1. Click to edit Master subtitle style Introducing the ACI Our portfolios

2. About ACI

3. Who we are and what we do Service Redesign and Evaluation Implementation Support Specialist Advice on Healthcare Innovation Initiatives including Guidelines & Models of Care Continuous Capability Building Knowledge Sharing

4. Our Structure ACI Chief Executive Acute Care Services Surgery, Anaesthesia and Critical Care Primary and Chronic Care Services Clinical Program Design and Implementation Engagement, Executive Support and Communications Corporate Services Clinical Lead ACI Clinical Council ACI Consumer Council

5. Our clinical portfolios Acute Care Clinical Program Design and Implementation Primary and Chronic Care Surgery, Anaesthesia and Critical Care Our clinical portfolios provide support to ACI Clinical Networks, Taskforces and Institutes and promote collaboration, two way communication and information sharing. This unique structure encourages people to work together across and within portfolios to design and promote better healthcare whatever the care setting.

6. Acute Care Acute Care Taskforce CardiacEndocrine Gastroenterology Malignant Haematology & BMT Nuclear Medicine RadiologyRenalRespiratory Stroke Daniel Comerford Director of Acute Care Daniel Comerford Director of Acute Care

7. Projects underway 2014/15 BMT Environmental Cleaning BMT Long Term Follow Up Medical Assessment Unit Model of Care Cardiac Reperfusion - Nurse Administered Thrombolysis Blood & Marrow Transplant (BMT) Acute Myeloid Leukaemia (AML) Cystic Fibrosis Model of Care Diabetes Mellitus Model of Care & High Risk Foot Standards End Stage Kidney Disease Hepatitis C Model of Care Stroke Reperfusion Unwarranted Clinical Variation: - Community Acquired Pneumonia - Stroke Unwarranted Clinical Variation: - Community Acquired Pneumonia - Stroke Criteria Led Discharge Clinical Management Plans Pleural Drains Guideline Gastrostomy Standards Subcutaneous Insulin Chart Tracheostomy Guideline Medical Imaging District Services (MIDS) Intravenous Insulin Chart Renal Supportive Care Timely Access to Imaging Services Cardiac Reperfusion – Pre Hospital Thrombolysis Unwarranted Clinical Variation Acute Myocardial Infarction (AMI) Transcutaneous Aortic Valve Implantation (TAVI) Patient in the community Patient enters the hospital ED or Direct Admission Inpatient or Outpatient* Patient exits the hospital Patient in the community *includes HITH and ambulatory care Congestive Heart Failure Model of Care Development Implementation Rehabilitation

8. Surgery, Anaesthesia and Critical Care Anaesthesia & Peri operative Burn Injury Service Critical Care Taskforce Emergency Care Institute Gynaecological Oncology Intensive Care Services Intensive Care Coordination and Monitoring Unit Institute of Trauma and Injury Management Ophthalmology Rural Critical Care Taskforce Surgical Services Taskforce Urology Professor Donald MacLellan Director Surgery, Anaesthesia & Critical Care Professor Donald MacLellan Director Surgery, Anaesthesia & Critical Care

9. Projects underway 2014/15 Prostate Cancer Registry – NSW to National Prostate Cancer – Clinical Nurse Consultant in Outpatients Clinics: A value study Minimum Standards for Safe Sedation – Implementation Project Prostate Cancer – CLICC Study (NHMRC with Sax Institute) Nurse Delegated Emergency Care Protocols Trauma Patient Outcome – Review across NSW Operating Theatre Efficiency Implementation Project ICCIS project – Clinician Engagement Minimum Standards for the Management of Fractured Hip in the Older Patient Tracheostomy Guideline High Dependency Units Model of Care Development Implementation NSQIP Nurse Administered Thrombolysis (Cardiac Reperfusion) – Rural and Regional NSW Pre Procedure Toolkit/Safe Sedation Project Gynaeoncology Referral Path – Enhancing Patient Specialist Referrals ENT project Patient in the community Patient enters the hospital ED or Direct Admission Inpatient or Outpatient* Patient exits the hospital Patient in the community Telehealth/medicine project for rural and regional Burns patients Community Eye Project (Diabetic Retinopathy, Glaucoma and Cataracts) Trauma T-Pads Rehabilitation

