Download presentation
Presentation is loading. Please wait.
1
‘Engaging Stakeholders in identifying Priority evidence-practice gaps and strategies for improvement’ (ESP) project Key findings Ross Bailie, Veronica Matthews, Jodie Bailie, Alison Laycock, Perri Hull
2
Outline Engaging Stakeholders in identifying Priority evidence-practice gaps and strategies for improvement’ (ESP) project Project aims and design Common findings across key areas of care Using the findings for wide-scale change
3
Project background ESP Project
4
Data sources Health Centres provided CQI data 38 ACCHOs
137 Govt, other Over 9 years 56,000 audited patient records Available for analysis 492 system assessments
5
Project aims To bring together and disseminate the ABCD data
To invite people in different roles and places to help interpret and use the data Evidence + people’s experience Discussion and knowledge sharing Wide-scale process – system change
6
ESP questions ‘What are the priority evidence-practice gaps evident in the aggregated CQI data?’ ‘Which barriers and enablers need to be addressed?’ ‘Which strategies could overcome modifiable barriers and enhance enablers?’ 4. ‘How can we improve dissemination methods to encourage engagement?’
7
Common findings across areas of care
8
Common findings – evidence practice gaps
Key aspects of care Child Maternal Chronic illness Preventive RHD Mental health Risk factor enquiry & brief intervention alcohol, tobacco, drug use, nutrition tobacco, alcohol use in pregnancy tobacco use, physical activity substance use, social risk RF education clients & families alcohol, drug misuse Follow-up action for abnormal findings development delay, anaemia referral services for social risk medication review & re-testing eg BP, HbA1c in particular, BP, BGL, lipid profile active FU if miss BPG injections FU if deterioration of symptoms Treatment adherence & disease management scheduled immunisations current medication guidelines scheduled BPG injections shared care arrangements Measures & investigations haemoglobin, development milestones weight, CV risk assessment urinalysis, CV risk assessment Emotional wellbeing screening & support Health systems community links community links, QI system support systems for client care continuity, staff skill mix community links, appropriate staff skill mix
9
Common findings – barriers & enablers
CH Mat CI PH RHD MH Staffing issues adequate staff numbers, especially A&TSIHPs high staff turnover appropriate skills & experience in area of care or principles of patient centred care & population health access to experienced staff, need for flexible learning practices Community engagement staff skills to engage & work with community enhance community health literacy & leadership Data & QI systems management support for QI systems staff training & support to effectively use information systems access to decision support resources Finance & resources insufficient resources to support best practice care
10
Common findings – strategies
CH Mat CI PH RHD MH Workforce increase A&TSIHPs, modify roles & career pathways with focus on holistic patient-centred care introduce workforce KPIs improve training, mentoring programs, particularly cultural competencies Community development increase community involvement in service planning & delivery, eg employ local champions, co-produce resources Health systems develop a QI culture across all levels availability of appropriate referral services shared clinical information systems, more effective use of systems for timely follow-up better interagency coordination & sharing of knowledge advocate for healthy food, housing
11
Stakeholder engagement
Dissemination Response review phase 3 review phase 3 phase 1 phase 2 phase 1 phase 2 <5
12
Stakeholder engagement by organisation
Chronic illness care 51% remote phase 1 phase 2 review phase 3 n=202 n=402 n=50 Health department Government health centre Research organisation Community controlled health centre Peak body/advocacy group General practice Primary health network Other
13
Stakeholder engagement by profession
Chronic illness care 26% Indigenous phase 1 phase 2 review phase 3 n=202 n=402 n=50 Medical officer Nurse Policy CQI facilitator Researcher PHC centre manager A&TSI health practitioner Board/community member Other
14
Next steps A wide-scale project with important messages for system-wide change How can we use this information to achieve system change? together and individually for improvement in priority areas at different levels of the health system
15
Thank you
Similar presentations
