2018 Optional Special Interest Groups

Transcription

1 2018 Optional Special Interest Groups Why Participate in Optional Roundtable Meetings? Focus on key improvement opportunities Identify exemplars across Australia and New Zealand Work with peers to improve patient care In addition to the regular improvement groups the members are offered Special Interest Groups to address hot topics. The Health Roundtable uses benchmarking analysis and augments data with surveys designed to elicit exemplar practice. In 2018, we are planning six optional interest groups in response to requests from members. SIG1. Whole of System (WOS) SIG2. Pathology SIG3. Rural & Regional Health Services SIG4. Hospital in the Home (HITH) SIG5. Emergency Care SIG6. Patient Blood Management Select Roundtable SIG* on your subscription agreement and return by to: fees are billed separately. The Health Roundtable (ABN ) Suite 804, 28 Foveaux St Surry Hills NSW 2010 General Enquiries Tel: The Health Roundtable helps health executives learn how to achieve best practice in their organisations. We collect and analyse operational and clinical data of our member organisations to search for innovations in patient care. We promote collaboration and networking amongst health executives and staff through our roundtable meetings, workshops, and other activities.

2 Whole of System (SIG1) August 2018, Wellington Meeting Code HRT1816 Why Participate? Learn lessons from other leading organisations Develop action plans to improve Receive a general practice / primary care comparative view of system wide activity in the reporting. Our Whole of System Improvement Group has been developed to meet an increasing need in healthcare improving care delivered across the continuum of care - especially where the community and hospital settings intersect. Managing demand is complex and requires a whole of system approach that involves both the inpatient and outpatient elements of care. Areas that are likely to have impact include: the management of long-term conditions, primary care hospital avoidance programmes, provision of urgent access to primary care, ambulance diversion pathways, improving discharges and understanding readmissions. Whole of System reports will examine datasets that link hospital and community care; specifically looking for trends in ED presentations and acute hospital admissions and also consider the impact chronic conditions may have on care utilisation. Data will be presented from the Health District / Hospital perspective, the PHO/PHN perspective and also from the General Practice view. Please join us for our Whole of System meeting. You will have the opportunity to: Select Roundtable SIG1 on your subscription agreement and return by to: Identify areas for improvement for your health system Actively contribute to the future design of the Whole of System Improvement Group Collaborate and learn from other organisations Event Manager Mark.Limber@healthroundtable.org General Manager General.Manager@healthroundtable.org The Health Roundtable (ABN ) Suite 804, 28 Foveaux St Surry Hills NSW 2010 General Enquiries Tel: The Health Roundtable helps health executives learn how to achieve best practice in their organisations. We collect and analyse operational and clinical data of our member organisations to search for innovations in patient care. We promote collaboration and networking amongst health executives and staff through our roundtable meetings, workshops, and other activities.

3 Whole of System Special Interest Group What Does The Health Roundtable Do? Collect and process your Whole of System data. Merge Whole of System data with inpatient episode data to provide a suite of comparative reports. Facilitate the annual meeting to identify innovative practices and encourage action to improve the patient journey. What do I need to do? 1. Confirm your subscription 2. Designate a liaison representative as a key contact for this group 3. Provide two additional data fields from your practice management system and submit some additional pre-meeting information 4. Organise a delegation to attend the annual meeting up to 2 delegates are free, one of which must be from a PHO 5. Identify a key innovation to share at the annual meeting For help and advice contact mark.limber@healthroundtable.org Dates Timeline May Submit additional data for reporting 31 May Submit additional pre-meeting information (TBA) June Meeting agenda circulated Early August August Whole of System activity reports on website Meeting briefing package distributed August Whole of System Improvement Group Meeting Select Roundtable SIG1 on your subscription agreement and return by to: Product Manager Mark.Limber@healthroundtable.org General Manager General.Manager@healthroundtable.org

