Australasian Ambulance Winter 2019 CAA Awards Winners Announced August 2019

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Australasian Ambulance Winter 2019 CAA Awards Winners Announced August 2019 Australasian Ambulance Winter 2019 CAA Awards Winners announced August 2019 CAA Awards for Excellence: Innovative projects and research for out-of-hospital care in Australia and New Zealand 2 CAA MAGAZINE Australasian Ambulance – Awards edition 2019 The CAA Awards for Excellence have been updated to capture all the facets 3 – 10 Patient Care of the outstanding projects and research Patient Experience improvement or innovation undertaken by our member services. Technology This year we have five new categories 11 – 16 Innovation or capability each with sub categories to properly capture the phase of the work submitted. Staff Development Full details are available on CAA’s website. 17 – 19 Education improvement or innovation CAA appreciates the dedication, generosity and independence of our 2019 judges. Clinical Thank you to Professor Peter Cameron, 20 – 21 Innovation or capability Professor Vivienne Tippett, Tony Blaber and Steve Irving. Their impressive Leadership credentials can be viewed under Awards 22 – 26 Management practice and operational improvement and innovation for Excellence at www.caa.net.au We hope you will take the opportunity to Produced by: Australasian Ambulance Winter 2019 CAA Awards learn more about the nominations in the The Council of Ambulance Authorities Winners announced August 2019 CAA Awards for Excellence: Innovative projects and research for out-of-hospital care in Australia and New Zealand magazine and join us in Perth, Western c/PO BOX 714 Wellington New Zealand Cover: Editors: Chris Hornsey, Helen Conlin Australia, to celebrate the individual Artwork created by Jordan Lovegrove, www.caa.net.au July/August 2019 Ngarrindjeri of Dreamtime Creative, achievements of our 2019 nominees. for the SAAS Reconciliation Action Disclaimer: Plan (RAP). This document has been prepared to promote and David Watersanz_print ad_final.pdf 1 24/01/2019 10:28:14 inform discussion. All images reproduced with the Chief Executive, CAA permission of relevant ambulance services. Tempus ALS Capture. Connect. Decide. Less weight to make you exible. C More data to make you powerful. M Y CM 2 kg MY CY Imagine not having to carry an 8-15kg monitor CMY to scene. With Tempus ALS you don’t need to. Tempus ALS delivers a new approach to monitoring/ K debrillation and real-time data streaming ,that allows you to focus on patient care, not what you are carrying. Contact us today for further information 3 kg or to receive a live demonstration. Philips Customer Care Centre: AUS 1800 251 400, NZ 0800 251 400 www.rdtltd.com WIN TER 2019 3 PATIENT CARE PROMPT: Providing Best Care Dr Paul Jennings, Clinical Manager Barwon Background South West Region, Ambulance Victoria The pilot was Phase 1 – Developed & Progressing conceived by Senior Team Manager In 2018, Ambulance Victoria (AV) attended Peter McCormick, more than 60,000 mental health related who observed presentations representing more than 10 the potentially per cent of its workload. inappropriate Many of these patients require little transport of patients medical intervention and could benefit with mental health from a comprehensive mental health and / or social issues assessment. to an emergency department, due to To improve patient care, AV launched the the inability to access Pre-hospital Response Of Mental health more appropriate and Paramedic Team (PROMPT) pilot services. in the Barwon district, where in 2018, ambulances responded to 5,360 mental Ambulance crews PROMPT team health related cases – approximately 15 are also detained cases a day. at the ED as these • 2 people with significant medical patients are generally assigned low acuity concerns were taken to ED. Incoming The PROMPT team – an AV advanced life triage categories. AV published literature referral completed by PROMPT team support paramedic and a Barwon Health supports Barwon district observations and full assessment completed by BH (BH) senior mental health clinician – that a large proportion of mental Mental Health respond in an unmarked sedan to patients health patients receive little medical • 1 person was transported to ED experiencing low acuity social or mental intervention. health issues. as there was no available bed at a The PROMPT team can provide mental mental health facility but required It is hoped the specialised response health patients access to the most admission under mental health act. will safely and efficiently support appropriate timely care by providing The ambulance was released quickly, patients in the community with patient a detailed physical examination, with the PROMPT team supporting referral, where appropriate, and reduce specialised mental health assessment and handover to ED staff. unnecessary