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Research
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
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
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
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
Impact of Physiotherapy Care in the Emergency Department
This study will pool data from multiple sites to quantitatively demonstrate the relative efficiency of physiotherapy service compared with the usual care provides for patients presenting to ED with musculoskeletal conditions (triage category 3-5). The study will compare waiting times and overall length of stay for patients presenting to ED with an isolated musculoskeletal injury treated by the physiotherapy practitioner and this data will be compared to the treatment provided by usual care providers to determine if there is a...
Westmead Hospital
Added: 30 October 2014|Last updated: 30 October 2014
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

ACI Research Framework
Aim: To guide all research the ACI undertakes, commissions or partners in, to ensure this research meets the highest ethical, scientific, regulatory and professional...
Benefits: This framework ensures that ACI research meets the highest ethical, scientific, regulatory and professional standards.
15 October 2014
Rural Innovations Changing Healthcare (RICH) Forum
Aim: To offer a conference without the travel where projects can be presented from the nearest participating venue. RICH is an annual ‘virtual’ foru...
Benefits: Using a combination of face to face, videoconference and social media, the one day forum links 17 satellite hubs across rural NSW bringing together a mix o...
10 October 2014
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
Palliative and End of Life Care: A Blueprint for Improvement
Aim: The Blueprint aims to guide services and Local Health Districts in constructing their own localised models of care.
Benefits: The Blueprint emphasises the need for an integrated approach to care whereby relationships between specialist palliative care providers and care providers acros...
22 February 2016
Emergency Surgery Redesign
Aim: To provide a reference tool for Local Health Districts when initiating the redesign of emergency surgery practices.
Benefits: There are multiple benefits, including:Improved patient outcomesEnhanced patient and surgical team satisfactionIncreased trainee supervision in emergency surger...
30 May 2014
48 Hour Follow Up Evaluation
Aim: To determine what proportion of eligible patients receive follow up; and whether the provision of enhancement funding has had any impact on rates of follow up.&...
Benefits: The 48 Hour Follow Up program was conceived as a result of the NSW Walgan Tilly Redesign project, which aimed to address gaps in health care and to improve...
5 January 2016
ACI Building Co-design Capability Strategy
Aim: The Strategy aims to build capability in patient experience and co-design thinking, methods and practices within the ACI and across NSW Health by empl...
Benefits: Delivering more person-centred and sustained health care improvement as a result of working in partnership with consumers, carers and health care workers.Strong...
8 December 2016
Rural Health Network
Aim: To provide a co-ordinated approach to the implementation of models of care and innovation for rural communities, including the use of technology; To develo...
Benefits: To support rural and remote clinicians and provide co-ordination between ACI, health service providers and consumers in rural areas to inform and drive improved...
20 January 2014
ACI Guidelines for Home Enteral Nutrition (HEN) Services (2nd edition)
Aim: To provide a generic best-practice framework for the care of people needing HEN.
Benefits: The ACI Guidelines for HEN services promote a coordinated, multidisciplinary and patient-centred approach for people requiring HEN.
13 April 2015
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
NSW Rehabilitation Model of Care
Aim: To implement a consistent model of care for rehabilitation services which supports equity of access, appropriateness of care, and the provision of care in the l...
Benefits: Through the provision of early, intensive rehabilitation, patients will benefit from:
Shorter lengths of stay in hospital due to more intensive therapy service...
20 January 2014
Osteoarthritis Chronic Care Program (OACCP) Model of Care
Aim: The OACCP aims to provide interventions that support people with osteoarthritis of the hip and/or knee to:
Self-manage their condition and co-morbidities; ...
Benefits: The OACCP model of care has been implemented and evaluated in eight LHDs in NSW. Most of the participants have been on the NSW public hospital wa...
9 February 2015
Blood and Marrow Transplant Environmental Cleaning (BMTEC) Project
Aim: To ascertain the methods by which units are cleaned (e.g. frequency and process), resourcing, training, and education of environmental service personnel and cli...
Benefits: With the support of the BMT Network Council and ACI, the BMTEC project provides the following benefits: (i.) Enhanced compliance with the Environmental Cleanin...
