Date: September 2017 Job Title : Safety in Practice Primary Care Department : The Institute for Innovation and Improvement (i3) Location : Waitemata District Health Board (all sites) Reporting To : Clinical Lead Culture Change Direct Reports : Nil Functional Relationships with : Waitemata DHB Board Institute for Innovation and Improvement (i3) Executive Clinical Leaders (CMO, DON, Director Allied Health Scientific Technical) Safety in Practice community pharmacy project group Safety in Practice pharmacy expert group Community pharmacists Pharmacy staff Other Fellows Other DHBs Waitemata District Health Board -JOB DESCRIPTION - Page 1
Our Purpose, Values and Standards Safety in Practice Primary Care At the heart of Waitemata DHB is our promise of better care for everyone. This promise statement is the articulation of our three-fold purpose to: 1. promote wellness, 2. prevent, cure and ameliorate ill health and 3. relieve the suffering of those entrusted to our care. At the heart of our values is the need for all of us to reflect on the intrinsic dignity of every single person that enters our care. It is a privilege to be able to care for patients, whānau and our community, a privilege that is sometimes overlooked in our day to day work. Our standards and behaviours serve as a reminder to us all about how we are with our patients and with each other. Waitemata District Health Board -JOB DESCRIPTION - Page 2
Background Visible, active clinical engagement is central to the success of our work and will support the safe delivery of clinically effective care to patients. Internationally, the foremost proponent of improving patient safety in primary care is the Scottish Patient Safety Programme in Primary Care, run by NHS Scotland since 2011, with promising results. In Nov 2013, Dr Neil Houston, National Clinical Lead for the Scottish program, presented at the APAC forum and subsequently ran a workshop for Counties Manukau Health to explore the idea of designing and implementing a similar program in the Counties Manukau district. This culminated in the establishment of the Safety in Practice initiative in 2014 which is supported by the four Northern region DHBs, 8 Northern region PHOs, Ko Awatea, the Health, Quality & Safety Commission and the Royal New Zealand College of General Practitioners. This initiative is now moving ahead to incorporate community pharmacy, which is already involved in this programme in Scotland. Initially this will include testing work with 20 community pharmacies from Auckland and Waitemata DHB areas, replicating the work done in general practice. This testing and developing phase will continue for 1 year. The Safety in Practice initiative will seek to improve the delivery of care throughout the patient s journey by providing a targeted, evidence based range of tools, techniques and learning that will improve patient safety. Our ambition is to deliver a programme, which reduces the number of events, which could cause avoidable harm to people from healthcare delivered in any primary care setting. Purpose of the role : Provide Clinical Lead Services for the community pharmacy Safety in Practice programme. This will include provision of subject expertise, clinical advice and visible clinical leadership to inform the implementation of the Safety in Practice initiative in community pharmacy To promote and build capability and capacity in quality improvement and health innovation with regard to the community pharmacy Safety in Practice programme. A one year, fixed term, care redesign, quality improvement and health innovation experience with the opportunity to apply specific graduate study principles in the practical work setting of a healthcare delivery system To develop skills and expertise in care redesign and quality improvement and their application with regard to the community pharmacy Safety in Practice programme to improve patient outcomes and enhance patient and whanau experience To build personal and organisational leadership capability and capacity Waitemata District Health Board -JOB DESCRIPTION - Page 3
To support organizational initiatives in health informatics by bringing the perspective of your current and previous roles/units, past experience and qualifications, and enthusiasm for service improvement It is expected that the Clinical Lead will visit community pharmacies that are involved in the testing phase and respond to any queries about the programme. The may also be required to meet with local stakeholders and provide updates about the programme including feedback from the community pharmacies who are involved. They will be required to attend regular project meetings and pharmacy expert group meetings and act as lead faculty at learning sessions and other events relating to Safety in Practice for community pharmacy. This role will require 0.2FTE, or 1 day per week. Time will be flexible, depending on the scheduling of meetings and learning sessions. This role sits under Waitemata DHB s Institute for Innovation and Improvement Fellows Programme. Fellowships incorporate a project-based attachment in a specific area such as care redesign and quality improvement (up to 0.9 F.T.E) and also include a structured leadership development programme (0.1FTE). There is also scope for the role to be adjusted to accommodate clinical duties, if preferred/appropriate. The Fellows Programme seeks to embed quality improvement, innovation, translational research, education and leadership development in a new model for training health professionals. The programme is sponsored by the CEO and developed and led by the Senior Advisor in Health Leadership. Key Accountabilities Standards / Achievements Leadership Provide clinical advice, guidance and assurance to Waitemata and Auckland DHB in relation to the ongoing development of Safety in Practice in community pharmacy Provide clinical leadership to the testing work being undertaken in community pharmacy Act as lead faculty at learning sessions and other events relating to Safety in Practice for community pharmacy Act as an expert point of reference for pharmacy teams facing challenges and barriers. Waitemata District Health Board -JOB DESCRIPTION - Page 4
