hospital, so that staff are forced to separate all of their waste. Bread tags are recycled to fund wheelchairs in South Africa.

St George Hospital

Added: 18 February 2020|Last updated: 20 April 2021

Randwick campus redevelopment Green Travel Plan

The Randwick campus redevelopment Green Travel Plan and implementation plan sets out: future targets for staff travel mode share, specifically a reduction in car driver mode share; travel demand management strategies for visitors, patients, staff and supplier/service personnel; and initiatives to implement and monitor such travel measures.

South Eastern Sydney Local Health District

Added: 18 February 2020|Last updated: 3 March 2020

Transition to Recovery

Feedback from the Mental Health Service consumer experience and staff surveys indicate that patients are leaving inpatient services with limited understanding of their goals for post-discharge care, and community mental health staff are not always aware of the transfer of care goals for clients referred from the inpatient service. Often these issues lead to avoidable readmissions or delayed discharge due to not having adequate support within the community. This project addresses these challenges through collaborative care planning....

Hunter New England Local Health District

Added: 9 December 2019|Last updated: 12 December 2019

Employee wraparound: integrated holistic management of employee workplace matters

NSW Ambulance wants to improve and simplify the management of workplace issues, which can improve outcomes for staff. The goal is to provide a more informed, responsive and employee-focused support and service. This will be achieved by: establishing a single contact number for staff to contact to obtain information and advice; implementing an integrated case management framework for complex workplace matters....

NSW Ambulance

Added: 3 December 2019|Last updated: 12 December 2019

Improving access to medication review in high risk inpatients

The Prince of Wales Hospital is redesigning its clinical pharmacist services to prioritise medication review for inpatients most at risk of medication harm and ensure appropriate documentation of medication reviews.

Prince of Wales Hospital

Added: 3 December 2019|Last updated: 12 December 2019

Collect ME@Home

This project will improve the NSW Health Pathology Nepean Home Collection Service. This is in response to an anticipated increase in service demands as a result of the redevelopment of Nepean cancer care centre service.

NSW Health Pathology

Added: 2 December 2019|Last updated: 12 December 2019

Opioid treatment options

Clarence Valley Opioid Treatment Service will provide patients with responsive and coordinated care supporting long term change and reconnection to the community.

Northern NSW Local Health District

Added: 2 December 2019|Last updated: 12 December 2019

Redesigning mid-meal safety, nutritional accuracy and compliance, knowledge and satisfaction (SNACKS)

This project looks at how the tea-run to adult patients at Westmead Hospital in three wards can be improved to meet the nutritional and individual dietary needs of patients.

HealthShare NSWWestern Sydney Local Health District

Added: 2 December 2019|Last updated: 12 December 2019

MEtabolic MOnitoring Whole Health in Mind

Justice Health and Forensic Mental Health Network identified inconsistent metabolic monitoring as a patient safety risk, and resourced a project team to address this issue. Patients prescribed psychotropic medications are at increased risk of physical health side effects such as metabolic syndrome. These risks can be identified through regular physical health checks, referred to as metabolic monitoring.

Justice Health and Forensic Mental Health Network

Added: 29 November 2019|Last updated: 12 December 2019

Smoking cessation in NICU

This quality improvement project looks at the smoking cessation process among parents attending the neonatal intensive care unit at John Hunter Children’s Hospital.

John Hunter Children's Hospital

Added: 19 September 2019|Last updated: 4 October 2019

Falls prevention in Gunyah, a neurology and oncology ward in Sutherland Hospital

This project is designed to improve falls prevention in a medical ward in an acute care facility. It identifies the causes of inpatient falls to provide strategies in response.

Sutherland Hospital and Community Health Service

Added: 17 September 2019|Last updated: 1 October 2019

Addressing modifiable risk factors after mild stroke or transient ischaemic attack

Patients are often discharged without a care plan from the acute stroke unit following a non-disabling stroke or transient ischaemic attack. To address this issue, communication materials were developed alongside other initiatives, to support an increased incidence of exercise.

St George Hospital

Added: 16 September 2019|Last updated: 30 September 2019

Don’t fall for it, follow the steps!

Post falls assessments are attended by nurses after patients have a fall in the St George Hospital emergency department.

St George Hospital

Added: 16 September 2019|Last updated: 20 April 2021

Improving management of dental trauma in the emergency department

This project will provide a structured clinical and oral health referral pathway in the emergency department of Sutherland Hospital, for the first aid management of dental trauma.

Sutherland Hospital and Community Health Service

Added: 10 September 2019|Last updated: 25 September 2019

Paediatric Access Support Service (PASS)

The Paediatric Access Support Service (PASS) aims to transfer patients to and from Sydney Children’s Hospitals Network inpatient settings efficiently. This would reduce associated workload, and improve the patient and staff experience.

Sydney Children's Hospital Network

Added: 28 August 2019|Last updated: 29 August 2019

Less time in ED: zero tolerance for patients with emergency department stays of more than 24 hours

St Vincent’s Hospital Sydney is working to improve patient and staff safety, and the overall experience in the emergency department. The focus is on eliminating extended lengths of stay in the ED.

St Vincent's Hospital

Added: 26 August 2019|Last updated: 21 April 2021

RAPID: Revamping the admission process to inpatient departments

RAPID is a collection of projects that were developed by staff at Shoalhaven Hospital to address a range of issues. These issues contributed to a delayed medical patient journey across three areas: limited bed access, aged care assessment team referral process, fragmented interdisciplinary communication.

Shoalhaven District Memorial Hospital

Added: 26 August 2019|Last updated: 29 August 2019

Quality control under the microscope

To provide a statewide quality control approach that delivers more timely and reliable diagnostic test results to assist in improving patient care by December 2020.

NSW Health Pathology

Added: 26 August 2019|Last updated: 29 August 2019

From interventional radiology scheduling to safety (Patient FIRSTs)

This project was a complete redesign of interventional radiology processes. This includes improving: scheduling practices, protocolling practices, patient experience, patient information, communication between team, clinical handover.

Illawarra Shoalhaven Local Health District

Added: 26 August 2019|Last updated: 29 August 2019

Making the difference – going beyond respect

This project explored how to enable Aboriginal patients to connect, or stay connected, with their culture throughout their journey in the Forensic Mental Health Hospital.

Justice Health and Forensic Mental Health Network

Added: 26 August 2019|Last updated: 29 August 2019

Karitane redesign intake systems project

This project aims to streamline the intake process to improve equitable and timely access for referred families.

Karitane

Added: 26 August 2019|Last updated: 29 August 2019

Healthy ED Healthy Hospital

The Healthy ED Healthy Hospital project aimed to improve safe and timely emergency care within an agreed timeframe in a bid to improve patient safety and outcomes.

The Maitland Hospital

Added: 26 August 2019|Last updated: 29 August 2019

Dealing with the hard stuff: Southern NSW drug and alcohol clinical redesign project

Southern NSW Local Health District Drug and Alcohol services are aiming to improve the client experiences of D&A service provision with a focus on timely access, evidence-based treatment and pathways to ongoing care and support in the community. The project is implementing a number of solutions to improve triaging of referrals, standardise treatment pathways and models for collaborative, step-down care through partnerships with general practitioners and non-government organisations....

Southern NSW Local Health District

Added: 26 August 2019|Last updated: 29 August 2019

Breaking the drought: rural management of breast cancer-related lymphoedema

This six-month joint project implemented a lymphoedema screening clinic, providing comprehensive treatment for lymphoedema in the Lachlan Health Service. It involved a cross discipline collaboration for patients following breast cancer surgery.

Western NSW Local Health District

Added: 12 August 2019|Last updated: 20 April 2021

Sutherland Clinical Assessment and Nursing Documentation (SCAND) project

This project aims to improve the inconsistency of nursing documentation across Sutherland Hospital, focusing on the importance of clinical assessment in nursing. This goal is to consistently communicate nurse findings and actions through documentation in a patient’s healthcare record.

Sutherland Hospital and Community Health Service

Added: 16 July 2019|Last updated: 31 July 2019

FIB4NOF (Fascia Iliaca Block for Patients with Neck of Femur Fracture) at Nepean Hospital

This project is designed to promote the use of fascia iliaca block as a method of analgesia for patients who present to Nepean Hospital with a neck of femur fracture, as recommended by the ACI guidelines.

Nepean Hospital

Added: 28 June 2019|Last updated: 15 July 2019

EvE - Emergency vs Emergency (Surgery)

Westmead Hospital Division of Surgery and Anaesthetics is implementing a number of solutions to improve the surgical journey for Category 5 and 6 emergency patients. The project includes the development of pathways for patients to enable a more structured approach to the booking and completion of emergency surgery, including possible hospital admission avoidance for suitable patients. Business rules to ensure equity and clinical coordination and assessment....

Westmead Hospital

Added: 7 May 2019|Last updated: 9 May 2019

Integrating care for frequent service users in Goulburn

This project brings together the local ambulance service, general practice, hospital emergency department (ED) and community health centre resources to identify and respond to patients who repeatedly use one or more of these health services. These agencies will work collaboratively with the patient to provide a coordinated, targeted and timely response to the general health and social needs that the patient identifies as triggering their need for an emergency response....

Southern NSW Local Health District

Added: 6 May 2019|Last updated: 9 May 2019

Eyes Open: Improving service delivery for the Royal North Shore Hospital ophthalmology service

The ophthalmology service delivers excellent ophthalmic care, however, patient and staff feedback demonstrate that the service delivers a poor patient and staff experience. This project focused on identifying opportunities for improvement that relate specifically to patient and staff experiences, and then implementing sustainable changes to address these experiences.

Royal North Shore Hospital

Added: 6 May 2019|Last updated: 9 October 2019

Creating an integrated and responsive community acute care mental health service: to improve the quality of consumer outcomes

Mental health community services should provide an integrated and comprehensive recovery service for consumers. However, services have operated in silos over previous years, which can result in a fragmented consumer journey. This clinical redesign project will focus on an integrated mental health community service for consumers.

Northern Sydney Local Health District

Added: 6 May 2019|Last updated: 9 May 2019

NSWHP flow cytometry model of service

NSWHP flow cytometry services have developed over time, with no coordinated strategic plan to provide optimal care to all patients and service to all doctors throughout NSW. The opportunity of this project is to investigate all possible models of service and determine the best way in which to deliver a world class, value based public flow cytometry service that is renowned for both excellence and innovation....

NSW Health Pathology

Added: 6 May 2019|Last updated: 9 May 2019

Saving lives in the morgue: forensic medicine social work

The forensic medicine social work service is being redesigned for people who are traumatically and suddenly bereaved, so they feel supported and well informed when facing a potentially disempowering and complex medical and coronial system.

NSW Health Pathology

Added: 6 May 2019|Last updated: 9 May 2019

Ten to one: FASS Lidcombe sample receipt redesign project

To simplify and consolidate the receipt process for criminalistics and toxicology samples at the Forensic and Analytical Science Service, Lidcombe by improving efficiency, streamlining service delivery and enhancing the stakeholder experience.

NSW Health Pathology

Added: 6 May 2019|Last updated: 9 May 2019

Rethinking pathology testing in the ICU - arterial blood gas

To understand current ordering practices within the intensive care unit, specifically: who initiates arterial blood gas sampling; what are the clinical indications; when are these investigations performed; how many investigations are performed

Nepean Blue Mountains Local Health District

Added: 3 May 2019|Last updated: 9 May 2019

A Joint Effort: patient centred redesign in rheumatology outpatients

This project aims to implement a sustainable and patient centred service for patients attending the rheumatology outpatient clinics at Royal Prince Alfred Hospital.

Royal Prince Alfred Hospital

Added: 24 April 2019|Last updated: 9 May 2019

Increasing Access and Efficiency of the Medical Imaging Department’s Service for Emergency Patients

This project improves the median turnaround time for emergency department patients receiving scans at Royal North Shore Hospital.

Royal North Shore Hospital

Added: 24 April 2019|Last updated: 9 May 2019

tOTal Improvement

tOTal Improvement is designed to improve communication within the multidisciplinary team at Morisset Hospital and to better direct consumers’ support needs within the clinical rehabilitation program.

Morisset Hospital

Added: 17 April 2019|Last updated: 7 May 2019

Nurse - Patient Clinical Handover Engagement Huddle

An auditing process at Sydney/Sydney Eye Hospital revealed that patients are not as involved as they could be during the routine bedside handover processes that occur between nursing shifts. A project was established to address this, and in doing so, improve the safety and satisfaction of the patient.

Sydney Hospital and Sydney Eye Hospital

Added: 5 April 2019|Last updated: 22 April 2019

Imagine: An initiative to support the wellbeing of staff at Bulli District Hospital

This is a staff-based wellbeing initiative program; designed to demonstrate an increase in staff satisfaction and workplace engagement.

Bulli Hospital

Added: 5 April 2019|Last updated: 21 April 2021

Clinical Patient Flow Rounds

This program evaluates and re-invents St Vincent's Hospital’s weekly rapid discharge rounds model. This is carried out by introducing ward-level clinical leads and creating better documentation around discharge plans. The goal is to improve safe and timely patient discharges.

St Vincent's Hospital

Added: 29 March 2019|Last updated: 12 April 2019

Food for Thought

This project implements a clinical pathway for referral and treatment that includes screening, triage, and assessment; and provides adults referred to Richmond Adult Community Mental Health Service with cognitive behavioural therapy – enhanced. This is a form of cognitive behavioural therapy specifically for eating disorders.

Northern NSW Local Health District

Added: 29 March 2019|Last updated: 12 April 2019

Preventative model of care at the Moruya dental clinic

This project explored how demand for dental services can be met and sustained over time, with a focus on preventative care.

Southern NSW Local Health District

Added: 15 February 2019|Last updated: 28 February 2019

V-DOTS – A unique client care for protracted tuberculosis regimens

The project team implemented an innovative, secure, low cost, and high impact program using readily available digital technology, to transform the current tuberculosis service to a patient-centred delivery model.

Murrumbidgee Local Health District

Added: 18 December 2018|Last updated: 15 January 2019

Innovation in Colonoscopy Services: Direct Access Colonoscopy Clinic

Summary The Direct Access Colonoscopy Clinic (DACC) is an innovative nurse-led clinic that fast tracks people with a positive faecal occult blood test who meet set clinical criteria through to colonoscopy, thus avoiding the wait time to see a gastroenterologist.

Far West Local Health District

Added: 18 December 2018|Last updated: 21 April 2021

Implementing and Embedding the National Surgical Quality Improvement Program in NSW

This project focuses on designing tools and resources for NSW hospitals to implement the National Surgical Quality Improvement Program (NSQIP) in their service.

Agency for Clinical Innovation

Added: 10 December 2018|Last updated: 13 December 2018

I AM: Identifying and Addressing Malnutrition

The I AM Project aims to implement a more sustainable and accurate screening process at Prince of Wales Hospital for patients who are malnourished, or at risk of malnutrition.

Prince of Wales Hospital

Added: 7 December 2018|Last updated: 21 April 2021

Environmental Cleaning of Ambulances

To reduce the risk of healthcare associated infections in NSW Ambulance. This will provide safer care for patients and improve the working environment for paramedics.

NSW Ambulance

Added: 7 December 2018|Last updated: 13 December 2018

Improving resident activity levels in the aged care facility on Norfolk Island

We worked closely with the community, staff, residents, and families of those living in the aged care facility on Norfolk Island to address their most pressing issue; the activity levels of the residents.

South Eastern Sydney Local Health District

Added: 5 December 2018|Last updated: 13 December 2018

Breath of Fresh Air: Paediatric Long Term Ventilation

This project aims to provide a coordinated, equitable and integrated service for children requiring invasive long term ventilation, and their families. It also aims to support the needs of long term ventilation children at home and in the community, and provide access to a comprehensive package of ambulatory care services to decrease admission rates and days spent at hospital.

