Appropriateness of Healthcare delivery in the community
|
|
- Joan Owen
- 5 years ago
- Views:
Transcription
1 We have the evidence to improve venous leg ulcer outcomes: How do we get this evidence into practice? Rajna Ogrin BSc, BPod(Hons), PhD Senior Research Fellow Appropriateness of Healthcare delivery in the community American adults received recommended care only 55% of the time in the years (McGlynn et al, 2003) Similar study in Australia: Adult Australians received appropriate care at 57% (95% CI, 54% 60%)of eligible health care encounters (Runcimanet al, 2012)
2 Current information on care of VLU in Australia KPMG 2013 study commissioned by AWMA VLU treatment currently involves Variety of treatment provider arrangements Across jurisdictions Variable Compression therapy use: By community nurses range from % By GP s range from 0-50% Limited data available on healing times Had to draw on the published literature Coyer et al 2005 shows more detailed info re: variation from best practice And yet we have many clinical practice guidelines and systematic reviews highlighting what is best practice... NHMRC 61 new guidelines and standards issued between We have a number of clear, evidence based, clinical practice guidelines in VLU for: Assessment Diagnosis Management Prevention of recurrence Eg. AWMA, SIGN
3 VLU We know that implementing evidence based care is significantly related to improved healing outcomes (p < 0.001) (Edwards et al, 2013) So why isn t evidence implemented in practice? Need to ask... How do clinicians translate new knowledge into specific clinical actions that they adopt into practice?
4 Current thinking Evidence Something magic happens Change in practice Reality Requires active processes of translation Start with clinicians awareness that there s an issue End with patient adherence to the recommended care New science developed on this topic: Implementation Science Much research being done in this area Indicate that a raft of processes required Complex
5 GreenhalghT, Robert G, Macfarlane F, Bate P, KyriakidouO. Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations. Milbank Quarterly2004;82(4): To simplify 5 key questions From Grimshaw et al. 2012
6 What should be transferred? Up-to-date systematic reviews or other syntheses of the global evidence BUT must be in a form that is appropriate for those using them To whom should research knowledge be transferred? Varies by the type of research being translated Eg clinical research demonstrating harm of treatment National policy makers (including regulatory bodies) and industry. clinical research demonstrating benefits from treatment Patients, healthcare practitioners, local administrators, national policy makers, and industry
7 By whom should research knowledge be transferred? Depends on the target audience and research knowledge being transferred Need to spend effort to identify most appropriate May be an individual healthcare provider, researcher, or consumer, group, organization, or healthcare system. Must have... Credibility with the target audience, Possess the skills and experience needed to transfer the research knowledge at hand, and Have time and resources to do so
8 How should research knowledge be transferred? Process must be planned Systematic sequence including over a dozen steps Most need to be addressed BEFORE implementation begins. Best achieved through combination of multiple activities assessment, negotiation and collaboration, organized planning and structuring, personal reflection and critical analysis. (Meyer, Durlak and Wandersman, 2012) Identify barriers and which are modifiable and non-modifiable Organizational culture lack of leadership commitment lack of middle management engagement lack of ownership lack of equitable resourcing for people, process and technology
9 Operational barriers poor Knowledge Management processes lack of appropriate technology and skills issues with the scope of the content too large, inadequately representative No culture of continually learning and incorporating the needed and accessible knowledge into practice the physical layout of the work environment does not match the collaborative intent of the strategy. Individual barriers Eg. Resistance to the sharing of knowledge at the individual level It s not convenient. They don t know what they know. They don t know the value of what they know. They believe knowledge hoarding is job security. They don t get credit for it. They don t have the time. (Taylor Gates, 2006)
10 Barriers to EBP in wounds: Lack of: information and skills (Coyer et al, 2005; Harrison et al, 2005) difficulties with access to evidence based guidelines (Fife et al, 2010) reimbursement associated with specialist wound care and treatments such as compression bandaging high cost of care (Fife et al, 2010; Weller, & Evans, 2012) limited access to specialist multidisciplinary teams (Ndip& Jude, 2009) poor communication (Coyer, et al, 2005) Taken from Edwards et al, 2013 Next step... Choose appropriate interventions to address overcoming barriers and supporting enablers: identify potential adopters and practice environments; and prioritise which barriers to target based upon consideration of mission critical barriers.
