ACI Clinical Innovation Program
The NSW Agency for Clinical Innovation (ACI) is a leader in the design and implementation of innovation in healthcare. The ACI established the Clinical Innovation Program in 2014 to discover, develop and provide support for the successful implementation of clinical innovation.
The Clinical Innovation Program has two streams: Acceleration of an ACI project and Spread of Innovation.
Acceleration of an ACI Project
This stream of the Clinical Innovation Program supports clinical innovation in the NSW health system, with a focus on accelerating implementation of ACI Models of Care/Frameworks. The project is submitted through ACI ’s Clinical Networks, Institutes and Taskforces for the potential to accelerate implementation.
Projects that have been accelerated so far include:
- 2013/14 – The 7 Minimum Standards for Fractured Hip in the Older Person
- 2014/15 – Building Partnerships: A Framework for Integrating Care for Older People with Complex Health Care Needs
- 2015/16 – Intensive Care Service Model: NSW Level 4 Adult Intensive Care Units
- 2016/17 – Intensive Care Service Model: NSW Level 4 Adult Intensive Care Units (phase II)
- 2016/17 – Multipurpose Services
Spread of Innovation
Across NSW, clinicians, managers, consumers and carers are designing and delivering new, efficient and effective ways to deliver services, achieving positive change for consumers, carers, communities and clinicians. The ACI Clinical Innovation Program outlines new models of care that have been developed by teams of local healthcare providers in NSW; clinical innovators who identified a need for change and addressed the need by designing and implementing new models of care. These models are not clinical practice guidelines, but instead models based on “real life” examples of local practices, developed and implemented to improve experiences and outcomes for consumers and communities. These models of care are available to providers across the state to read, consider, and identify local opportunities for change for and improvement.
The methodology for enhancing the ‘Spread of Innovation’:
- Prioritisation: Local innovations are identified and assessed for state-wide applicability, these innovations are sourced and prioritised based upon sustainability and relevance to emerging trends within the health field.
- Assessment: Once the identified innovation (now known as model) has been prioritised, it is evaluated by ACI to formally review the benefits of the model and confirm sustainability for the model in the future.
- Network Alignment: The appropriate ACI Clinical Network reviews the model to ensure that it is contemporary and evidence based. The ACI Clinical Network will also advise if there are comparable models existing at other health facilities.
- Environmental Scan: Comparable models across NSW Health that were identified by the appropriate ACI Clinical Network, are assessed for similarities and additional innovations are mapped and reviewed for metropolitan, rural and regional suitability.
- Document Innovation: Once the previous steps are complete, the concept is ready to be drafted into a model for implementation. It is circulated to industry professionals, ACI Clinical Network Co-chairs and other key stakeholders for comment and once endorsed, is considered ready for implementation.
- Implementation: Implementation of the model will be supported by ACI through an EOI process. Once selected, the ACI will work closely to support multiple Local Health Districts to implement each model developed as part of the Clinical Innovation Program.
Models developed so far
Specialist Geriatric Outreach
Specialist Geriatric Outreach to residential aged care facilities (RACF) aims to maintain the health and independence of older people living in residential care. Specialist geriatric outreach services provide rapid access to medical and nursing care for older people experiencing rapid decline, in the RACF. This is an effective strategy for keeping older people well in their homes, reducing avoidable hospital presentations and/or admissions, supporting the older person’s choice for treatment in his/her home and reducing healthcare costs.
The Implementation sites for Specialist Geriatric Outreach are:
- Coffs Harbour
- St Vincent’s Hospital
For more information, please contact Elizabeth Bryan at: Elizabeth.firstname.lastname@example.org
View the NBN News report on the Specialist Geriatric Outreach project.
Specialist Geriatric Outreach Infographic
Service Access and Care Coordination Centres
Service Access and Care Coordination Centre model aims to support client’s self-management, informed and participative decision making, and improve access to and coordination of services. This integrated approach aims to reduce duplication of effort by service providers. The Service Access and Care Coordination Centre Model operates on the principle of ‘no wrong door’ and providing the ‘right care, right place, right time’
The Participating LHDs for Service Access and Care Coordination Centres are:
- Illawarra Shoalhaven Local Health District
- Northern Sydney Local Health District
- Sydney Local Health District
Infographic for Service Access and Care Coordination Centres
- Enhanced Management of Orthopaedic Surgery: a case study in innovation PDF, 846.68 KB
The document describes the successful implementation of a program at Coffs Harbour Health Campus that has improved outcomes for people having joint replacement surgery.
- Home Oxygen Discharge: a case study in innovation PDF, 936.41 KB
This document outlines the successful implementation of processes in the Northern Sydney LHD, which have improved the access and use of short term oxygen therapy for patients discharged from hospitals within the district.
The Implementation Guide has been developed to support the translation of a model into an effective and sustainable new way of working. It aims to guide the reader in a step-wise fashion, through the three phases of Implementation and the various steps involved.
The guide is accompanied by a number of resources and tools to assist the implementation process:
- A3 Implementation cheat sheet (PDF 178KB)
- Implementation Project Management Plan template (DOC 91KB)
- Implementation Time Line template (XLS 28KB)
- Implementation Status Reporting template (DOC 57KB)
- Implementation Communication Plan template (DOC 39KB)
- Guide on How to Process Map (PDF 334KB)
- Root Cause Analysis tool – 5 whys (XLS 58KB)
- Implementation Risk and Issues template (XLS 45KB)
- Implementation TOR template (DOC 167KB)
- Implementation Agenda template (DOC 165KB)
- Implementation Minutes template (DOC 167KB)
- Implementation Poster Presentation template (PPT 104KB)
- Memo template (DOC 165KB)
For more information please contact
Associate Director - Clinical Implementation
(02) 9464 4743