20 April 2018
Toolkit for Adolescents and young people with chronic pain: Supporting transition or direct entry to adult services
Aim: To develop a statewide toolkit of resources to assist pain clinics managing adolescents and young people aged 14-25 years with chronic and complex pain. The too...
Benefits: The experience of young people entering adult services will be assisted by having age appropriate treatments, approaches and resources available.
The transition...
26 April 2016
Home Enteral Nutrition (HEN) Factsheets and Brochures
Aim: To provide information about HEN for consumers and health professionals.
Practical information for health professionals about HEN in NSW.
Benefits: Improved support for consumers accessing HEN services.
13 April 2015
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
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
Care of Adult Patients in Acute Care Facilities with a Tracheostomy
Aim: To improve the safety and quality of care provided to adult patients with a tracheostomy in NSW hospitals.
Benefits: Reduce number of, and severity of adverse events in adults with tracheostomy
Improve patient experience and outcomes
Improve staff experience in caring for pati...
26 June 2015
The Nutrition and Mental Health Toolkit
Aim: The purpose of the toolkit is to provide guidance, tools and resources to support the:Implementation of the Nutrition Standards for Consumers of Inpatient Menta...
Benefits: The toolkit will assist LHDs / Networks and/or facilities in both developing and implementing an action plan to meet the requirements of the Nutrition Standards...
13 April 2015
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
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
Minimum Standards for Safe Procedural Sedation
Aim: To support the safe provision of procedural sedation (in non-operating-theatre settings) across NSW public hospitals, ensuring all clinicians who provide sedati...
Benefits: A consistent approach for procedural sedation across NSW, Local Health Districts (LHDs) and hospitals;
Appropriate skills and training for all clinicians ...
21 August 2015
Nutrition Standards for Paediatric Inpatients in NSW Hospitals
Aim: To define the types and amounts of foods that must be offered to paediatric patients on standard hospital menus.
Benefits: An evidence-based guide on food and nutrition for paediatric patients in hospital.
20 June 2014
Diagnostic Report to Inform the Model for Palliative and End of Life Care Service Provision
Aim: The Diagnostic Report aims to define the problems associated with the provision of palliative and end of life care and to better understand the root causes of t...
Benefits: This Diagnostic phase has identified key challenges in the provision of care to people approaching and reaching the end of life. By identifying and refining the...
5 August 2014
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
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
Parenteral Nutrition Factsheet
Aim: To provide introductory information about parenteral nutrition for patients and their carers. Parenteral nutrition is a specialised nutrition solution deli...
Benefits: Improved information for consumers accessing parenteral nutrition.
20 June 2014
Nutrition Standards for Adult Inpatients in NSW Hospitals
Aim: To define the types and amounts of foods that must be offered to patients on standard hospital menus in NSW.
Benefits: To provide an evidence-based guide on food and nutrition in hospitals.
13 April 2015
Diet Specifications for Adult Inpatients
Aim: To provide detailed specifications for a range of therapeutic diets for adults in NSW public hospitals.
Benefits: The specifications provide an evidence-based guide on food and nutrition for adult inpatients in hospital.
13 April 2015
1 Deadly Step
Aim: The 1 Deadly Step program promotes screening, early detection and follow up of chronic disease in Aboriginal communities in NSW. The unique component of 1 Deadl...
Benefits: The 1 Deadly Step project is an initiative of the Chronic Care for Aboriginal People Program (CCAP). This project demonstrates how the CCAP Model of Care c...
4 January 2016
NSW Pain Clinic Referral Form and Process
Aim: To provide a consistent method when making a referral from primary care to a tertiary pain service, irrespective of where the service is located.
Benefits: All services will have the same triage criteria and process for accepting patients from primary care.
17 November 2014
Care of Confused Hospitalised Persons (CHOPs) program
Aim: Provide simple strategies to improve the care outcomes of older patients with confusion in NSW hospitals, through:increased staff knowledge and skills to i...
Benefits: Increased screening, improved risk assessment and more appropriate treatment and management of confusion.Increased awareness, knowledge and skills of staff to b...