transport to an Emergency facilitate appropriate referrals to ensure The early results are encouraging and Department (ED). outstanding health care. the number of referrals is expected to Aim The team is equipped with emergency increase with the continuation of the pilot. The pilot aims to provide the most response and communication equipment appropriate care for patients experiencing and respond via AV’s existing call taking Evaluation low acuity mental health issues. and dispatch procedures for cases meeting The pilot will be evaluated using both the inclusion criteria. quantitative and qualitative methods. The key objectives are to: During the three month pilot (09/05/2019 The ‘proof of concept’ project will result • Reduce overall ‘case unit time’ by to 28/07/2019), the team will operate in a published manuscript describing referring a greater proportion of from 1 pm – 11 pm five days a week the model, experience and evaluation patients to community services (Thursday – Monday). findings. enabling them to safely remain at While there are several similar models home, or be admitted directly to a Implementation operating nationally and internationally, mental health facility At the time this submission was prepared this pilot differs in that it has a cohort of • Reduce unnecessary transport and the for the CAA Awards for Excellence, the patients with low acuity social and mental possible associated anxiety, discomfort pilot had operated successfully for seven health issues and discreet attendance for and frustration experienced in the ED shifts with: treatment in an unmarked car. • Improve community access to specialist • 3 people assessed at home by the If the pilot is deemed successful, AV mental health clinicians for assessment, PROMPT team were able to remain in intends to implement a larger scale treatment and referral the community with current support project, incorporating a number of plans targeted catchments in Victoria, both • Reduce time between mental health regional and urban. issue, assessment and access to • 1 person admitted to a mental health services. inpatient facility directly 4 CAA MAGAZINE PATIENT CARE Isobel’s story Emily Wynch, Clinical Quality Improvement an illness or injury, but can make all the • Patient experiences can be Manager, Wellington Free Ambulance difference to whether patients feel that uncomfortable to hear they have been looked after properly. Paul Fake, Executive Director, Quality • Staff can feel challenged and Improvement and Innovation, Wellington The importance of a patient’s experience threatened by patient experiences Free Ambulance is recognised nationally in the Ministry • Our public image may be affected by of Health New Zealand Health Strategy Phase 3 – Project Implemented, patient stories and we have to consider (2016) and the Health Quality & Ongoing Commitment this impact Safety Commission Triple Aim (2011). Isobel’s story is a simple, honest account Internationally, a fourth dimension of • A gentle, humble and non-judgemental of her experience as a patient in which improved provider experience has been approach is needed towards our she talks about what she was thinking and recognised, reinforcing the health and patients and our staff. feeling when the ambulance came. wellbeing of the healthcare workforce Our vision is to be a patient focused is also a critical factor in improving At the heart of Isobel’s experience was her organisation actively seeking the views of the health of individual patients and overwhelming anxiety of leaving home our staff and patients and engaging them populations. without an overnight bag. in shaping and developing services whilst consistently providing high The animated video about quality care. 63-year old Isobel, who called 111 for help with Evaluation her breathing, highlighted the disparity between Isobel’s story has become what ambulance services a metaphor at Wellington believe to be important Free Ambulance for “what and what people like Isobel matters to the patient” say really matters. and a raft of initiatives to improve the patient Isobel’s story was a turning experience. point for Wellington Free Ambulance, signifying that Telling stories will become patient satisfaction does “the way we do things not always equate to a around here” along with good patient experience. plans for staff and patient focus groups, quality It marked a cultural shift improvement initiatives from “doing to” patients, and patient co-design to “working with” patients projects. and become the platform for the Stories for Change By embracing the strategy designed to importance of everyone’s In 2015, Wellington Free Ambulance elevate the voice of both patients and story and in doing so recognising the transitioned from a patient satisfaction staff to improve the quality of care. difference between satisfaction and
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