10. Primary and Chronic Care Services Primary ad Chronic Care Aged HealthBrain Injury Chronic Care for Aboriginal People Drug and Alcohol GP Council Intellectual Disability Mental HealthMusculoskeletal NutritionPainPalliative CareRehabilitation Spinal InjuryTransition Care Chris Shipway Director Primary Care & Chronic Services Chris Shipway Director Primary Care & Chronic Services

11. Projects underway 2014/15 Aboriginal Rehabilitation Services 48 Hour Follow Up – Chronic Care for Aboriginal People Model of Care of Acute Low Back Pain Nutrition Standards and Diet Specifications Patient menu selection Food and nutrition factsheet Knockout Health Challenge Home Enteral Nutrition Brochures and Factsheets Parenteral Nutrition factsheet Chronic Disease Management Program Development Implementation Patient in the community Patient enters the hospital ED or Direct Admission Inpatient or Outpatient* Patient exits the hospital Patient in the community Health Literacy for Aboriginal people NSW Paediatric Rheumatology Network Model for Palliative and End of Life Care Service Provision Osteoporotic Re-fracture Prevention Vocational Intervention Program for People with Traumatic Brain Injury Accessing BIRP Services NSW Brain Injury Rehabilitation Program model of case management One Deadly Step Osteoarthritis Chronic Care Program Spinal Cord Injury Factsheets x 10 NSW Brain Injury Rehabilitation Program Clinician Workload Management Tool Rehabilitation Model of Care Model of Rehabilitation for People with Traumatic Brain Injury Guidelines for Gastrostomy tubes and devices Guidelines for Home Enteral Nutrition Services Spinal Seating Professional Development Program and Resources State Spinal Cord Injury Service Psychosocial Strategy and Resources Transition Care Principles Model of Care for the Prevention and Integrated Management of Pressure Injuries in People with a Spinal Cord Injury or Spina Bifida Tier 3 and 2 Pain Services Spinal Cord Injury and Pain Individual Patient Specials Framework Integrating Care for Older People with Complex Health Needs Care of Confused Hospitalised Older Persons Program Strategic Framework of Health Services for People with Intellectual Disability in NSW Rehabilitation

12. Clinical Program Design & Implementation Model Of Care Development and Implementation Support Centre For Healthcare Redesign Economic and Resource Appraisal Program Evaluation Unwarranted Clinical Variation Taskforce Research Sustainable Access Committee Rural Health Tele-health Model Of Care Development and Implementation Support Centre For Healthcare Redesign Economic and Resource Appraisal Program Evaluation Unwarranted Clinical Variation Taskforce Research Sustainable Access Committee Rural HealthTele-health Raj Verma Director Clinical Program Design & Implementation Raj Verma Director Clinical Program Design & Implementation

13. Projects underway 2014/15 Regional Aged Care Hospital Avoidance Project Guidelines for the Use of Telehealth for Clinical and Non-clinical Usage in NSW Development Implementation HealthPathways Patient in the community Patient enters the hospital ED or Direct Admission Inpatient or Outpatient* Patient exits the hospital Patient in the community *includes HITH and ambulatory care ** in collaboration with Ministry of Health Specialist Outpatient Services Framework** Clinical Innovation Program Annual Rural Innovations Changing Healthcare (RICH) Forum Capability development through AIM, GEM, Coaching Panel / Redesign Leaders Network Capability development through Redesign Program (Diploma Program /GEM ) Capability development through Surgery Redesign Training Program Knowledge Management / Redesign Leaders Network – Supporting Spread Rehabilitation

14. Excellence and Innovation in Healthcare Portal www.eih.health.nsw.gov.au

15. Level 4, Sage Building 67 Albert Avenue, Chatswood NSW 2067 PO Box 699 Chatswood NSW 2057 T + 61 2 9464 4666 F + 61 2 9464 4728 info@aci.health.nsw.gov.au www.aci.health.nsw.gov.au Thank you www.aci.health.nsw.gov.au