11 Strategies Professional behaviour change strategies Printed educational materials Educational meetings Interactive and participatory Educational outreach Local opinion leaders Reminders Audit and feedback any summary of clinical performance of healthcare over a specified period of time to change health professional behaviour Tailored interventions Multifaceted interventions Strategies focusing on consumers Interventions to: facilitate communication and/or decision-making support behaviour change inform and educate Strategies focusing on policy makers and senior health service managers Increase interactions between researchers and policy makers; and Research to match beliefs, values, interests, or political goals & strategies of elected officials, social interest groups, &others.
12 With what effect should research knowledge be transferred? Varies across different stakeholder groups Health care professionals Practice that is more evidence-based Observable changes in professional behaviours and quality indicators. Policy Makers ensure that consideration of research evidence is a key component of their decision making, but recognize that there are other legitimate factors Eg. the policy context for policy makers, values and preferences of individual patients so likely evidence-informed Continuous Improvement Should be based on ongoing monitoring of the appropriateness of care (Runciman et al, 2012). A Clinical registry is one effective approach... It provides a summary of clinical performance of healthcare over a specified period of time Can be used to change health professional behaviour
13 References Coyer, Fiona M., Edwards, Helen E., & Finlayson, Kathleen J. (2005) National Institute for Clinical Studies Report for Phase 1, Evidence Uptake Network : Best Practice Community Care for Clients with Chronic Venous Leg Ulcers. Queensland University of Technology, Brisbane, QLD. Edwards H, Finlayson K, Courtney M, Graves N, Gibb M and Parker C. Health service pathways for patients with chronic leg ulcers: identifying effective pathways for facilitation of evidence based wound care. BMC Health Services Research 2013, 13:86. Fife C, Carter MJ, Walker D: Why is it so hard to do the right thing in wound care? Wound Repair Regen2010, 18: GrimshawJM, Eccles MP, LavisJN, Hill SJ, Squires JE. Knowledge translation of research findings. Implementation Science 2012;7(50). Harrison MB, Graham ID, LorimerK, Friedberg E, PierscianowskiT, BrandysT: Leg-ulcer care in the community, before and after implementation of an evidence-based service. Can Med Assoc J 2005, 172: McGlynnEA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N EnglJ Med 2003; 348: Meyers DC, DurlakJA, WandersmanA. The Quality Implementation Framework: A Synthesis of Critical Steps in the Implementation Process. American Journal of Community Psychology NdipA, Jude E: Emerging evidence for neuroischemicdiabetic foot ulcers: Model of care and how to adapt practice. Int J Lower Extrem Wounds 2009, 8:82 94 NHMRC NHMRC Strategic Plan NHMRC, Canberra, RuncimanWB, Hunt TD, Hannaford NA, et al. CareTrack: assessing the appropriateness of health care delivery in Australia. Med J Aust 2012; 197: Taylor Gates, O. (2006). The knowledge management toolkit. Ovitz Taylor Gates Pty Ltd. Available for purchase at Weller C, Evans S: Venous leg ulcer management in general practice. Aust Fam Physician 2012, 41: Thank you rogrin@rdns.com.au
An economic evaluation of compression therapy for venous leg ulcers
An economic evaluation of compression therapy for venous leg ulcers Australian Wound Management Association February 2013 Disclaimer Inherent Limitations This report has been prepared as outlined in the
More informationNZWCS Venous Ulcer Clinical Pathway
NZWCS Venous Ulcer Clinical Pathway A clinical pathway is an optimal sequencing and timing of interventions by clinicians for a particular diagnosis or procedure. The NZWCS venous ulcer pathway predicts
More informationCareTrack: levels of appropriate care in Australia and the implications for health systems
CareTrack: levels of appropriate care in Australia and the implications for health systems Australian Institute of Health Innovation Jeffrey Braithwaite [For the CareTrack team: Bill Runciman, Tamara Hunt,
More informationThe importance of implementation science to help enhance quality improvement activities
The importance of implementation science to help enhance quality improvement activities Jeremy Grimshaw Senior Scientist, Ottawa Hospital Research Institute Professor, Department of Medicine, University
More informationCHSD. Encouraging Best Practice in Residential Aged Care Program: Evaluation Framework Summary. Centre for Health Service Development
CHSD Centre for Health Service Development Encouraging Best Practice in Residential Aged Care Program: Evaluation Framework Summary Centre for Health Service Development UNIVERSITY OF WOLLONGONG April,