Sydney Children's Hospital Network

Added: 4 December 2018|Last updated: 13 December 2018

Engaging Patients as Partners in Care

This project brings together patients, families, carers and healthcare staff to act as partners in care and treatment planning.

South East Regional Hospital

Added: 4 December 2018|Last updated: 13 December 2018

A piece of your heart: who fits where in your heart failure care?

This project aims to provide proactive care for heart failure patients in the Hunter New England Local Health District. It will support people with heart failure who are transitioning from hospital to home and back into the ongoing care of their general practitioner.

Hunter New England Local Health District

Added: 28 November 2018|Last updated: 13 December 2018

Breathe Easy: eliminating unwarranted clinical variation for patients with chronic obstructive pulmonary disease

The Breathe Easy project aims to eliminate varying treatment outcomes and clinical uncertainty for patients with exacerbation of chronic obstructive pulmonary disease, admitted to South East Regional Hospital in Bega.

South East Regional Hospital

Added: 20 November 2018|Last updated: 13 December 2018

A Tooth in Time Saves Nine: Redesigning the Denture Journey

The CCLHD Oral Health Service is improving the provision of denture services. There will be a fairer and more efficient patient journey through the system, improved communication with patients, and clearer processes for staff. The waiting list for denture assessment will be reduced, and patients will be clinically assessed rather than rely solely on a telephone triage questionnaire.

Central Coast Local Health District

Added: 20 November 2018|Last updated: 13 December 2018

Better Cardiac Care for Aboriginal People, Burlu Kirra Kirra/Na

This project aims to improve patient outcomes for Aboriginal people with cardiac conditions in far west NSW, starting with the Broken Hill Catchment Region, by providing access to a cultural specific program in the identified communities.

Far West Local Health District

Added: 19 November 2018|Last updated: 13 December 2018

Keeping our Community Staff Safe

This project aims to improve the identification of clients who may be violent or aggressive towards St Vincent’s Hospital Network staff working in the community.

St Vincent's Health Network

Added: 19 November 2018|Last updated: 13 December 2018

ODDS Project: Clinical Consumables

The Ordering, Delivery, Distribution and Storage project at Blacktown Hospital aims to improve the effectiveness and efficiency of consumable stock management practice; this includes imprest and non-stock items.

Blacktown Mount Druitt Hospital (Blacktown Campus)

Added: 19 November 2018|Last updated: 13 December 2018

Grow Our Own: Creating a Sustainable Midwifery Workforce in Rural and Remote Areas

The need for a skilled midwifery workforce is ever increasing within rural and remote Australia. The ‘Grow our Own’ initiative had three goals: to increase the number of midwives within the Western NSW Local Health District, increase the number of rural and remote midwives, and to increase access to skilled clinicians for rural and remote dwelling women.

Western NSW Local Health District

Added: 15 November 2018|Last updated: 30 November 2018

REACH Out

REACH Out is an independent patient and family activated response system for small sites. The REACH response is provided by on off-site patient flow team via Telehealth.

Nyngan Multipurpose Service

Added: 15 November 2018|Last updated: 30 November 2018

Early Psychosis Pathway

This clinical pathway, will provide a basic flow of clinical care for patients who are experiencing early psychosis, or who are at ultra-high risk of developing psychosis.

Cooma Hospital and Health Service

Added: 5 November 2018|Last updated: 20 April 2021

Development After Infant Surgery Study

The Development After Infant Surgery (DAISy) study is the first of its kind in the world. It investigated neurodevelopmental outcomes in infants who had major surgery within the first 90 days of life.

Sydney Children's Hospital Network

Added: 2 November 2018|Last updated: 19 November 2018

Equal Access for the Culturally and Linguistically Diverse

The appointment booking process for clients accessing the Fairfield Orthopaedic Hip and Knee Service was modified to enable the Culturally and Linguistically Diverse (CALD) population greater access to the service.

Fairfield Hospital

Added: 19 October 2018|Last updated: 20 November 2018

What a Difference a Date Will Make

Various services in the local area were concerned about the increase in young adolescents presenting in crisis, with either potential self-harm or harm to others. Police and ambulance workers were often required to intervene, and emergency department beds used. This project aims to reduce the waitlist time for a multidisciplinary diagnostic assessment for older school age and adolescent children, by 25% by March 2018....

Nepean Blue Mountains Local Health District

Added: 26 September 2018|Last updated: 11 October 2018

Shared Clinical Review Across Four Rural Health Services

A project to implement a shared mortality and morbidity clinical review process across four small rural health services in northeast Victoria. The project includes development of standardised tools and the formation of a collaborative clinical review forum to help address the common risks experienced by patients in care at small rural health services in the region.

Albury Wodonga Health

Added: 26 September 2018|Last updated: 6 November 2018

Clinical History on Emergency X-Ray Referrals

Incomplete clinical history information on emergency x-ray referrals can lead to insufficient imaging, missed pathologies, longer time spent in emergency and higher radiation doses. This project aims to ensure that a concise clinical history is included on every emergency x-ray referral at the Cowra Health Service. This will enable accurate imaging and diagnostic reporting and lead to the best possible outcome for patients....

Western NSW Local Health District

Added: 17 September 2018|Last updated: 1 October 2018

Flow of Emergency Theatre Cases at Hornsby

This project will improve the safety and efficiency of the emergency surgical patient journey.

Hornsby Ku-ring-gai Hospital

Added: 17 September 2018|Last updated: 1 October 2018

When’s it my turn? The Maitland Hospital Paediatric Ambulatory Care Service

The project focuses on the referral, waitlist and appointment booking processes of the Maitland Hospital Paediatric Ambulatory Care Service to deliver timely, efficient and effective care to children.

The Maitland Hospital

Added: 27 August 2018|Last updated: 30 August 2018

Optimising Pre-operative Patient Blood Management

Wollongong Hospital implemented a program to optimise the pre-operative haemoglobin and iron stores of patients undergoing major elective colorectal, upper gastrointestinal tract and orthopaedic surgery. This will prevent avoidable blood transfusions and their complications, along the patient peri-operative journey.

Illawarra Shoalhaven Local Health District

Added: 27 August 2018|Last updated: 30 August 2018

Unlocking Care: Improving Access to GP Services in Adult Correctional Centres

The Justice Health & Forensic Mental Health Network is implementing six identified solutions to improve access to general practitioner services in correctional centres across NSW.

Justice Health and Forensic Mental Health Network

Added: 22 August 2018|Last updated: 30 August 2018

Sterilising and Perioperative Clinical Redesign

The project team identified an opportunity to enhance the patient experience at Concord Hospital by increasing operational efficiency between the sterilising department and operating theatres. Following a review, a range of recommendations were implemented to improve inter-departmental communication and processes, streamline workflows, and enhance workforce morale.

Concord Repatriation General Hospital

Added: 20 August 2018|Last updated: 30 August 2018

We can’t prevent falls! A myth-busting falls prevention initiative in Wagga Wagga and Gundagai

Falls are a major health issue for older people, and falls prevention is a high priority for the Murrumbidgee Local Health District. This project implemented changes to improve the quality and safety of patient care by reducing the number of falls, harm from falls, and associated increase in length of stay at the orthopaedic ward of Wagga Wagga Base Hospital and Gundagai Multipurpose Service....

Murrumbidgee Local Health District

Added: 20 August 2018|Last updated: 30 August 2018

Break Down: Improving Secondary Fracture Prevention

While local specialist services are available to help prevent secondary fracture, in the Richmond area, only 10% of those at risk are being assessed. This project will improve identification and referral for at-risk patients and help improve patient awareness of the risk of secondary fracture.

Lismore Base Hospital

Added: 20 August 2018|Last updated: 20 April 2021

Improving Access to Non-Acute Mental Health Beds

This project creates efficiencies in the provision of non-acute mental health beds across the Northern Sydney Local Health District by improving referral and communication processes and providing a better overall experience for patients and staff.

Macquarie Hospital

Added: 20 August 2018|Last updated: 30 August 2018

We’ve Got Your Back – Improving Access to Care

Wait times for patients to see a neurosurgeon at Westmead Hospital were previously as long as 12 months. By using existing clinical resources and identifying waste within the current system, patient wait times for appropriate treatment of back pain have been significantly reduced. The project also identified an opportunity to increase revenue by up to $450,000 per annum.

Westmead Hospital

Added: 15 August 2018|Last updated: 30 August 2018

Improving the Patient Journey for Mothers having an Elective Caesarean

Nepean Hospital established an Obstetric Pre-anaesthetic Assessment Clinic for high-risk obstetric patients and those undergoing an elective caesarean section. Anaesthetists at the clinic assess the patient and explain anaesthetic procedures in a way that allows patients to give informed consent.

Nepean Hospital

Added: 11 July 2018|Last updated: 21 April 2021

Community Eye Care in Western Sydney

Community Eye Care (C-EYE-C) improved access to ophthalmology services for patients in Western Sydney, by partnering with local optometrists to conduct standardised examinations, which were then reviewed remotely by hospital ophthalmologists.

Western Sydney Local Health District

Added: 11 July 2018|Last updated: 20 April 2021

A Code For All Reasons

The Forensic Hospital adapted an existing emergency response training program to increase the confidence of clinical staff in dealing with medical emergencies.

Justice Health and Forensic Mental Health Network

Added: 21 June 2018|Last updated: 6 July 2018

Improving the Critical Care Advisory Service

Western NSW Local Health District enhanced its Critical Care Advisory Service by conducting an audit, delivering staff education, streamlining clinical pathways and improving the patient experience.

Western NSW Local Health District

Added: 6 June 2018|Last updated: 21 June 2018

Elimination of Hepatitis C in a Prison Setting

The Justice Health & Forensic Mental Health Network introduced the first Hepatitis C Virus elimination program in the NSW correctional setting.

Added: 6 June 2018|Last updated: 21 June 2018

Working Together to Stop Violence

Mid North Coast Local Health District developed a comprehensive staff training program on domestic and family violence, to better understand violence prevention and create a safer, more respectful workplace.

Mid North Coast Local Health District

Added: 29 May 2018|Last updated: 22 April 2021

Home-Based Subcutaneous Immunoglobulin Replacement Therapy

Liverpool Hospital is implementing a home-based subcutaneous immunoglobulin replacement therapy program for patients with impaired immune systems.

Liverpool Hospital

Added: 28 May 2018|Last updated: 21 June 2018

The Asthma Follow Up Integrated Care Initiative

Sydney Children’s Hospital Randwick developed an integrated model of care for children with non-complex asthma, including care coordination, communication with general practitioners, parent education and emergency department resources and processes.

Sydney Children's Hospital Network

Added: 28 May 2018|Last updated: 12 June 2018

Innovative Service Delivery Model

Western Sydney Local Health Districtestablished a Mental Health Acute Assessment Team at Cumberland Hospital. The service responds to relevant Triple Zero calls via a dispatch system, using dedicated paramedics and mental health clinical nurse consultants.

Western Sydney Local Health District

Added: 28 May 2018|Last updated: 22 June 2018

Bridging Cultures

Mid North Coast Local Health District empowered Aboriginal patients to manage their own health care, by providing education, information on services, self-management strategies, culturally-sensitive care and links to community health services.

Added: 25 May 2018|Last updated: 11 June 2018

On Time, Every Time for People with Parkinson’s

To ensure 75 per cent of PD patients at Coffs Clinical Network are identified within four hours of admission, receive medications on time and have a carer who is satisfied with the patient’s medication management.

Mid North Coast Local Health District

Added: 9 May 2018|Last updated: 28 May 2018

Reducing the Time Frame to Complete the Electronic Donor Record

This project developed a number of tools and guides to help staff collect data and enter it into the electronic donor record more efficiently.

NSW Organ and Tissue Donation Service

Added: 8 May 2018|Last updated: 23 May 2018

Improving Provision of Skin-to-Skin Care in Preterm Neonates

John Hunter Children’s Hospital developed a step-by-step guide to encourage the delivery of Kangaroo Care to premature babies, and provided education to staff and parents on the topic.

John Hunter Children's Hospital

Added: 2 May 2018|Last updated: 16 May 2018

Multiagency Coordination of Prenatal Risk

Central Coast Local Health District established regular meetings with the NSW Department of Family and Community Services and all health services involved in the care of pregnant women, in cases where there were child protection concerns.

Central Coast Local Health District

Added: 2 May 2018|Last updated: 21 April 2021

Winter, Spring, Summer and Falls in NSW Ambulance

NSW Ambulance introduced a falls package to address the year-round problem of falls in people aged 65 and over in the community. It incorporated a new falls risk assessment, protocol, clinical pathway and screening tool for paramedics, as well as education materials for consumers and general practitioners.

NSW Ambulance

Added: 2 May 2018|Last updated: 22 April 2021

Saved by the Phone: Enhancing the Pre-admission Process

Staff at Blue Mountains District ANZAC Memorial Hospital implemented a standardised phone screening tool with fasting instructions, to prepare patients for their surgical procedure.

Blue Mountains District ANZAC Memorial Hospital

Added: 2 May 2018|Last updated: 16 May 2018

Making the Health of the Nation Outcome Scale Work For Us

This project added an additional multidisciplinary team meeting to the Older Persons Mental Health Team schedule each week and adjusted the meeting agenda, to allow more time for mental health care reviews.

Sutherland Hospital and Community Health Service

Added: 30 April 2018|Last updated: 8 April 2021

Microbiology Extension of Services

The Department of Microbiology at Royal Prince Alfred Hospital reconfigured its staff rosters, to better manage peaks and troughs in specimen processing. This optimised staff workflow and enhanced the delivery of services to the local health district.

Royal Prince Alfred Hospital

Added: 27 April 2018|Last updated: 11 May 2018

Improving Collaborative Discharge Care Planning for Stroke Patients

St George Hospital developed an Allied Health Discharge Care Plan, established an allied health care coordinator role and implemented new administration processes, to support the transition of stroke patients out of hospital and into the community.

St George Hospital

Added: 27 April 2018|Last updated: 14 May 2018

Burn Scar Management with Ablative Fractional Laser Resurfacing

Concord Repatriation General Hospital has one of the largest and most extensive prospective databases on burn patients treated with ablative fractional CO2 laser to date. It focuses on both objective health outcomes as well as subjective factors such as quality of life and patient discomfort during treatment.

Concord Repatriation General Hospital

Added: 26 April 2018|Last updated: 20 April 2021

Improving Blood Glucose Level Control Before Surgery

Prince of Wales Hospital screened all patients booked for elective cardiac surgery, to diagnose diabetes and identify those requiring blood glucose level control before admission.

Prince of Wales Hospital

Added: 26 April 2018|Last updated: 10 May 2018

End the Wait for Endoscopy at Wollongong Hospital

Wollongong Hospital developed electronic scheduling systems, patient education materials and a clinical review process, to reduce wait times in its Endoscopy Unit.

Added: 24 April 2018|Last updated: 20 April 2021

Partners in Care

This project supports staff who are trained in health coaching but are not providing it to patients on a regular basis. It also introduced an evaluation framework to continually assess the training and support needs of staff in South Eastern Sydney Local Health District.

Added: 24 April 2018|Last updated: 21 April 2021

Storks

Sydney Children’s Hospitals Network in partnership with HealthShare NSW is developing a standardised service delivery model for the safe, timely and efficient transport of newborn babies to appointments and back, and to local hospitals.

Sydney Children's Hospital Network

Added: 24 April 2018|Last updated: 22 April 2021

Westmead Hospital Echocardiography Clinic Redesign

This project aimed to optimise the efficiency and sustainability of the Echocardiography Clinic at Westmead Hospital, by streamlining processes, distributing resources efficiently and delivering better services to the Western Sydney community, ahead of the opening of the new acute services building in 2020.

Westmead Hospital

Added: 24 April 2018|Last updated: 3 May 2018

Collaborative Care Outreach for Residential Aged Care Facilities

The ‘A Collaborative Care Outreach for Residential Aged Care Facilities in SLHD’ (ACCORD) project aims to deliver improvements in clinical leadership, education, processes and connections between the Access Care Team and Residential Aged Care Facility Outreach Service.

