Team Health Right Start presentation 27 February 2012
- 1. Forum aims To showcase and facilitate the dissemination of educational resources generated from Team Health’s ‘Right Start’ initiative To facilitate networking between ‘Right Start’ project coordinators and forum participants, to foster future collaboration and development 1
- 2. Team Health What we’ve learned so far… Where we want to go… Team Health Right Start Forum 27 February 2012 2
- 3. What are we trying to do? To improve teamwork, communication and collaboration for safer patient-centred care, and better staff experiences Why are we trying to do this? • Increased staff motivation, well-being and retention • Decrease in staff turnover • Increased patient and carer satisfaction • Increased patient safety • Increase in appropriate use of specialist clinical resources • Reductions in patient mortality and critical incidents • Increase in access to and coordination of health services 3
- 4. What do we mean by Team Work? Interprofessional Education (IPE) Occasions when two or more professions learn from, with and about each other to improve collaboration and the quality of care Interprofessional Collaborative Practice (ICP) a patient-centred process of communication and decision-making that enables the separate and shared knowledge and skills of care providers to synergistically influence client/patient care (Way et al, 2000) 4
- 5. The patient perspective… This first report from the Bureau of Health Information shows clearly that patients are calling out for Patients who felt their quality of improvements and that care was excellent were likely improvement in staff to have experienced excellence teamwork, between doctors in staff teamwork. and nurses, is the action most likely to change a fair or poor patient care experience to an excellent one. Bureau of Health Information. (May 2010) Insights into Care: Patients Perspectives on NSW Public Hospitals 5
- 6. The clinicians’ perspective… At the clinical unit level, 96% of respondents reported that they deliver patient care as part of a team (or teams), and 94% reported that effective teamwork was either the most important or in the top three most important issues affecting the delivery of quality healthcare Clinical Excellence Commission (CEC) 2011. Safer Systems Better Care – Quality Systems Assessment Statewide Report 2011. Sydney: CEC. 6
- 7. What works? Multi-faceted strategies e-Learning modules across professional groups On-site coaching, debriefing and facilitation Curriculum that structures formal and informal interactions and is designed to facilitate enquiry Clinical placements and particularly rural clinical placements Champions in both health and education sectors Interdisciplinary program governance Links with other programs (Established international movement) 7
- 8. What we learned from our Consultations • Need to acknowledge and build on what’s already out there: LHDs, Universities, proprietary programs, research, competency frameworks and existing high performing teams • Ensure curriculum is clinically-relevant and clinically- based (ie work determines the curriculum or case studies used) • Move on from pilot and demonstration programs 8
- 9. Program Model Right Start: Transition to Work in Health • Students in their last semester of study 1 • 5000 new clinical graduates a year • Building core skills & teamwork Foundations • New clinical graduates over first 2 years (10 000 phased) 2 • Builds on Transition to Work in Health (1), includes the use of Simulated Learning Environments Building High Performing Teams • Existing clinical teams 3 • 62 000 clinical staff • Network of facilitators, Settings Approach 9
- 10. Progress so far Right Start: Transition to Work in Health 1 • Students in their last semester of study • 5000 new clinical graduates a year • Building core skills & teamwork • August 2011 CETI called for Expressions of Interest from tertiary providers in partnership with Local Health Districts • Nine projects were funded • Evaluation tools chosen - Work Self-Efficacy Inventory (Raelin, 2010) and the Interprofessional Socialization and Valuing Scale (King et al, 2010) • Over 300 final year clinical graduates took part during October 2011 – February 2012 • Evaluation of projects in progress • Showcase event February 27, 2012 • Build on successful Right Start projects 10
- 11. What does the data say? • Preliminary data analysis suggests: – overall ‘Right Start’ projects have made a difference – some projects have significantly improved students’ work self-efficacy i.e. participants are more confident – some projects have shown improvements in participants’ comfort, behaviour and attitude towards interprofessional collaboration • As we continue to add to the evidence-base for ICP, we will add power • Final analysis including, qualitative data analysis still to come 11
- 12. Where to from here? Foundations • New clinical graduates over first 2 years (10 000 phased) 2 • Builds on Transition to Work in Health (1), includes the use of Simulated Learning Environments • Top ten ‘Foundations’ Module Topics identified through consultations and a review of literature • Common procedural, clinical and communication issues that may affect patient-centred care • Modules under development: Templates for participant and facilitator guides, assessment activities • Mapping of elements, competencies performance criteria to the Health Training Package (CS&H Industry Skills Council) 12
- 13. Where to from here… Building High Performing Teams 3 • Existing clinical teams • 62 000 clinical staff • Network of facilitators, Settings Approach First phase implementation: • Target LHDs and Speciality Networks • Identify trial sites and assess • Recruit and Induct of Team Health Facilitators • Develop Facilitator Training Package and High Performing Teams Modules • Trial curriculum • Evaluate curriculum, training package and facilitator network 13
- 14. Questions? Danielle Byers Rob Wilkins Learning & Teaching Learning & Teaching Coordinator Coordinator 02 9844 6527 02 9844 6564 [email protected] [email protected] 14
Editor's Notes
- #8: Make comment on consultation with local health district,pillars and other partners – the literature says what works, and the challenges to implementation are logistics and resourcing. The purpose of the consultation is to find out what programs are existing and to navigate the challenges