1. 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.

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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