Sydney Local Health District

Added: 24 April 2018|Last updated: 3 May 2018

Supporting Lifestyle and Activity Modification After a Transient Ischaemic Attack

This project, led by the Community Stroke Team, delivered a six-week education and exercise program with 12 weeks of telephone health coaching to patients in Hunter New England Local Health District who had experienced a transient ischaemic attack.

Hunter New England Local Health District

Added: 23 April 2018|Last updated: 7 May 2018

Complex Care Coordination in NSW Emergency Departments

Royal North Shore Hospital is developing a clinical pathway for people who frequently present to hospital emergency departments with chronic pain and complex conditions, which will be rolled out across the state following evaluation of the pilot program.

Royal North Shore Hospital

Added: 23 April 2018|Last updated: 8 May 2018

Breaking Down Barriers: Improving Access to Paediatric Rehabilitation

This project implemented changes to improve the transfer of care from John Hunter Children’s Hospital to HNEkidsRehab, for paediatric patients who need specialist rehabilitation care.

Hunter New England Local Health District

Added: 18 April 2018|Last updated: 3 May 2018

Preoperative Iron Deficiency Identification and Management

Sydney Local Health District developed a clinical pathway to identify patients who have iron deficiency anaemia. A strategy was implemented to manage identified patients with intravenous iron therapy prior to high-risk elective surgery.

Sydney Local Health District

Added: 29 March 2018|Last updated: 3 May 2018

Reviewing Ambulance Dispatcher Administrative Responsibilities

This project is looking at opportunities to streamline and integrate the administrative duties of ambulance dispatchers, to increase the amount of time they have available to deliver care to people in the community.

NSW Ambulance

Added: 29 March 2018|Last updated: 3 May 2018

Increasing Blood-Borne Virus Screening in the Community Setting

St George Drug and Alcohol Service established a clear process for blood-borne virus screening, by delivering training to staff and embedding the test into the initial assessment of new clients.

South Eastern Sydney Local Health District

Added: 15 February 2018|Last updated: 2 March 2018

Appropriate Distribution and Just Utilisation of Supplies Techniques (ADJUST)

Prince of Wales Hospital implemented a cost-saving strategy in the cardiothoracic intensive care unit, incorporating ordering and procurement practices, storage management and intra-hospital stock rotation.

Prince of Wales Hospital

Added: 15 February 2018|Last updated: 1 March 2018

Detecting Delirium in the Emergency Department

Belmont District Hospital implemented an education package for nursing staff, to improve the use of the Confusion Assessment Method (CAM) screening tool in the emergency department (ED). The CAM tool is an affordable and easy way to dramatically improve the outcomes of patients presenting to the ED with delirium.

Added: 14 February 2018|Last updated: 1 March 2018

Aboriginal Wellbeing Hospital Discharge Booklet

An Aboriginal cultural resource was developed to improve the hospital discharge journey of Aboriginal patients, families and carers in MNCLHD. The clinical redesign process involved monitoring data, developing culturally appropriate resources and collaborating with Aboriginal people to gain the best health outcomes after discharge from hospital.

Mid North Coast Local Health District

Added: 29 January 2018|Last updated: 20 April 2021

Specialist Medical Clinics for Rural Aboriginal Medical Services

Specialist medical clinics were established for Aboriginal people with chronic disease who live in rural and remote areas of Hunter New England Local Health District

John Hunter Hospital

Added: 29 January 2018|Last updated: 13 February 2018

The Smallest Things Can Make the Biggest Difference

Broken Hill Health Service in Far West Local Health District implemented the person-centred sunflower tool, to improve communication and build a rapport between staff, patients and carers.

Added: 29 January 2018|Last updated: 12 February 2018

Central Line Infection Prevention in Newborns

RPA Hospital implemented an education, audit and training package for staff in its Newborn Care Unit, to reduce infections related to central line use in vulnerable newborns.

Royal Prince Alfred Hospital

Added: 12 December 2017|Last updated: 22 December 2017

Transit Lounge Remodel

Royal North Shore Hospital designed and implemented an efficient, patient-centred model of care in the transit lounge, which improved patient flow and satisfaction.

Royal North Shore Hospital

Added: 28 November 2017|Last updated: 15 December 2017

Get It Together: For People with Multidisciplinary Healthcare Needs in the Community

This project pulls together multidisciplinary teams around their clients, as it has been shown that when people are included in care that is coordinated, they have better health and wellbeing.

Nepean Blue Mountains Local Health District

Added: 28 November 2017|Last updated: 15 December 2017

Multidisciplinary Assessment and Documentation in Community Palliative Care

Croydon Community Health Centre implemented a new model of care, including scheduled multidisciplinary team meetings, revised documentation and communication processes, as well as training for emergency department and generalist nursing staff.

Sydney Local Health District

Added: 28 November 2017|Last updated: 12 December 2017

The SIMPLE Project: A Sustainable Inventory Management Process for Lean Environments

Sutherland Hospital implemented a new procurement process, to provide staff with efficient access to products that deliver safe patient care in the right place, at the right time.

Sutherland Hospital and Community Health Service

Added: 27 November 2017|Last updated: 15 December 2017

MediREACH: Improving Medication Safety for Patients

Murrumbidgee Local Health District developed a process to ensure all patients have a best possible medication history recorded on admission to hospital.

Murrumbidgee Local Health District

Added: 27 November 2017|Last updated: 21 April 2021

What About Us

St George Hospital

Added: 27 November 2017|Last updated: 21 December 2017

Hit the Ground Running: Improving Access to Pulmonary Rehabilitation

This project aimed to improve access to pulmonary rehabilitation and embed it as standard practice after admission to Coffs Harbour Health Campus for exacerbation of chronic obstructive pulmonary disease.

Coffs Harbour Health Campus

Added: 27 November 2017|Last updated: 15 December 2017

The Hep C Triple C: Care, Coverage and Cure

The JH&FMHN implemented a number of solutions to provide equitable and efficient access to the new curative hepatitis C virus medication in correctional centres across NSW.

Added: 27 November 2017|Last updated: 15 December 2017

Quit and Smile

SESLHD trained dental professionals to help clients quit smoking and implemented a number of solutions to increase accountability and knowledge in this area.

South Eastern Sydney Local Health District

Added: 27 October 2017|Last updated: 21 April 2021

Completing the Admission Checklist in Mental Health Rehabilitation Units

Sutherland Hospital Mental Health Rehabilitation Unit implemented new policies and processes for managing admissions, then educated staff on the changes.

Sutherland Hospital and Community Health Service

Added: 27 October 2017|Last updated: 10 November 2017

It Takes Two

It Takes Two was designed to educate nursing staff and managers on NSW Health and local policies regarding medication handling, with the aim of improving patient safety in the emergency department.

St George Hospital

Added: 27 October 2017|Last updated: 10 November 2017

Confident and Connected at Home on Haemodialysis

Nepean Blue Mountains Local Health District, in collaboration with The University of Sydney and Western Renal Services, developed a mobile app that allows patients to send their home haemodialysis data to nursing staff remotely and in real time.

Nepean Blue Mountains Local Health District

Added: 23 October 2017|Last updated: 8 November 2017

Running Away Causes Delay

This project reduced the number of patients who absconded (ran away) from the Coffs Harbour Mental Health Inpatient Unit, by implementing an environmental review, courtyard supervision, flexible visiting hours, multidisciplinary team reviews, leave prescriptions and capital works.

Mid North Coast Local Health District

Added: 23 October 2017|Last updated: 6 November 2017

Confusing Directions: Finding the Right Pathway for People with Delirium

Hunter New England Mental Health implemented a new screening tool and staff education to ensure patients with delirium are provided with the right care pathway.

Hunter New England Local Health District

Added: 23 October 2017|Last updated: 6 November 2017

The Integrated Rehabilitation and Enablement Program (iREAP)

iREAP is an eight-week program that delivers integrated rehabilitation services to older people in the community who have or are at risk of frailty, falls, Parkinson’s Disease and other neurodegenerative conditions.

War Memorial Hospital

Added: 9 October 2017|Last updated: 22 April 2021

Improving Communication by Improving Clinical Documentation

This project improved clinical documentation by providing staff education, updating training materials and providing regular progress reports on the rate of documentation achieved each month.

St George Hospital

Added: 9 October 2017|Last updated: 21 April 2021

Youth Health Risk Assessments at Northern Sydney Sexual Health Service

Northern Sydney Local Health District

Added: 18 September 2017|Last updated: 2 October 2017

Using Innovation to Standardise and Optimise Acute Deep Vein Thrombosis Management

This project implemented a number of solutions, including a web-based, mobile-friendly clinical decision support tool, to help Emergency Department (ED) staff provide best practice care to patients with acute deep vein thrombosis (DVT).

Westmead Hospital

Added: 18 September 2017|Last updated: 29 January 2018

Planning for Gastronomy Success

St Vincent’s Hospital Sydney (SVHS) improved patient information, treatment procedures and staff education, to ensure the placement of gastronomy feeding tubes aligned with best practice and Agency for Clinical Innovation (ACI) guidelines.

St Vincent's Hospital

Added: 18 September 2017|Last updated: 2 October 2017

A Clear Case: Improving Court Reports in Sexual Assault Cases

Mid North Coast Local Health District (MNCLHD) centralised requests for expert witness certificates (EWCs) and developed a new review process in collaboration with staff and NSW Police.

Mid North Coast Local Health District

Added: 18 September 2017|Last updated: 2 October 2017

Improving the Patient Journey for Women with High-Risk Pregnancies

Wollongong Hospital established a consultant-led pre-anaesthetic clinic for women with high-risk pregnancies. It ensures women are supported during their pregnancy and delivery, and clinicians are prepared for any medical issues that may arise.

Anaesthesia, Obstetrics, Risk

Added: 8 September 2017|Last updated: 21 April 2021

Implementation of the HOTV Vision Chart in the Northern NSW Local Health District Statewide Eyesight Preschooler Screening Program

This project delivered education and resources on HOTV vision charts to all staff in Northern NSW Local Health District (NNSWLHD) who deliver the Statewide Eyesight Preschooler Screening (StEPS) Program.

Northern NSW Local Health District

Added: 8 September 2017|Last updated: 25 September 2017

Optimising Medication Reconciliation within Electronic Medication Systems

Blacktown Hospital improved the quality of medication reconciliation by developing a new medication reconciliation form, delivering training to staff and conducting interviews with patients within 24 hours of admission.

Western Sydney Local Health DistrictBlacktown Mount Druitt Hospital (Blacktown Campus)

Added: 8 September 2017|Last updated: 25 September 2017

A Coordinated Local Approach to Disordered Eating Services

This project improved care delivered to people with eating disorders in Broken Hill and surrounding areas in FWLHD. It focused on increasing clinicians’ skill and confidence by providing education sessions, improving access to resources and increasing opportunities for professional networking.

Broken Hill Health Service

Added: 25 August 2017|Last updated: 8 September 2017

Child-at-Risk Electronic Medical Record Alert

NNSWLHD developed a unique alert system for at-risk children and pregnant women that is integrated into the patient’s electronic medical record

Northern NSW Local Health District

Added: 25 August 2017|Last updated: 11 September 2017

Better Flow, Better Journey: Improving Mental Health Acute Care

MNCLHD introduced a number of solutions to improve the flow and patient journey through its Mental Health Acute Care Services.

Mid North Coast Local Health District

Added: 23 August 2017|Last updated: 25 August 2017

The Rhythm and Rhymes Adolescent/Adult Program

The Rhythm and Rhymes Adolescent/Adult Program is a 12-week hip-hop therapy program designed to engage young people with severe mental illness in a way that is enjoyable, creates a sense of purpose in their lives and helps them reconnect to themselves and others.

Justice Health and Forensic Mental Health Network

Added: 23 August 2017|Last updated: 7 September 2017

Evidence-Based Guidelines for the Rational Use of Neuroimaging

This project involved a retrospective audit of patients who received neuroimaging at Sydney Eye Hospital and surrounding facilities, to identify elements of an appropriate neuroimaging request.

Sydney Hospital and Sydney Eye Hospital

Added: 23 August 2017|Last updated: 7 September 2017

Increasing the Appropriateness of Dietetic Referrals

This project addressed barriers experienced by nursing staff when using the malnutrition screening tool, by introducing staff education, streamlined education pathways and a cheat sheet for nursing staff.

South East Regional Hospital

Added: 23 August 2017|Last updated: 6 September 2017

Nambucca Valley Specialist Wound Intervention Service

This project improved access to community wound clinics, so patients who have or are at risk of wounds can consistently receive best practice care in a timely manner.

Mid North Coast Local Health District

Added: 18 August 2017|Last updated: 25 August 2017

Access, Choice and Equity in Community Palliative Care

This project developed a palliative care referral and triage process and education program in SLHD, with a focus on services delivered in the community.

Sydney Local Health District

Added: 17 August 2017|Last updated: 25 August 2017

Identifying and Managing Iron Deficiency and Iron Deficiency Anaemia

MLHD identified an alternative option for iron replacement therapy and developed guidelines to deliver it in the community setting where clinically indicated, in collaboration with patients and carers.

Murrumbidgee Local Health District

Added: 16 August 2017|Last updated: 25 August 2017

Redesigning the Orthodontics Journey

This project aims to reduce waiting times and improve the quality of care delivered to orthodontic patients at the Sydney Dental Hospital.

Sydney Dental Hospital

Added: 16 August 2017|Last updated: 25 August 2017

Eurobodalla Birthing Partners

This project developed a new model of care, where pregnant women at Eurobodalla Maternity Service were offered a known midwife who was an integral part of their antenatal, birth and postnatal journey.

Southern NSW Local Health District

Added: 16 August 2017|Last updated: 20 April 2021

Eye Focus

Westmead Hospital developed and implemented a series of policies, protocols and guidelines to better manage referrals from health professionals and improve waiting times in its ophthalmology outpatient clinics.

Westmead Hospital

Added: 15 August 2017|Last updated: 25 August 2017

Improving Patterns of Care for Oncology Inpatients

This project conducted a review of the care delivered to patients admitted to the oncology and palliative care wards at Westmead Hospital. As a result, changes were implemented that aimed to improve the coordination of care, reduce length of stay and streamline the discharge process.

Westmead Hospital

Added: 15 August 2017|Last updated: 25 August 2017

The Sexual Assault Crisis Response Project

The Violence, Abuse and Neglect Service developed integrated and cost-effective solutions to support clients who present to the emergency department at Wollongong Hospital following a sexual assault.

Illawarra Shoalhaven Local Health District

Added: 15 August 2017|Last updated: 22 April 2021

Redesigning Services for Aboriginal Mothers and Children

This project examined the patient journey for Aboriginal families accessing maternal and early childhood services within CCLHD. It identified opportunities for improving access to care, cultural support, patient information and education, coordination and integration of care in partnership with the Aboriginal Medical Service.

Central Coast Local Health District

Added: 15 August 2017|Last updated: 21 April 2021

Police Ambulance Early Access to Mental Health Assessment via Telehealth

HNELHD provided iPads to police and ambulance staff, so they can access mental health triage and support for consumers at the scene of the emergency.

Hunter New England Local Health District

Added: 15 August 2017|Last updated: 25 August 2017

Caring for Our Carers

Blacktown Mount Druitt Hospital (Blacktown Campus) added Carer Zones to single rooms in its new Clinical Services Building, so carers can stay at the hospital overnight in comfort.

Blacktown Mount Druitt Hospital (Blacktown Campus)

Added: 24 July 2017|Last updated: 8 August 2017

Falls in older people with cataract: a longitudinal evaluation of impact and risk

his project identified factors associated with an increased falls risk in older people with cataract during their wait for cataract surgery.

