2020 Year in review report - Access and Capacity-building Team

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2020 Year in review report - Access and Capacity-building Team
Health Equity and Access Unit
          Access and Capacity-building Team

                               Access and Capacity-building Team meeting – in progress

                                                                                         In this meeting (13)

                                                                                         Angel Bogicevic
                                                                                         Guy Hancock
                                                                                         Kym Perkins
                                                                                         Kellie Murray
                                                                                         Leigh Bramwell
                                                                                         Barbara Radcliffe
                                                                                         Simone Johnston
                                                                                         Eddie Lubari
                                                                                         Lorella Piazzetta
                                                                                         Sue Pager
                                                                                         Troy Hakala
                                                                                         Anna Greig
                                                                                         Brooke Hutchison

2020 Year in review report
Access and Capacity-building Team
2020 Year in review report - Access and Capacity-building Team
Published by the State of Queensland (Metro South Health), February 2021

This document is licensed under a Creative Commons Attribution 3.0 Australia licence.
To view a copy of this licence, visit creativecommons.org/licenses/by/3.0/au
© State of Queensland (Metro South Hospital and Health Service) 2021
You are free to copy, communicate and adapt the work, as long as you attribute the State of Queensland
(Metro South Hospital and Health Service).
For more information, contact:
Access & Capacity-building Team, Metro South Health, 51 McKechnie Drive, Eight Mile Plains 4113, email
access&capacity@health.qld.gov.au, phone 07 31569578 for Access & Capacity-building Team, Health Equity & Access
Unit.
An electronic version of this document is available at www.metrosouth.health.qld.gov.au
Disclaimer:

The content presented in this publication is distributed by the Queensland Government as an information source only. The State of Queensland makes no statements,
representations or warranties about the accuracy, completeness or reliability of any information contained in this publication. The State of Queensland disclaims all
responsibility and all liability (including without limitation for liability in negligence) for all expenses, losses, damages and costs you might incur as a result of the
information being inaccurate or incomplete in any way, and for any reason reliance was placed on such information.

2020 Year in review report                                                                                                                                      Page 1 of 14
2020 Year in review report - Access and Capacity-building Team
Dear reader
                                    Welcome to the 2020 Year in review report for the Access and Capacity-building
                                    Team (ACT), Health Equity and Access Unit.
                                    It is fair to say that 2020 was a challenging year for many people. While some of
                                    ACT’S work was able to continue, we had to quickly refocus our priorities and
                                    action a COVID-19 pandemic response for people with disabilities and people from
                                    culturally and linguistic diverse backgrounds here in Metro South Health.
                                    Some of our challenges included adapting our work priorities and practices as a
                                    team, being able to both anticipate and respond to providing relevant information
                                    on COVID-19 in an ever-changing environment, and ensuring that our workforce
                                    remained robust, responsive and healthy.

    Apart from increasing our flexibility and collaboration, we were on a sharp learning curve to educate ourselves in
    understanding the complexities of providing easy and culturally relevant information for community members who
    experience additional barriers to accessing and engaging with healthcare. It felt like this year, our focus of building
    the capacity of health services to work with our priority communities and empowering our communities to take
    steps to improve their health, was more critical than ever.
    We were fortunate that in previous years we had established relationships with community members and non-
    government services. This ensured productive partnerships and collaborations continued in a challenging 2020.
    We are privileged to work with the communities we serve. We extend our thanks and appreciation to everyone we
    worked with over the year including community members, community organisations, peak bodies and other
    government staff.
    As a team, we are proud of the work we did in 2020 and we hope you enjoy this Year in Review. Highlighted are
    some of the many achievements of ACT in 2020 including COVID-19 related work. A COVID-19 work section forms
    part of this publication. This captures the breadth of work undertaken in often challenging environments.
    Thank you for taking the time to read this publication and we look forward to reconnecting and continuing to work
    with you in 2021.
    On behalf of all our team, I wish you all a safe and happy 2021.

