Aboriginal Health Monash Health Fellowship practice exam December 2017 Acknowledgement of Country I would like to acknowledge the traditional owners of the lands, the Wurundjeri and Boonwurrung people and pay my respect to Elders past, present and future.

NSQHS – 6 key actions Safety and quality address specific health needs of Aboriginal people Monitoring strategies to meet safety and quality priorities of Aboriginal people Strategies to improve cultural competence and cultural safety Demonstrate a welcoming environment Work in partnerships with Aboriginal communities Ask and record Aboriginal identity in administrative and clinical systems Next Steps – Monthly meetings scheduled with key stakeholders and executives National Safety Quality & Health and Standards (NSQHS), due for implementation in 2018/2019 will includes six key actions specifically relating to Aboriginal health outcomes, which have previously not been included in the accreditation process; - safety and quality address specific health needs of Aboriginal people - monitoring strategies to meet safety and quality priorities of Aboriginal people - strategies to improve cultural competence and cultural safety - demonstrate a welcoming environment - working in partnerships with Aboriginal communities - ask and record Aboriginal identity in administrative and clinical systems

Aims of Aboriginal Health Plan Achieve accurate identification Improve access to health services Support health professions to provide culturally-sensitive and appropriate care Provide pathways for appropriate and timely referrals to and from community services Form relationships with community organisations to support coordination of care and mutual understanding Next Steps – Monthly meetings scheduled with key stakeholders and executives National Safety Quality & Health and Standards (NSQHS), due for implementation in 2018/2019 will includes six key actions specifically relating to Aboriginal health outcomes, which have previously not been included in the accreditation process; - safety and quality address specific health needs of Aboriginal people - monitoring strategies to meet safety and quality priorities of Aboriginal people - strategies to improve cultural competence and cultural safety - demonstrate a welcoming environment - working in partnerships with Aboriginal communities - ask and record Aboriginal identity in administrative and clinical systems

Process Monthly working group Employ dedicated ED staff member to coordinate implementation and progress Perform gap analysis with data and local community interviews Develop education plan for ED staff Review ED to provide culturally safe environment Develop policy and process for referrals from and discharges to community services Social connectivity activities Next Steps – Monthly meetings scheduled with key stakeholders and executives National Safety Quality & Health and Standards (NSQHS), due for implementation in 2018/2019 will includes six key actions specifically relating to Aboriginal health outcomes, which have previously not been included in the accreditation process; - safety and quality address specific health needs of Aboriginal people - monitoring strategies to meet safety and quality priorities of Aboriginal people - strategies to improve cultural competence and cultural safety - demonstrate a welcoming environment - working in partnerships with Aboriginal communities - ask and record Aboriginal identity in administrative and clinical systems

Question 16 - part a You have been asked by your director to prepare a plan to address Aboriginal health in your Australian Emergency Department. a) List four (4) important sources of information you would go to in preparing for this plan (4 marks) Next Steps – Monthly meetings scheduled with key stakeholders and executives National Safety Quality & Health and Standards (NSQHS), due for implementation in 2018/2019 will includes six key actions specifically relating to Aboriginal health outcomes, which have previously not been included in the accreditation process; - safety and quality address specific health needs of Aboriginal people - monitoring strategies to meet safety and quality priorities of Aboriginal people - strategies to improve cultural competence and cultural safety - demonstrate a welcoming environment - working in partnerships with Aboriginal communities - ask and record Aboriginal identity in administrative and clinical systems

Sources of information ACEM Literature review Other hospitals / emergency departments Department of Health Indigenous elders/community Aboriginal liaison officers/local level service Next Steps – Monthly meetings scheduled with key stakeholders and executives National Safety Quality & Health and Standards (NSQHS), due for implementation in 2018/2019 will includes six key actions specifically relating to Aboriginal health outcomes, which have previously not been included in the accreditation process; - safety and quality address specific health needs of Aboriginal people - monitoring strategies to meet safety and quality priorities of Aboriginal people - strategies to improve cultural competence and cultural safety - demonstrate a welcoming environment - working in partnerships with Aboriginal communities - ask and record Aboriginal identity in administrative and clinical systems

