TEAMWORK RESEARCH STUDY Enhancing The Role Of Non-GP Staff In Chronic Disease Management In General Practice Training for Divisions of General Practice

UNSW research centre for primary health care and equity 5 ELEMENTS OF TEAM BUILDING Clear goals and measurable outcomes Division of labour Communication Administrative and clinical systems Training K. Grumbach and T. Bodenheimer; Can health care teams improve primary health care practice? JAMA March 2004 Vol 291 No. 10

UNSW research centre for primary health care and equity THE PROCESS OF BUILDING A SYSTEM BASED ON TEAMWORK Quality care = systems + teamwork Identify area of practice to work on Set goals Build system Look at task allocation Identify training needs Set review date DOCUMENT EVERYTHING!

UNSW research centre for primary health care and equity ROLES OF NON GP STAFF Practice managers Practice nurses Receptionists

UNSW research centre for primary health care and equity ENHANCING THE ROLE OF NON- GP STAFF UNSW Research Centre for Primary Healthcare & Equity GP + two non-GP staff Electronic prescribing 60 practices across NSW & Victoria Does enhanced teamwork lead to: Improved care for patients with diabetes, ischaemic heart disease/hypertension? Increased patient satisfaction? Increased job satisfaction for staff?

UNSW research centre for primary health care and equity STRUCTURE OF INTERVENTION An education session 1-2 hours Ideally PM, PN, principal GP Identify “driver” 3 practice visits over 6 months 1-2 hours each Ideally “driver”, PM, PN, other admin. staff Resources Manual, workbook, CD

UNSW research centre for primary health care and equity GOAL-SETTING Goal 1 “We want to use HMR as much as possible” Goal 2 “We want 6 patients who have had a Health Assessment and are eligible for HMR to have an HMR by the end of the month”

UNSW research centre for primary health care and equity BUILDING A SYSTEM What is the process step by step? Write it down Who will perform each step and by when? Write it down Who needs what training to achieve this? Write it down Formalise the written process Review date

UNSW research centre for primary health care and equity POINTS TO CONSIDER Practices committed to project Allowed us to set up 4 visits We were able to identify the driver Practice staff were already moving towards deciding to make a change in practice How can Practice Support Officers sell this approach to practices? What are the barriers How can you overcome these barriers?

UNSW research centre for primary health care and equity IDEAS FOR MORE GOALS Patients who have: GPMP/TCA have HMR Dementia have HMR Asthma cycle of care have HMR year old health check have HMR Diabetes have GPMP, TCA and HMR Been discharged from hospital have HMR

UNSW research centre for primary health care and equity CPD Practice reports Clinical audit: 40 points