The George Institute for Global Health, UNSW Australia

Added: 23 June 2017|Last updated: 30 June 2017

The iCareTrack Study

This project measured the appropriateness of eye care delivery in NSW, by developing clinical indicators and conducting an on-site record review of up to 40 optometry and ophthalmology practices across the state.

School of Optometry and Vision Science, UNSW Sydney

Added: 16 June 2017|Last updated: 16 June 2017

Mirrabrook: A Truly Smoke Free Mental Health Inpatient Unit

Mirrabrook Mental Health Unit introduced a new policy to help nicotine-dependent consumers quit smoking during their inpatient stay. It was supported by staff training, nicotine replacement therapy and carbon monoxide monitoring.

Shellharbour Hospital

Added: 29 May 2017|Last updated: 8 April 2021

The Patient’s Voice

Nepean Hospital provided patients in a trial ward with a template containing prompts, so they could deliver a handover of their healthcare journey once a day to nursing staff.

Nepean Hospital

Added: 24 May 2017|Last updated: 29 January 2018

Improving Lumbar Puncture Success Rates in Febrile Neonates

The Children’s Hospital at Westmead developed and implemented an interdisciplinary lumbar puncture teaching package for Junior Medical Officers and nursing staff. The simulation-based teaching covered early stylet removal techniques, patient positioning, needle positioning, troubleshooting and analgesia.

The Children's Hospital at Westmead

Added: 22 May 2017|Last updated: 5 June 2017

Proactive Escalation Planning to Resolve Demand

Belmont Hospital introduced a 24-hour escalation plan and daily emergency report, to help emergency department staff manage periods of high demand, without reducing the quality or timeliness of patient care.

Belmont Hospital

Added: 19 May 2017|Last updated: 21 April 2021

Improving Clinical Review in the Northern Sydney Home Nursing Service

This project defined the role of the resource representative and increased awareness of this role among staff at Northern Sydney Home Nursing Service, to ensure patients are referred to the most appropriate clinician.

Northern Sydney Local Health District

Added: 3 May 2017|Last updated: 17 May 2017

Book It: The Planned Patient Admission Project

This project aims to introduce a transparent Referral for Admission process within Nepean Blue Mountains Local Health District. A review of existing processes, policies, documentation and support provided to staff and consumers was undertaken.

Nepean Blue Mountains Local Health District

Added: 26 April 2017|Last updated: 28 April 2017

Reducing 28-day mental health readmissions

The project aims to reduce 28-day mental health readmissions in Western Sydney Local Health District by identifying the key issues which lead to high readmission rates, and to implement targeted solutions to address these factors. Changes to the admissions, care co-ordination and discharge processes were implemented. Consumer, family and carer input into care planning was emphasised, along with the patient journey from admission to discharge and transition to the community....

Western Sydney Local Health District

Added: 26 April 2017|Last updated: 28 April 2017

Waist Less: Part of the Sustainable Connections for Overweight and Obesity in Paediatrics Project

The Waist Less project aims to improve clinical processes and resources at the CHW, to increase the identification and management of children with obesity and their families. It is part of the Sustainable Connections for Overweight and Obesity in Paediatrics (SCOOP) project, which aims to develop streamlined models of care and health pathways for children with obesity and their families within primary, secondary and tertiary healthcare settings in Nepean Blue Mountains and Western Sydney Local Health Districts, improving equity and...

Sydney Children's Hospital Network

Added: 18 April 2017|Last updated: 28 April 2017

Improving the Efficiency of External Pathology Results

The Heart and Lung Clinic at St Vincent’s Hospital Sydney implemented a number of changes to the way it follows up and communicates external pathology results. This included the development of a new standard operating procedure, a dedicated area for reviewing patient files, new staff rosters, patient information brochures, patient database updates and standardised communication tools.

St Vincent's Hospital

Added: 7 April 2017|Last updated: 21 April 2017

Testing Times: Reducing Variation in Pathology Testing

This project identified a number of strategies to reduce pathology costs and clinical variation in the testing process, including enhancements to the patient’s electronic medical record, development of best practice guidelines, staff education and improved reporting mechanisms.

Western NSW Local Health District

Added: 7 April 2017|Last updated: 28 April 2017

Redesign of Maternity Services at Macksville Health Campus

This project introduced a new service, where midwives at Macksville Health Campus deliver pregnancy and postnatal care to women in their home. It involves flexible rostering patterns to maximise existing staff and reduce staffing inefficiencies.

Mid North Coast Local Health District

Added: 7 April 2017|Last updated: 28 April 2017

Enhancing Remote Physiotherapy Services for Consistent Patient Care

Hay Physiotherapy Service implemented a telehealth model of care for appropriate patients, to better manage its waiting list and allow patients across vast geographical regions to access physiotherapy services in a timely and convenient way, particularly during service interruptions.

Murrumbidgee Local Health District

Added: 6 April 2017|Last updated: 20 April 2021

Me, Myself and My Tribunal

The Forensic Hospital developed a tool to help patients prepare for their Mental Health Review Tribunal, held every six months. This tool was designed to increase the satisfaction of patients with their level of engagement in Tribunals.

Justice Health and Forensic Mental Health Network

Added: 23 March 2017|Last updated: 24 April 2017

Medication Reconciliation: A Prescription for Safety

This project aims to reduce medication errors, by ensuring the patient’s medicines are accurately documented on admission to hospital and any changes are communicated to the patient and carer when they are discharged or transferred to another care provider.

Wollongong Hospital

Added: 15 March 2017|Last updated: 21 April 2021

Identifying the Right Carer or Person to Contact for Patients at Blacktown Hospital

Blacktown Hospital educated administration staff on the importance of maintaining accurate contact details in patient records. It also displayed signage in the emergency department to remind families and carers to include their contact details on the patient’s admission form.

Blacktown Mount Druitt Hospital (Blacktown Campus)

Added: 14 March 2017|Last updated: 28 March 2017

STAT MH: Safe, Timely Access to Mental Health

This project will implement a number of solutions to reduce clinical variability and length of stay in acute adult mental health inpatient units. These include a new model of care, new care coordination and discharge process, new patient flow and demand management systems, enhanced consumer engagement, and workforce review and development.

South Western Sydney Local Health District

Added: 14 March 2017|Last updated: 28 April 2017

Pharmaceutical Procurement Proves Prosperous

This project developed a process for the procurement (selection and purchasing) of medications that considered patient benefits, prescriber choice, cost and logistics. This included the development of a Pharmaceutical Procurement Pack, as well as open communication and engagement with key stakeholders.

Central Coast Local Health District

Added: 14 March 2017|Last updated: 21 April 2021

The Grin and Grow Health Pathway

A new model of care was developed to provide preventive oral health care for children and young people in the Out of Home Care Health Pathway Program. The model includes a streamlined referral process to public oral health services, a matrix of clinical care and simplified reporting procedures.

Southern NSW Local Health DistrictMurrumbidgee Local Health District

Added: 14 March 2017|Last updated: 28 April 2017

Diverting the Stream

Macksville Hospital developed a 24-month New Graduate Program for nursing staff that involved a 12-week intensive induction period, with clinical exposure and support over the course of the program.

Macksville District Hospital

Added: 13 March 2017|Last updated: 20 April 2021

Mali Marambir Ngurang Lachlan: To Make Better Place Lachlan

Lachlan Health Service incorporated Wiradjuri language and culture into the redevelopment of Forbes and Parkes hospitals, including Wiradjuri gugaa (goanna) totem designs on the main entry doors and Wiradjuri signage throughout the hospitals.

Lachlan Health Service

Added: 13 March 2017|Last updated: 21 April 2021

Totally Hip (and Knee)

This project reviewed the journey of patients undergoing an elective total hip or knee replacement at the Tweed Hospital. In consultation with staff and patients, a range of improvements were implemented, including preoperative assessments, patient information brochures, clinical pathways and pain management.

The Tweed Hospital

Added: 6 March 2017|Last updated: 28 April 2017

Towards a Better Fit: Defining a Forensic Mental Health Patient

The Forensic Hospital implemented measures to improve the quality and compliance of patient outcome measures collected, including staff education and data feedback sessions, a user-friendly glossary and the development of a program to facilitate the analysis of HoNOS and other outcome measures.

Justice Health and Forensic Mental Health Network

Added: 6 March 2017|Last updated: 28 April 2018

The Justice Health & Forensic Mental Health Network’s Got Talent

The JH&FMHN is developing a talent management strategy to improve the access, allocation and appropriateness of learning opportunities for its staff.

Justice Health and Forensic Mental Health Network

Added: 10 February 2017|Last updated: 22 April 2021

Living Well in Residential Aged Care: Reducing Falls and Harm from Falls

Nyngan Health Service developed a falls workbook and DVD, which was used to educate aged care residents on falls and empower them to develop personalised strategies that would reduce their risk of falling.

Nyngan Residential Aged Care

Added: 10 February 2017|Last updated: 27 February 2017

Needle Syringe Program + Caring for the Community

This project will redesign the SLHD Needle Syringe Program in partnership with service users and staff, to expand access to primary healthcare services and offer psychosocial support for service users with complex needs.

Sydney Local Health District

Added: 15 December 2016|Last updated: 16 December 2016

Reducing the Need for Red Cell Transfusions

This project implemented a guideline in the emergency department to help staff manage patients with chronic anaemia due to iron deficiency.

Nepean Hospital

Added: 13 December 2016|Last updated: 20 January 2017

Bowral and District Hospital Preadmission Clinic Redesign Project

This project reviewed the journey of adult elective surgery patients at BDH and developed a series of measures to streamline and improve the booking, pathology, clinical review, admission, surgery and post-operative processes.

Bowral and District Hospital

Added: 9 December 2016|Last updated: 16 December 2016

Sharing the Caring: General Practitioner Antenatal Share Care

This project examined the causes of a substantial decline in general practitioner antenatal share care on the Central Coast over the last 15 years and implemented solutions to reinvigorate the model of care.

Central Coast Local Health District

Added: 9 December 2016|Last updated: 22 April 2021

Improving Risk Assessment for Cognitive Impairment in Drug and Alcohol Clients

This project used the Montreal Cognitive Assessment (MoCA) screening tool, to assess cognition in 120 clients attending an outpatient opioid treatment program. The project also identified key risk factors (such as loss of consciousness) that were related to cognitive performance in this group.

South Eastern Sydney Local Health District

Added: 9 December 2016|Last updated: 22 December 2016

Providing Appropriate Care for Residents in Aged Care (PAC4RAC)

This project aims to reduce the number of unnecessary ambulance transfers of aged care residents, by developing a patient-centred care model. This model will determine the most appropriate care pathway, allow clinicians to deliver timely healthcare services and provide the patient with appropriate care in their home.

NSW AmbulanceNorthern Sydney Local Health DistrictTwilight Aged Care

Added: 7 December 2016|Last updated: 16 December 2016

Preop to Theatre: Ready and On Time

This project redesigned the preoperative screening and triage process, as well as operating theatre and pre-admission clinic staff work schedules. Patient information brochures were revised and new systems introduced, including text message reminders, operating theatre forecast planning meetings and team communication huddles.

Shoalhaven Hospital

Added: 5 December 2016|Last updated: 16 December 2016

My Check-in For Surgery: Elective Surgery Pre-admission Project

Canterbury Hospital implemented measures to improve patient and clinician satisfaction and hospital efficiency, by enhancing elective surgical pre-admission processes. These included a review of communication, screening and assessment tools, booking processes, roles and responsibilities, accountability and escalation processes.

Canterbury Hospital

Added: 2 December 2016|Last updated: 16 December 2016

Building Bridges and Pathways: Improving Service Access for Young People

This project involved six mental health services working together to improve communication and referral pathways, so that young people receive the care they need as quickly and efficiently as possible.

Northern Sydney Local Health District

Added: 2 December 2016|Last updated: 20 April 2021

GynaeLogical: It Makes Sense to Care for Women

This project streamlined its booking and referral processes, standardised templates and introduced electronic systems to ensure all patients received timely and appropriate care.

John Hunter HospitalBelmont Hospital

Added: 2 December 2016|Last updated: 16 December 2016

From Medical Excellence to Personal Confidence

St Vincent’s Hospital Sydney reviewed its Hospital In The Home service and implemented a number of improvements, including care pathways, inclusion and exclusion criteria, online referral processes, communication among healthcare teams and shared care planning with patients.

St Vincent's Hospital

Added: 2 December 2016|Last updated: 16 December 2016

Emergency Surgery: Why The Wait?

The Tweed Hospital implemented a number of solutions to streamline and improve the surgical journey of emergency surgery patients. These included education for staff and patients, development of new care pathways and implementation of electronic booking and referral systems.

The Tweed Hospital

Added: 30 November 2016|Last updated: 16 December 2016

Feeling Safe in the Emergency Department

This project optimises consumer and staff safety in the ED and ensures SWSLHD provides consistent, therapeutic care to all mental health patients.

South Western Sydney Local Health District

Added: 29 November 2016|Last updated: 22 December 2016

One Size Does Not Fit All

This project provides support to consumers at risk of developing one or more lifestyle-related chronic diseases, with increased access to healthcare services and programs that help them make healthy lifestyle choices.

Far West Local Health District

Added: 18 November 2016|Last updated: 16 December 2016

Stop the Drop: Preventing Perioperative Hypothermia

The steps in the perioperative pathway were reviewed and a number of interventions trialled to maintain the temperature of patients prior to, during and following surgery.

Blue Mountains District ANZAC Memorial Hospital

Added: 28 October 2016|Last updated: 22 April 2021

Creative Arts in Community Mental Health and Alcohol and Other Drugs Recovery

This project established four community arts programs in Port Macquarie Community College. The programs help participants with mental health and Alcohol and Other Drugs challenges rebuild their confidence and provide them with important life skills. It also reduces the stigma of mental health issues and provides participants with a sense of belonging in the communities where they live.

Port Macquarie Community College

Added: 19 October 2016|Last updated: 19 October 2016

Improving the Diagnostic Process for Patients with Mitochondrial Disease

This project developed next-generation sequencing protocols and a bioinformatics platform for diagnosing mitochondrial disease, as well as a diagnostic pipeline that improved the speed and accuracy of diagnosis.

Northern Sydney Local Health District

Added: 19 October 2016|Last updated: 21 April 2021

Streamlined Oral Health Pathway for People Living with a Mental Illness

Sydney Local Health District developed an electronic oral health assessment form that provides appropriate information to the oral health clinician, as well as a comprehensive summary that can be easily understood by the participant, their carer and general practitioner.

Sydney Local Health District

Added: 19 October 2016|Last updated: 2 November 2016

Reducing the Incidence of Omitted Medication Administration

This project improved education and workflow processes around medication administration, to reduce instances where patients either don’t receive their medication or don’t have a documented reason as to why their medication was not administered.

Dubbo Health Service

Added: 10 October 2016|Last updated: 24 October 2016

It’s All in the Delivery: Improving Clinical Documentation in the Community Healthcare Setting

The project will identify barriers to compliance and introduce solutions that aim to improve nursing assessments for new admissions at St George Hospital.

South Eastern Sydney Local Health District

Added: 26 September 2016|Last updated: 21 April 2021

Reducing Seclusion Use in the Child and Adolescent Psychiatric Inpatient Unit

This project identified and examined the systemic issues leading to the use of seclusion at The Children’s Hospital at Westmead. It implemented preventative strategies to reduce the use of seclusion, including multidisciplinary team care plans, staff education, daily intake and handover meetings, as well as supervision sessions for nursing and allied health staff.

The Children's Hospital at Westmead

Added: 26 September 2016|Last updated: 21 April 2021

My Food Choice: Transforming Patient Food Services

This project reimagined the way hospital food is delivered to patients in public hospitals, using new workflow processes, menus, staff training and technology, while remaining inside the current budget footprint.

HealthShare NSW

Added: 23 September 2016|Last updated: 10 October 2016

The Nursing and Midwifery Scope of Practice Framework

This project standardised the recruitment process and conducted training for nurses and midwives in SNSWLHD to help them understand their professional obligations and maintain the skills required to safely undertake their role in the organisation.