Part b List three ways to engage your local aboriginal community in formulating this plan. Engage with elders/indigenous leaders Visit communities and ask questions about perceptions and experiences Survey past and present aboriginal patients Liaise with local aboriginal health centres Get involved with community events Invite local community representatives to your health service Next Steps – Monthly meetings scheduled with key stakeholders and executives National Safety Quality & Health and Standards (NSQHS), due for implementation in 2018/2019 will includes six key actions specifically relating to Aboriginal health outcomes, which have previously not been included in the accreditation process; - safety and quality address specific health needs of Aboriginal people - monitoring strategies to meet safety and quality priorities of Aboriginal people - strategies to improve cultural competence and cultural safety - demonstrate a welcoming environment - working in partnerships with Aboriginal communities - ask and record Aboriginal identity in administrative and clinical systems

Part c List three ways to engage your department in formulating this plan Ask the staff what they think Involve everyone! Formulate a plan based on what they say Involve staff in implementation and leadership Involve staff in ongoing maintenance and audit Meetings, surveys, feedback mechanisms Next Steps – Monthly meetings scheduled with key stakeholders and executives National Safety Quality & Health and Standards (NSQHS), due for implementation in 2018/2019 will includes six key actions specifically relating to Aboriginal health outcomes, which have previously not been included in the accreditation process; - safety and quality address specific health needs of Aboriginal people - monitoring strategies to meet safety and quality priorities of Aboriginal people - strategies to improve cultural competence and cultural safety - demonstrate a welcoming environment - working in partnerships with Aboriginal communities - ask and record Aboriginal identity in administrative and clinical systems

Part d List two general elements that should be in your final plan Achieve accurate identification Improve access to health services Support health professions to provide culturally-sensitive and appropriate care Provide pathways for appropriate and timely referrals to and from community services Form relationships with community organisations to support coordination of care and mutual understanding Next Steps – Monthly meetings scheduled with key stakeholders and executives National Safety Quality & Health and Standards (NSQHS), due for implementation in 2018/2019 will includes six key actions specifically relating to Aboriginal health outcomes, which have previously not been included in the accreditation process; - safety and quality address specific health needs of Aboriginal people - monitoring strategies to meet safety and quality priorities of Aboriginal people - strategies to improve cultural competence and cultural safety - demonstrate a welcoming environment - working in partnerships with Aboriginal communities - ask and record Aboriginal identity in administrative and clinical systems

General tips Timing Read the question entirely through Read the individual question you are answering Answer the question Don’t write the same thing in multiple different ways Answer every question (don’t skip and go back) If you have more than the required number of answers, cross one out Next Steps – Monthly meetings scheduled with key stakeholders and executives National Safety Quality & Health and Standards (NSQHS), due for implementation in 2018/2019 will includes six key actions specifically relating to Aboriginal health outcomes, which have previously not been included in the accreditation process; - safety and quality address specific health needs of Aboriginal people - monitoring strategies to meet safety and quality priorities of Aboriginal people - strategies to improve cultural competence and cultural safety - demonstrate a welcoming environment - working in partnerships with Aboriginal communities - ask and record Aboriginal identity in administrative and clinical systems

This is just an exam Next Steps – Monthly meetings scheduled with key stakeholders and executives National Safety Quality & Health and Standards (NSQHS), due for implementation in 2018/2019 will includes six key actions specifically relating to Aboriginal health outcomes, which have previously not been included in the accreditation process; - safety and quality address specific health needs of Aboriginal people - monitoring strategies to meet safety and quality priorities of Aboriginal people - strategies to improve cultural competence and cultural safety - demonstrate a welcoming environment - working in partnerships with Aboriginal communities - ask and record Aboriginal identity in administrative and clinical systems