Safety & Quality Account 2020-2021 - DRAFT
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Safety & Quality Account 2020-2021 2019 - 2020 REPORT | 2020 - 21 FUTURE PRIORITIES The Western Sydney Local Health District (WSLHD) Safety and Quality Account (Account) provides a review of key activities across the local health district in response to the needs of our local community regarding provision of care and service delivery. The Account is divided into various sections highlighting previous, current and future activities.
OUR VISION Western Sydney Local Health District’s (WSLHD) vision is to be a trusted partner with our community, delivering modern, cutting edge health care to make Western Sydney the healthiest place to live in NSW. OUR MISSION Equitable access to safe, high quality care underpinned by NSW Health CORE Values: Collaboration, Openness, Respect and Empowerment. WSLHD Chief Executive Graeme Loy SAFETY AND QUALITY IN WSLHD WSLHD is committed to providing high quality, patient centered care. WSLHD works to reduce the risk of patient harm and improve the patient and carer experience. Falls are a leading cause of harm in hospital and WSLHD is committed to ensuring each fall event is reviewed to identify improvement opportunities. Infections are a common complication for patients in hospital and to reduce the risk, WSLHD monitors adherence to the 5 moments of hand hygiene. We also encourage patients to ask their care team if they have washed their hands or used hand rub before attending to their care. Medication, surgery or being confirmed to bed can increase the risk of developing a blood clot in the legs or lungs. Our staff assess patients’ risk of developing a blood clot and we encourage patients to ask their nurse or doctor about this as well. Pressure injuries or bedsores can occur when you spend long periods of time sitting or lying in the same position. Our staff assess patients’ risk of developing pressure injuries during admission and throughout patients’ stay.
HEALTHY PEOPLE Emergency Departments are the first point of contact for many young people and their families seeking mental health expertise in times of crisis. WSLHD collaborated with Western Sydney Primary Health Network (PHN), introducing a Child and Youth Mental Health Navigation QUALITY AWARDS PROGRAM 2019 pilot to improve the experience for young people presenting to Westmead Emergency Department. Each year, WSLHD hosts the Quality Awards to celebrate the creative and innovative ideas of staff who are committed to making a difference to patient care and health outcomes. EXCEPTIONAL PEOPLE A team led by Dr Varey and Associate Professor Serigne Lo from the Melanoma Institute Australia developed an online calculator to predict the risk that a patient’s primary melanoma (Skin Cancer) has spread to nearby lymph nodes. The tool calculates risk based INTEGRATED RESEARCH, on a range of factors entered by the treating doctor and EDUCATION AND CLINICAL CARE has the potential to better identify melanoma patients who are most likely to benefit from a sentinel node biopsy, as well as those least likely to benefit. Grants have been awarded to researchers within WSLHD in the 2020 National Health and Medical Research Council (NHMRC) Investigator Grants scheme, covering a diverse range of health projects including kidney transplantation, liver disease, heart health and tuberculosis. Some recipients: Prof Clara Chow. Exploring low-cost, innovative health service provision and clinical management of heart disease, the leading cause of illness and death worldwide. Prof Jacob George. Using mathematical modelling and genetics to improving treatment of fatty liver disease, which affects one in three Australians. PHOTOS: Prof Clara Chow (left). Prof Jacob George (right). SPENDING WISELY WSLHD uses data to maximize use of resources and PATIENT EXPERIENCE MATTERS reduce waste to achieve the best outcomes for WSLHD works with NSW Health partners, including the patients. Blacktown Hospital’s Acute Services Agency for Clinical Innovation (ACI) to improve the building opened in 2020, as part of the $700 million recording of the Ministry of Health’s Patient Reported Blacktown and Mount Druitt Hospitals expansion Measures (PRM) Program. Patient Reported project. Providing the community with access to new Experience Matters (PREMs) Data is being collected services for emergency, birthing, newborn care, from a range of various services across the district. women’s health and intensive care. WSLHD uses patient and carer experience data to evaluate and improve health care services. INFORMATION UNDERPINS EVERYTHING WE DO WSLHD is committed to using technology to improve patient safety and quality of care provided. For instance, WSLHD worked with eHealth and ACI to design a virtual waiting room for Interpreters. WSLHD Interpreter service successfully provided 95% of sessions remotely via phone to ensure the continuity of this essential service throughout the COVID-19 pandemic. PHOTOS: WSLHD Interpreter Blacktown Hospital registered nurses Mary Daroy, Anuradha Shrestha, Daniel Walsh, Maria Fernandez, Caroline Freitas, Harry Lindon and Renee Keating (top right). Services health care interpreter Yulita Luck (bottom right)
CULTURAL PRIORITIES OVERARCHING PRIORITIES SPECIFIC PRIORITIES Wellbeing, Bullying & WHS Strategic Planning Improve staff wellbeing and Improve strategic, tactical and operational empowerment, strengthen planning at all levels of the organisation. processes, training and support to effectively deal with bullying, harassment and discrimination Staffing Numbers, Workload & Overtime to keep our workplace safe. Improve focus on staffing levels, workload priorities, skill mix and supports available to prevent burnout and frustration. Job Satisfaction Focus on listening to our staff as Recruitment Confidence well as improving skills, satisfaction and empowerment Improve recruitment practice and through fostering mentoring, processes, supports and training, attraction and retention, decision making training, talent growth and and review the current Recruitment building capability to enhance Supportive Model. purpose, mastery and autonomy. High Performance Keeping People Informed & Focus on training, improving skills, Celebrating Success performance, talent strategies and understanding motivators to performance Improve all aspects of communication and collaboration as well as Diversity & Inclusion recognising, acknowledging and Enhance the cultural competency celebrating the success of our framework and related diversity staff. programs across the district. PHOTO: Organisational development consultant and Workplace Wellness team co-leader Shari Hendricks OUR FUT URE PRIORITIES - some examples of what will be focused on in 2020 - 21 WSLHD is committed to providing our clinicians with opportunities to grow professionally and Leadership supporting them along their leadership journeys. Programs such as Health Pathways will provide formal training and guidelines for community clinicians treating chronic conditions. The Culture Steering Committee and key stakeholders will focus on; developing a shared vision of Culture culture for WSLHD; Launching our Leadership Development Program; prioritising the actions to build and enhance culture in WSLHD. WSLHD will continue to grow a culture of research and support research initiatives such as; Research Blacktown End-Of-Life Communication Project; Mental Health Literacy Initiative; Health Literacy capacity training for Allied Health Staff. A key focus of Mental Health is Zero Suicides in Care and Assertive Suicide Prevention. Child and Health Family Health will provide health literacy training for new parents who are disadvantaged and from Minimisation culturally-diverse backgrounds. Providing assistance to the Aboriginal and Torres Strait Islander communities during the COVID-19 Vulnerable pandemic. Through the Safer Baby Program, reduce the number of stillbirths, serious adverse People outcomes in newborns and improve maternal health outcomes. Patient Improving consumer information in a meaningful manner. WSLHD will partner with consumer Experience representatives to interview clinical and non-clinical service leaders to develop the information for Matters patients and carers.
MY EXPERIENCE MATTERS The My Experience Matters (MEM) surveys facilitate early identification and escalation of issues and inform project or service improvements. MEM surveys are translated into the most 16 commonly spoken languages, To date, My Experience including languages of our most vulnerable newly arrived populations. Matters (MEM) has collected over As health adapts and develops new telehealth models of care delivery as a result of COVID-19, MEM surveys will be developed in collaboration with teams to 11,500 monitor and respond to patient experience. local survey responses since 2017. Our benchmark for patient experience is 85% and we are currently above this benchmark.
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