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Efficiency
 

Sutherland Clinical Assessment and Nursing Documentation (SCAND) project

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
Rethinking pathology testing in the ICU - arterial blood gas

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
Ten to one: FASS Lidcombe sample receipt redesign project

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
NSWHP flow cytometry model of service

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
A Joint Effort: patient centred redesign in rheumatology outpatients

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

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
Clinical Patient Flow Rounds

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
Preventative model of care at the Moruya dental clinic

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
Innovation in Colonoscopy Services: Direct Access Colonoscopy Clinic

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: 15 January 2019
Implementing and Embedding  the National Surgical Quality Improvement Program in NSW

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
ODDS Project: Clinical Consumables

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
Equal Access for the Culturally and Linguistically Diverse

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
Shared Clinical Review Across Four Rural Health Services

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
We’ve Got Your Back – Improving Access to Care

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
Sterilising and Perioperative Clinical Redesign

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
Improving Access to Non-Acute Mental Health Beds

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

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
Elimination of Hepatitis C in a Prison Setting

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
Reducing the Time Frame to Complete the Electronic Donor Record

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
Saved by the Phone: Enhancing the Pre-admission Process

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
Microbiology Extension of Services

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
End the Wait for Endoscopy at Wollongong Hospital

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: 3 May 2018
Reviewing Ambulance Dispatcher Administrative Responsibilities

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
Westmead Hospital Echocardiography Clinic Redesign

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
Appropriate Distribution and Just Utilisation of Supplies Techniques (ADJUST)

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

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
Transit Lounge Remodel

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
Completing the Admission Checklist in Mental Health Rehabilitation Units

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
Confusing Directions: Finding the Right Pathway for People with Delirium

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
Eye Focus

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
Better Flow, Better Journey: Improving Mental Health Acute Care

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
Improving Patterns of Care for Oncology Inpatients

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
Redesigning the Orthodontics Journey

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
Proactive Escalation Planning to Resolve Demand

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: 5 June 2017
Reducing 28-day mental health readmissions

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
STAT MH: Safe, Timely Access to Mental Health

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
Book It: The Planned Patient Admission Project

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
Pharmaceutical Procurement Proves Prosperous

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: 28 April 2017
Improving the Efficiency of External Pathology Results

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

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
Preop to Theatre: Ready and On Time

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

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
GynaeLogical: It Makes Sense to Care for Women

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
Emergency Surgery: Why The Wait?

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
Gunyah Oncology Weekend Discharge Project

Gunyah Oncology Weekend Discharge Project

This project added potential discharges to the agenda of a weekly meeting and developed a discharge process where oncologists worked in teams of two during ward rounds.
Sutherland Hospital and Community Health Service
Added: 28 October 2016|Last updated: 11 November 2016
Improving the Diagnostic Process for Patients with Mitochondrial Disease

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: 2 November 2016
It’s All in the Delivery: Improving Clinical Documentation in the Community Healthcare Setting

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 October 2016
Get It Write

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: 17 October 2016
Closing the Loop

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
Improving Laboratory Diagnosis of Influenza and Respiratory Syncytial Virus Infections

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
It’s Time: Smoother, Faster Services for Cancer Patients

It’s Time: Smoother, Faster Services for Cancer Patients

This project developed initiatives to reduce waiting time and delays for patients receiving chemotherapy and other treatments in the haematology and oncology units at Concord Cancer Centre, within Concord Repatriation General Hospital. New business processes were developed, patient information brochures distributed, patient education needs reviewed, a staff education ladder developed and minor building and refurbishment works planned.
Concord Repatriation General Hospital
Added: 12 August 2016|Last updated: 19 August 2016
The Very Long Corridor

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

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
#FixIt: The Ryde Hospital Fracture Clinic Redesign Project

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

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
ReADI: Redesigning Access and Discharge Through Innovation

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
Improving Surgical Access for Patients

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
seESaW: Elective Surgical Waitlist

seESaW: Elective Surgical Waitlist

This project developed a virtual elective surgery waitlist for 10 surgical sites in MLHD, using data interface software.
Murrumbidgee Local Health District
Added: 20 April 2016|Last updated: 28 April 2016
One in the Bed

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: 28 April 2016
Bellingen Theatre Initiative

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: 28 April 2016
Developing the State Record of Labour Document

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
The Home for Lunch Project

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

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
Kempsey Patient Transport Project