Southern NSW Local Health District

Added: 23 September 2016|Last updated: 10 October 2016

Improving Laboratory Diagnosis of Influenza and Respiratory Syncytial Virus Infections

By introducing the routine use of rapid nucleic acid amplification tests, the median time for results of accurate laboratory tests for influenza and respiratory syncytial virus infections reduced from more than three days to less than 12 hours. This has the potential to significantly enhance infection prevention and control, inpatient bed management, appropriate antiviral prescribing and antimicrobial stewardship initiatives.

NSW Health Pathology

Added: 19 September 2016|Last updated: 4 October 2016

Hospital in the Home: An Innovative Partnership Model

This project developed a new model of care for its Hospital in the Home (HITH) program, by integrating the services delivered by ambulatory care and community health nursing teams.

Campbelltown HospitalCamden Hospital

Added: 15 September 2016|Last updated: 21 April 2021

Plan Early: My Future Care

This project delivers advance care planning to patients with end-stage chronic lung disease, by implementing staff training, standardising work practices for Advance Care Plan documentation, engaging general practitioners and using an evidence-based tool that predicts the risk of death within 12 months.

Prince of Wales Hospital

Added: 16 August 2016|Last updated: 21 April 2021

Maximising and Sustaining Home-Based Dialysis Therapies

This project reviewed the service delivery model for patients with End-Stage Kidney Disease who require dialysis therapy. Solutions include a new clinical pathway, training manual and staff training, with revised patient education packages and refurbished training units at Royal Prince Alfred Hospital.

Sydney Local Health District

Added: 15 August 2016|Last updated: 19 August 2016

The Redesign of General Medicine Services Across The Sydney Children’s Hospitals Network

This project reviewed the admission pathway and model of care for admitted general medicine patients, and optimised the workforce structure to improve the delivery of safe, efficient and high-quality care.

Sydney Children's Hospital Network

Added: 12 August 2016|Last updated: 19 August 2016

The Very Long Corridor

Mid North Coast Local Health District developed a clinical guideline that allows stable patients with specific diagnoses to have a direct bed-to-bed transfer from Kempsey District Hospital to Port Macquarie Base Hospital, with contingency plans for situations that may negatively impact the patient.

Mid North Coast Local Health District

Added: 8 August 2016|Last updated: 19 August 2016

Care Coalition: Integrated Case Management for Opioid Treatment

South Western Sydney Local Health District Drug Health Services will develop a standardised Care Management Framework for all sites, in addition to professional development for staff, new clinic dosing hours and a review of clinical practices, service liaison and interagency collaboration.

South Western Sydney Local Health District

Added: 8 August 2016|Last updated: 20 April 2021

2 Become 1: Combining Multi-Site Rehabilitation Services

This project relocated Maitland Hospital rehabilitation services to a new expanded rehabilitation facility at Kurri Kurri Hospital, relieving the pressure on acute services at Maitland Hospital.

The Maitland HospitalKurri Kurri Hospital

Added: 8 August 2016|Last updated: 19 August 2016

Fed up: improving nutritional care for emergency and orthopaedic trauma surgery patients

This project implemented a new process for measuring and managing preoperative fasting in emergency and orthopaedic trauma patients, with education provided to staff and patients on preoperative fasting best practice.

Gosford Hospital

Added: 2 August 2016|Last updated: 20 April 2021

#FixIt: The Ryde Hospital Fracture Clinic Redesign Project

Ryde Hospital refurbished its Fracture Clinic, developed an information sheet for patients and created a streamlined model of care, to reduce waiting times and improve the patient experience.

Ryde Hospital

Added: 19 July 2016|Last updated: 19 August 2016

Please Let Me Out: a standardised capacity testing process for confused patient

This project developed a standardised capacity testing and guardianship application process for confused patients, with a multidisciplinary approach to support decision making in the hospital environment.

Coffs Harbour Base Hospital

Added: 4 July 2016|Last updated: 21 April 2021

Risky Business

A staff engagement and education process was developed by Bombala Multipurpose Service (MPS) and Delegate MPS, to improve admission documentation for high-risk patients.

Southern NSW Local Health District

Added: 4 July 2016|Last updated: 19 July 2016

Restoration of Voice for Tracheostomy Patients in the Intensive Care Unit

Royal Prince Alfred Hospital implemented the first randomised controlled trial in the world that demonstrated the benefits of using an in-line speaking valve in an Intensive Care Unit, to restore the voice of mechanically-ventilated tracheostomy patients.

Royal Prince Alfred Hospital

Added: 10 June 2016|Last updated: 27 June 2016

Legs at Lakes: Improving documentation of care for clients with leg ulcers

CCLHD standardised the process of documenting care for clients with leg ulcers within the ComCare system.

Central Coast Local Health District

Added: 23 May 2016|Last updated: 9 June 2016

Missing Walking Belts and Sticks

Blacktown Hospital implemented a number of processes to track the use and improve the storage of walking belts and sticks in the Stroke and Aged Care Ward.

Western Sydney Local Health District

Added: 13 May 2016|Last updated: 17 October 2016

Community Integration Team: At Risk Youth Mental Health

The Community Integration Team is a cohesive statewide health service that coordinates care for young people who have mental health problems and/or problematic drug and alcohol use, while they are in the juvenile justice system and three months after their release.

Justice Health and Forensic Mental Health Network

Added: 2 May 2016|Last updated: 20 April 2021

The End of Life Project

This project implemented a new End of Life Care Plan at Concord Repatriation General Hospital, including end of life care guidelines, staff education and resources for families and carers.

Sydney Local Health District

Added: 29 April 2016|Last updated: 22 April 2021

Improving Prescription of Venous Thromboembolism Prophylaxis for Admitted Medical Patients

Liverpool Hospital implemented an education program for emergency department staff, to ensure venous thromboembolism prophylaxis is prescribed to all appropriate patients on admission.

Liverpool Hospital

Added: 29 April 2016|Last updated: 21 April 2021

No Bones About It

This project decreased unnecessary time spent in orthopaedic clinics, reduced the number of patients per clinic to a safe and manageable level and standardised follow-up pathways for orthopaedic patients.

The Children's Hospital at Westmead

Added: 26 April 2016|Last updated: 28 April 2016

ReADI: Redesigning Access and Discharge Through Innovation

Royal Darwin Hospital redesigned its patient flow systems, with an estimated date of discharge tool and electronic patient journey board.

Top End Health Service, Northern Territory

Added: 26 April 2016|Last updated: 28 April 2016

IVALUE: Valuing Aboriginal Learning and Utilisation in Employment

The IVALUE initiative supported the implementation of new orientation and accountability processes to improve the way Orange and Cowra Community Health Services engage and utilise Aboriginal Health Workers to provide clinical services to Aboriginal clients accessing care.

Western NSW Local Health District

Added: 20 April 2016|Last updated: 28 April 2016

ACCESS: A Central Coast Endoscopy Service Solution

This project developed a standardised, direct referral pathway for public colonoscopy services from the general practitioner.

Central Coast Local Health District

Added: 15 April 2016|Last updated: 28 April 2016

One in the Bed

Broken Hill Base Hospital implemented a streamlined discharge process, a discharge lounge and a Hospital in the Home service, to improve the flow of patients through the emergency department.

Broken Hill Base Hospital

Added: 15 April 2016|Last updated: 21 April 2021

PsychED for Kids

To provide young people aged 12-17 years with timely access to mental health assessments in the emergency department, with the aim of reducing avoidable admissions and length of stay in hospital.

Mid North Coast Local Health District

Added: 14 April 2016|Last updated: 28 April 2016

Bellingen Theatre Initiative

Coffs Clinical Network introduced new surgical services at Bellingen Health Campus and developed a centralised surgical waitlist, referral and admission process across Coffs Harbour, Macksville and Bellingen Health Campuses.

Mid North Coast Local Health District

Added: 11 April 2016|Last updated: 20 April 2021

From Ice to Nice: Reducing the incidence of Inadvertent Hypothermia in the perioperative patient

CCLHD implemented a number of pre-warming strategies, to reduce the incidence of inadvertent hypothermia in surgical patients.

Central Coast Local Health District

Added: 8 April 2016|Last updated: 26 April 2016

Go With The Flow

CCLHD developed a new referral pathway and model of care, to improve access to mental health services in the community.

Central Coast Local Health District

Added: 8 April 2016|Last updated: 28 April 2016

KIT SMART: Improving Health Outcomes for Aboriginal People with Diabetes

A KIT SMART program was developed to improve data entry, monitoring and reminders, roles and processes, and models of care for diabetic patients at Awabakal Aboriginal Primary Health Care Centre.

Awabakal Aboriginal Primary Health Care Centre

Added: 8 April 2016|Last updated: 28 April 2016

Developing the State Record of Labour Document

This project is developing a statewide Record of Labour Document (ROLD) that standardises labour and delivery care for women and babies in NSW.

Office of Kids and Families

Added: 6 April 2016|Last updated: 20 April 2016

Getting it Right for Wollemi Kids

Wollemi Kids increased the size and capacity of its team and refurbished its ward, to improve service delivery and better address the needs of young people in the service.

Orange Health Service

Added: 6 April 2016|Last updated: 20 April 2021

A Transdisciplinary Approach to Brain Injury Rehabilitation

The Hunter Brain Injury Service developed a new process for completing community access, upper limb and activities of daily living (ADL) assessments, using a transdisciplinary rehabilitation approach.

Hunter New England Local Health District

Added: 22 March 2016|Last updated: 8 April 2016

Improving Surgical Access for Patients

This project simplified the admission and bookings process for elective surgeries at Westmead Hospital, by introducing administration procedures including monthly speciality waiting list reports, a local policy compliance procedure and SMS reminders for patients.

Westmead Hospital

Added: 18 March 2016|Last updated: 28 April 2016

Closing the Loop

Prince of Wales Hospital developed a communication pathway that reported incidental findings, unexpected findings and changes to provisional medical imaging reports back to the referring clinician within an agreed timeframe.

Prince of Wales Hospital

Added: 18 March 2016|Last updated: 17 October 2016

Healthy Mouths in Hospital

This project implemented a more effective method for cleaning dentures in hospital and delivered education session to staff and patients on the link between oral health and systemic infection.

Southern NSW Local Health District

Added: 18 March 2016|Last updated: 4 April 2016

The Sustainability Through Empowerment Project

The endocrine department at Sydney Children’s Hospital Randwick implemented education strategies for clinicians and families, to increase awareness of alternative support options.

Sydney Children's Hospital Network

Added: 4 March 2016|Last updated: 8 April 2016

Sprint Interval Training for Adolescents with Serious Mental Illness

A 10-week sprint interval training exercise program was implemented at Concord Centre for Mental Health, to provide adolescent inpatients in the Walker Unit with a structured form of physical activity.

Sydney Local Health District

Added: 29 February 2016|Last updated: 8 April 2016

Rapid Access Colonoscopy: Faecal Occult Blood Test

This project designed and implemented a rapid access colonoscopy service for positive faecal occult blood test referrals in HNELHD.

Hunter New England Local Health District

Added: 24 February 2016|Last updated: 2 March 2016

Mighty Germ But Tight Plan Can Send The Baby Home

The Royal Hospital for Women conducted an audit to measure the success of an early discharge policy that was implemented in January 2011.

Royal Hospital for Women

Added: 23 February 2016|Last updated: 8 April 2016

Get It Write

The Subjective, Objective, Assessment and Plan (SOAP) methodology was selected as a prescriptive documentation style for use in all nursing progress notes. Staff education and resources were provided to support the implementation of this methodology in clinical practice.

Justice Health and Forensic Mental Health Network

Added: 23 February 2016|Last updated: 20 April 2021

Strong Fathers, Strong Families: The Possum Cloaks Project

An eight-week parenting program was developed for Aboriginal and Torres Strait Islander fathers, which included lessons on carving culturally and personally significant artworks onto possum cloaks for their babies and children. The program was fully funded by the Office of Aboriginal and Torres Strait Islander Health.

Nepean Blue Mountains Local Health District

Added: 23 February 2016|Last updated: 9 March 2016

Novel Approaches to Promoting HIV Testing

SLHD promoted a community HIV testing service called a[TEST] in Newtown, through a digital marketing strategy and advertising in public spaces.

Sydney Local Health District

Added: 23 February 2016|Last updated: 8 April 2016

Southcare Outreach Service (SOS)

The Southcare Outreach Service is a new model of care that delivers a rapid response, multidisciplinary team to clients aged over 65 years in their home to prevent presentations to the emergency department.

South Eastern Sydney Local Health District

Added: 19 February 2016|Last updated: 22 April 2021

Show Me The Plan

JH&FMHN developed a streamlined chronic disease process that addressed the barriers to completing a multidisciplinary care plan, by engaging frontline clinicians.

Justice Health and Forensic Mental Health Network

Added: 12 February 2016|Last updated: 22 April 2021

Collaborative Care Planning: With Me When It’s About Me

The Forensic Hospital made changes to its treatment and management plan, introduced the NSW Mental Health Care Plan and conducted staff and patient education on the value of developing a care plan in collaboration with consumers.

Justice Health and Forensic Mental Health Network

Added: 12 February 2016|Last updated: 8 March 2016

My Recovery: The Consumer-led Journey

The Mental Health Recovery Unit (MHRU) implemented an eight-week program that used the Mental Health Recovery Star tool to help consumers set recovery goals and manage their own recovery reviews.

Murrumbidgee Local Health District

Added: 8 February 2016|Last updated: 8 April 2016

Preventing Catheter-Associated Urinary Tract Infections

This project developed nurse-led protocols for the insertion, removal and management of indwelling urinary catheters at John Hunter Hospital.

Hunter New England Local Health District

Added: 8 February 2016|Last updated: 26 February 2016

Improving Peritonitis Rates in the ISLHD Renal Service

The renal unit at ISLHD developed a structured home visit program and implemented changes to the staff orientation program, as well as training for patients and staff.

Illawarra Shoalhaven Local Health District

Added: 27 January 2016|Last updated: 11 February 2016

Singing to Health: A Choir for People with Neurological Communication Disorders

The War Memorial Hospital Waverley created a weekly social choir led by a volunteer music therapist, for outpatients with chronic communication impairments due to acquired and progressive neurological deficits. The choir supported the health of individuals, by building partnerships and facilitating continuity of care.

War Memorial Hospital

Added: 27 January 2016|Last updated: 10 February 2016

Transforming Acute Stroke Care Locally and Globally

John Hunter Hospital implemented advanced computed tomography (CT) imaging, which allows patient profiling, prognostic accuracy and personalised acute stroke care.

John Hunter Hospital

Added: 18 January 2016|Last updated: 1 February 2016

Early Detection of Chronic Kidney Disease in Aboriginal People

Northern NSW Local Health District developed an algorithm that was applied to the electronic medical records of patients at Bugalwena General Practice, to identify whether they had early-stage chronic kidney disease.

Northern NSW Local Health District

Added: 18 January 2016|Last updated: 8 April 2016

A Public-Private Rural Physiotherapy Service

This project established a partnership between the local health district, Primary Health Network and private physiotherapists, to pool resources and deliver physiotherapy services in rural communities.

Murrumbidgee Local Health DistrictMurrumbidgee Primary Health Network

Added: 18 January 2016|Last updated: 18 January 2016

Smoke-free Commercial Outdoor Dining for NSW

A NSW Health public notice campaign was implemented using stakeholder engagement and social marketing strategies, to increase awareness of the smoking ban in commercial outdoor dining areas enacted on 6 July 2015.

NSW Ministry of Health

Added: 7 January 2016|Last updated: 7 January 2016

The Home for Lunch Project

The Home for Lunch Project addressed barriers to safe, timely and efficient discharge of children, using a whole of health approach.