More informationIssues Paper: Chronic Wounds in Australia
Issues Paper: Chronic Wounds in Australia July 2017 Chronic Wounds ~ 400 k People affected $? per year 2 % Total national healthcare expenditure Chronic wounds reduce quality of life and working capacity,
More informationPUTTING TOGETHER A PRESSURE ULCER PREVENTION TOOLKIT FOR AHRQ
PUTTING TOGETHER A PRESSURE ULCER PREVENTION TOOLKIT FOR AHRQ Dan Berlowitz, MD, MPH Center for Health Quality, Outcomes and Economic Research; Bedford VA. Boston University School of Public Health Knowing
More informationFrom the literature to evidencebased
Medicine, Nursing and Health Sciences From the literature to evidencebased care Sue Brennan, PhD Sue.brennan@monash.edu Australasian Cochrane Centre, School of Public Health & Preventive Medicine Monash
More informationNursing Science and Evidence-Based Practice
388984WJN33310.1177/0193945910388984E ditorialwestern Journal of Nursing Research The Author(s) 2011 Reprints and permission: http://www. sagepub.com/journalspermissions.nav Editorial Nursing Science and
More informationWound Care. Wound Care New Horizons QWCA 2011 BIENNIAL WOUND MANAGEMENT CONFERENCE 8-10 SEPTEMBER JUPITERS TOWNSVILLE
QWCA 2011 BIENNIAL WOUND MANAGEMENT CONFERENCE Wound Care New Horizons REGISTRATION www.qwca.org.au N O W O PE N AWMA and State Wound Care Association Members REGISTER AT MEMBER RATES 8-10 SEPTEMBER JUPITERS
More informationA Guide to Understanding Knowledge Translation
A Guide to Understanding Knowledge Translation Table of Contents Introduction... 2 Evolution of the Knowledge Translation Paradigm... 4 The Knowledge-to-Action Framework... 5 Knowledge Creation Phase...
More informationRecommendations for Adoption: Diabetic Foot Ulcer. Recommendations to enable widespread adoption of this quality standard
Recommendations for Adoption: Diabetic Foot Ulcer Recommendations to enable widespread adoption of this quality standard About this Document This document summarizes recommendations at local practice and
More informationSuccessful implementation in healthcare organisations theory and examples. Prof. Dr. Michel Wensing
Successful implementation in healthcare organisations theory and examples Prof. Dr. Michel Wensing My background Professor of health services research and implementation science at Heidelberg University
More informationHealthy Hearts Northwest : A 2 x 2 Randomized Factorial Trial to Build Quality Improvement Capacity in Primary Care
Healthy Hearts Northwest : A 2 x 2 Randomized Factorial Trial to Build Quality Improvement Capacity in Primary Care April 7, 2017 Michael Parchman, MD, MPH This project is supported by grant number R18HS023908
More informationModels of psychological service provision under Australia s Better Outcomes in Mental Health Care program
Models of psychological service provision under Australia s Better Outcomes in Mental Health Care program Jane Pirkis, Philip Burgess, Fay Kohn, Belinda Morley, Grant Blashki and Lucio Naccarella Abstract
More informationKidney Health Australia
Victoria 125 Cecil Street South Melbourne VIC 3205 GPO Box 9993 Melbourne VIC 3001 www.kidney.org.au vic@kidney.org.au Telephone 03 9674 4300 Facsimile 03 9686 7289 Submission to the Primary Health Care
More informationSection 1 What is a guideline? Implementation Toolkit
Section 1 What is a guideline? Guidelines Implementation Toolkit Contents Section 1 What is a guideline? 1.1 Introduction what this resource is for 1.2 What are guidelines? 1.3 Why are clinical guidelines
More informationCertificate Program in Practice-Based Research Methods
Certificate Program in Practice-Based Research Methods UTILIZING QUALITY IMPROVEMENT FOR PBRN RESEARCH Session 7 - January 12, 2017 Chester H. Fox MD, FAAFP, FNKF Professor of Family Medicine Jacobs School
More information4-C THIRD. Enhancing Care for Cardiac Patients with Diabetes Through Telehealth: Development of a Cross Cultural Intervention
4-C THIRD Enhancing Care for Cardiac Patients with Diabetes Through Telehealth: Development of a Cross Cultural Intervention Chiung-Jung (Jo) Wu, RN DrHlthSc is a nursing academic at the School of Nursing,
More informationEvidence Based Practice and identifying a clinical problem. Key Learnings 2/02/2017. Evidence based practice in Dietetics
Evidence Based Practice and identifying a clinical problem Dr Shelley Wilkinson, Queensland Health Health Research Fellow Mater Health Services Key Learnings To challenge your own approach to (how you)
More informationRNAO International Affairs and Best Practice Guidelines Program
RNAO International Affairs and Best Practice Guidelines Program Dr. Doris Grinspun, RN, MSN, PhD, LLD(hon), O.ONT Chief Executive Officer Dr. Irmajean Bajnok, RN, MScN, PhD Director, RNAO International
More informationLocal implementation of national guidelines on lower urinary tract symptoms: what do general practitioners in Sydney, Australia suggest will work?