14 August 2015
NSW Standardised Pain Charts (adult)
Aim: Development and implementation of statewide charts to be used at the bedside when delivering Patient Controlled Analgesia (PCA), ketamine infusions and neuraxia...
Benefits: Benefits include improved safety and quality of care for patients.
15 December 2014
Pleural Drains in Adults - Consensus Guidelines
Aim: Improve the standard of clinical practice in the insertion, management, trouble shooting and removal of pleural drains in adults within NSW hospitals.
Benefits: Improve patient experience and outcomes.
Increase awareness of ‘good’ practice in relation to pleural drains.
Support managers and clinicians to imp...
15 January 2016
NSW Chronic Pain Clinics Information Flyer
Aim: To provide information to consumers and primary care clinicians on the purpose and approach of various pain management services, alongside relevant contact deta...
Benefits: Benefits include improved information for consumers on available pain-management services in NSW. The flyer outlines each of the publicly-funded pain management...
22 January 2014
Inclusion in Mainstream Health Services: Using Visuals for people with intellectual disability
Aim: This project aims to improve communication between people with disabilities and health professionals in busy mainstream healthcare environments by developing an...
Benefits: Using visual aids for people with intellectual disability in busy healthcare environments can assist with communication and allay fear and confusion for t...
10 July 2015
Nutrition Standards for Consumers of Inpatient Mental Health Services in NSW
Aim: To define the types and amounts of foods that must be offered on the menu for people admitted to inpatient mental health facilities in NSW .
Benefits: Implementing the standards will:Support recovery; Help people achieve good physical and mental health; Meet the needs and expectations of consumers.
13 April 2015
Standards for High Risk Foot Services (HRFS) in NSW
Aim: “The Standards” will be used to:Provide a consistent definition for HRFSReduce clinical variation, aligning existing services tostate, national and ...
Benefits: Facilitate equity of access to an appropriate level of foot care for all patients in NSW by supporting a basis for standardising the clinical servicesImprove ca...
18 June 2015
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
Telehealth Pilot for Pain Management
Aim: To implement the telehealth toolkit and test and modify its application in the real setting of a pain clinic.
Benefits: Telehealth is a modality that can be utilized to improve access for people to specialized healthcare who live in rural and remote regions.It also provides suppo...
16 July 2015
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
Home Enteral Nutrition (HEN) Cards
Aim: To improve HEN care and communication between health professionals, via practical reference cards.
Benefits: Improved support for consumers accessing HEN services.
13 April 2015
The Musculoskeletal Primary Health Care Initiative
Aim: The Musculoskeletal Primary Health Care Initiative aims to plan, implement and evaluate a ‘one-stop’ program of care within primary care settings fo...
Benefits: The Musculoskeletal Primary Health Care Initiative proposes the benefits will be that validated musculoskeletal models of care can be provided in primary health...
9 February 2015
ACI Innovation Awards
Aim: ACI Innovation Awards were introduced at the seven rural Local Health District Quality Awards 2014, and at the HETI Statewide Rural Health and Researc...
Benefits: Winning projects are loaded onto the new ACI Innovation Exchange, replacing Australian Resource Centre for Healthcare Innovation (ARCHI) as a one-stop-shop for ...
10 October 2014
Osteoporosis Refracture Prevention Model of Care
Aim: To ensure people who sustain a minimal trauma fracture have access to early identification, diagnosis, treatment, and follow-up for osteoporosis.
Benefits: Benefits include improved patient outcomes, better utilisation of hospital services, and reductions in health system costs for at risk people.
9 February 2015
Chronic Pain and Spinal Cord Injury Project
Aim: The aim of this initiative was to provide web-based resources for consumers who live with spinal cord injury and chronic pain in addition to a clinical navigati...
Benefits: The project has developed extensive resources and a service model that are now accessible to consumers and clinicians.
12 February 2015
NSW Health Coaching Panel (pilot phase)
Aim: Establish a coaching panel to provide high quality, easy to procure coaches for the health services to:build capability for improvement, implementation and lead...