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

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
A Public-Private Rural Physiotherapy Service

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
Improving Timely Access and Attendance in Outpatients

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
Step in Time

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
Triple CCC Project - Care, Communication, Coordinate

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
Improving Management of Long Stay Patients

Improving Management of Long Stay Patients

Liverpool Hospital implemented a sustainable process for monitoring, management and early escalation of long stay patients. The goal was to provide a structure for helping clinical teams develop appropriate and high-quality patient management plans.
Liverpool Hospital
Added: 8 July 2015|Last updated: 4 November 2015
Making National Emergency Access Target (NEAT) Work

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
Improving the Accuracy of Electronic Patient Records

Improving the Accuracy of Electronic Patient Records

This project implemented training and staff communication to improve the accuracy and amount of data collected in the electronic patient record, with a focus on pathology International Classification of Diseases (ICD) code, disease stage, tumour laterality, date of diagnosis, performance status and acute radiation toxicity.
Crown Princess Mary Cancer Centre
Added: 8 October 2015|Last updated: 22 October 2015
Coordinated Discharge Package in Medical Assessment Units

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
Workload Management of Donor Adverse Events Follow-Up

Workload Management of Donor Adverse Events Follow-Up

This project identified ways to optimise the use of nursing resources, to meet donor care, customer service and risk management requirements.
Australian Red Cross Blood Service
Added: 13 October 2015|Last updated: 20 October 2015
Improving Queanbeyan Health Service Admitted National Emergency Access Target

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
Beat it! Every patient, every time

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
Eas-e-Referrals

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
Improving Your Image: Timely Access to Radiology Services

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
Benefits Realisation Guide

Benefits Realisation Guide

This guide is aimed at assisting Benefits Realisation staff carry out the benefits realisation tasks for a project.
HealthShare NSW
Added: 21 May 2013|Last updated: 21 July 2015
Decreasing Tissue Retention in Coronial Autopsies

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

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
Count Me In: To Improve Patient Care

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
RESCUERS: Reduce elective surgery cancellations utilising existing and realigning services

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
Pre Admission Clinic Managing Attendance Numbers (PACMAN)

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
Improving Outpatient Services Across Bega Valley Health Service

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
St Vincent's Hospital Surgery Redesign

St Vincent's Hospital Surgery Redesign

A program of work to improve theatre efficiency and redesign surgical patient flow at St Vincent's Hospital, Darlinghurst. Results include a reduction in elective day of surgery cancellations from an average of over 8.4% to 3.9% and achieving the target (less than 2%), on time starts have improved from 37% to 55% and theatre throughput has increased with no increase in staffing or budget....
St Vincent's Hospital
Added: 13 July 2012|Last updated: 17 October 2014
Cleaning for Sustainability

Cleaning for Sustainability

By choosing to use steam cleaning and microfibre cloths, water use could be minimised, as could the need for frequent staff exposure to cleaning chemicals as the microfibre cloths used no chemicals with minimal water and the steam cleaners use supersaturated dry steam. The steam cleaners were used on all surfaces including floors in patient rooms, bathrooms, utility rooms, and corridors. (i.e. wherever there were hard floor surfaces such as vinyl, tiles or linoleum.), but could also be used to...
Southern Health, Victoria
Added: 23 July 2012|Last updated: 1 October 2014
Patient Reception - Bursting the Bottleneck

Patient Reception - Bursting the Bottleneck

At the Sydney Sexual Health Centre, the addition of fast track services had a negative impact on reception of clients, substantially increasing administration staff workload and causing reception bottlenecks. These bottlenecks increased the length of the patient journey, with patients experiencing long wait times before seeing a clinician. A Computer-Assisted Self-Interviewing (CASI) system was developed enabling patients to electronically self-register for appointments. The new system produced reductions in reception process time, medical record preparation, registration time....
Sydney Sexual Health Centre
Added: 14 November 2012|Last updated: 30 September 2014
Green Cleaning System

Green Cleaning System

In 2008, the Green Cleaning system, which is a hygienic and infection free cleaning system, was introduced in Long Bay Hospital (LBH). The Green Cleaning system involves pre-soaking equipment with a solution of approximately 150% of the dry weight of the micro-fibre mop or cloth for 15 minutes, in order to ensure that moisture is absorbed evenly throughout mops and cloths. This system has many advantages over conventional cleaning systems in that it is cost effective in chemicals, equipment and...
Long Bay Complex - including Long Bay Hospital and Metropolitan Special Programs Centre - Adult Correctional Centre
Added: 10 January 2012|Last updated: 30 September 2014
Centre for Healthcare Redesign (CHR) Graduate Certificate Program