International Journal for Quality in Health Care 1998; Volume 10, Number 4: pp. 339 343 Local implementation of national guidelines on lower urinary tract symptoms: what do general practitioners in Sydney,
More informationONTARIO PATIENT ORIENTED RESEARCH STRATEGY: Patient Reported Outcome-informed Innovation
BRIEFING DOCUMENT SUMMARY: The following represents an initiative that has linked and implemented all of the tools, organizations, research strategies, and participatory research Knowledge User (KU)-End
More informationNursing in Primary Health Care: Maximising the nursing role. Associate Professor Rhian Parker Australian Primary Health Care Research Institute
Nursing in Primary Health Care: Maximising the nursing role Associate Professor Rhian Parker Australian Primary Health Care Research Institute Key Elements of the Presentation Describe nursing roles in
More informationCommunity leg ulcer clinics have
A cost-effectiveness analysis of two community models of care for patients with venous leg ulcers l Aim: To conduct a cost-effectiveness analysis based on data from a randomised controlled trial comparing
More informationVisions of Excellence in Inpatient Settings 1/23/2013
Success factors (review) Innovation at home (worksheet) Visions of Excellence (self assessment) Leadership Change in Role and Process Embrace Technology Collaborative Models Change the discussion Changing
More informationA conceptual model for capacity building in Australian primary health care research
University of Wollongong Research Online Graduate School of Medicine - Papers (Archive) Faculty of Science, Medicine and Health 2002 A conceptual model for capacity building in Australian primary health
More information6/17/2014. Resilient health care: forging new directions. Australian Institute of Health Innovation s mission
Question 1: what s your definition of resilience, please? Resilient health care: forging new directions Australian Institute of Health Innovation Professor Jeffrey Braithwaite, PhD Professor of Health
More informationThe effectiveness of knowledge translation strategies used in public health: a systematic review
LaRocca et al. BMC Public Health 2012, 12:751 RESEARCH ARTICLE The effectiveness of knowledge translation strategies used in public health: a systematic review Rebecca LaRocca 1, Jennifer Yost 2*, Maureen
More informationImplementing the Quality Feedback Loop to improve and drive change. An Australian Cardiac Procedures Registry Perspective
Clinical Registries Seminar: Monitoring & Improving Health Outcomes Implementing the Quality Feedback Loop to improve and drive change An Australian Cardiac Procedures Registry Perspective Christopher
More informationBid Bridging i the know-do gap in primary. promote effective practice. Director, London School of Hygiene and Tropical Medicine
Bid Bridging i the know-do gap in primary care an overview of strategies to promote effective practice Andy Haines Director, London School of Hygiene and Tropical Medicine Niccolo Machiavelli in the The
More informationRoot Cause Analysis: The NSW Health Incident Management System
Root Cause Analysis: The NSW Health Incident Management System SARAH MICHAEL, RN, GradDipQHCM PAUL DOUGLAS, MB, BS, DRACOG, MHA, FRACMA With a background in intensive care, Sarah is a Principal Analyst
More informationAn Approach to Treating Diabetic Foot Ulcers
An Approach to Treating Diabetic Foot Ulcers Gayle E. Reiber, MPH, PhD VA Career Scientist, VA Puget Sound Health Care System Professor of Epidemiology and Health Services, University of Washington Funding
More informationCommunity Health Services in Bristol Community Learning Disabilities Team
Community Health Services in Bristol 2014 Community Learning Disabilities Team This provides specialist community based services for adults with learning difficulties and help to promote equal access to
More informationFinding common ground? Evaluating an intervention to improve teamwork among primary health-care professionals
International Journal for Quality in Health Care 2010; Volume 22, Number 6: pp. 519 524 Advance Access Publication: 17 October 2010 10.1093/intqhc/mzq057 Finding common ground? Evaluating an intervention
More informationSubmission to the Queensland Mental Health Commission Advisory Committee
Submission to the Queensland Mental Health Commission Advisory Committee March 2012 Submission was prepared by: Title Sarah Walbank (Policy and Research Officer) Approved by Debra Cottrell (Chief Executive