Benefits: High quality coaches will be pre-assessed and appointed to the coaching panel.LHD / SHN Senior Project Leads and Managers will increase capability for...
7 August 2014
Reducing Unwarranted Clinical Variation (UCV) Taskforce
Aim: To oversee the development and implementation of a system-wide approachto identify, address and reduce Unwarranted Clinical Variation (UCV).
Benefits: To refine care processes and implement evidence-based models of care tosupport improved patient outcomes.
17 November 2013
Regional Aged Care Hospital Avoidance Compendium Report 2014
Aim: To provide a snapshot of current established Regional Aged Care Hospital Avoidance Models of Care as a ‘one-stop-shop’ for service providers to view...
Benefits: The Compendium will provide a synthesis and analysis of options; programs, the resources and partnerships required for implementation and sustainability, key st...
10 October 2014
Rehabilitation Implementation Toolkit
Aim: To facilitate the implementation of the Rehabilitation Model of Care.
Benefits: The Toolkit assists Rehabilitation Implementation leads and other key LHD stakeholders to understand the value delivered in current care settings, while i...
16 January 2014
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
WentWest Child Development Care (CDC) Coordination Project Evaluation
Aim: To improve the health, growth and development of children through awareness of developmental concerns and service supports.
Benefits: Early identification of need and awareness of services to support patients and families and professionals.
16 July 2015
Stroke Clinical Variation Statewide Strategy (SCVSS) & Stroke Clinical Audit Process (SCAP) V2
Aim: The SCVSS will ensure the delivery of best quality care through a process which regularly assesses clinical variation , determining and correcting its cau...
Benefits: Reduction in mortality and functional outcomes for stroke (ischaemic and haemorrhagic) patients admitted to NSW public hospitals.
14 July 2015
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
Cystic Fibrosis Model of Care
Aim: Maintain or improve the health and wellbeing of people with CF
Provide consumers with greater choice for how and where care can be safely and effectively provid...
Benefits: Better meet the health care needs of people with CF in NSW now and into the future
Build capacity within the health system to provide timely and effective care
15 January 2016
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
Music & Memory
Aim: To improve the experiences of consumers in NSW Health services through Music & Memory.
Benefits: International evaluations have shown that Music & Memory:reduces depression, anxiety and painhelps awaken the mind and restore identityparticipants are happ...
4 August 2016
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
Minimum Standards for the Management of Hip Fracture in the Older Person
Aim: To improve the outcomes of patients with fractured hips requiring surgery and management in NSW.
Benefits: Reduced medical complications, reduced hospital stays and improved patient outcomes.
7 April 2015
Pain Management Network Website
Aim: Provide freely accessible, evidence based information to consumers with chronic pain; Provide evidence based tools and resources for clinicians to assist t...
Benefits: A major objective of the NSW pain plan is to support the management of chronic pain in the primary care setting. The development of an evidenced based webs...
20 June 2014
Eye Emergency Manual - Smart Phone App
Aim: To provide a quick and simple guide to recognizing important signs and symptoms and management of common eye emergencies for medical and nursing staff in Emerge...
Benefits: This initiative has provided easy access to highly graphical overview of signs, symptoms and management of common eye emergencies.
2 June 2014
Fascia Iliaca Blocks for older people with hip fracture
Aim: To develop a toolkit of resources facilitating Fascia Ilaica Block (FIB) as a method of pain management in hip fracture.
Benefits: To assist in the practical application of effective pain management as referred to in the Minimum Standards for Hip Fracture;
To reduce the harm arising f...
9 November 2015
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
Community Acquired Pneumonia Clinical Variation
Aim: To assist clinicians and managers within NSW hospitals to investigate and address clinical, process and systems factors that may contribute to unwarranted varia...
Benefits: Improve patient outcomesReduce unwarranted variation in outcomes following admission for CAP
26 June 2015
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
12 Key Learnings from the Diagnostic Report to Inform the Model for Palliative and End of Life Care Service Provision
Aim: To present the 12 Key Learnings from the Diagnostic process that will directly inform the Model for Palliative and End of Life Care (PEoLC) Service Provision in...