    Brooke Hutchison
    Team Leader

    Further information on ACT’s work can be accessed at:
    https://qheps.health.qld.gov.au/metrosouth/heau/hea-framework

2020 Year in review report                                                                                             Page 2 of 14
2020 Year in review report - Access and Capacity-building Team
People with a disability

                                                Care of the younger cognitively impaired patient
                                                This project focuses on minimising or eliminating the use of
                                                restrictive practices for the management of behaviours of concern in
                                                patients with a cognitive disability and improving health outcomes. It
                                                looks at people with a permanent disability and conditions other than
                                                dementia and delirium.
                                                Activities for 2020 included:
                                                •   An organisation-wide analysis identifying gaps in care for patients
                                                    with a cognitive disability.
                                                •   Participation in the Princess Alexandra Hospital’s Cognitive
                                                    Impairment Committee, including expanding the committee’s
                                                    terms of reference to include a broader definition of cognitive
                                                    impairment than dementia and delirium.
                                                •   Review of the Princess Alexandra Hospital and Logan General
                                                    Hospital Standard 5 gap analyses with a cognitive disability lens.
                                                •   Provided feedback on policies and procedures involving
                                                    restrictive practices.
                                                •   Participated in the Queensland Health’s Restrictive Practices
                                                    Advisory Working Group.
                                                •   Facilitated discussion with key Metro South Health stakeholders
                                                    with the Australian Commission for Safety and Quality in Health
  Disability identifiers and data                   Care (ACSQHC), exploring safety and quality issues for people
  enhancement within the MSH electronic             with cognitive disability and examples of good practice.
  medical record (iEMR)                         •   Participated in the Workplace occupational violence prevention
  The project aimed to introduce disability         and response in cognitively impaired patients.
  data identification questions and NDIS
  status alerts in documentation for care       Julian’s Key Health Passport
  planning needs within iEMR. It also           People with disability, carers or family can use Julian’s Key to write
  identified and responded to other gaps.       down their disability support needs. People can give their Julian’s Key
                                                to health workers – which helps them to provide better care.
  To do this:
        •    we established a working group     People can get Julian’s Key as:
             with clinicians from across MSH       1) A smartphone app from the Apple and Google App Stores
                                                   2) A printable copy which can be downloaded here
        •    facilitated three workshops           3) Printed copies are available within Logan Hospital
             to identify issues and risks
        •    commenced solution design.         During 2020 our team:
                                                    • Distributed 350 printed Julian’s Key Packs
  Findings of the workshop were tabled at
                                                    • Provided 6 awareness sessions to 132 staff
  several MSH and PAH committees to
                                                    • Conducted internal and external media promotional activities
  seek Executive support for the
  recommendations. We are working with
                                                If you want more information
  Digital Health Clinical Consultation to
                                                about Julian’s Key you can
  draft a proposal for a series of state-wide
                                                go to the project website here.
  changes.

2020 Year in review report                                                                                    Page 3 of 14
2020 Year in review report - Access and Capacity-building Team
People with a disability

                                                                 Work with nursing staff and facilitators at Logan
                                                                 and Redlands Hospital
                                                                     •   Liaised with nurse educators and clinical
                                                                         facilitators at Redlands and Logan
                                                                         hospitals to build the capability of staff to
                                                                         care for people with a disability and those
                                                                         from culturally diverse backgrounds.
                                                                     •   Four short in-services were held over two
                                                                         days with Logan perioperative nurses on
                                                                         the topic of intellectual disability. This
                                                                         included a static display on
                                                                         positive behaviour support and
                                                                         reasonable adjustments.

