Harrow Bush Nursing Center Strategic Areas & Actions for Feedback
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Introduction. Request for assistance This report contains the complete set of possible priority areas and actions that have been identified as a result of Environmental Scanning and community, staff and stakeholder engagement processes undertaken as a part of the Harrow Bush Nursing Centres (HBNC) Strategic Plan development. The purpose of this document is to ensure that we have heard and understood what is most important to the community, staff and stakeholders in relation to health and community service provision now and into the future. We are once again seeking your feedback in relation to the identified areas and actions contained within this report. We would like to know: 1. Have we heard and understood what’s important to the community, staff and stakeholders in relation to health and community service provision? 2. Have we missed capturing any priority areas? 3. Have we missed capturing any priority actions? 4. If you could only select six priority actions for the HBNC Strategic Plan what would they be? 5. Is there anything further you would like us to consider when developing the HBNC Strategic Plan? Use this survey link to provide your feedback: https://www.surveymonkey.com/r/HBNCfeedback Or contact Claire Edwards, Strategic Planning Consultant on 0438112347 (between 5 – 30 July 2021) to provide feedback. Please note: that whilst each of these areas and actions are important, HBNC is trying to determine which areas and actions are of highest priority for the community, staff and stakeholders. HBNC will not be able to complete all of the activities documented in this report but HBNC will be able to complete those activities deemed to be of highest priority and importance.
Project methodology. Environmental Engagement Engagement Scanning Phase One Phase Two An internal and external environmental An extensive engagement initiative was This is your opportunity to inform the scanning process was undertaken to fully undertaken with community, staff and priority areas and actions required, to understand the current state of HBNC. This stakeholders throughout May and June transition HBNC from its current state to information was overlaid with key data involving surveys and interviews to the desired future state. points to provide a comprehensive inform the areas and actions contained understanding of HBNC current internal within this report. Phase two engagement includes: performance and broader eco-system • On-line feedback in relation to the position. This was critical to understand Over 180 individuals have provided areas and activities identified by the how and what HBNC currently does and valuable feedback and insight to date. community, staff and stakeholders how well HBNC performs and integrates • Physical feedback feedback in with other eco-system participants in relation to areas and activities relation to service delivery. This process • Community and staff member forums also identified key societal, sector, to refine the priority areas and actions geographical and community trends likely to impact on the HBNC strategic plan.
Areas. Service access Service models & Health Collaborative Leadership, • Increasing access to models of care workforce partnerships & governance & services through the use • Refining how services are • Increasing the planning at a performance of technology delivered • Focusing on increasing • Ensuring community capability and capacity local level • Meeting the regulatory access to services for of the workforce needs are being met and accreditation priority cohorts • Smart systems to enable • Extending access to • Working to fullest scope expectations specialised workforce staff to be their best of practice • Being financially viable • Expanding the range of cohorts • Contributing towards • Being know for an area services available • Supporting the health health eco-system goals of excellence and well-being of the • Achieving more • Generating new workforce together revenue streams • Formalising partnerships
Service 1. Develop and implement pathways of care that are planned, effective, safe and predictable with local, sub-regional and regional health services based on local community need 2. Establish options for e-health and social pre-scribing across all program areas access 3. Invest in the development of technology and infrastructure tailored for local health service need, for example self service telehealth hubs, supported telehealth hub and specialist telehealth hub 4. Develop and implement community engagement and education strategies that promote preventative health and actions early intervention 5. Develop and implement ways to better inform our community about the services and support programs available to them Goal: improved access to appropriate and comprehensive care for our community