Benefits: The key learnings of the Diagnostic Report provide the ACI with the basis on which to develop solutions and a Model of Care that directly address the core ...
5 August 2014
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
NSW Stroke Reperfusion Project (SRPP)
Aim: To improve early access to thrombolysis for ischaemic stroke patients.To improve pre-hospital assessment by paramedics for identification of stroke through a va...
Benefits: There are multiple benefits involved in this project:To train paramedics in the application of the ‘FAST’ (Face, Arm, Speech and Time) stroke assess...
25 June 2015
How to Develop and Implement a Model of Care
Aim: Providing a methodology for ACI networks to use when creating a model of care (MoC), and to assist networks to implement models that they have developed.
Benefits: Brings together change-management techniques to create five key phases when developing a model of care: Project Initiation; Diagnostic; Solution Desig...
18 November 2013
Medical Imaging District Services (MIDS) Implementation Toolkit (business model)
Aim: To assist Local Health Districts implement a more business-like approach to the delivery of Medical Imaging clinical services for sustainability and better pati...
Benefits: Timely access to services and reporting to enable better patient care
Appropriate referrals, optimal use of imaging
Economies of scale across the LHD reduc...
25 February 2015
Patient Experience and Consumer Engagement (PEACE) Methodology
Aim: The Patient Experience and Consumer Engagement (PEACE) methodology supports the ACI’s ongoing commitment to promote meaningful engagement and consumer-led...
Benefits: The PEACE methodology captures consumer input and harnesses direct patient and carer experience to inform ACI activities.
23 February 2015
A Clinician’s Guide: Caring for people with gastrostomy tubes and devices
Aim: The Guidelines are a practical resource for clinicians to assist them in providing standardised care for children and adults who have a gastrostomy tube or devi...
Benefits: The Guidelines provide a practical, evidence-based approach to the care of patients with gastrostomy tubes and devices in NSW.
13 July 2015
Factsheet on Food and Nutrition in NSW Hospitals
Aim: To provide introductory information for patients and their carers about food and nutrition care in NSW hospitals.
Benefits: Benefits include clear information for consumers on food and nutrition care provided in hospital.
13 April 2015
Telehealth Resource Package
Aim: To assist in the implementation of Telehealth as a service delivery method.
Benefits: Telehealth is a tool that can improve the delivery of health care programs to patients and provide equity of access, especially for people who may be disadvanta...
3 March 2016
Framework for the Statewide Model for Palliative and End-of-Life Care Service Provision
Aim: To inform the development of a comprehensive model of care for equitable palliative and end-of-life care service provision in NSW.
Benefits: The Framework is the foundation for advancing work towards the Network’s vision that all NSW residents have access to quality care based on assessed need ...
20 January 2014
Pre Procedure Preparation / Perioperative Toolkit
Aim: To review the NSW Health Guideline: Pre-Procedure Preparation Toolkit.
Benefits: To review the existing toolkit to ensure it supports best practice for pre procedure care for patients undergoing surgery or a procedure.The existing toolkit wa...
11 August 2015
Investigating Clinical Variation in Acute Care
Aim: The aims of the ACI Investigating Clinical Variation in Acute Care project are to identify clinical variation in the inpatient management of COPD, CAP and CHF a...
Benefits: Unwarranted clinical variation (UCV) is an ongoing barrier to providing safe and effective care for patients. Recognising and addressing UCV has been identified...
13 March 2017
Guidelines for Research in the Area of Intellectual Disability
Aim: To guide people interested in conducting research in the field of intellectual disability, including how to include people with intellectual disability themselv...
Benefits: Research guidelines are often not tailored to inclusive research for people with intellectual disability. This paper suggests different models of how this may o...
12 November 2013
Stroke and Vision Defects Study: Phase 1 Validation of a Vision Screening Tool
Aim: To validate the effectiveness of the Tool developed for use by stroke clinicians, in detecting the presence of vision defects in patients diagnosed with stroke.
Benefits: The Vision Screening Tool will facilitate rehabilitation and recovery for patients with stroke by detecting both acquired and long standing vision defects.