4 Pathology (SIG2) 5-6 September 2018, Sydney Meeting Code HRT1817 Why Participate? Identify "exemplar performers" in the design and utilisation of pathology services Learn how the exemplars are continuing to add value to the patient journey at less cost Identify ways to improve networking between pathology services The value of pathology lies primarily in using the results, not producing a result In 2018, in collaboration with Public Pathology Australia, a dedicated SIG will be formed to identify improvement and service enhancement in the efficiency and quality of Pathology services across patients episodes to: Select Roundtable SIG2 on your subscription agreement and return by to: General Manager Australia New Zealand General.Manager@healthroundtable.org Order the right test at the right time Understand the future of pathology testing - point of care vs central labs; new advances like genomics Benchmark overall costs of pathology testing (in-house vs commercial contracts) Ensure that pathology results are recorded in patient records for coding/treatment purposes Benchmark pathology productivity - relative value units per FTE The 2018 Improvement Group meeting will take place in Sydney and will enable participants to hear speakers talking about leadingedge innovations from Australia and New Zealand, as well as share ideas with each other. Who should participate? This Roundtable is intended to share "good practice" ideas and innovations for reducing readmissions. Organise a crossdisciplinary team. You may bring up to four people per health service. The Health Roundtable will: Work with experts to identify key trends and innovations. Survey participating health services for innovative practices. Collate and analyse results. Summarise the meeting and circulate all presentations.

5 Pathology Special Interest Group Clinical pathology testing is likely to continue to see accelerated growth due to: Aging population R&D leading to more sophisticated specialised testing e.g. in genomics Increased recognition of value of early detection Increased affordability Change in technology - most tests currently ordered by clinicians - changes in technology may lead to growth in point of care testing, in physicians offices and on the high street, and home testing. This group will investigate and discuss some of the key issues around clinical pathology testing: Is there scope to speed up the pace of change in pathology to deliver the benefits available from service reconfiguration and technological development? Are there opportunities (to adopt) new investigations and procedures employing innovative technologies? Can we strengthen links between primary care and laboratories to improve turnaround times and reduce inappropriate requests for pathology tests? Dates Timeline April Distribute data specifications 1 July Provide data to The Health Roundtable 29 August Briefing materials distributed 5-6 September Pathology Improvement Group Sydney The Health Roundtable (ABN ) Suite 804, 28 Foveaux St Surry Hills NSW 2010 General Enquiries Tel: The Health Roundtable helps health executives learn how to achieve best practice in their organisations. We collect and analyse operational and clinical data of our member organisations to search for innovations in patient care. We promote collaboration and networking amongst health executives and staff through our roundtable meetings, workshops, and other activities.

6 Why Participate? Gain a better understanding of the issues facing community and regional hospitals Find your areas of opportunity for improvement Learn of the most recent innovations that have substantially improved patient care in hospitals of similar size in similar locations. Even if your hospital is not a member, your hospital can be represented Special Interest Group Rural & Regional Health Services (SIG3) 23 rd March 2018, Sydney Meeting Code HRT1803 This Roundtable is specifically tailored to Rural & Regional members to network and identify collaborative improvement around community/population health, workforce challenges and the adoption of new technology in remote settings. Suburban and non-metropolitan hospitals often face a number of different challenges to the large teaching hospitals based in the Capital Cities of Australia and New Zealand, Yet these hospitals still have to meet the same standards of patient care that are expected by national and local authorities, and of course meet patient expectation. In 2018, the Health Roundtable will run a special one day workshop for all suburban, regional, community and rural hospitals focusing on the issues that are of special relevance to these sized hospitals. This roundtable will demonstrate how standard Health Roundtable reports can highlight those areas that present opportunities for improvement in patient care. Some additional reports will also be prepared to investigate special areas of interest for this group's attendees. In addition, the Health Roundtable will showcase the best innovations in patient care and service delivery to improve patient care. Members of the Health Roundtable have noted that over the last three years, many of the best innovations have come from hospitals within this group. Select Roundtable SIG3 on your subscription agreement and return by to: As working collaboratively with community PHN's (Aust,) and PHO's (NZ) is a key necessity for effective continuity of patient care, special consideration will be given to considering opportunities for improved data sharing between organisations. General Manager Australia New Zealand General.Manager@healthroundtable.org

