M_Hooper.ppt
Transcript of M_Hooper.ppt
![Page 1: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/1.jpg)
Statewide SA Retrieval Service
Looking back. Moving forward.
November 2008
![Page 2: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/2.jpg)
Outline
• Background
• Change
• Where we are heading: Governance and leadership Retrieval Coordination Workforce Operations Training Clinical Governance Time lines
![Page 3: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/3.jpg)
Background
> A few drivers of change• Risks
• Coronial recommendations
• Workforce dynamics
• Costs (Financial & other. Overt and hidden)
• Inefficiency, duplication and disintegration
• Benchmark comparisons
• Increasingly complex environments
• Service demand & future challenges
![Page 4: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/4.jpg)
Progress
> Portfolio Executive -12/06> Director commences -10/07> Movement to Operations
Division -12/07> Strategy formation (SCAG)> Workshop -12/07> Discussion paper -2/08> Project plan development> Road show and stakeholder
consultation (ongoing)> Feedback review - 5/08> International visits 5/08> Workshop 2 - 6/08> Movement to CNAHS – 7/08> Governance & leadership> Re-defining model (ongoing)> Implementation
![Page 5: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/5.jpg)
Change…………
‘It is not the strongest of the species that
survive, nor the most intelligent, but the one
most responsive to change’
Charles Darwin
![Page 6: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/6.jpg)
The wind’s of change……….
![Page 7: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/7.jpg)
“The pessimist complains about the wind and builds walls.
The optimist expects it to cease……..one day.
The realist……….builds windmills”
![Page 8: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/8.jpg)
The momentum of change
![Page 9: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/9.jpg)
Change……….
> There will be a single Statewide Retrieval Service for SA.
> This will not be one of or a federation of existing services.
> Current service delivery strengths will be extended.
> We will develop a service for the present but most importantly for the future
> There will be three core components to the new service……..
![Page 10: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/10.jpg)
Core components – SA Retrieval
Retrieval Coordination (Retrieval and transport)
PNPR*Adult Retrieval &Rapid Response
*PNPR = Paediatric, neonatal and perinatal retrieval
![Page 11: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/11.jpg)
GovernanceMinister for Health
SA Health
CNAHS
‘SA Retrieval’ (Name TBC)
Retrieval Clinical Coordination
Adult Retrieval & Rapid Response
Paediatric, Neonatal and Perinatal Retrieval
![Page 12: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/12.jpg)
![Page 13: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/13.jpg)
Leadership> Director, Statewide SA Retrieval Services
• Increasingly operational
> Clinical Directors• Retrieval Coordination• Training and Standards• Paediatric & Neonatal Retrieval
> Nursing • Director (L5)• Operational/Management (L4)
> Paramedical • Team leader
> Project & administrative team• ASO 3 and 6
![Page 14: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/14.jpg)
Retrieval Coordination
> One centre
> One number (+ ‘000’)
> Co-located with SAAS
> Retrieval and transport
![Page 15: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/15.jpg)
Retrieval Coordination
> Multi-agency coordination:• Health (Medical and SAAS) and RFDS
> Best practice models:• National• International• Clinical network integration
> Innovative ideas:• Workforce (Critical Care Nursing)• Process• IT and technology
Asset tracking Teleconference Telemedicine and video streaming Tasking & CAD systems Point of care data entry (Victorian
Ambulance Clinical Inform. System)
> Clinical Governance and audit
![Page 16: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/16.jpg)
Workforce
> The right people (skills, knowledge and attitude)
> Retrieval team:
• Familiarity Each other Equipment Environment
> Clinical> Other
• Safety Team Patient
• Flexibility Across tasks Across platforms
• Redundancy
• Efficiency and effectiveness
• Avoidance of a ‘split system’ within adult service
![Page 17: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/17.jpg)
National Comparisons – Adult Retrieval
STATE TEAM COMPOSITION
NSW
(non-regional)
R: Doctor & SCAT Paramedic
H: Doctor & SCAT Paramedic
F: Doctor & Flight Nurse
Queensland
(major centres)
R: Doctor & IC Paramedic
H: Doctor & IC Paramedic
F: Doctor & RFDS Flight Nurse
Victoria R:MICA Paramedic +/- Doctor
H:MICA Paramedic +/- Doctor
F:MICA Paramedic +/- Doctor
ACT
R: Paramedic + Doctor
H: Paramedic + Doctor
F: N/A
Tasmania
R: N/A
H: Paramedic
F: Doctor & Paramedic
WA
R: N/A
H: Paramedic +/- Doctor
F: Doctor + RFDS Flight Nurse
Northern Territory
R: N/A
H: N/A
F: Doctor + Flight Nurse
South Australia
R: Doctor + Retrieval Nurse
H: Doctor, Retrieval Nurse (IHT) and Paramedic (1°)
F: Doctor, Retrieval Nurse and RFDS Flight Nurse
![Page 18: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/18.jpg)
Adult team flexibilityAcross platforms. Across tasks
![Page 19: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/19.jpg)
Workforce
> Adult & RR (team of 2)• Medical
Consultants Fellows Registrars
• Paramedic/Nursing Dual qualification? ‘Practitioner’ level
> N&P (team of 2)• Medical
Consultants Fellows Registrars
• Nursing ‘Practitioner’ level Neonatal & Paediatric
Relatively small groups performing complicated tasks frequently
![Page 20: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/20.jpg)
Operations
> Dedicated service capacity• Adult (up to 3 teams)• Neonatal & Paediatric (1 team)
> Operational base issues• Interim
Old CHC base• Long term
Joint Emergency Services? Assistance?
> Improve:• Rapid Response capacity• Team development/CRM• ‘Empty leg’ helicopter costs• Service identity
> Allow:• Service expansion
![Page 21: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/21.jpg)
Training
> Post-graduate educational opportunities• Supported• Aiding recruitment and retention
> Harness in-house resources• Personnel, other agencies, experience…..
> Links with developing National programs• JCU
> Actively encourage Research
> Actively encourage innovation
> Standardise safety training
> College re-accreditation
![Page 22: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/22.jpg)
Clinical Governance
> ‘A culture of safety’• Open, multi-agency and
qualitative processes
> Continuous service enhancement
• Closed loop processes• Links with ongoing training• Relevant KPI measures
> Supported training• TeamSTEPPS• CPI program• TRM course
> Alignment with State, National and International quality and safety frameworks
• AIMS
![Page 23: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/23.jpg)
Timelines
July 2008 (Governance and leadership)
January 2009 (Service models)
January 2010 (Implementation)
Stage 1
Stage 2
Stage 3
![Page 24: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/24.jpg)
Rural workforce support/engagement
> Coordination• Point of contact• Advice, transport and/or retrieval• Network integration
> Response• Time• Standardisation
> Training opportunities
> Clinical Governance and audit• Feedback• Q&S• Research
![Page 25: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/25.jpg)
My commitment
> To deliver a…• safe
• rapidly responsive
• innovative
• sustainable
• efficient
• effective
• leading
• patient focussed
• outcome driven
> service for the SA Health Care region
![Page 26: M_Hooper.ppt](https://reader034.fdocuments.in/reader034/viewer/2022042815/557d0d7bd8b42a8c2f8b5172/html5/thumbnails/26.jpg)
Where we are heading……..
“Leaders who inspire realise there will always be rocks in the road ahead of us.
They will be stumbling blocks or stepping stones; it all depends on how we use them.”