3 July 2014
Hepatitis C: A guide to current treatment and care
Aim: To provide health care managers and staff with information to help design and implement services for the best care for patients with hepatitis C in their own en...
Benefits: Improvements in clinical practice and patient care.
9 December 2014
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
Statewide Burn Injury Service (SBIS) Telehealth Project
Aim: To establish a Telehealth model of care for the Statewide Burn Injury Service.
Benefits: There is significant potential for Telehealth to focus on patient centred care and improve the quality of care for:Patients by providing services that will allo...
16 April 2015
Guidelines for the use of Telehealth for Clinical and non-Clinical Settings in NSW
Aim: The Agency for Clinical Innovation (ACI) Rural Telehealth Working Group has developed state-wide Guidelines for those using telehealth across NSW. The aim of th...
Benefits: Ability to reduce wait times;
Focus on patient centred care closer to home;
Additional way of providing broader care options;
Implementation o...
3 March 2016
Non-Invasive Ventilation (NIV) Guidelines for Adult Patients with Acute Respiratory Failure
Aim: Provide clinicians in critical care areas and specialist respiratory care units with best practice guidance regarding the provision of NIV for appropriately sel...
Benefits: Improve patient experience and outcomes
Reduced need for invasive ventilation, prolonged mechanical ventilation and tracheostomy
Reduce length of stay
26 June 2015
Transition Care Principles
Aim: The principles document for the transition of young people with chronic conditions from paediatric to adult care has been developed by the Agency for Clinical I...
Benefits: Despite agreement about the importance of effective transitional care, there is little evidence to inform best practice about both the process of and what const...
20 October 2014
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
Improving Patient Outcomes from Cataract Surgery Study
Aim: The primary aim of the research is to explore patient-centred outcomes of cataract surgery in Australia and the effectiveness of currently available tools to as...
Benefits: While there is a large body of knowledge describing visual improvement following cataract surgery, we currently know little about the expectations that Australi...
8 December 2014
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
Catalogue of Research on Intellectual Disability (NSW)
Aim: Identify current research and research gaps concerned with intellectual disabilities.
Benefits: Awareness of what research is current in the field of intellectual
disability in NSW, including gaps, funding sources, and identification of
suggestions for min...
4 December 2013
Access to Health Services for People with Intellectual Disability: The Patient Story
Aim: To
inform people with intellectual disability, and their carers, about how the health
system works to address their needs; To
give health professionals ins...
Benefits: Adapting the health service needs of people with intellectual disability
according to their identified needs.
4 December 2013
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
Assistants to the Anaesthetist
Aim: During an episode of anaesthesia, the anaesthetist must be assisted by another appropriately trained person, in order to ensure the safety and quality of care f...
Benefits: Standardising education and training requirements for the anaesthetic assistant;
Ensuring safe and efficient anaesthesia;
Ensuring anaesthetic assis...
21 August 2015
Model of Care for Prevention and Integrated Management of Pressure Injuries in People with Spinal Cord Injury and Spina Bifida
Aim: To promote a model of care which focusses on supporting self-management and education strategies for the person with Spinal Cord Injury (SCI) / Spina Bifida (SB...
Benefits: There are an estimated 6,500 individuals living in NSW with spinal cord injury (SCI) and spina bifida (SB), who have an overall lifetime incidence of press...
7 June 2016
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
Blood and Marrow Transplantation Long Term Follow Up (LTFU) Project
Aim: The primary goal of this project is to develop clinical guidelines for management of patients following allogeneic blood and marrow transplant. The guidelines a...
Benefits: LTFU assists early recognition of complications, survival and quality-of-life issues for patients post-BMT transplant. These benefits have been supported b...
5 August 2016
Framework for Urinary Continence in Children and Young People
Aim: This initiative aims to provide leadership, support and advice on development of a framework for paediatric urinary continence that includes evidenced based gui...
Benefits: The potential benefits include:
development of state wide evidenced based guidelines for clinicians that aim to improve patient care
development of an educatio...
4 January 2016
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