                                                                  OMED (Opioid Medication) Assist Research
                                                                  Project
                                                                  Chronic pain can severely impact people’s
                                                                  health and wellbeing and put them at risk of
                                                                  harm from opioids and other medications. This
                                                                  can lead to permanent physical and cognitive
                                                                  disability. This co-designed research project
                                                                  aims to develop a brief psychological
                                                                  intervention with groups of patients who have
                                                                  chronic non-cancer pain.
                                                                  Holistic interventions based on the
Healthy eating in supported accommodation project                 biopsychosocial model of pain have been
In 2020, 4,248 residents were living with an intellectual         found to be beneficial. Taking around four
disability and/or a mental illness in supported accommodation     hours to complete, OMED Assist will be
across the MSH catchment area.                                    delivered online with the support and guidance
                                                                  of a health professional.
The project improves the health of residents by supporting
services across Queensland, that provide food, to meet their
accreditation requirements.                                       A Capability Framework for Disability in Health
The implementation phase of this project, including the           People with disabilities often need to access
development of a nutrition toolkit, was completed in 2019. In     our health services. How can we provide them
2020, work to create a healthy environment for the                with positive experiences and ensure they are
supported accommodation industry continued, including:            free from harm while in our care?

•    three newsletters on emerging nutrition issues               This project focuses on the specific disability
                                                                  capabilities needed by the health workforce.
•    forty-eight new supported accommodation staff signed up      ACT is developing a framework that will outline
     to the online nutrition training modules, with a total of    how staff can become more confident and
     191 staff enrolled since the project began                   responsive when working with people with
•    regular contact with Residential Services staff in           different types and levels of disability.
     Department of Housing and Public Works who are
     responsible for accreditation of the industry
•    development and dissemination of a new meal serving
     guide for the festive season.
This is a partnership project between Metro South Addiction
and Mental Health Service and Access and Capacity-building
Team in Metro South Health. The toolkit can be found at:
https://metrosouth.health.qld.gov.au/health-equity-and-
access/people-with-disabilities

2020 Year in review report                                                                                    Page 4 of 14
2020 Year in review report - Access and Capacity-building Team
Multicultural health – community settings

                                            Lanuola cooking and            Resources for women with gestational
                                            nutrition program at           diabetes
                                            Village Connect (Logan)
                                                                           We developed a series of healthy
                                            Working collaboratively        cooking videos for women and families
                                            with the Village Connect       attending gestational diabetes group
                                            Pasifika maternity hub at      education at the Village Connect Pasifika
                                            Hosanna, Logan, we             maternity hub at Hosanna, Logan. The
                                            delivered nutrition            videos were developed as a contingency
                                            education and cooking          strategy because face-to-face group
                                            workshops as part of the       education could not be delivered
                                            ‘Lanuola’ (living colour)      during COVID-19 restrictions. This
                                            Gestational Diabetes           measure also benefitted women and
                                            Education program.             families who were unable to attend
                                                                           sessions in person.
Working alongside the Maori and Pacific Islander Diabetes Educator,
the pilot program was delivered in an informal, supportive                 We have also been working
community setting. It aimed to:                                            collaboratively with nutritionists from the
                                                                           Good Start Program to develop
•     encourage healthy eating during and after pregnancy
                                                                           educational videos for women with
•     improve knowledge and practice of meal planning and healthy          gestational diabetes.
      eating for the whole family
•     improve knowledge and health literacy related to gestational
      diabetes and associated health outcomes.
We provided practical information about food, nutrition, meal
planning and the preparation of nutritious meals. A different family
recipe was cooked each session to demonstrate small modifications
to make family meals healthier. We delivered seven workshops
attended by 58 participants.

 Partnership with Qld African Communities Council (QACC)
 ACT have auspiced the Qld African Communities Council to
 conduct a community designed, led and actioned research
 project. The project aims to better understand Addiction and
 Mental Health needs in the community and to explore the
 potential barriers and enablers for accessing Addiction and
 Mental Health support.
 ACT also partnered with QACC to deliver translated, audio and
 simplified English COVID-19 messages throughout the pandemic.

                              Brisbane South PHN, Metro South Health and Children’s Health Queensland have
                              collaborated with Maori and Pasifika community representatives and stakeholders to
                              co-design and develop a Pasifika and Maori Health and Wellbeing Strategy.
                              Pasifika and Māori Health and Wellbeing: A Strategic Framework and Action Plan for
                              Brisbane South 2020-2025 articulates a shared vision, shared values, and shared
                              priorities for Pasifika and Māori health and wellbeing in Brisbane South, and promotes
                              a whole of health and community-embedded approach for this to be achieved.
                              The Strategy was endorsed late 2020 and we look forward to its implementation
                              commencing in 2021.