Sydney Children's Hospital Network

Added: 7 January 2016|Last updated: 21 January 2016

Reducing Anxiety in Cancer Patients Using 3D Videos

Hunter New England Local Health District staff volunteered their time to develop information videos incorporating 3D animation for patients undergoing radiation therapy. Patient engagement led to videos that were tailored to specific treatment situations and information needs.

Hunter New England Local Health District

Added: 6 January 2016|Last updated: 20 January 2016

Kidney Dialysis Vascular Access: A Vascular Surgeon and CNC-led Access Clinic

A vascular clinic with an integrated health approach was established, to address the high number of emergency procedures and prolonged hospitalisations incurred by haemodialysis patients.

Prince of Wales Hospital

Added: 6 January 2016|Last updated: 20 January 2016

Your Health Link: Information the Right Way

Your Health Link is an online gateway to a broad suite of health information, linking the community, patients, carers, teachers and students to over 500 Australian health-related organisations and services chosen by health professionals. Through accessible website design and a comprehensive linking program, Your Health Link has enabled 90.5% of users surveyed to get the information they were looking for.

Mid North Coast Local Health District

Added: 6 January 2016|Last updated: 20 January 2016

Kempsey Patient Transport Project

MNCLHD upgraded the Patient Transport Service and expanded its capacity to provide after-hours services. It also educated emergency department (ED) staff on how to use these services most effectively.

Mid North Coast Local Health District

Added: 6 January 2016|Last updated: 20 January 2016

VIP Project: Reducing Re-presentations and Readmissions to Hospital for Very Intensive Patients

The VIP project developed a strategy to identify Very Intensive Patients (VIPs) who are at high risk of re-presenting to hospital and implemented methods to address their medical and psycho-social needs. This new model of care has reduced the need for hospital-based care by using interagency partners in the primary care sector to provide support for VIPs in the community.

Hunter New England Local Health District

Added: 18 December 2015|Last updated: 20 January 2016

Improving Timely Access and Attendance in Outpatients

This project implemented processes to improve the availability of appointments, including a referral triage system, appointment reminders and a new non-attendance policy.

Westmead Hospital

Added: 9 December 2015|Last updated: 18 December 2015

Home in the Hospital

This project provided a home-like environment for permanent aged care residents, with improved socialisation and mobility. It also involved residents in care planning and increased the use of Transitional Aged Care Program resources.

Narromine Hospital and Community Health

Added: 2 December 2015|Last updated: 3 December 2015

Bingji Bingji Booris: An Indigenous Maternity Model of Care

This project encourages Indigenous women to visit the Aboriginal Maternal Infant Health Service during their first trimester of pregnancy, to enable a discussion of care choices, early screening, interventions, referrals and support. It also delivers training, support and clinical supervision of staff, to ensure they provide culturally-appropriate care at all times.

Southern NSW Local Health District

Added: 1 December 2015|Last updated: 3 December 2015

Save a Leg: Building Integrated Diabetes Foot Services in Western Sydney

This project developed a 60-second diabetic foot screening tool and educated patients, nurses and clinicians on the importance of using the tool and completing regular foot checks. Electronic referral templates and clinical pathways were also developed, to improve timely access to hospital foot services.

Western Sydney Local Health District

Added: 1 December 2015|Last updated: 18 October 2016

Step in Time

This project made changes to its staffing and administrative processes, to deliver a more timely and efficient orthopaedic service to patients at Gosford and Wyong Hospitals.

Central Coast Local Health District

Added: 30 November 2015|Last updated: 3 December 2015

Eloura CARES: Collaborate, Acknowledge, Respect, Empower, Strengthen

Shellharbour Hospital developed a model of care that provides engaging, therapeutic, recovery-orientated mental health services to consumers, their carers and families.

Shellharbour Hospital

Added: 30 November 2015|Last updated: 20 April 2021

Who’s My Voice?

This project worked in collaboration with residential aged care facilities (RACFs) to assess current practices and develop a robust, sustainable and transferable process to deliver Advanced Care Planning in RACFs.

South Eastern Sydney Local Health District

Added: 30 November 2015|Last updated: 3 December 2015

Don’t Restrict My Ability: Improving Care and Communication for Restricted Weight Bearing Patients

This project aimed to improve the patient flow of restricted weight bearing (RWB) patients through the acute orthopaedic service, by implementing a reconditioning program that optimised recovery following surgery. Communication processes were also incorporated into the model of care, to keep patients informed and improve their experience.

Concord Repatriation General Hospital

Added: 27 November 2015|Last updated: 3 December 2015

Pathways to Health: General Practitioner Referrals to Nepean Hospital

The project developed a standardised referral process for emergency department admissions and increased awareness of outpatient clinics and community health services among general practitioners in Nepean Blue Mountains Local Health District.

Nepean Hospital

Added: 13 November 2015|Last updated: 21 April 2021

The Safety Huddle: Preventing repeat falls and near miss falls

Camden Hospital implemented a multidisciplinary review meeting (Safety Huddle) following all inpatient falls and near miss falls, which developed strategies in consultation with the patient to prevent the incident from reoccurring.

Camden Hospital

Added: 23 October 2015|Last updated: 9 November 2015

Management of Hip Fractures in the Older Patient

Port Macquarie Base Hospital reviewed its fractured femur care pathway, based on the ACI's Minimum Standards for the Management of Hip Fractures. This resulted in a formalised orthogeriatric model of care that addressed factors including multimodal pain control, time to theatre, time to mobilisation and refracture prevention.

Port Macquarie Base Hospital

Added: 21 October 2015|Last updated: 9 November 2015

Correcting the Tap Leakages

Grafton Base Hospital encouraged general practitioners to follow a new care pathway for patients requiring an ascitic tap procedure, to reduce avoidable emergency department admissions and improve the patient experience.

Grafton Base Hospital

Added: 21 October 2015|Last updated: 9 November 2015

Teamwork the Mid North Coast Way: From ED to Urgent Care Centre

Wauchope District Memorial Hospital transformed its emergency department into an Urgent Care Centre, which is equipped to treat patients with minor illness or injury. Patients that require emergency care for serious or critical conditions are transferred by NSW Ambulance directly to Port Macquarie Base Hospital. The successful transition was underpinned by a comprehensive communications strategy made possible by the formation of a dynamic team which included key representatives from health and the community....

Wauchope District Memorial Hospital

Added: 21 October 2015|Last updated: 22 April 2021

In Schools Aboriginal Health Program

This project engaged Aboriginal and disadvantaged youth in the South Western Sydney Local Health District through a 12-week holistic health program and access to local health services.

South Western Sydney Local Health District

Added: 13 October 2015|Last updated: 27 October 2015

Let’s Bring Healthy Back to Cowra

The Cowra ‘Let’s Bring Healthy Back’ nine-week program used a multidisciplinary approach, using the expertise of a dietician, social worker, exercise physiologist, Aboriginal health worker and community nurse to help the Cowra community lose weight and improve their health and wellbeing.

Western NSW Local Health District

Added: 13 October 2015|Last updated: 21 April 2021

Tweed Opioid Treatment Program

This project gathered feedback from clients, clinicians and case workers to define a single set of criteria used to assess when clients are eligible to receive medication to take home and consume the next day (called a one-off takeaway).

The Tweed Hospital

Added: 12 October 2015|Last updated: 26 October 2015

Making National Emergency Access Target (NEAT) Work

This project examined the sequence of events from arrival to the ward and transfer of patients admitted to an inpatient ward through the emergency department, to identify improvements that would reduce the number of admitted patients with an ED length of stay of more than four hours.

Tamworth Rural Referral Hospital

Added: 12 October 2015|Last updated: 26 October 2015

Rural/Remote Recruiting and Retention Value-Based Redesign (R5) Project

This project addressed factors that had a significant impact on vacant full-time equivalent positions, staff turnover, length of vacancies and the quality of consumers’ experience and engagement in care.

Hunter New England Local Health District

Added: 12 October 2015|Last updated: 26 October 2015

Seamless Transitions: The Pathway Home

Royal North Shore Hospital redesigned the process of transferring information from the hospital to primary and community health services, including reintroducing a transfer of care risk screening tool and expanding the acute and post-acute care liaison role.

Royal North Shore Hospital

Added: 12 October 2015|Last updated: 27 October 2015

Physiotherapy Training Audit

This project identifies gaps between the skills that new graduate and Level 1 physiotherapists have gained via study and the skills required to work within the physiotherapy department of Broken Hill Health Service. This gap analysis will allow individual professional development pathways to be developed for physiotherapists, to maintain a high quality of service within the physiotherapy department.

Broken Hill Base Hospital

Added: 12 October 2015|Last updated: 26 October 2015

Enhanced Management of Orthopaedic Surgery Program

Coffs Harbour Health Campus implemented this program which involved pre-operative planning, intra-operative optimisation, post-operative strategies and post-discharge follow-up.

Coffs Harbour Base Hospital

Added: 9 October 2015|Last updated: 24 October 2015

Improved Management of Miscarriage

This project created a flowchart to guide clinical staff on the correct procedures for storing, viewing and testing products of conception. Staff education and a new patient feedback process was also implemented.

Tumut District Hospital

Added: 9 October 2015|Last updated: 23 October 2015

Falls Prevention Assessment in Occupational Therapy

This project developed guidelines and resources to improve occupational therapist staff compliance with departmental protocols in place at Blacktown Mount Druitt Hospital.

Western Sydney Local Health District

Added: 9 October 2015|Last updated: 23 October 2015

Coordinated Discharge Package in Medical Assessment Units

This project provided a Coordinated Discharge Package, including a discharge summary and follow-up call, to patients discharged from Medical Assessment Units (MAUs) at Coffs Harbour Health Campus.

Coffs Harbour Base Hospital

Added: 8 October 2015|Last updated: 22 October 2015

Let’s get STARTed: Managing Urinary Tract Infections in the Residential Aged Care Unit

This project created a new model of care to educate staff on how to manage the symptoms of urinary tract infections (UTIs) with alternative therapies, rather than multiple antibiotics.

Grenfell Multi-Purpose Service

Added: 8 October 2015|Last updated: 23 October 2015

Care Coordination Screening and Triage

This project implemented a screening and triage tool within the outpatient cancer service at Illawarra Shoalhaven Local Health District, to improve the care coordination of patients during their treatment journey.

Illawarra Shoalhaven Local Health District

Added: 6 October 2015|Last updated: 21 October 2015

Improving Clinical Communication at the Aged Care Emergency Service

This project trained residential aged care facility and emergency department staff in the Identify, Situation, Background, Assessment and Recommendation (ISBAR) clinical handover tool to enhance the effectiveness of the Aged Care Emergency (ACE) service.

Hunter New England Local Health DistrictHunter New England and Central Coast Primary Health Network

Added: 6 October 2015|Last updated: 21 October 2015

Appropriate Pressure Prevention Loan Equipment (APPLE) Project

The APPLE project developed a new process to obtain and store Alternating Pressure Air Mattresses at Orange Health Service. Patients identified at ‘high risk’, those who have an existing pressure injury and/or those who are clinically indicated, are provided with pressure relieving equipment in a timely manner.

Western NSW Local Health District

Added: 21 September 2015|Last updated: 20 October 2015

Far West Chronic Disease Prevention Group

A monthly Chronic Disease Group was established in Broken Hill, where clinicians tested participants for chronic disease risk factors and provided group education sessions that empowered participants to manage their own health.

Far West Local Health District

Added: 21 September 2015|Last updated: 20 October 2015

After Hours Program

The After Hours Program developed emergency guidelines and online training modules for the most common aged care presentations to emergency departments, including chest pain, stroke, abdominal pain, confusion and tubes. The online training program was created to train residential aged care facility staff in the implementation of these guidelines.

Western NSW Medicare Local

Added: 2 September 2015|Last updated: 3 September 2015

Intangible Storytelling Project

A multimedia project which tells the stories of inspirational carers and the vital role they play in the community.

Far West Local Health District

Added: 27 August 2015|Last updated: 21 April 2021

Aged Care After Hours Program

This program aimed to improve the quality of care in residential aged care facilities after hours, through the development of an Emergency Decision Guidelines Tool and staff training package.

Southern NSW Medicare Local

Added: 26 August 2015|Last updated: 1 September 2015

Improving Queanbeyan Health Service Admitted National Emergency Access Target

At Queanbeyan Health Service (QHS) 74% of patients admitted to an emergency department bed stay longer than four hours. In 2014 Admitted National Emergency Access Target (NEAT) performance in QHS was 36%. This project implements solutions to improve patient flow and improve NEAT by 20% in 2015.

Queanbeyan District Hospital

Added: 20 August 2015|Last updated: 25 August 2015

LifesmilesGOLD: Making oral health Care more accessible for more people

LifesmilesGOLD for Oral Health has introduced a change in our appointment scheduling. Appointment books are customised for each clinic to match demand. Urgent patients receive quicker access for their urgent treatment. There are more appointments available for patients who have less urgent oral health needs.

Murrumbidgee Local Health DistrictSouthern NSW Local Health District

Added: 20 August 2015|Last updated: 1 November 2017

Improving Your Image: Timely Access to Radiology Services

Imaging departments across NSW are struggling to balance emergency, inpatient and outpatient care with resources. The increasing demand for medical imaging presents further difficulties in meeting expected timeframes, particularly for examination and reporting turnaround times. The radiology department will assist referring clinicians in making the patient’s journey through the hospital as efficient as possible by minimising delays, and improving timely access to medical imaging services....

Nepean Hospital

Added: 19 August 2015|Last updated: 21 August 2015

Young People Exiting Care: Out of Home Care Health Pathways Program Stage 3

This project is in response to the request from NSW Kids and Families to address the identified cohort ‘Young People Exiting OOHC’ as part of the statewide OOHC Health Pathways Program.

South Eastern Sydney Local Health District

Added: 19 August 2015|Last updated: 22 April 2021

About Face Project: Clinical Redesign of Cleft and Craniofacial Services

This project is about starting the journey towards the provision of better, more organised and coordinated care to ensure the best possible cleft and craniofacial services and experience for patients and their families.

Sydney Children's Hospital Network

Added: 18 August 2015|Last updated: 21 August 2015

An Innovative Allied Health Approach to Cancer Care Services: Removing the 'Band-Aid Effect'

Nepean Cancer Care Centre (NCCC) was established in 1998, setting up a comprehensive specialised interdisciplinary allied health team to support the care needs of the cancer patients throughout their cancer journey. Allied health services are experiencing the demand of a growing cancer care service. This project is working to ensure the most efficient, effective use of allied health resources to support the best patient journey....

Nepean Blue Mountains Local Health District

Added: 18 August 2015|Last updated: 25 August 2015

Too Long to Wait

The prevalence of Gestational Diabetes Mellitus (GDM) and Type 2 Diabetes (T2D) in the Canterbury area has been increasing over the years and this trend is expected to upsurge with the new reference range for diagnosing GDM introduced in 2015. This project addresses an urgent need to improve systems and processes and realign its resources to ensure that pregnant women attending the clinic receive optimal and timely care....

Canterbury Hospital

Added: 18 August 2015|Last updated: 21 August 2015

Triple CCC Project - Care, Communication, Coordinate

The project team redesigned and implemented a new care coordination model which has transformed care delivery on the medical respiratory ward, improving safety, patient, carer and staff satisfaction.

Shellharbour Hospital

Added: 7 August 2015|Last updated: 4 November 2015

Eas-e-Referrals

Patient referrals between general practice and Illawarra Shoalhaven Local Health District (ISLHD)specialist services are about to get easier thanks to a joint initiative of the ISLHD and COORDINARE – South Eastern NSW Primary Health Network. From May 2015, enhancements to current referral processes will include: a new electronic referral template that will auto-populate from patient records in general practice; the ability to transmit referrals directly and securely via Argus to the Illawarra Diabetes Service; the availability of a simple brochure...