More informationNursing Research Series. Nursing Research Series Essentials of Science: Methods, Appraisal and Utilization
Nursing Research Series Essentials of Science: Methods, Appraisal and Utilization Kaiser Permanente Southern California Nursing Research Nursing Research Series Part 20 of 20: Outcomes Research and Evaluating
More informationTackling the challenge of non-adherence
Tackling the challenge of non-adherence 2 How is adherence defined? WHO definition: the extent to which a person s behaviour taking medication, following a diet and/or executing lifestyle changes corresponds
More informationNational Health and Medical Research Council International Engagement. Dr Richele Rasmussen Research Programs Branch NHMRC
National Health and Medical Research Council International Engagement Dr Richele Rasmussen Research Programs Branch NHMRC National Health & Medical Research Council Our strategy for health and medical
More informationDRAFT Optimal Care Pathway
DRAFT Optimal Care Pathway 1. Introduction... 3 1.1 Background... 3 1.2 Intent of the Optimal Care Pathways... 3 1.3 Key principles of care... 3 2. Steps in the care of patients with x cancer... 4 Step
More informationKnowledge Translation: Cochrane Strategy to disseminate evidence
Knowledge Translation: Cochrane Strategy to disseminate evidence Francesca Gimigliano, MD PhD Cochrane Rehabilitation Communication Committee Chair ISPRM Secretary Associate Professor of PRM University
More informationContinuous Quality Improvement in Primary Health Care: What does it mean? Dr Barbara Nattabi
Continuous Quality Improvement in Primary Health Care: What does it mean? Dr Barbara Nattabi Presentation objectives To describe CQI and why it is necessary To present the CQI initiatives being implemented
More informationInnovation in Residential Aged Care: Addressing Clinical Governance and Risk Management
Innovation in Residential Aged Care: Addressing Clinical Governance and Risk Management Ms Maree Cameron Aged Care Branch Department of Health Dr Cathy Balding Qualityworks Pty Ltd Professor Rhonda Nay
More informationActive and Safe: Preventing Unintentional Injury Towards Aboriginal Children and Young People in NSW. Guidelines for Policy and Practice
Active and Safe: Preventing Unintentional Injury Towards Aboriginal Children and Young People in NSW. Guidelines for Policy and Practice Presentation to the Australian Injury Prevention Network Conference,
More informationPCMH: Next Steps for UMass Dept. of Family Medicine and Community Health
PCMH: Next Steps for UMass Dept. of Family Medicine and Community Health Spring Retreat March 19, 2010 Ashland, MA A PCMH provides Easy access to a PCP Who is working with a high-functioning team And a
More informationConnected wound care: partnerships informing wound management
Connected wound care: partnerships informing wound management Elder K, Samolyk M, Cullen M, Nair D & Ticchi M ABSTRACT It has been acknowledged that regional and rural areas may have limited access to
More informationWPA Position statement on e-mental Health. Introduction
WPA Position statement on e-mental Health Introduction In general terms, e-mental Health (e-mh) is the use of digital technologies to support, deliver and enhance mental health services and improve the
More informationGetting evidence into practice for nurses and carers in rural aged care nursing homes
Getting evidence into practice for nurses and carers in rural aged care nursing homes Ian Blue, Judy Taylor, May Walker-Jeffreys, Spencer Gulf Rural Health School, Whyalla, Marion Holden, Whyalla Aged
More informationUptake of Medicare chronic disease items in Australia by general practice nurses and Aboriginal health workers
University of Wollongong Research Online Faculty of Science, Medicine and Health - Papers Faculty of Science, Medicine and Health 2010 Uptake of Medicare chronic disease items in Australia by general practice
More informationCentre of Excellence for Indigenous primary care intervention research in chronic disease. Alex Brown, Alan Cass, Samantha Togni July 2011
Centre of Excellence for Indigenous primary care intervention research in chronic disease Alex Brown, Alan Cass, Samantha Togni July 2011 16.7yr s 19 yrs Contributors to the Gap Group II - NCD 77% gap
More informationThe UPLOADS Project: Development of an Australian National Incident Dataset for led outdoor activities
Running head: The UPLOADS Project The UPLOADS Project: Development of an Australian National Incident Dataset for led outdoor activities Natassia Goode, PhD 1* ; Paul M. Salmon, PhD 1 ; Michael G. Lenné,