2020 Year in review report                                                                                    Page 5 of 14
2020 Year in review report - Access and Capacity-building Team
Multicultural health – community settings

Work with emerging communities (Logan Community Health Action Plan funded)

  Staying healthy in Australia – physical
  activity video
  Staying healthy in Australia: Keeping
  Active is a new short video that outlines
  the reduction in physical activity that can
  occur when settling in Australia. It talks
  about the benefits of keeping active and
  explains Australia’s physical activity
  guidelines. The video encourages people to
  undertake a range of activities that they
  enjoy every day. You can find the video
  at https://vimeo.com/478350249 .

  Physical activity projects
  This year, we continued to engage with our
                                                 Prep school orientation sessions
  exiting partners and established new
                                                 This is the second year that we have been part of the prep school
  partnerships. Our programs provided an
                                                 orientation sessions for parents at four Logan primary
  opportunity for members of our
                                                 schools. We completed six sessions this year, attended by a total of
  community to connect with others during
                                                 103 parents. Healthy eating at school is a 30-minute session for
  and after COVID restrictions. They
                                                 parents of children starting primary school. It focuses on general
  also promoted physical, social and mental
                                                 nutrition for children and how to pack a healthy and safe school
  wellbeing. Through these partnerships, we
                                                 lunchbox. This is particularly important because Australia is one of
  delivered several tailored physical activity
                                                 the few countries where students take their lunch to school. Food
  programs including:
                                                 safety is also an issue because most school lunchboxes are not
  •    exercise programs for women,              refrigerated at school. High summer temperatures increase the risk
       including swimming, dancing and           of food poisoning.
       fitness
  •    children’s physical activity programs,     Health and wellbeing education sessions for people settling in
       such as social sports and martial arts     Australia
  •    online campaign to keep active while       We have collated and reviewed our TAFE Adult Migrant English
       in isolation during COVID restrictions.    Program nutrition, physical activity and gardening education
       This was supported by the distribution     sessions. They are now available for others to use. The
       of physical activity equipment,            PowerPoint sessions include activities, simple English videos, as
       including skipping ropes, exercise mats    well as notes for presenters.
       and badminton sets.
                                                  Learning English is a high priority for many people settling in
  A total of 679 people participated in face-     Australia. At the same time, people from culturally and
  to-face activities. For the online campaign,    linguistically diverse communities find the Australian food
  community members shared a total of 42          system difficult to navigate. This results in choosing foods that
  videos of various ways they kept active at      are high in fat and/or sugar and reducing vegetable
  home during the COVID lockdown. A total         consumption. Often physical activity levels decline as well.
  of 2,036 people engaged in the online           These things contribute to weight gain and the development
  campaign.                                       of chronic diseases over time. Incorporating nutrition and
  Project partners: Access community              physical activity into English classes is a great way of addressing
  services - Multicultural Sports Club, the       both language skills and health literacy needs simultaneously.
  Aqua English Project, TAFE Queensland
  Loganlea Campus, Rackley Swimming,
  Hurricane Stars Club Inc, Global Sanctuary,
  Logan City Council and local primary
  schools.

2020 Year in review report                                                                                        Page 6 of 14
2020 Year in review report - Access and Capacity-building Team
Multicultural health – community settings

Work with emerging communities (CHAP funded)

                                                         Early life nutrition videos
                                                         We created two new simple English videos about infant
                                                         feeding for people from culturally and linguistically
                                                         diverse backgrounds, who are learning English. The
                                                         videos have been developed with input from child health
                                                         nurses and lactation consultants.