Key Accountabilities Standards / Achievements Communication Participate in project group discussions, advising on progress and direction of Safety in Practice Provide support to pharmacy teams by participating in scheduled teleconferences, WebEx and site visits Provide advocacy for Safety in Practice with stakeholder groups e.g. DHBs, HQSC, PSNZ, MoH. Reporting Feedback progress to Safety in Practice Pharmacy Project Group Utilise Information Technology Demonstrate ability to access and use available clinical information systems Is conversant with applications required for specific discipline/role. For example TestSafe, Outlook Professional development Attend and present research and/or project work at healthcare conferences and forums as required Contribute to Waitemata DHB Fellows Programme Contribution to Waitemata DHBs Thought Leadership forum and other internal organisational forums Attend learning, coaching and other development opportunities associated with the Programme Participate in all aspects of the Programme and its evaluation Cultural Safety & Diversity Act as an ambassador for the Programme Respect, sensitivity and cultural awareness is evident in interpersonal relationships Commitment to the principles of Treaty of Waitangi Ensures the professional and political integrity of Waitemata DHB by carrying out all functions in compliance of the Treaty of Waitangi and by demonstrating a serious commitment to keeping the treaty alive Shows sensitivity to cultural complexity in the workforce and patient population Waitemata District Health Board -JOB DESCRIPTION - Page 5
Key Accountabilities Standards / Achievements To recognise individual responsibility for workplace Health & Safety under the Health & Safety Act 1992 & Amendments 2002 Support Waitemata DHB H&S Culture by: Following & complying with H&S policies & processes & applying them to their own work activities Identifying, reporting & self-managing hazards where appropriate Early and accurate reporting of incidents at work VERIFICATION: Employee: Manager: Date: Note: This job description forms part of an individual s contract of employment and must be attached to that contract. Waitemata District Health Board -JOB DESCRIPTION - Page 6
PERSON SPECIFICATION POSITION TITLE: Safety in Practice Primary Care The selection panel will pay particular attention to assessing a candidate s potential to thrive in the role and contribute positively to teams and organisational projects/priorities. Fellowships will be suited to individuals seeking opportunities outside traditional career paths that can demonstrate interest and efforts extending beyond their current roles and who will bring new, diverse skills to Waitemata DHB. Requirements Minimum Preferred PERSONAL QUALITIES Demonstrates organisational values Commitment to Waitemata DHB s promise and purpose Excellent communication skills Understands self and impact of behaviour on others KNOWLEDGE Evidence of continual personal learning and development Extensive knowledge of and current experience in community pharmacy Understanding of care redesign, quality improvement and interest in new and innovative models of care and emerging trends, in particular community pharmacy Understanding of current issues in healthcare delivery within DHB catchment areas and NZ Understanding of healthcare administrative practices and techniques (e.g. healthcare finance, planning, quality improvement, innovation etc.) Waitemata District Health Board -JOB DESCRIPTION - Page 7
SKILLS AND ABILITIES Evidence of interest beyond primary role Teaching and training experience Ability and enthusiasm for leading transformation in their field after the fellowship Ability to communicate effectively with people across a range of disciplines, professional groups and sectors Development of evaluations/audit protocols/grant applications Project management and reporting Ability to produce and deliver high quality written and oral material for a range of audiences /stakeholder groups Ability to work with and lead others, across professions Ability to develop and maintain professional networks Ability to analyse, critically appraise and interpret complex information Ability to develop and implement programmes in the healthcare setting, e.g. educational, quality improvement, etc. EXPERIENCE AND ACHIEVEMENTS Previous co-ordination or management or leadership experience Previous training/work experience at Waitemata DHB Experience in complex health environment Evidence of excellence e.g. prizes Publication(s) in peer-reviewed journals Waitemata District Health Board -JOB DESCRIPTION - Page 8
QUALIFICATIONS Hold a current Annual Practicing Certificate with the Pharmacy Council in the scope of practice of a pharmacist. Currently employed as a pharmacist at a community pharmacy involved in the Safety in Practice pilot programme. Waitemata District Health Board -JOB DESCRIPTION - Page 9