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Resources

Page content: Change Package | Rigorous Diagnostics | Team resources

Change package

The purpose of the change package is to share resources across teams. The resources are available to assist in developing and trialling innovations to improve the patient journey through outpatient departments and primary health care settings.

The resources have been assigned to the following improvement areas:

During the project, teams can contribute new resources to this section by contacting the PFC II team (email to: john.t.walker@dhs.vic.gov.au).

Make sure you regularly check this section for new updates and tools.

Referrals in and out

Action areas

  • Appropriate Triaging
  • Appropriateness of referral
  • Early referrals
  • GP Interface
  • Rebound referrals
  • Referral documentation
  • Referral pathways
  • Where are they coming from?

Resources

Victorian human services directory for access to community services
Department of Human Services, Victoria
Available from the Human Services Directory.

Can we see more outpatients without more doctors?
Journal of the Royal Society of Medicine, volume 96, July 2003
Available from the Journal of the Royal Society of Melbourne (JRSM) website.

Service coordination tool templates
Primary Care Partnership - Department of Human Services, Vic
Available from the Primary Care Partnerships website.

Electronic transmission of health information
National E-Health Transition Authority
Available from the National E-Health Transition Authority website.

Electronic referrals to Southern Health
Southern Health, Victoria
Available from the Southern Health GP Access website.

Management, referral and assessment guidelines
Ministry of Health, New Zealand
Available from the Elective Services website.

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Workforce

Action areas

  • Allied Health
  • Better Skills, Best Care
  • Clinical roles
  • Education role of OPD Education/Liaison roles
  • GP Skill Level
  • Professional Boundaries
  • Medical staff availability

Resources

Better clinics, improving the patient journey toolkit
Clinical Innovation Funding (CLIF) program St Vincent’s Health, Victoria

Improving Access to Orthopaedics
Clinical Innovation Funding (CLIF) program Barwon Health

Planning and training – recruitment & retention - policies & programs
Victoria’s Health WorkforceDepartment of Human Services, Victoria
Available from Victoria's Health Workforce website.

Models of care

Action areas

  • Existing Models of Care
  • Funding models
  • Substitution/Diversion
  • Automatic patient review
  • Managing chronic illness

Resources

NHS Scotland: National Patient Pathways
This site contains the Patient Pathways developed by the Centre for Change and Innovation for NHS Scotland. The Patient Pathways provide GPs with information on: referral criteria for Consultants, alternative referral to AHPs/Specialist Nurses, follow up options, diagnostic tests, management tips. They can also act as an educational tool and provide sources of patient information.

Improving access to Orthopaedics toolkit
Clinical Innovation Funding (CLIF) program Barwon Health, Victoria

Assessing telemedicine: a systematicreview of the literature
CMAJ 2001;165(6):765-71
Available from the Canadian Medical Association Journal (CMAJ) website.

Stage along the patient journey: Outpatients
Cancer Services Collaborative Service Improvement Guide

Utilisation of outpatient cardiac rehabilitation in Queensland
MJA 2003; 179: 341–345
Available from the Medical Journal of Australia (MJA) website.

Rethinking management of chronic diseases
BMJ Volume 328, 24 January 2004

Adobe PDF icon A step-by-step guide to implementing patient pathways from the Centre for Change and Innovation NHS Scotland (377 kb, pdf)

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Communication & information

Action areas

  • Hospital communication
  • Health services provided in Community
  • Information for GP’s
  • Information for Hospitals
  • GP communication

Resource

Victorian human services directory
Department of Human Services, Victoria
Available from the Human Services Directory.