Elm Park Community Garden                                Breastfeeding your baby (https://vimeo.com/412237746)
By the end of 2020, all the garden beds at the Elm       Time to start solids for your baby
Park Community Garden had been allocated, with a         (https://vimeo.com/425033255)
waiting list of over 40 people. The garden is
used regularly by 25 members and is producing
significant amounts of traditional vegetables for
families and their friends.
Elm Park Community Garden is a partnership
between community members, initially led by the
Burundi community, Access Community Services, the
Logan City Council and the Healthy New
Communities Program. Our project assists funding
infrastructure and co-ordinating activities.

Nutrition and physical activity sessions
In February 2020, we provided two sessions on
healthy eating, including infant feeding, to
TAFE Adult Migrant English Program students.
Another two sessions were provided on physical
activity. A total of 60 students participated in the     South Sudanese nutrition research
sessions.
                                                         A manuscript describing this research has been accepted
                                                         by the Health Promotion Journal of Australia, for
Healthy New Communities webpages                         publishing in 2021. The research explored the South
Our Healthy New Communities project webpages             Sudanese community’s journey over 17 years
were designed and developed in 2020. The new             of settlement in Logan City, to establish new
webpages, which sit on the Metro South Health            norms around food choices and practices.
website, house our project’s suite of resources,         The results of the research will be used to co-design
including education sessions, individual project         future health promotion strategies to
activities, videos and other resources tailored for      support community members to make healthy food and
people settling in Australia.                            physical activity choices. This research project was done
https://metrosouth.health.qld.gov.au/health-equity-
                                                         in partnership with the Queensland University
and-access/culturally-and-linguistically-diverse-cald-
                                                         of Technology.
people/healthy-new-communities

2020 Year in review report                                                                                          Page 7 of 14
2020 Year in review report - Access and Capacity-building Team
Multicultural health – clinical settings

                                                 Simulation orientation for nurses
                                                 A novel collaborative approach between the Nursing
                                                 Education team at Logan Hospital and the Health Equity and
                                                 Access Unit commenced in 2020. It provides nurses with a
                                                 simulated environment to recognise when and how to access
                                                 an interpreter and other services for culturally and
                                                 linguistically diverse healthcare consumers.
                                                 Effective communication with healthcare consumers is
                                                 paramount to providing safe, person-centred care. Clinicians
                                                 working in an acute care hospital that serves a culturally-
                                                 diverse community need to be aware of available resources
Multicultural Microgrants Program 2020
                                                 that support them to better communicate and engage with
The Multicultural Microgrants Program aims to    their patients.
assist Logan Hospital departments, wards and
services with quick response funding so that     The project commenced in early 2020 and is now a standard
they can make a positive contribution to the     part of nursing orientation.
multicultural communities accessing health
services in the area. The program aims to
achieve the following:
• provide a welcoming and culturally-safe
  environment, to improve person-centred
  care
• improve access and equity in health service
  provision
• encourage engagement and participation
  from all cultural groups within the
  community
• encourage community development
  processes and activities including community
  participation and capacity-building
• encourage partnerships and joint ventures
  to maximise outcomes from limited
  resources
• improve clinical outcomes for our diverse
  population.
Seven initiatives were funded this year, with
refurbishment of the bereavement room being
the highlight. It involved multiple funding
sources, community engagement from the
concept phase and collaboration of different
cultures to produce an outcome that will
                                                 Working with interpreters fact sheet
benefit the whole of Logan community.
                                                 A suite of resources to build staff capacity for working with
The Microgrants Program continues in 2021.       interpreters and consumers who require them was
                                                 completed in 2020. The suite contains a factsheet and short
                                                 ‘how to’ video clips featuring hospital staff from Logan, QEII
                                                 and the PA.

2020 Year in review report                                                                              Page 8 of 14
2020 Year in review report - Access and Capacity-building Team
Multicultural health – clinical settings

                                                      Palliative Care and Self-care Interpreter Workshops
                                                      As part of ongoing work through the Logan Community
                                                      Health Action Plan, two workshops have been held for
                                                      interpreters in 2020. In partnership with Ethnic Communities
                                                      Council Queensland and Multilink, the workshops provided
                                                      information on palliative care and available services, as well
                                                      as self-care strategies to over 80 interpreters. The
                                                      workshops consisted of presentations by key speakers and
                                                      activities to increase the knowledge base for interpreters. It
                                                      provided a safe environment for discussions.