7 Rural & Regional Health Services What do you need to do? Designate a liaison representative as a key contact for this group Organise a multi-disciplinary team of up to 4 people to attend the Group meeting Come to the meeting with one or more 'burning issue' affecting your hospital Identify and bring to the meeting at least one of your improvement innovations that you would like to share with other member health services What does The Health Roundtable do? Works with key liaison contacts to plan the annual meeting Analyses hospital data to provide key comparisons amongst participants Helps identify exemplar services that may have the key to improving your local burning issues Assists with your planning to implement an improvement activity when you return home Provides resources and networks to help support your implementation plans Specific reports on Acute and Chronic Diseases Surveys on topics of member interest Dates Timeline Jan 8 Jan Submission of issues your hospitals wants considered at the meeting Submission of additional data if required 6 Mar Pre-meeting Briefing package 23 Mar Workshop Sydney The Health Roundtable (ABN ) Suite 804, 28 Foveaux St Surry Hills NSW 2010 General Enquiries Tel: The Health Roundtable helps health executives learn how to achieve best practice in their organisations. We collect and analyse operational and clinical data of our member organisations to search for innovations in patient care. We promote collaboration and networking amongst health executives and staff through our roundtable meetings, workshops, and other activities.

8 Hospital in the Home (SIG4) Oct Sydney Meeting code HRT1814 Why Participate? Improve patient outcomes and satisfaction Reduce harm to vulnerable patients Increase bed capacity without capital Reduce bed block Develop practical action plans to improve your service over the next year Hospital in the Home services provide an alternative for delivering patient centred care. Patients report high satisfaction, have superior clinical outcomes and less complications of care. Delivering acute care in the home also offers many advantages to the service by increasing bed capacity and promoting patient flow through ED and wards. Direct costs are also reduced. 80 members deliver these services however, there is considerable variation in utilisation, service models and scope of conditions managed. The Roundtable has developed benchmarking reports to assist services to review the gap in their HITH referrals against similar services. Members share innovations to improve and mature their services. There is an increasing confidence to care for highly complex patients who have long stays as well as simple acute care. Select Roundtable SIG4 on your subscription agreement and return by to: Kate Tynan kate.tynan@healthroundtable.org Hospital in the Home is SAFER Less falls Less Hospital acquired infections Less medical errors Less delirium and GREATER PATIENT SATISFACTION

9 Hospital in the Home Existing HITH Services By comparing your service with the exemplars for each of the top 20 principal diagnoses associated with HITH admissions, it is possible to calculate the capacity to improve and set realistic goals for your service. The Health Roundtable will use the most recent data to: Quantify potential episodes suitable for HITH admissions Quantify bedday savings by improving HITH utilisation and set goals Benchmark Length of Stay of HITH episodes with non HITH episodes Benchmark Length of Stay of HITH episodes Hospital component HITH component Benchmark 28 day readmissions after an episode with HITH For New HITH Services Take this opportunity to learn from established services and set realistic goals. Share important innovations and develop peer networks that will help you implement HITH services in your facility. Changing therapies and ageing demographics will continue to challenge HITH providers to expand the scope of conditions treated in HITH. Some new opportunities are: Rehabilitation, GEM, Palliative Care, Mental Health, and Hospital in the nursing home. Some services are now offering Sameday acute admissions for Chemotherapy and Infusions. Partnerships with Chronic Care Programs and Geriatric Services can also ease the burden on chronic and frail patients by providing timely HITH admissions and prevent deconditioning and harm. Who should participate? This Roundtable is intended to share "good practice" ideas and innovations for HITH services. Ideally, a cross- disciplinary team of those who are interested in improving HITH. You may bring up to five people per health service. The Health Roundtable will: Work with experts to identify key trends and innovations. Survey participating health services for innovative practices. Collate and analyse results. Summarise the meeting and circulate all presentations.

10 Emergency Care (SIG5) July Melbourne Meeting code HRT1813 Why Participate? Improve patient care by learning how 'exemplar' health services operate Learn about new trends from international and national experts Discuss issues of specific concern to your hospital A new Special Interest Group (SIG) has been established to take advantage of the Health Roundtable s substantial Emergency Department data set. Explore key trends and identify the predictive nature of emergency demand to meet national standards. The Health Roundtable Emergency Department Report shows trends for your hospital, other member hospitals, and the Roundtable as a group. The reports have recently been modified to utilise the same hospital peering system that is used in the Inpatient Briefings. Share with your colleagues innovations to improving patient flow, in key areas such as triage models, expanding roles and increasing a multidisciplinary staff mix in the Emergency Department. Meet and share solutions with senior clinicians facing similar issues Select Roundtable SIG5 on your subscription agreement and return by to: General Manager Australia New Zealand General.Manager@healthroundtable.org Who should participate? This Interest group is intended to share "good practice" ideas and innovations for Emergency Care programs Ideally, a crossdisciplinary team of those who are responsible for Emergency Departments You may bring up to five people per health service The Health Roundtable will: Work with experts to identify key trends and innovations Survey participating health services for innovative practices Collate and analyse results Summarise the meeting and circulate all presentations