Service 1. 2. 3. Explore opportunities to expand service provision into NDIS services Explore opportunities to expand service provision into CHSP services Explore opportunities to expand service provision into mental health, mental ill health and community resilience models & 4. 5. 6. Explore opportunities to expand services into the family violence, legal aid and community services Explore opportunities to extend outreach services to vulnerable community cohorts Undertake a digital maturation assessment and develop a plan for increased technology adaption throughout the models of organisation 7. Develop and implement digital health models 8. Develop and integrate social prescribing practices throughout all models of care 9. Introduce and support service models that recognise alternative models of primary healthcare that uses a range of care actions innovative workforce solutions 10. Explore opportunities to increase the number of locally and visiting health service providers to HBNC 11. Identify and implement successful innovations in health service delivery, scalability and transferability from other service settings that will assist HBNC to best meet its communities needs Goal: Our community will have 12. Support the involvement of the community and staff in the design of health and community services 13. Integrate multi-disciplinary and flexible models of care across all service delivery areas, and provide the necessary effective, appropriate and supports for the se models to ensure sustainability sustainable healthcare service 14. Develop and implement processes to ensure evidence underpins service planning, design and delivery, and to inform delivery the community
Health 1. 2. 3. Develop and implement a shared nursing workforce pool Develop and implement a shared health administration workforce pool Design and develop a workforce exchange model workforce 4. 5. Design and develop an innovation and change management framework Develop and implement a remote workforce model for specialised services including: urgent care, general practice, allied health, and clinical services actions 6. Design and develop in partnership with the Centre for Participation a new model for volunteering 7. Develop and implement staff health and well-being framework 8. Develop and implement flexible work arrangements 9. Identify and implement opportunities for new or expanded roles and varying of the skill mix of multi-disciplinary team members to enhance services Goal: HBNC has an appropriate, skilled 10. Explore flexibility in the scope of practice for all health service providers and promote more advanced skill roles for and well-supported health workforce nurses 11. Develop and implement interdisciplinary training to reduce barriers between healthcare professionals
Collaborative 1. Actively participate in cluster based planning activities, strongly advocating fro the needs of the local community 2. Formalise partnerships with other bush nursing centres to consolidate operating systems, policies, procedures, regulatory and accreditation practices partnerships 3. Work with local health services, community services, local government and the primary health network to identify, assess and coordinate appropriate services to meet local community needs 4. Develop community engagement and education strategies that promote preventative health and early intervention & planning at 5. Develop and implement strategies to maximise the use of physical infrastructure across HBNC 6. Foster partnerships and cooperation with different levels of government and with other relevant sectors to support the health and well-being needs of the community a local level actions Goal: Health service planning for our community is collaborative
Leadership, 1. Select and implement an area of focused health service innovation, that HBNC can be known for and possibly commercialise 2. Safeguard the financial sustainability of HBNC ensuring all programs are viable and self sufficient governance & 3. Develop funding streams and incentives that support best use of information communication technologies for delivery of health services 4. Develop new funding streams that leverages HBNC physical assets for the benefit of the community performance 5. Develop governance succession planning for HBNC 6. Identify strategies to attract and retain leaders and managers for all program areas 7. Provide clinical and non-clinical governance training that is tailored to HBNC context as part of ongoing professional development actions 8. Develop and implement mechanisms that support collaboration and cooperation in leadership 9. Ensure a balance between corporate and clinical governance to achieve safe sustainable health services 10. Promote to use of high quality, local population health data in planning and decision-making, and identify gaps or areas for improving data collection Goal: Improved health outcomes through strong leadership, governance , transparency and performance
Conclusion. Conclusion These areas and actions bring together the latest thinking, HBNC experience and, most importantly the experiences of the community, staff and stakeholders to guide HBNC now and into the future. The priorities and actions recognise that HNBC are doing well in many areas, but there is room for improvement. It also recognises that people’s needs and the tools to address them are changing and HBNC needs to keep up with those developments. In seeking your feedback and assistance to determine the priorities within each of these areas and actions, HBNC is committing to continuing to work with the community, staff and stakeholders to improve health and well-being outcomes now and well into the future. Remember to • Complete the survey (https://www.surveymonkey.com/r/HBNCfeedback) • Contact the Strategic Planning Consultant (Claire Edwards on 0438112347 between 5 – 30 July 2021)
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