Language Badge Program
The Health Equity and Access Unit was approached
by The Office of the Director-general to develop
and pilot the Language Badge Program. MSH staff
and volunteers who fluently speak languages in
addition to English can choose to wear a language
badge at work. Badge-wearers provide cultural
support to patients and their families from
culturally and linguistically diverse backgrounds.
The program was developed at the QEII Hospital as
                                                      Hearing tests for people from a refugee background
a co-design project with staff, hospital volunteers
and patients. Due to the success of the pilot in      People from a refugee background attend Logan Hospital
2020, the program is now being implemented            Audiology for hearing tests as part of their initial health
across Metro South Health workplaces.                 assessment. ACT supervised a student-led project aimed to
                                                      improve the service through interviews with patients, staff,
                                                      interpreters and key community stakeholders and the
PAH Culturally and Linguistically Diverse Feedback    analysis of two years of Logan Audiology Outpatients
Project                                               Department data. The final report included
As part of building on multicultural service          recommendations for improvement. A resource was
improvement work at the PAH, the Partnering with      developed for patients to help plan, record and follow
Consumers Committee (Standard 2) has endorsed         through with required actions from their hearing test
a project to explore how people from culturally       appointment.
and linguistically diverse communities can provide
patient satisfaction feedback. A pilot phase is
being led by our team in partnership with the         SMS Reminders in Language
Division of Cancer Services and the Centre for        Patients attending QEII Allied Health Outpatients can now
Nursing Excellence. A literature review has been      receive their SMS appointment reminders in their preferred
completed.                                            language.
The pilot will commence in early 2021 and involve     A 4-week trial with Chinese speaking patients has had
a range of methodologies. Feedback from the           positive results and there is now potential to expand to
project will be used to identify gaps and inform      other services and languages in 2021.
future quality improvement work.
.2020 Year in review report                                                                                        Page 9 of 14
Aboriginal and Torres Strait Islander nutrition
                                                                 Early Childhood Nutrition Promotion
                                                                 We delivered a range of early childhood healthy
                                                                 eating activities this year including group sessions
                                                                 with children and supporting preschool staff to
                                                                 deliver programs during COVID-19. For example, we
                                                                 delivered an early childhood nutrition program to
                                                                 children at Kummara Early Years' Service to
                                                                 encourage children to have fun with food and
                                                                 increase their exposure to new foods and flavours.
                                                                 We supported Wandarrah Preschool during COVID-
                                                                 19 by providing materials for educators to run their
                                                                 ‘Deadly Eating’ program and consulting with staff
                                                                 about how they could continue to deliver a healthy
                                                                 eating program for children during COVID-19. We
                                                                 produced newsletters to complement the program
                                                                 with healthy family recipes and food related
                                                                 activities for children to do at home. We also
                                                                 provided 96 graduating children with lunchboxes
                                                                 and healthy lunchbox resources to promote healthy
                                                                 school lunch and drink options as they transition to
                                                                 their next stage of schooling.

                                                                 NAIDOC
Family recipes
                                                                 We participated in a family and children’s day at
We have just published our recipe collection
                                                                 the Centre of Excellence at Inala during NAIDOC
at https://metrosouth.health.qld.gov.au/aboriginal-and-
                                                                 this year. Families participated in practical cooking
torres-strait-islander-resources. They have been created to
                                                                 activities, encouraging children to try a variety of
suit all cooking levels and use minimal kitchen equipment.
                                                                 new vegetables and flavours in a fun and
We have cooked and improved these recipes many times, so
                                                                 interactive environment. Families were provided
they are tasty, healthy and make home cooking as
                                                                 with healthy lunchbox resources, recipes and food
convenient as possible. These recipes work well for group
                                                                 related activities for children to encourage healthy
cooking classes and can be increased for large community
                                                                 eating practices at school and at home.
events. The cost of each recipe is based on how much you
need to buy all ingredients from scratch, making it cheaper if
you already have items in your cupboard. Prices are based
on South East Queensland supermarket prices (current as of
February 2020).

