Arthur Kadhani says:
Arthur Kadhani is trialling a new model of care to improve interdisciplinary communication in clinical practice at the Redcliffe Hospital Emergency Department. He is also concurrently a student of AusHSI’s Graduate Certificate in Health Services Innovation, the first post graduate qualification in Queensland teaching implementation science to practicing clinicians.
Arthur has been a mental health nurse for some time and his project aims to improve the treatment of mental health patients arriving in the Emergency Department. It aims to improve the communication between the different health care disciplines by whom the patient will be seen and so the timeliness and quality of their treatment overall.
Arthur is introducing a daily interdisciplinary meeting to assess incoming patients and together prioritise their various needs, thereby smoothing the patients’ journey within the health service. His proposed meeting format, in the round, would ensure different health disciplines supported each other to provide coordinated care.
Arthur’s mental health executive recommended he study the new AusHSI Graduate Certificate in Health Services Innovation for the benefit of his research into this project. The Implementation Science Unit will allow him to:
- Choose an implementation science framework to design and refine the project
- Increase his skills and knowledge base
- Better communicate the project to the hospital and explain the efficiencies generated
- Improve the potential for his project being adopted hospital wide and/or accepted as a trial new practice for Emergency Departments across QLD
- Accelerate adoption of the new model of care
- Improve patient health outcomes as a result of the project
Arthur will first pilot his new model of care on the morning shift at Redcliffe Hospital Emergency Department and, if successful, will scale up the intervention to other shifts.
Leah Thompson comments:
“I have found the Australian Centre for Health Services Innovation Graduate Certificate in Health Services Innovation very useful in terms of building on my project implementation and evaluation skills. For example, at the end of the course I know I have the skills to effectively plan, implement and evaluate the outcomes of the App myself and have some new understanding about the potential return on investment and economic value- and that’s a portion of the project that I would previously have had to outsource. I have experienced lots of additional benefits from partnering with AusHSI on this course, in particular, the networking with my Metro North colleagues.”
Leah Thompson is an Occupational Therapist and Manager of Research & Quality (IMS) at The Prince Charles Hospital. Leah has long been involved with projects and research into facilitating change and leadership and today she is developing an App to help the health system record, track and report sub-specialist’s consultations for inpatients.
In the current health system, it is hard for medical sub-specialists to track their referrals and this can make it hard for them to bill accurately for their inpatient consultation services. This lack of overview leads to resourcing inefficiencies and private health billing that can be left in arrears.
Leah discovered the Graduate Certificate in Health Services Innovation course with the help of colleagues and thought it would help increase her skill-set and professional network as well as helping her to develop the Consultation App.
One of the most useful things the course has taught Leah is that that implementation is a process within itself – and successful and sustained implementation requires a considerable time investment and planning. In her professional role, Leah has learnt to build time for project implementation and not underestimate the investment that meaningful context and stakeholder analysis can mean to the success of a project.
Professor Jeff Rowland says:
“The Implementation Science Unit of the AusHSI Graduate Certificate in Health Services Innovation is helping me get evidence-based innovation off the ground. It is confirming and broadening my knowledge and providing different implementation frameworks to develop the right contextual approach.”
Professor Rowland is undertaking a project addressing falls treatment in patients presenting to the Emergency Department. People fall for many different reasons. Some falls or unexplained fainting are harmless while others may be serious. However, many people who arrive at the Emergency Department are admitted unnecessarily when their condition could be managed appropriately at local community level.
Professor Rowland from The Prince Charles Hospital is part of a project designed to ensure that the hospital process is patient-centred, that people are not put through unnecessary delays or stays in hospital, and healthcare resources are used appropriately.
At the same time as running the project, Professor Rowland is enrolled in Australian Centre for Health Services Innovation’s Graduate Certificate in Health Services Innovation. The first unit of the course is Implementation Science, and the training is helping him to apply more rigorous methodology to his research. It is:
- Providing theory to confirm the knowledge he has gained through practical experience
- Broadening the scope of his knowledge
- Integrating newer concepts around knowledge translation into the research plan
- Enabling deeper understanding of the project’s context
The possible outcomes for this project include fewer people in Emergency being admitted to hospital, fewer inappropriate investigations into falls and less wastage of patients’ and clinicians’ time – in short, a more efficient and effective use of hospital resources and a more streamlined process for patients.