Bookings & waiting lists

Action areas

  • Impact on surgical waiting List
  • Back-dooring / Overbooking
  • Customer Service§ Documentation
  • Interpreters
  • DNA
  • Physical facilities
  • Private Clinics
  • Scheduling
  • Transport

Resource

Sample DNA attend policy
Barwon Health, Victoria

Improvement methodologies

Action areas

  • Lean
  • Theory of constraints
  • Six sigma
  • Whole systems thinking
  • Breakthrough methodology

Resources

Breakthroughs in Operating Suite Performance- using a Six Sigma
Clinical Innovation Funding (CLIF) Program - Peninsula Health, Victoria

Plain language explanation of the ideas of lean thinking
Lean Enterprise Institute
Available from the Lean Enterprise Insttitute website.

Glossary of terms, lean methodology
Invertech Pty Ltd

Adobe PDF icon A step-by-step guide to improving outpatient services: Variations in NHS Outpatient Performance: Project Report II (313kb, pdf)

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Other reviews & projects

Action areas

  • Outpatient reviews

Resources

UK Audit Commission - Quicker Treatment Closer to Home: Primary Care Trust's success in redesigning care pathways
This study reviews how primary care trusts (PCTs) are supporting redesign of care pathways from primary care into consultant outpatient services. Its aim is to help PCT managers understand which organisational and contextual factors have particular impact on a PCT's ability to progress successful redesign programmes and how some PCTs have overcome local barriers to implement new care pathways.

Non-admitted patient services: a literature review and analysis.
Prepared by the Centre for Health Program Evaluation for the Department of Human Services.

Care in your community
Care in your community represents a significant change in how health care will be delivered in the future. It is a vehicle for building the capacity of the Victorian health care system to deliver person-centred health care in community settings, reducing the need for in-patient care, and improving the health outcomes of Victorians. It provides clear policy directions ansd an overarching planning framework for ambulatory care service delivery models and facilities in Victoria, building on established and successful elements of the current health system.
Available from the Ambulatory Care website.

The General Practice – Hospital Integration
Demonstration Sites Program Western Australia
Available from the Sir Charles Gairdner Hospital website.

Outpatient review of national findings
Audit Commission, UK
Available from the Audit commission website.

Reports and Publications, Access to medical specialist outpatient care
Auditor General Victoria
Available from the Auditor General Victoria website.

Rigorous diagnostics

This toolkit has been prepared to help community health service teams to complete the rigorous diagnostic phase of the Patient Flow Collaborative –Outpatients (PFC II – Outpatients). The aim of the activities is to identify the key constraints and issues impacting client flow between community health services and outpatients. Once the tools have been completed, the PFC II – Outpatients teams will be able to prioritise which innovations are required to produce significant improvement.

The rigorous diagnostics tools include:

  • health service data
  • brainstorming
  • process mapping
  • sampling tools
  • client and carer involvement.

Adobe PDF icon Rigorous diagnostics toolkit for Acute health services (260kb, pdf)

Adobe PDF icon Rigorous diagnostics toolkit for Community Health Services (203kb, pdf)

Adobe PDF icon Presentation on Conducting Rigorous Diagnostics stage (416kb, pdf)

Team resources

Action plan template
Template to assist in planning tasks and activities for PFCII action phases. These need to be submitted to the DHS team.
Microsoft Word icon Action plan template (554kb, MS Word)

Communication strategy
The DHS PFCII–Outpatients communication strategy.
Microsoft Word icon Communication strategy (150kb, MS Word)

Project management made simple
A resource that describes key stages to effective project management.
Microsoft Word icon Project management made simple (324kb, MS Word)

Project timelines
Sets out the key project timelines and dates.
Microsoft Excel icon Project timelines (13kb, MS Excel)

Sustaining PFC II - Outpatients Toolkit
This sustainability toolkit is designed for teams committed to improving health outcomes for Outpatients in Victorian hospitals and community health services.
Adobe PDF icon Sustaining PFC II - Outpatients Toolkit (231kb, pdf)

Team communication plan template
Template to assist teams to develop effective communication plans.
Microsoft Word icon Team communication plan template (58kb, MS Word)

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Last updated: 20 September, 2007
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