  Food security research
  Our research project to explore how urban food
  insecurity is understood, talked about and responded to
  by health staff working in Aboriginal and Torres Strait
  Islander health services has continued this year. The
  focus has been on analysing interview data collected
  from health staff and preparing to publish a journal
  article in 2021. Food insecurity affects at least 1 in 5
  Aboriginal and Torres Strait Islander people in non-
  remote areas. It is anticipated that these research
  findings will help staff reflect on and improve their
  practice when working with food insecure clients.

2020 Year in review report                                                                                   Page 10 of 14
Projects relating to more than one priority group

                                                                             Equity and access orientation for
                                                                             Metro South Health staff*
                                                                             Staff monthly orientations – QEII,
                                                                             PAH, Logan, Redland
                                                                             Nursing monthly orientations –
                                                                             QEII, PAH, Logan, Redland
                                                                             Monthly Student Community
                                                                             placement orientation sessions
                                                                             Monthly registrars' presentation
                                                                             – QEII
                                                                             *some orientation sessions were
                                                                             cancelled due to COVID-19.

                                                                             Presentations on health
                                                                             literacy and consumer
Ward Communication Tool                                                      engagement
This tool is for patients who are having difficulty communicating. It’s a    Two presentations on health
double-sided A3 sheet, available in English and 20 other languages. It can   literacy and consumer
be used to communicate basic care needs and for simple conversations.        engagement were delivered to
The tool can assist communication but does not replace the need for an       occupational therapists at the
interpreter. It was co-developed with a working group of staff from Logan    QEII Hospital. The focus areas
Hospital, and trialled at the QEII.                                          were people with a disability, and
                                                                             culturally and linguistically diverse
Virtual Health Care                                                          communities.
Due to the COVID-19 pandemic, 2020 saw a seismic shift in the way            Number of participants = 20
healthcare was delivered.
Virtual methods, including telehealth and video consultations, have been     Health Equity eNews
vital to maintaining health services during the pandemic.                    In late 2019, we developed an
We wanted to better understand the benefits and barriers of                  email information system to
virtual healthcare for our priority groups:                                  share important health
                                                                             information, alerts and updates
      •     people with disability                                           relevant to our specific priority
      •     people from culturally and linguistically diverse communities    groups.
                                                                             The system received over 1,000
      •     Aboriginal and Torres Strait Islander communities.               subscribers within the first few
We produced a paper that incorporated stakeholder feedback and               months of 2020. The Health
summarised published literature on the use of virtual health care. It        Equity eNews continues to be a
includes a series of recommendations for improving the uptake and quality    vital tool in enabling us to provide
of patient experiences in Metro South Health.                                rapid COVID updates to our
                                                                             priority communities.
The paper will be used to advocate for an increase in the use of
interpreters in telehealth consultations.

2020 Year in review report                                                                               Page 11 of 14
COVID-19 work for multicultural communities

