F1. Driving HealthPathways to transform the system and to deliver evidence into practice

Presenters:

  • Jane Gray, Executive Director, Research, Innovation and Partnerships
  • Emeritus Professor Maree Gleeson, Interim Director, NSW Regional Health Partners (NHMRC Accredited Centre for Innovation in Regional Health) and Non-Executive Director, Boards of Central Coast Local Health District, NSW Health Pathology and Hunter Water Corporation
  • Assoc Prof Luke Wolfenden, Associate Professor, School of Medicine and Public Health, University of Newcastle Health Services Manager, Hunter New England Population Health
  • Dr Lee Fong, Clinical Editor and Clinical Lead, Hunter New England HealthPathways

Downloads:

  • Slides (available soon)
  • Not video recorded


In this session you will enjoy four presentations from local change-makers and clinicians who are collaborating to transform the Hunter New England health system and deliver evidence into practice.  

Learning outcomes 

At the end of this session you will be able to: 

  • Explain Translational Research and how to inspire and empower delegates as “Translational Researchers” 
  • Describe the value of working in a collaborative alliance to drive system change 
  • Argue that by being part of the HealthPathways Community you are using the HealthPathways way of working to translate evidence into practice 
The Power of Alliance: Transforming Health Together in Hunter and New England

Presenters: Jane Gray and Catherine Turner

In this session you will hear how our two organisations are collaborating to transform practice in rural and regional Australia. United by a wish to transform and improve the Hunter New England health system in line with the Quadruple Aim, our two organisations established an Alliance with nine elements: 

  • A formal agreement to partner 
  • An agreed way of prioritising and planning integrated care work together in an annual cycle 
  • Transparently holding ourselves accountable through a regular Integrated Care Alliance Executive meeting 
  • Agreed ways of using existing vehicles for involving clinicians 
  • Agreed ways of using existing vehicles for involving patients and families 
  • Agreed ways of sharing knowledge about “how we do things around here” with our entire clinical community 
  • Commitment to sharing data and using Patient Reported Outcome Measures (PROMS) to measure results from a patient perspective 
  • Clear programs for supporting aspiring change agents whose work meets our priorities 
  • Shared commitment to research and its translation 
HealthPathways: Mobilising Evidence into Practice

Presenter: Dr Lee Fong

It is said to take an average of 17 years for health evidence to be translated into practice. HealthPathways can eliminate the long wait. It provides a practical vehicle for the swift translation of research evidence into practice because it can:

  • bring clinical communities together to interpret new evidence immediately after publication and translate it to the desk of every clinician at point of care
  • provide a baseline against which practice can be measured, thereby demonstrating unwarranted clinical variation
  • clearly describe agreed local practice that can be added to other decision support tools, such as smart eReferral systems

Revisions to policies, procedure, law and practice, such as recent changes to the treatment of viral Hepatitis C (HCV) and prescribing of codeine, can be rapidly communicated in ways that support everyone in the health system to adapt quickly. 

Healthy Kids: A Successful Population Health Approach 
Presenter: Assoc Prof Luke Wolfenden

Reducing the risks of non-communicable disease in the community requires the implementation of evidence based interventions at scale. However, engaging health services and community organisations in the delivery of preventive interventions represents a considerable challenge. The aim of this presentation is to describe characteristics of effective approaches to population health service delivery at scale with an emphasis on the role of partnerships and delivery infrastructure. A number of case studies will be presented to with the key learnings from these initiatives discussed.

Working Together to Translate Research Into Practice - NSW Regional Partners Centre for Innovation in Regional Health

Presenter: Professor Maree Gleeson

In 2016, a postcode in Regional Australia was associated with a life expectancy reduction of one year for rural community dwellers and three years for those in remote communities. The regional life expectancy gap is even further exaggerated by up to 10 years for Aboriginal and Torres Strait Islander people. Regional health care is delivered by a complex web of interrelated and co-dependent services. Geographical dispersion creates additional challenges to service integration.

Australia is recognised for the quality of its biomedical and clinical research, yet this excellence is often not reflected in its implementation into clinical practices/outcomes, especially for communities in regional, rural and remote Australia, and particularly for Aboriginal and Torres Strait Islander people. Australians can be disadvantaged by this failure to turn discoveries and innovations into better health preventative strategies, new treatments, and better ways of caring for our communities.

NSW Regional Health Partners CIRH aims to help close this gap. We are working to truly integrate biomedical and clinical research, population health prevention strategies and healthcare provision to provide the best healthcare for people living in regional, rural and remote communities, with a flow on to all Australians. 

NSW Regional Health Partners CIRH is a unique partnership between three Local Health Districts, a public hospital, a primary health care organisation, an independent medical research institute, and two regional universities; all of whom have made a commitment to deliver this vision of better healthcare outcomes.  Together we are focusing on the translation of our outstanding research into treatments and models of care that will bring benefit to our patients, our communities and the opportunity of scalability

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F2. Outpatient Redesign: It’s harder than it looks but HealthPathways helps

Presenters:

Panel facilitator: 

In this session you will hear the shared experiences of a local primary and tertiary partnership who have used HealthPathways to: 

  • Translate evidence into practice 
  • Collaborate on enabling the right patient to access care at the most appropriate time and place  
  • Achieve rigorous redesign methodology and supporting enablers 

After the following presentations you will have an opportunity to put questions to a panel chaired by Dr Kevin Sweeney. 

Learning outcomes 

At the end of this session you will be able to: 

  • Describe how the local Hunter New England Community HealthPathways team has used HealthPathways to implement service redesign and evidence into practice 
  • Identify opportunities for cross-sector collaboration in your health system Identify challenges and learnings common to your health system
John Hunter Hospital: Outpatient Redesign - Methodology into Practice 

Sush Wagener and Robin Haskins, with guest clinical leads from across the service, will cover: 

  • redesign framework and service principles 
  • enablers for redesigning care and processes including HealthPathways 
  • role design and employment of clinical care coordinators 
  • using data to drive redesign specific case example of successes and learnings  

Downloads:

John Hunter Children’s Hospital: Evidence into Practice 

Catherine Grahame will describe the redesign of the JHCH Orthopaedic Service, including how they: 

  • clearly defined the problem and what they found 
  • how they worked with specialists, general practitioners, and operational leaders to develop the solution 
  • what they did to ensure a robust implementation approach 
  • how this resulted in increased access to care for babies requiring general orthopaedic care

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