11 Emergency Care July Melbourne Meeting Code HRT1813 How long do patients wait compared to peers? Mortality reduction 13% as NEAT exceeds 80% What patients are admitted compared to peers? The Health Roundtable (ABN ) Suite 804, 28 Foveaux St Surry Hills NSW 2010 General Enquiries Tel: The Health Roundtable helps health executives learn how to achieve best practice in their organisations. We collect and analyse operational and clinical data of our member organisations to search for innovations in patient care. We promote collaboration and networking amongst health executives and staff through our roundtable meetings, workshops, and other activities.

12 Patient Blood Management (SIG6) 1-2 August 2018, Sydney Meeting Code HRT1815 Why Participate? Reduce patient harm: Reform transfusion practice Learn how Western Australia is a world exemplar in PBM Share strategies to meet #7 of the Australian National Standards In partnership with leading clinical experts, this Special Interest Group (SIG) seeks to optimise care by better managing and preserving patients blood and reducing the requirement for transfusion. THE PROBLEM: International consensus: 10% of blood transfusions are appropriate 40% have uncertain benefits 50% inappropriate There is a large variation in transfusion practice among Roundtable members. For planned surgical and obstetric patients screening and remediating anaemia is the solution. Reclaim excess beddays Reduce blood product costs Select Roundtable SIG6 on your subscription agreement and return by to: THE OPPORTUNITY: Patient Blood Management is an important safety and quality initiative with the potential to improve patient outcomes whilst also reducing hospital expenditure. Red Blood Cell (RBC) transfusion is independently associated with increased morbidity, mortality, hospital and ICU length of stay, and increased cost. On average, RBC transfused patients stay 2.5 days longer, with increased odds ratio of death of 1.7. A recent West Australian study estimated the total hospitalassociated cost of RBC transfusion across a five hospital health service to be $77 million per year. Australian NSQHS Standard 7 requires that hospitals have systems in place to ensure safe and appropriate prescribing and use of blood and blood products, and that they are consistent with national evidence-based guidelines. THE SOLUTION: Can we afford NOT to do Patient Blood Management? Western Australia is a world exemplar in PBM, we can all implement workable solutions based on the WA strategies and experience. Kate Tynan kate.tynan@healthroundtable.org Who should participate? This Special Interest Group is intended to share "good practice" ideas and innovations for PBM programs. Ideally, a cross-disciplinary team of those who are responsible for PBM. You may bring up to five people per health service. The Health Roundtable will: Work with experts to identify key trends and innovations. Survey participating health services for innovative practices. Collate and analyse results. Summarise the meeting and circulate all presentations.

13 Patient Blood Management (SIG6) The problem: Western Australia Metro Data on Transfusion and Cost Retrospective cohort study from a five hospital health service in Western Australia between July June After adjusting for age, gender, admit type (emergency or elective), DRG and patient complexity (HRT complexity), compared with non-transfused: Mean inpatient cost 1.83 Times higher in txed group Estimated total hospital associated cost of RBC transfusion AUD $77 million, representing 7.8% of total hospital expenditure on acute-care inpatients. Significant dose-dependent association between the number of RBC units transfused and increased costs after adjusting for confounders The Solution PBM program and benchmarking In 2017 The Health Roundtable was able to replicate the WA approach to benchmarking and provide clinician level data on transfusion activity through data linkage. This is a powerful tool for supporting change in practice in both rates of transfusion and how many units transfused. Why do two when one will do: If one then none? The most powerful lever in my 30 years experience for changing clinician transfusion practice is for a medical director to share clinician level data with their clinical team, both transfusion rates and average units Akiva Faerber, Vizient The Health Roundtable (ABN ) Suite 804, 28 Foveaux St Surry Hills NSW 2010 General Enquiries Tel: The Health Roundtable helps health executives learn how to achieve best practice in their organisations. We collect and analyse operational and clinical data of our member organisations to search for innovations in patient care. We promote collaboration and networking amongst health executives and staff through our roundtable meetings, workshops, and other activities.