Healthy communities                                                                                                    Inclusive systems and environments
•   Developed an online                                                                 •    At Risk Populations Plan for CALD communities
    community campaign; ‘Keeping Active                                                 •    Feedback to HEOC re key consumer documents relating to hotel
    while in isolation’ in partnership                                                       quarantine
    with Access Community Services
                                                                                        •    Barriers to testing for multicultural communities
•   Physical activity video developed with
                                                                                        •    Clinical redesign project to identify issues relating to testing clinics used
    Loganlea TAFE Adult Migrant English
                                                                                             by consumers from HEAU priority groups led to recommendations
    Program students with practical examples
                                                                                             to improve interpreter usage
    of how to keep active
                                                                                        •    Successful advocacy for partnership resources (2 positions) to support
•   Food and healthy eating resources                                                        culturally appropriate communication to communities
    to address food security during COVID and
    healthy and affordable recipes
•   Wellness and Welfare Checklist developed                                                                                         Capable and informed staff
    for use by MSH staff, partners
    and community groups                                                                •    Language support kits for COVID Clinics
                                                                                        •    Training of over 70 screening clinic staff on telephone interpreting
                                                                                        •    Training of ACT team members on simple English writing
                                                                                        •    Domestic and family violence issues identified during COVID-19 led to
                                                                                             the creation of two factsheets for MSH staff working with CALD women
Community engagement and partnerships                                                   •    Factsheet developed to support multicultural communities in the event
                                                                                             of a COVID-19 death
•   Development of broad partnership of organisations working with
    CALD populations, especially those most at risk such as people from
    refugee and asylum-seeker backgrounds to ensure
                                                                                                                                        Effective communication
    effective communication within communities                            •   23 simple English versions of QH COVID alert messaging for translation at state level
•   Developed list of Emergency Relief Services within MSH for referral   •   Support of local social media and audio messaging by multicultural community
•   Research project with QUT and partners to evaluate COVID                  organisations in Metro South region, including the Qld African Community Council
    communication strategies                                              •   Development of an extensive stakeholder contact list
•   Regular meetings with BSPHU to coordinate COVID response              •   Regular community updates using Vision 6 multicultural database (1,092 subscribers)
•   Participated in ACCESS Men's Group - perceptions of COVID             •   Ongoing communication with faith-based groups, community leaders and consumers to
                                                                              monitor community's information and well-being needs. This was used to inform our
                                                                              COVID response, and documented in a communication log
                                                                          •   Development of Q&A database to answer (in simple English) questions from
                                                                              community members. Answers based on QH and DOH COVID-19 information
                                                                          •   COVID testing clinic process poster, using graphics and simple English
                                                                          •   Monitoring of QH and DOH COVID-19 consumer information
                                                                          •   Partnered and supported community forums on COVID-19
COVID-19 work for people with a disability
  Healthy communities                                                                                                               Inclusive systems and environments

  •     Food and healthy eating resources                                                                    •    Developed a COVID response plan for people with disability
        to address food security during COVID                                                                     (Metro South Health was the first hospital health service in
        and healthy and affordable recipes                                                                        Queensland to develop a plan)
  •     Wellness and Welfare Checklist developed                                                             •    Attended over 40 state-wide and national COVID disability
        for use by MSH staff, partners and                                                                        committee meetings and actively provided input
        community groups                                                                                          into state and national disability COVID plans and
                                                                                                                  responses. Metro South Health is the only Queensland
                                                                                                                  hospital health service represented at these state and
  Community engagement                                                                                            national meetings
  and partnerships                                                                                           •    Risk populations plan for people with a disability
                                                                                                             •    Clinical redesign project that identified issues to
  •     Consulted with key disability contacts,                                                                   improve access for consumers from HEAU priority groups.
        documented people’s feedback and then                                                                     This led to the development of strategies to improve
        regularly used key themes to feed into the                                                                wayfinding to clinics
        committees we attend.                                                                                •    Continued advocacy for disability identifiers in patient
  •     Regular meetings with BSPHU to provide                                                                    records
        information and support                                                                              •    Document on barriers to testing for people with a disability

  Effective communication                                                                                                                      Capable and informed staff
  •     Work with ACT multicultural COVID group to develop simple English versions of QH consumer                        •   Held four workshops
        messaging                                                                                                            for members of Queenslanders with Disability
  •     Development of an extensive stakeholder contact list                                                                 Network
  •     Disseminating COVID information, updates and new resources through our                                           •   Development of an accessibility self-assessment
        Health Equity eNews. Since this Health Equity eNews was created in November 2019 we                                  tool for screening clinic managers and resource
        have added over 1100 new subscribers                                                                                 kit with information for consumers and staff
  •     Communication log detailing contact with community groups and members to inform MSH re COVID-
        19 issues for people with a disability
  •     COVID testing clinic process poster, using graphics and simple English
  •     Presented to the Queenslanders with a Disability Network members on accessing COVID-19 testing.

2020 Year in review report                                                                                Page 1 of 14
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