Centre for Healthcare Redesign (CHR) Graduate Certificate Program

Aim: The Centre for Healthcare Redesign (CHR) Program aims to: Increase capability within the Health System to deliver, redesign and service improvement activities;&...
Benefits: The CHR Graduate Certificate Program builds capability in Project Management, Change Management and Redesign through a combination of eLearning, face-to-face tr...
11 August 2016
Implementation of the Statewide Pain Plan

Implementation of the Statewide Pain Plan

Aim: To document and implement a statewide pain strategy to reduce the burden of chronic pain in the community.
Benefits: Following the implementation of the NSW Pain Plan, there will be greater access to expert services, and improved support for primary care, for people living in ...
20 January 2014
Improving the Medical Inpatient Journey with Criteria Led Discharge

Improving the Medical Inpatient Journey with Criteria Led Discharge

Aim: To reduce delays when a patient is medically ready to return home from hospital.
Benefits: A formalised criteria-led discharge process has the potential to: Improve patient experience: patients are able to get home sooner;  Enhance patient safet...
30 May 2014
State Cardiac Reperfusion Strategy (SCRS)

State Cardiac Reperfusion Strategy (SCRS)

Aim: To improve care for all patients in NSW with a suspected Acute Coronary Syndrome (ACS) and reduce the time from symptom onset to reperfusion for patients with S...
Benefits: Care is tailored to specific settings so that all patients, regardless of their geographical location or presentation pathway can benefit from early access to s...
21 May 2015
NSW Subcutaneous Insulin Prescribing Chart

NSW Subcutaneous Insulin Prescribing Chart

Aim: To standardise an adult subcutaneous insulin chart and minimise risks in insulin prescription, administration and documentation.
Benefits: The chart combines prescription and administration with blood glucose, ketone monitoring and glycaemic management. It links all the necessary information for gl...
16 July 2015
Endoscopy Information System (EIS)

Endoscopy Information System (EIS)

Aim: To develop a high-quality endoscopy reporting system to ensure that an accurate assessment of NSW endoscopy services can be undertaken against accepted pat...
Benefits: The implementation of a standard EIS across NSW Health will:Provide accurate statewide information on endoscopic procedures carried out in NSW public ...
23 September 2014
Understanding the Role of Health Economics at ACI

Understanding the Role of Health Economics at ACI

Aim: Improved decision-making to support the delivery of sustainable, system-wide change proposals. 
Benefits: Describes how health economics will be integrated into the work of the ACI;  Articulates the objectives and principles of the ACI economics function and te...
20 January 2014
Electronic Persistent Pain Outcome Collaboration - routine patient outcomes reporting of pain management intervention

Electronic Persistent Pain Outcome Collaboration - routine patient outcomes reporting of pain management intervention

Aim: The NSW pain plan provided funding and an outline of a system of collecting and analyzing data from NSW pain clinics which quantified patient outcomes...
Benefits: The routine collection and analysis of data regarding patient outcomes is an important aspect of service delivery and improvement. The data enables benchmarking...
25 February 2015
Clinical Innovation Program – Spread of Innovation

Clinical Innovation Program – Spread of Innovation

Aim: The aim of the ACI Clinical Innovation Program is to:Accelerate implementation of ACI Models of Care and Guidelines; Assist in the sharing and sp...
Benefits: Improved implementation and system uptake of models, with demonstrated patient and health system benefit; Reduction in time and effort for LHDs to replicat...
7 August 2014
Surgery Redesign School

Surgery Redesign School

Aim: The School is aimed at project leaders who are responsible for implementation of surgical models of care, or improving operating theatre efficiency.
Benefits: Increased awareness and skills in project management, change management and Accelerated Implementation Methodology (AIM). 
30 May 2014
Nurse Delegated Emergency Care (NDEC) Project

Nurse Delegated Emergency Care (NDEC) Project

Aim: To provide timely, quality care for patients presenting to EDs in rural and remote areas with low risk, low acuity conditions, and to empower Registered Nu...
Benefits: For patients - access to timely and quality care for less-urgent conditionsFor nurses - a validated and authorised framework to work within their scope of pract...
17 August 2016
Understanding Program Evaluation: An ACI framework