More informationGovernance in action the first year of the National Standards Victorian Healthcare Quality Association. 25 October, 2013
Governance in action the first year of the National Standards Victorian Healthcare Quality Association 25 October, 2013 Overview Clinical governance: what is it? whose responsibility? Elements of a governance
More informationBUILDING AN EVIDENCE-BASED NURSING ENTERPRISE: CRITICAL COMPONENTS FOR SUCCESS
BUILDING AN EVIDENCE-BASED NURSING ENTERPRISE: CRITICAL COMPONENTS FOR SUCCESS BUILDING EBP COMPETENCE AND CAPACITY BY LEVERAGING OPPORTUNITIES AND PLANNING STRATEGICALLY Lynn Gallagher-Ford, PhD, RN,
More informationA Specialist Palliative Care Nurses Competency Framework Helen Butler Education Team Leader Mercy Hospice Auckland
A Specialist Palliative Care Nurses Competency Framework Helen Butler Education Team Leader Mercy Hospice Auckland The aim of this session To refresh our memories about what a competency is To give a bit
More informationGill Schierhout 2*, Veronica Matthews 1, Christine Connors 3, Sandra Thompson 4, Ru Kwedza 5, Catherine Kennedy 6 and Ross Bailie 7
Schierhout et al. BMC Health Services Research (2016) 16:560 DOI 10.1186/s12913-016-1812-9 RESEARCH ARTICLE Open Access Improvement in delivery of type 2 diabetes services differs by mode of care: a retrospective
More informationDraft National Quality Assurance Criteria for Clinical Guidelines
Draft National Quality Assurance Criteria for Clinical Guidelines Consultation document July 2011 1 About the The is the independent Authority established to drive continuous improvement in Ireland s health
More informationAudit report VET Quality Framework Continuing registration as a national VET regulator (NVR) registered training organisation
Audit report VET Quality Framework Continuing registration as a national VET regulator (NVR) registered training organisation ORGANISATION DETAILS Organisation s legal name Trading name/s Fitness Industry
More informationAssessing and Increasing Readiness for Patient-Centered Medical Home Implementation 1
EVALUATION Assessing and Increasing Readiness for Patient-Centered Medical Home Implementation 1 Research Summary No. 9 March 2012 Introduction The current model of primary care in the United States is
More informationLearning Lab Objectives. Introduce evidence showing team-based primary care leads to better patient health outcomes.
Washington, DC L11: Team-Based Care: Effective Innovations in Practice Dr. Ed Wagner, MD, MPH Director Emeritus & Senior Investigator MacColl Center for Health Care Innovation, Group Health Research Institute
More informationPatient Safety: 10 Years Later Why is Improvement So Hard? Patient Safety: Strong Beginnings
Patient Safety: 10 Years Later Why is Improvement So Hard? G. Ross Baker, Ph.D. Institute of Health Policy, Management & Evaluation University of Toronto 3 November 2014 Patient Safety: Strong Beginnings
More informationReducing waste in healthcare GIMBE framework for disinvestment. Nino Cartabellotta GIMBE Foundation
Reducing waste in healthcare GIMBE framework for disinvestment Nino Cartabellotta GIMBE Foundation Disclosure of interests GIMBE Foundation delivers educational activities on the topics of my lecture No
More informationFour key. heart health. investments for. Queensland State Budget Submission
Four key investments for heart health Queensland State Budget Submission 2018-2019 Eliminate Rheumatic Heart Disease Any efforts to Close the Gap must make eliminating Rheumatic Heart Disease a priority.
More informationDisinvestment, a dégustation: Steps to success; Australia; The ASTUTE Health Study
1 Disinvestment, a dégustation: Steps to success; Australia; The ASTUTE Health Study Adam Elshaug, MPH, PhD NHMRC Sidney Sax Fellow Department of Health Care Policy, Harvard Medical School, Boston, USA
More informationEvidence Based Practice or Practice Based Evidence: what is the difference? Dr Anne Payne Associate Professor of Dietetics
Evidence Based Practice or Practice Based Evidence: what is the difference? Dr Anne Payne Associate Professor of Dietetics Overview 1. What is Evidence Based Practice (EBP)? 2. What is Practice Based Evidence..
More informationExpression of Interest for Wound Care Project
Expression of Interest for Wound Care Project November 11, 2016 Telewound Care EOI Page 1 of 12 Contents 1 Introduction... 3 2 Telewound Care Project Background... 4 2.1 Background... 4 2.2 Purpose...