Illawarra Shoalhaven Local Health District

Added: 7 August 2015|Last updated: 21 August 2015

Beat it! Every patient, every time

The Beat It! (Beat the Mental Health National Emergency Access Target) project used clinical redesign methodology to identify barriers to the timely and efficient assessment, treatment, admission or discharge of mental health consumers presenting to Wyong Hospital emergency department. Solutions were developed to address the root causes of delays to reduce lengthy waiting times and enhance the consumer experience. Improved communication and collaboration between the divisions and teams will also enhance staff and consumer satisfaction....

Wyong Public Hospital

Added: 6 August 2015|Last updated: 21 August 2015

Time to Get Active

The group activity program was expanded and used evidence based practice to inform the content and structure of the program. The new program includes tai chi and yoga, social and cognitive stimulus activities including afternoon tea, an outdoor/community access group, an indoor walking group, a standing exercise group and interactive games

Woy Woy Public Hospital

Added: 15 July 2015|Last updated: 29 July 2015

Yhunger: healthy living skills for at-risk young people

Yhunger has developed educational resources and training workshops for youth workers that focus on ‘hands on’ skills development with young people.

Sydney Local Health District

Added: 15 July 2015|Last updated: 22 April 2021

Stepping Out of the Box

A group rehabilitation class was established for eligible clients in weeks 6-12 of the Blacktown Transitional Aged Care Program, incorporating education, physical activity and social activities.

Western Sydney Local Health District

Added: 14 July 2015|Last updated: 4 September 2015

Sapphire Coast Graduate Physiotherapy Program

This project created an informal public-private partnership with collaborative recruitment, joint management and shared education for new graduates.

Bega Valley Health Service and Sapphire Coast Physiotherapy

Added: 14 July 2015|Last updated: 28 July 2015

Patient Safety Starts with ME

This project installed a patient safety board and innovation board to engage staff in the process and allow patients and visitors to see how clinical practice impacts on safety and quality.

Hastings Macleay Clinical Network

Added: 13 July 2015|Last updated: 28 July 2015

Paediatric Bed Days Saved

This project developed a new model of care to allow children with standard or medium risk acute lymphoblastic leukemia, who have received high dose methotrexate, to be discharged within two days instead of five.

The Children's Hospital at Westmead

Added: 13 July 2015|Last updated: 27 July 2015

Move2Music

The project established a Move2Music program, which encouraged participants to dance and play games during a two-hour session with staff from Dareton Primary Health Centre

Dareton Primary Health Centre

Added: 8 July 2015|Last updated: 21 April 2021

Developing a Young Adult Diabetes Service

This project developed a specialist diabetes service for people aged 16 to 25, at The Tweed Hospital in Northern NSW Local Health District.

The Tweed Hospital

Added: 2 June 2015|Last updated: 20 April 2021

Read the Play Murrumbidgee

Read the Play is a mental health literacy program designed for junior levels of sports clubs. It provides information about mental illness through fun and interactive games, helping remove the stigma of mental illness and increase help-seeking behaviour.

Murrumbidgee Local Health District

Added: 27 May 2015|Last updated: 16 June 2015

Vertebrae Fractures: Rural Management Adaptions

This project developed clear management plans with standardised clinical products and processes, formal education and training, and enhanced clinical governance.

Mid North Coast Local Health District

Added: 27 May 2015|Last updated: 27 May 2015

Quality in Acute Stroke Care Implementation Project (QASCIP)

Following results of a successful trial, the QASCIP implemented three clinical protocols to manage fever, hyperglycaemia and swallowing in stroke (the Fever, Sugar, Swallow (FeSS) clinical protocols). The Nursing Research Institute partnered with the ACI, 15 local health districts, clinicians and the National Stroke Foundation to implement the FeSS clinical protocols in all 36 NSW stroke services.

St Vincent's Health Network

Added: 27 May 2015|Last updated: 27 May 2015

The Future of Service Cohesion

This project developed an integrated model of care that facilitated early discharge from inpatient units and transferred care back to the community, with home-based treatments provided by an Acute Care Team.

Croydon Community Health Centre, Concord Centre for Mental Health

Added: 25 May 2015|Last updated: 9 June 2015

Let’s Be Free of Vancomycin Resistant Enterococcus (VRE)

The project implemented measures to deal with nosocomial infections, including increased swabbing, improved cleaning services, cleaning surveillance tools, personal hygiene packs and patient questionnaires.

St George Hospital

Added: 25 May 2015|Last updated: 27 May 2015

Chronic Disease Oral Health Pilot Project

A Chronic Disease Oral Health Service has been established at Royal North Shore Hospital (RNSH), with a dental officer and oral health therapist. The service provides an expedited course of dental care with a strong focus on oral hygiene for chronic disease patients. A referral pathway to this clinic has been implemented using a referral form that is completed by chronic disease services....

Royal North Shore Hospital

Added: 18 May 2015|Last updated: 25 May 2015

Multidisciplinary Teams in Focus: Improving the Journey of the Person with Complex Needs

This project aims to enhance multidisciplinary teamwork in a rural hospital, by ensuring that acute ward and community health staff participate in care planning for admitted patients and improve the interface between the acute settings and community health services.

Deniliquin Health Service

Added: 4 May 2015|Last updated: 21 April 2021

Decreasing Tissue Retention in Coronial Autopsies

This project examined the issue of coronial autopsy tissue retention and implemented policies and practices that reduced the amount of tissue retained and the proportion of autopsy cases where tissue was retained, without decreasing the quality of service provided.

NSW Health Pathology

Added: 1 May 2015|Last updated: 15 May 2015

Fit for Work

This project aims to reduce overall sick leave rates of Mid North Coast Local Health District (MNCLHD) staff by introducing a ‘Fitness Passport’ program, which targets 850 staff and encourages them to attend a gym on a regular basis.

Mid North Coast Local Health District

Added: 1 May 2015|Last updated: 15 May 2015

eSURG: Streamlining the Admission Process for Surgery at St George Hospital

The project will improve the Recommendation for Admission process for patients undergoing upper gastrointestinal surgery. The solutions developed will simplify the process for patients, surgeons and admissions staff by reducing inefficiencies and unnecessary delays.

St George Hospital

Added: 20 April 2015|Last updated: 22 April 2015

Sugar S.N.A.P – Supporting the Needs of Aboriginal People

This Dubbo Diabetes Integrated Care Project works across sectors to ensure an integrated approach to the care of Aboriginal people with diabetes. Fundamental to this approach is giving Aboriginal people an authentic voice in the way care is delivered to them.

Western NSW Local Health District

Added: 20 April 2015|Last updated: 22 April 2015

General Practitioner and Mental Health Collaborative Care Project

This project improves the way primary care and mental health services work with consumers to manage their physical health. The new model of care establishes and develops roles and responsibilities, communication pathways, ongoing care and escalation strategies, with an annual review to accommodate the individual needs of each consumer.

Sydney Local Health District

Added: 17 April 2015|Last updated: 22 April 2015

Re-ACT: Redesigning Allergy Care Together for Children

This project is developing streamlined health pathways, improving operational systems, standardising diagnostic services and developing an education framework for health professionals to provide integrated care for children with diagnosed or potential food allergies.

Sydney Children's Hospital Network

Added: 17 April 2015|Last updated: 22 April 2015

A Pain in the Gut

This project will audit the medical records of Australian Refined Diagnostic Reference Group G70 – Other Digestive System Disorders patients at Gosford Hospital to investigate the reasons for increasing length of stay and implement strategies to decrease this rate.

Gosford Hospital

Added: 16 April 2015|Last updated: 23 April 2015

Breast in the West

This project aims to increase awareness of the benefits of mammograms among General Practitioners and women in Western Sydney, through education and training initiatives.

Westmead Breast Cancer Institute

Added: 10 April 2015|Last updated: 23 April 2015

Model of Care for People with Eating Disorders

Illawarra Shoalhaven Local Health District is establishing a model of care for people with eating disorders, in line with Stage 1 implementation of the NSW Service Plan for People with Eating Disorders 2013-2018.

Illawarra Shoalhaven Local Health District

Added: 8 April 2015|Last updated: 21 April 2021

Youth at Risk: Preventing hepatitis C in young people who are injecting

This project involves the development of a training package aimed at youth workers who may work with young people at risk of hepatitis C.

South Eastern Sydney Local Health District

Added: 8 April 2015|Last updated: 22 April 2021

End of Life Care at Bowral Hospital

This program will provide better and more appropriate clinical care to the dying patient and their family, through improved education, End of Life Care policies, referral pathways, nursing resources and the use of volunteers as support for carers.

Bowral Hospital

Added: 8 April 2015|Last updated: 9 June 2015

Improving Admitted National Emergency Access Targets Performance

A four-bed Emergency Medicine Unit (EMU) is planned for the ED of Orange Health Service, to admit selected patients with conditions that can be dealt with in less than 24 hours but don’t require high-level nursing care or monitoring. This will avoid referrals, formal admission and registrar review, ensuring rapid transfer home after a short stay. Patients with certain conditions will be admitted to the EMU on specific pathways to ensure compliance, avoid bed block and enable nurse-led transfer of...

Orange Health Service

Added: 31 March 2015|Last updated: 21 April 2021

Coordinating Mental Health Transfer of Care

Essential to seamless transfer of care is the engagement of and communication with relevant clinicians from the inpatient and community settings, as well as the consumer or carer during discharge planning. This project has highlighted the real issues underlying care coordination, which have persisted and become more complex as local services have evolved. An objective analysis of these issues has occurred with focused strategies and an implementation plan that places the patient at the centre of care....

Murrumbidgee Local Health District

Added: 31 March 2015|Last updated: 17 April 2015

Sugar Gum - Diabetes and Gum Disease

Gum disease is a chronic inflammatory disease which has a direct impact on blood sugar levels, yet diabetic patients are not routinely referred for oral health checks. This project works with high risks groups such as the elderly, people with chronic disease and Aboriginal people. It encourages people with diabetes to make healthy choices by educating them on the importance of oral health and its impact on blood sugar levels. Following dental evaluation, treatment and education, home packages are given...

Menindee Health Service

Added: 23 March 2015|Last updated: 25 March 2015

Aboriginal Well-being: A Cancer Journey of Healing

'A Cancer Journey’ booklets were developed in partnership with local Aboriginal people, Mid North Coast Local Health District, the Medicare Local, Aboriginal Medical Services, North Coast Cancer Institute, Cancer Council NSW and BreastScreen NSW. The reader is navigated from reception through treatment of Radiation and Chemotherapy, using both text and photographs of the actual units. Aboriginal people within MNCLHD are true partners in the development, use and ongoing review of this educational resource....

Mid North Coast Local Health District

Added: 13 March 2015|Last updated: 25 March 2015

Shared Care Community Midwifery - Maternity Model of Care

When birthing ceased in 2011, women who gave birth outside Narrandera and returned home to Narrandera had no access to follow-up services or to a Midwife in the first two weeks after birth. Shared Care Community Midwifery engaged the support of GP Visiting Medical Officer/Obstetricians in providing antenatal clinics and support for midwives to conduct clinical review and post natal home visits. The evaluation of this model of care supports that the model is effective, safe and sustainable....

Murrumbidgee Local Health District

Added: 13 March 2015|Last updated: 25 March 2015

How Access Has Changed Emergency Mental Health Care in the Bush

Many rural and remote towns have limited access to mental health specialist services and local providers bear the responsibility for emergency mental health care. The Mental Health Emergency Care – Rural Access Program (MHEC-RAP) is a telepsychiatry program established in western NSW to provide accessible specialist emergency mental health care and is available 24 hours 7 days a week. MHEC-RAP is changing the local provision of emergency mental health care. Local providers are no longer ‘flying blind’ as this has...

Broken Hill University Department of Rural Health

Added: 11 March 2015|Last updated: 25 March 2015

Supporting Dementia and Delirium Care with Volunteers

In partnership with Alzheimer’s NSW, volunteers were recruited and trained for a structured person-centred dementia-delirium hospital volunteer program. The volunteer intervention provided one to one emotional support and practical assistance aimed at reducing delirium risk to patients with cognitive impairment. There was a trend towards reduced falls at the volunteer intervention facility. The program was highly accepted with 96% of staff and 100% of volunteers perceiving the program as having a beneficial effect on patient outcomes and should continue....

Southern NSW Local Health District

Added: 11 March 2015|Last updated: 25 March 2015

Caring for Your Future Health: Long Term Follow Up and Late Effects Clinic

Westmead Hospital is the largest allogeneic Blood and Marrow Transplant (BMT) centre in NSW, performing more than 1000+ transplants since 1981. Since then there have been improved outcomes and Westmead have a number of long term survivors post BMT, which continues to grow annually. This has required a shift in the model of care that is provided to address the survivor’s needs. In 2012, Westmead BMT developed a formalised multidisciplinary team approach to Long Term Follow Up. This included the...

Westmead Hospital

Added: 23 February 2015|Last updated: 20 April 2021

Keep Them Safe and Whole Family Teams - An Integrated Partnership Approach to Health Care

Whole Family Teams (WFTs) include mental health and drug and alcohol clinicians working together in multidisciplinary teams to provide comprehensive mental health, drug and alcohol and family assessment and evidence informed individual and family in-home interventions for approximately six months. The model of care was informed by the best available evidence regarding interventions for families with complex mental health and drug and alcohol needs and the impact of these problems on the safety of their children. The central theme of...

Mental Health and Drug and Alcohol Office (MHDAO)

Added: 18 February 2015|Last updated: 5 March 2015

Community Nursing Palliative Care Procedure

This procedure will provide a process from registration of a new client, assessment tools, monitoring tools and end of life pathway tool and bereavement follow up for the generalist community health nurses. It will provide Generalist Community Nurses and Palliative Care Nurses with a structured format and standardised processes and tools to use when assessing palliative care clients.

Tweed Byron Health Service Group

Added: 18 February 2015|Last updated: 10 March 2015

Rapid HIV and Sexually Transmissible Infections Testing

Sydney Sexual Health Centre with partners ACON and the Kirby Institute, developed outreach testing models staffed by peer educators and a specialist nurse. a[TEST] models included after-hours testing at community organisation premises, a mobile testing caravan at Taylor Square for World AIDS Day, and a Darlinghurst shop front for the Mardi Gras Festival 2014. High rates of consumer satisfaction with the models and success in accessing gay men who had never had a HIV test or were testing infrequently was...

South Eastern Sydney Local Health District

Added: 16 February 2015|Last updated: 16 February 2015

Standing Balance Classes: improve balance and function for rehabilitation inpatients

This project demonstrates the effective implementation of best evidence to improve patient outcomes in a rehabilitation setting. Patients consistently report poor balance as a significant factor in their recovery. Focusing on patient centred care, clinicians within the physiotherapy department performed an evidence based review aiming to identify the most effective way of improving balance.

Bankstown Lidcombe HospitalCamden Hospital

Added: 16 February 2015|Last updated: 17 February 2015

eCommunicating Patient Feeding Assistance Needs

In 2013 a modification to electronic medical record (eMR) diet ordering was initiated to communicate patient feeding assistance requirements electronically at the time of ordering a patient diet. This modification now triggers a bright marker on the patient’s meal tray to clearly indicate their eating assistance needs at every meal.

Prince of Wales Hospital

Added: 11 February 2015|Last updated: 11 February 2015

Active Kyogle

Active Kyogle was a three-year federally-funded chronic disease prevention project which relied on the community to decide the health priorities and collaborative partners to plan and deliver the interventions. Active Kyogle empowered the community to implement a health promotion program to prevent chronic disease focusing on projects that increase healthy eating, physical activity and reducing social isolation.

Northern NSW Local Health District

Added: 5 February 2015|Last updated: 11 February 2015

Gosford Surgical Admissions Centre Waiting Room Project

The Gosford Surgical Admissions Centre (GSAC) is a short stay surgical admissions centre providing care to 1350 elective patients per month. The project aim is to improve the patient satisfaction rate by focusing on communication, the waiting room environment, the admission processes and streamline documentation.