Understanding Program Evaluation: An ACI framework

Aim: To provide a framework for undertaking evaluations of programs and projects. Programs include projects, models of care, clinical pathways and guidelines, and ot...
Benefits: High-quality evaluation supports accountability and provides a rigorous evidence base toinform health-service development and program design.Program evaluation ...
18 November 2013
Accelerating Implementation Methodology (AIM)

Accelerating Implementation Methodology (AIM)

Aim: To increase Implementation capability across NSW Health; To embed AIM principles in large-scale program and model of care implementation; To apply AIM...
Benefits: Given the scale and pace of change-initiatives there is an ongoing demand for increased capability in applying AIM principles across the NSW Health system. The ...
17 January 2014
Develop and Implement an ACI Knowledge Management (KM) Approach

Develop and Implement an ACI Knowledge Management (KM) Approach

Aim: To partner with Health Services to develop and implement an approach that supports collaboration, learning capability and sharing knowledge about innovation and...
Benefits: A robust KM approach will serve NSW Health by ensuring: Both small and large-scale innovations and improvements generated across health services are recognised...
30 May 2014
Support Network for the Local Health District Redesign and Innovation Leaders Group

Support Network for the Local Health District Redesign and Innovation Leaders Group

Aim: To enable, support and challenge group members to achieve their mission of driving healthcare quality and efficiency through shared knowledge, collaborative com...
Benefits: This network can generate significant momentum for local and system change by optimising relationships within and across clinical and geographical boundary line...
5 August 2016
High Volume Short Stay Surgical Units (HVSSS)

High Volume Short Stay Surgical Units (HVSSS)

Aim: The HVSSS  Unit Model emerged as a model of care from the Surgery Futures – A Plan for Greater Sydney project (released January 2011). This toolkit p...
Benefits: Improved access to planned surgical services;  Improved service efficiency, regarding both operating theatre and bed utilisation;  Extended range of p...
30 May 2014
Health Pathways Implementation and Evaluation

Health Pathways Implementation and Evaluation

Aim: The ACI is supporting three sites to implement and four sites to evaluate Health Pathways. Local services review and clarify their patient pathways between prim...
Benefits: Creates clear referral pathways between services Provides comprehensive service information for referring clinicians Links clinicians to the appropriate best pr...
5 December 2013
Clinical Variation in 30 Day Mortality for Acute Myocardial Infarction

Clinical Variation in 30 Day Mortality for Acute Myocardial Infarction

Aim: To examine clinical variation in 30 Day mortality for patients presenting with Acute Myocardial Infarction to hospitals throughout NSW.
Benefits: Increased understanding of the factors that contribute to unwarranted clinical variation (UCV) in 30 day mortality for Acute Myocardial Infarction. If UCV is co...
6 November 2013
Acute Myeloid Leukaemia (AML) Model of Care

Acute Myeloid Leukaemia (AML) Model of Care

Aim: To optimise the quality of care for patients with AML and enable a consistent approach to the provision of care. It provides a set of principles and outlines th...
Benefits: Key points included in this model are:Mechanisms to ensure early identification and referral to an AML treatment centreA multidisciplinary team (MDT) approach t...
10 July 2015
Mapping of Services within NSW Health for People with an Intellectual Disability

Mapping of Services within NSW Health for People with an Intellectual Disability

Aim: Develop a web based service directory of available NSW Health service and resources for people with an Intellectual Disability. Identify existing specialist ser...
Benefits: Information collected will be developed into a web based service directory for use by clinicians/health professionals, consumers and their families/carers. The ...
2 June 2014
Operating Theatre Efficiency Strategies

Operating Theatre Efficiency Strategies

Aim: Following the Auditor-General’s report, Performance Audit: Managing operating theatre efficiency for elective surgery, the ACI will work with the Ministry...
Benefits: Increased collaboration and support for operating theatre efficiencies.
20 January 2014
Specialist Outpatient Services Improvement Project

Specialist Outpatient Services Improvement Project

Aim: This collaboration is designed to support the achievement of providing equitable access to timely, quality care, efficiently and sustainably, in the outpatient ...
Benefits: It is intended that this initiative will provide the system leadership and direction required to achieve the following service outcomes:Services that are respon...
10 October 2014

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