More informationExample SURE checklist for identifying barriers to implementing an option and enablers
1 Example SURE checklist for identifying barriers to implementing an option and enablers The problem: Shortage of medically trained health professionals to deliver cost-effective maternal and child health
More informationOutcome data and quality: The critical role of policy
1 of 6 3/07/2008 11:44 AM HIMJ: Reviewed articles HIMJ HOME Outcome data and quality: The critical role of policy Russell Renhard CONTENTS GUIDELINES MISSION CONTACT US HIMAA Locked Bag 2045 North Ryde,
More informationWilliam J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair
William J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair What are the revenue streams What are the expenses How does the hospital
More informationNational Guidelines for a Comprehensive Service System to Support Family Caregivers of Adults with Mental Health Problems and Illnesses SUMMARY
National Guidelines for a Comprehensive Service System to Support Family Caregivers of Adults with Mental Health Problems and Illnesses SUMMARY Prepared by Penny MacCourt, MSW, PhD and the Family Caregivers
More informationUnit 4 Evidence-Based Clinical Practice Guidelines (CPG)
(CPG) NCQA Reference: PCMH 3 Element A Objectives Review evidence-based clinical practice guidelines Select clinical practice guidelines for JumpStart Level I Review NCQA requirements for evidence-based
More informationMedication adherence and predictive factors in patients with cardiovascular disease in Sydney, Australia
Medication adherence and predictive factors in patients with cardiovascular disease in Sydney, Australia PhD Student: Ali Al-Ganmi Principle supervisor: Professor. Lin Perry Co-supervisor: Dr. Leila Gholizadeh
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4. Mandatory but detail for local determination and agreement Optional headings 5-7. Optional to use, detail for local determination
More informationWound Care and. February Lymphoedema Service
Wound Care and February 2016 Lymphoedema Service Contents Introduction... 2 About the service... 2 Service provision... 2 Advice, education and training... 4 Service locations and hours of operation...
More informationAustralian Perspectives on the GPs Role in Return To Work: Results of Recent Research
Australian Perspectives on the GPs Role in Return To Work: Results of Recent Research Danielle Mazza 1, Bianca Brijnath 1, Agnieszka Kosny 2, Nabita Singh 1, Rasa Ruseckaite 3 and Alex Collie 2,3, 1 Department
More informationPartnering to Improve Aboriginal and Torres Strait Islander Primary Health Care
Partnering to Improve Aboriginal and Torres Strait Islander Primary Health Care ABCD National Research Partnership Project Strengthening primary health care (PHC) is critical to Closing the Gap in health
More informationGrant Writing. Keys to success. Types of Grants to Apply for
Grant Writing Keys to success Types of Grants to Apply for NHMRC Grants to Create New Knowledge e.g. project grants Grants to accelerate Research Translation e.g Development grants, Centres for Research
More informationHow to measure patient empowerment
How to measure patient empowerment Jaime Correia de Sousa Horizonte Family Health Unit Matosinhos Health Centre - Portugal Health Sciences School (ECS) University of Minho, Braga Portugal Aims At the
More informationPatient Centred Medical Home Self-assessment (PCMH-A)
Centred Medical Home Self-assessment (PCMH-A) Practice name: Your name: Date completed: For more information, contact: Colleen Watkins, NQPHN Chronic Care Team m: 0 0 e: info@nqpcmh.com.au w: nqpcmh.com.au
More informationDocument Author: Tissue Viability Nurse Date 15/02/2017
Guideline Title: Ref No: 1820 Version: 2 Document Author: Tissue Viability Nurse Date 15/02/2017 Ratified by: Care and Clinical Policies Group Date: 15/02/2017 Review date: 10 March 2019 Links to policies:
More informationFlexible care packages for people with severe mental illness
Submission Flexible care packages for people with severe mental illness February 2011 beyondblue: the national depression initiative PO Box 6100 HAWTHORN WEST VIC 3122 Tel: (03) 9810 6100 Fax: (03) 9810
More informationExpanding access to counselling, psychotherapies and psychological services: Funding Approaches
Expanding access to counselling, psychotherapies and psychological services: Funding Approaches October 31, 2017 Moderator: Steve Lurie Executive Director, Canadian Mental Health Association, Toronto Branch
More informationABMS Organizational QI Forum Links QI, Research and Policy Highlights of Keynote Speakers Presentations
ABMS Organizational QI Forum Links QI, Research and Policy Highlights of Keynote Speakers Presentations When quality improvement (QI) is done well, it can improve patient outcomes and inform public policy.
More informationEver Wonder? DO YOU DO EBP? Does not have to be new knowledge!
Evidenced based practice Berdette Reuer, MSN, RN Ever Wonder? Have questions about what you do? Wonder if there is a better way to do it? Notice a policy/procedure that needs updating? This is how we do
More informationJanet E Squires 1,2*, Katrina Sullivan 2, Martin P Eccles 3, Julia Worswick 4 and Jeremy M Grimshaw 2,5
Squires et al. Implementation Science 2014, 9:152 Implementation Science SYSTEMATIC REVIEW Open Access Are multifaceted s more effective than single-component s in changing health-care professionals behaviours?
More informationStatus Report to the Board of Governors. PCORI Dissemination Workgroup. Can You Hear Us Now?