Gosford Hospital

Added: 23 January 2015|Last updated: 25 February 2015

Electronic Patient Journey Boards

The Electronic Patient Journey Board is a highly visible interactive touch screen, able to feed data directly from the electronic medical record and patient administration system. It is designed to facilitate multidisciplinary handover meetings with information displayed in a highly visual medium with graphic icons and colour schemes to discretely share clinical, financial and demographic information.

Central Coast Local Health District

Added: 17 December 2014|Last updated: 20 April 2021

In the Hand of Our Clinicians

A mobile phone viewable website allows clinicians ready access to assist in the safe, appropriate and timely prescribing of antimicrobials, thus decreasing the risk of healthcare associated bloodstream infections.

Hunter New England Local Health District

Added: 15 December 2014|Last updated: 21 April 2021

Food Packaging Improvement

A successful partnership between HealthShare NSW and Arthritis Australia has dramatically redesigned packaged food, improving ease of opening to ensure NSW public hospital patients and people at home can access food more easily, increase the amount they eat, build nutrition and support good health outcomes.

HealthShare NSW

Added: 15 December 2014|Last updated: 15 December 2014

Stepping Home with Cellulitis

Stepping Home with Cellulitis results in reduced length of stay for patients admitted to RNSH with Cellulitis through implementation of a clinical pathway.

Royal North Shore Hospital

Added: 4 December 2014|Last updated: 8 December 2014

Count Me In: To Improve Patient Care

Without clearly documenting non admitted patient activity, the District will never be able to fully describe the importance of clinical care provided to patients who are not formally admitted to hospital. How they help keep people healthy and in the community and how they assist in providing advice and treatment options for patients and their carers that do not revolve around physically being in a hospital....

Hunter New England Local Health District

Added: 4 December 2014|Last updated: 8 December 2014

Strong Voice Healthy Communities

To establish culturally appropriate mechanisms to ensure MNCLHD engages and works with Aboriginal patients, families and communities to plan and evaluate health services and to ensure effective partnerships with Aboriginal communities are established to improve the quality and safety of care provided.

Mid North Coast Local Health District

Added: 4 December 2014|Last updated: 5 February 2015

Improving Outpatient Services Across Bega Valley Health Service

Bega Valley Health Service Executive highlighted the need to develop sustainable outpatient clinics across the health service to improve patient access and experience and meet the demands of the community while being cost effective and aligning processes with Activity Based Funding criteria.

Bega District Hospital

Added: 4 December 2014|Last updated: 8 December 2014

Lymphoedema Management in Occupational Therapy

This approach is focused on facilitating early intervention with improved awareness of the chronic condition and referral pathway. Solutions aim to empower patients with the ability to independently self-manage with support of an integrated care approach with community health and EnableNSW to minimize long episodes of care with the outpatient service. Improved efficiencies with a service agreement and planned patient journey aim to help meet the demand of the service and reduce the wait time for treatment....

Sydney Local Health District

Added: 4 December 2014|Last updated: 8 December 2014

Pre Admission Clinic Managing Attendance Numbers (PACMAN)

This is a clinical redesign project being undertaken at Concord Repatriation General Hospital that is focused on improving the patient journey for elective surgery patients by reducing delays in the Pre Admission Clinic and reducing cancellations on the day of surgery.

Concord Repatriation General Hospital

Added: 4 December 2014|Last updated: 8 December 2014

Hand in Hand: Connecting Acute Aged Care Services with Residential Aged Care Facilities

This project aims to provide care to patients in their home for patients who are living in Residential Aged Care Facilities. This will be through either face to face consultations or consultations using Telehealth (video conferencing). This project will also smooth the process for those patients who do need to go to hospital, avoiding lengthy stays in busy Emergency Departments.

Nepean Blue Mountains Local Health District

Added: 4 December 2014|Last updated: 8 December 2014

RESCUERS: Reduce elective surgery cancellations utilising existing and realigning services

An elective surgical project was conducted across the three hospital sites of Manly, Mona Vale and Hornsby. The aims of the project were to reduce the number of “no bed” cancellation of elective surgery to improve access to surgery. To increase the types of procedures that can be performed as Day Only procedures and improve access to surgery.

Manly HospitalMona Vale HospitalHornsby Ku-ring-gai Hospital

Added: 4 December 2014|Last updated: 8 December 2014

Paediatric Bereavement – The Experience of Families

Videos and resources have been developed to support families who have experienced the death of a child. These resources also educates health professionals on the experience of grief and loss, improving the service provided to emotionally isolated families.

Sydney Children's Hospital Network

Added: 21 November 2014|Last updated: 15 December 2014

Blacktown and Mount Druitt Hospitals Expansion Project

This project implemented consumer engagement activities including steering committees, working parties and community forums involving consumer representatives, clinicians and architects, to seek input into the design and development of the Blacktown Mount Druitt Hospital (BMDH) Expansion Project.

Health InfrastructureWestern Sydney Local Health District

Added: 21 November 2014|Last updated: 13 November 2015

Holistic Health for Mental Health Clients

The co-located General Practice clinic has cared for over 100 consumers who had not seen a General Practitioner in the last 12-18 months. In partnership with existing metal health services, the co-location model ensures community mental health services work collaboratively with the GP to improve the health status of community mental health clients, providing seamless and continuous care. This initiative increases community access to GPs, Psychiatrists, Clinical Psychologists and other Allied Mental Health Professionals for Mental Health Care....

Sydney Local Health District

Added: 21 November 2014|Last updated: 21 November 2014

Yanagagi Numbadil Nurbul - Walking Together in Friendship

Bathurst Health Service was one of eight NSW Hospitals to participate in the Aboriginal Identification Hospital Quality Improvement Project. This initiative has considered the needs of Aboriginal people as outlined in the NSW Health Impact Statement to ensure a significant focus on quality improvement and partnering with Aboriginal patients and community.

Western NSW Local Health District

Added: 31 October 2014|Last updated: 19 December 2014

Healthy Kids Bus Stop (HKBS) Project

The Healthy Kids Bus Stop (HKBS) Project is a community-based integrated care partnership between Royal Far West, Western NSW Local Health District, Western NSW Medicare Local, and Ronald McDonald House Charities to address the gaps in child health needs in rural NSW.

Western NSW Local Health District

Added: 31 October 2014|Last updated: 28 January 2015

Validation and Impact of the 4 Hour Rule in Emergency Departments

The purpose of this partnership project is to assess the impact of the four-hour rule/National Emergency Access Target (NEAT) policy in reducing access block and its effects of Emergency Department (ED) overcrowding on patients before and after its implementation. The large data linkage study will examine the trends and characteristics of patients under the policy in WA hospitals and compare them with similar patients not under the policy....

Simpson Centre for Health Services Research, University of New South Wales

Added: 30 October 2014|Last updated: 30 October 2014

HiRAID: Evaluation of an emergency nursing assessment framework

The objective of the study was to evaluate HiRAID: an innovated evidence-based assessment framework designed to structure the initial patient assessment of patients presenting to the ED once triaged. The HiRAID components are: collecting a patient History; identifying Red flags; performing a physical Assessment; Interventions; Diagnostics; reassessment and communication. The study employs a pre-test and post-test design, using immersive simulated scenarios, questionnaires and focus groups to evaluate participants’ satisfaction and self-efficiency levels, documentation and assessment performance before and after undertaking...

Sydney Nursing School, University of Sydney

Added: 30 October 2014|Last updated: 30 October 2014

Older People with Musculoskeletal Conditions in Emergency Departments

Assessment of cognitively impaired older persons with musculoskeletal conditions in Emergency Departments (EDs). To conduct a comparative study assessing pain scores and analgesic administration in cognitively impaired and cognitively intact older people diagnosed with a long bone fracture. To conduct a cluster randomised controlled trial of the Pain Assessment in Advanced Dementia (PAINAD) screening tool for cognitively impaired older people presenting with suspected long bone fracture; To determine if the PAINAD screening tool assists emergency nurses’ pain assessment and facilitates...

Northern Sydney Local Health District

Added: 29 October 2014|Last updated: 30 October 2014

Demand for Emergency Service Trends in NSW 2010-15

A population based study of Emergency Department utilisation and length of stay in New South Wales. Understanding population level drivers of emergency department demand is important for planning future health resources across NSW, including optimal Emergency Department (ED) capacity and implementing patient focused ED models of care. Such models of care include aged care assessment teams, falls prevention programs, chest pain observation units, short stay units, mental health liaison teams and minor injury or fast track units. The study will...

Royal Prince Alfred Hospital

Added: 27 October 2014|Last updated: 29 October 2014

Clinician-led Improvement in Cancer Care

This study will provide crucial evidence about how to develop effective implementation strategies that can be delivered through clinical networks to embed recommended care into practice to improve patient outcomes. The study will be one of the first randomised trials to test the effectiveness of delivering implementation strategies through clinical networks to lead changes in clinical practice in hospitals and improve evidence based care in Australia. The NHMRC partnership grant NHMRC Partnership Grant is co-funded by the Prostate Cancer Foundation...

Sax Institute

Added: 27 October 2014|Last updated: 29 October 2014

Brainman Pain Management Resources

A series of educational videos to help understand chronic pain, and improve pain service delivery.

Hunter New England Local Health District

Added: 24 October 2014|Last updated: 26 November 2015

Far West Mental Health Recovery Centre

The Far West Mental Health Recovery Centre (FWMHRC) is public mental health admission facility to be operated in partnership with a Community Managed Organisation (CMO) in NSW. The FWMHRC is a 10-bed unit in the grounds of Broken Hill Health Service. It provides step-up step-down care to people requiring support to overcome mental ill health. The inclusion of the FWMHRC into the spectrum of integrated mental health and drug and alcohol programs in Far West NSW has solved a number...

Neami National

Added: 23 October 2014|Last updated: 23 October 2014

NSW Emergency Department Airway Registry Project

A prospective observational study of the practice of endotracheal intubation in NSW Emergency Departments (EDs) with subsequent development of practice improvement guidelines and training.

Royal North Shore Hospital

Added: 15 October 2014|Last updated: 29 October 2014

North Coast Cancer Institute Lync Project

This telehealth project has used Microsoft LyncTM software and IT hardware to facilitate communications between cancer specialists and primary care providers in regional and rural areas such as Port Macquarie, Coffs Harbour and Lismore.

Mid North Coast Local Health District

Added: 12 September 2014|Last updated: 23 October 2014

Deniliquin Collaborative Midwifery Group Practice

Deniliquin Collaborative Midwifery Group Practice (DCMGP) offers midwife-led services and General Practice (GP) shared care to women who chose to be cared for locally and birth locally if they have a low-risk pregnancy. Women with no identified risks are supported by a Midwife and share care arrangements with the GP, Obstetrician and Specialist Obstetrician. Women with an identified pregnancy risk, labour or postnatal period are linked with additional specialist services provided from Victoria....

Murrumbidgee Local Health District

Added: 10 September 2014|Last updated: 1 October 2014

In Safe Hands: Structured Interdisciplinary Bedside Rounds

The structured interdisciplinary bedside rounds (SIBR) project involved a restructuring of the Medical Unit at Orange to allow care to be delivered via daily interdisciplinary patient and family-centred rounds delivered in plain English with collaborative care and goal planning involving patient, family and the multidisciplinary healthcare team.

Orange Health Service

Added: 10 September 2014|Last updated: 11 November 2016

Midwives with Women

The MCBS is a publicly funded homebirth model of care that offers women a safe option to birth at home supported by skilled midwives. It also supports their right to choose where they will give birth.

Northern NSW Local Health District

Added: 10 September 2014|Last updated: 26 September 2014

Addiction Inpatient Redesign Project

The project aims to streamline the admission process to the two drug health wards. From admission, staff will work with the patient to develop a comprehensive care plan for their discharge back to the community, ensuring access to education and services to help keep them well. This will in turn reduce the number who are readmitted after relapse and help to keep people healthy in their community....

Concord Repatriation General Hospital

Added: 19 August 2014|Last updated: 10 October 2014

Stop Assess and Move Smarter (SAMS)

The Stop Assess and Move Smarter (SAMS) Project is an initiative of the Western Sydney Local Health District Manual Handling Team to strategically reduce manual handling risks at Blacktown Mt Druitt Hospital (BMDH) to measurably improve patient and staff safety. The objectives of the project are to: Reduce the workers compensation claims attributed to manual handling injuries to BMDH staff by 5% by December 2014 Measurably improve the manual handling experience of BMDH admitted patients by December 2014 Measurably improve...

Blacktown Mount Druitt Hospital (Blacktown Campus)Blacktown Mount Druitt Hospital (Mount Druitt Campus)

Added: 19 August 2014|Last updated: 9 October 2014

Cool, Calm and CollectED

Incident Information Management System (IIMS) reports and the Restraint and Seclusion Register in Wollongong Hospital Emergency Department (WH ED), did not support the anecdotal reports of aggressive incidents. Well documented evidence of the frequency and type of aggression that staff encounter, assists in the planning for a safe, stable environment and appropriate services. It also ensures that the patient is receiving the appropriate treatment and management, with the least restrictive practice. This project developed training and solutions to ensure a...

Wollongong Hospital

Added: 19 August 2014|Last updated: 9 October 2014

Care To Come Home: CaTCH

A new Model of Care is being introduced at Lachlan Health Service (LHS) – Forbes and Parkes. Hospital in the Home (HITH) provides a choice of care at home or at a daily clinic instead of being admitted to hospital. This will provide quality care with less disruption for a smooth patient journey.

Western NSW Local Health District

Added: 19 August 2014|Last updated: 26 September 2014

Wellness, Independence, Self-actualisation and Rehabilitation Program

The project aimed to design and implement a model of care for the Wagga Wagga Mental Health Sub-Acute Unit. The decision was made to design a new service model rather than adopt an existing model of care used by another District or service. The model created was based on feedback from consumers, families, carers, mental health staff and staff of other service partners. The model reflects the unique needs of the District. It is a product of what stakeholders within...

Wagga Wagga Base Hospital

Added: 1 August 2014|Last updated: 9 October 2014

Paediatric Fever Management Education Program

Development of a fever management education program for parents with limited health literacy

University of Sydney

Added: 25 June 2014|Last updated: 10 July 2015

Aboriginal Parent Program

Delivered at the La Perouse Community Health Centre, this program aims to: improve the health of young Aboriginal parents and their children, facilitate their return to educational opportunities and improve their social connectedness. The program provides a twice weekly three hour art program for young parents, an Aboriginal Early Childhood Worker to deliver support and education to parents, an Early Childhood Nurse to undertake baby checks and a Paediatric doctor to deliver health promotion talks and provide a co-located clinic....

Sydney Children's Community Health Centre

Added: 30 August 2012|Last updated: 10 October 2014

Art in Health

The Broken Hill University Department of Rural Health (BHUDRH) has worked in partnership with West Darling Arts to link Art/Humanities and Health in undergraduate health science student education through the Enhanced Rural/Remote Interprofessional Cultural Health (ENRICH) program. ENRICH was developed to meet the clinical needs of students on placement in Broken Hill through an inter-professional learning framework; however it became apparent that this program could do more for students on placement in Broken Hill. Within this context, key principles of...

Broken Hill University Department of Rural Health, University of Sydney; West Darling Arts

Added: 16 March 2012|Last updated: 7 September 2014

Roads to Recovery

Building an inclusive work culture from the ground up: Essentials of Care (EOC) in the new Mental Health Rehabilitation Unit at Sutherland Hospital, NSW. The Mental Health Rehabilitation Unit (MHRU) is a 20 bed declared facility. As a new team and unit, a great opportunity existed to build a positive work culture and practices from 'the ground up' and the staff were unified in their enthusiasm to provide recovery-oriented care and interventions. The multidisciplinary team used the Essentials of Care...

Sutherland Hospital and Community Health Service

Added: 13 December 2011|Last updated: 19 January 2015