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
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
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
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.
Rigorous
diagnostics toolkit for Acute health services (260kb, pdf)
Rigorous
diagnostics toolkit for Community Health Services (203kb, pdf)
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.
Action
plan template (554kb, MS Word)
Communication strategy
The DHS PFCII–Outpatients communication strategy.
Communication
strategy (150kb, MS Word)
Project management made simple
A resource that describes key stages to effective project management.
Project
management made simple (324kb, MS Word)
Project timelines
Sets out the key project timelines and dates.
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.
Sustaining
PFC II - Outpatients Toolkit (231kb, pdf)
Team communication plan template
Template to assist teams to develop effective communication plans.
Team
communication plan template (58kb, MS Word)
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