Status Report to the Board of Governors PCORI Dissemination Workgroup Can You Hear Us Now? PCORI Board of Governors Jacksonville, Florida January 2012 1 Members of the Workgroup Carolyn Clancy, Co-Chair
More informationBuilding research capacity: An exploratory model of GPs training needs and barriers to research involvement
University of Wollongong Research Online Graduate School of Medicine - Papers (Archive) Faculty of Science, Medicine and Health 2003 Building research capacity: An exploratory model of GPs training needs
More informationThe South West Regional Wound Care Program: A Collaborative Approach to Wound Care
The South West Regional Wound Care Program: A Collaborative Approach to Wound Care 2016 OACCAC Conference June 6, 2016 #OACON16 I @OACCAC I @SWRWCP Objectives By the end of this presentation, participants
More informationCHALLENGES OF EVIDENCE BASED PRACTICE IN NURSING
CHALLENGES OF EVIDENCE BASED PRACTICE IN NURSING Visanth.V.S, Msc Nursing,Mphil nursing(2nd year)aiims,patna ABSTRACT EVIDENCE-BASED PRACTICE (EBP) is a problem-solving approach to clinical care that incorporates
More informationHOW AND WHAT SHOULD WE
HOW AND WHAT SHOULD WE MEASURE TO ENSURE QUALITY? Dr Christina Walters, Programme Director Andrew Barber, Technical Consultant Demonstrating the Value of Community Services The Community Indicators Programme
More informationAnxiety and Depression
Anxiety and Depression Health Program MindStep program Anxiety and depression can make day to day activities difficult. It s important to learn how to manage your symptoms in a way that makes sense for
More informationSetting and Implementing Provincial Wound Care Quality Standards for Ontario
Setting and Implementing Provincial Wound Care Quality Standards for Ontario Achieving Excellence Together Conference June 2017 December 2, 2016 Health Quality Ontario The provincial advisor on the quality
More informationExploring factors affecting uptake of extended scope of practice in rural areas
Exploring factors affecting uptake of extended scope of practice in rural areas Tony Smith 1, Karen McNeil 1,2, Rebecca Mitchell 2, Brendan Boyle 2, Nola Ries 2 1 Faculty of Health and Medicine, University
More informationRebecca L Craik, PT, PhD, FAPTA. Arcadia University
Rebecca L Craik, PT, PhD, FAPTA Professor & Chair Arcadia University RESEARCH PRACTICE TRANSLATION Health Care Delivery Payors P Burgeoning Cost Health Disparities Unwanted mortality & morbidity Dissatisfied
More informationThe Rx for Change database: a first-in-class tool for optimal prescribing and medicines use
Implementation Science METHODOLOGY Open Access The Rx for Change database: a first-in-class tool for optimal prescribing and medicines use Michelle C Weir 1, Rebecca Ryan 2, Alain Mayhew 1, Julia Worswick
More informationChange is Good: You Go First
Change is Good: You Go First Judith Schaefer Better Self Management of Diabetes Missouri Foundation for Health St. Louis, Missouri December 2 nd, 2009 Foundation s goals Support organizations that: Strengthen
More informationBy law Development as a Health Promotion Strategy. February 2013
By law Development as a Health Promotion Strategy February 2013 Introductions Presenter: Kim Bergeron, PhD kim.bergeron@oahpp.ca Health Promotion Field Support Specialist: By law and Policy Development
More informationCLOSING THE GAP: EVIDENCE TO ACTION
CLOSING THE GAP: EVIDENCE TO ACTION DR. SALIZAR MOHAMED LUDIN RN (PPUM), CRIT CARE (PPUM), BNSc (Teaching)(UM), MN (Crit.Care) (AUS), PhD (AUS) AGM, Malaysian Nurses Association, Pahang Branch, Gambang
More informationMedical Device Reimbursement in the EU, current environment and trends. Paula Wittels Programme Director
Medical Device Reimbursement in the EU, current environment and trends Paula Wittels Programme Director 20 November 2009 1 agenda national and regional nature of EU reimbursement trends in reimbursement
More informationSMS in Hospitals. Communicate with all your stakeholders to improve the efficiency and effectiveness of the care you provide
SMS in Hospitals Communicate with all your stakeholders to improve the efficiency and effectiveness of the care you provide Australian hospitals are an essential resource within our healthcare system.
More informationChronic Illness Policy, Health Reform, Integration and Coordination
Chronic Illness Policy, Health Reform, Integration and Coordination Chronic Illness The Problem Prevention, management and treatment of chronic non-communicable diseases are major challenges facing governments
More information