The Nsw Safety Improvement Program
Total Page:16
File Type:pdf, Size:1020Kb
Asia Pacific Journal of Health Management Volume 1 Issue 2 – 2006 The Journal of the Australian College of Health Service Executives • Reforming health systems • Regulating the private sector • Improving client safety and satisfaction • Integrating services • Assessing employee health status . and more This issue proudly sponsored by: CONTENTS EDITORIAL Expectations of a Professional Journal: telling the truth 4 Mary Harris In this Issue 7 SpeCIAL FEATURE ARTICLe A Model Health System for Australia – Part 2: What should a (single) Commonwealth funded public health system look like? 8 Andrew Podger ANALYTICAL RIPOSTe Response to Podger’s Model Health System for Australia (Part 1 and Part 2 articles) 15 Jeffrey Braithwaite ReseARCH ARTICLes AND NOTes Regulation in the Doldrums: reforming private health care sector legislation in Bangladesh 22 M Redwanur Rahman and Simon Barraclough Changing an Incident Reporting and Management Paradigm: the NSW Safety Improvement Program 29 Sarah Michael, Maureen Robinson, Paul Douglas and Jeffrey Braithwaite The Impact of a Continuous Quality Improvement Approach on Patient Care in the Ambulance Environment 39 Russell Linwood Centralised Control and Devolved Responsibilities: personal experiences of senior health executives on the implementation of the area health management model in New South Wales,1990-1999 44 Zhanming Liang, Stephanie Short, Peter Howard and Claire Brown Health Status of Employees: defining influences on health in the tertiary education industry 51 Mary Ditton MANAGemeNT PRACTICE Integrating Diabetes Services: opportunities to build cultural bridges 61 Hadley Slade-Jones, Rod Perkins and John Wellingham IN PROFILE 67 Jim Birch Q’s AND A’s Principles that should underpin a health financing system; Improvements in quality of health care over the past five years; Council of Australian Governments (COAG) health workforce reforms 69 Experienced health managers and educators address these questions BOOK REVIew Beyond Patient Safety: managerial perspectives on error 74 Reviewed by Jeffrey Braithwaite LIBRARY BULLETIN 76 UpDATE ON JOURNAL ACTIVITIes 80 GUIDELINes FOR CONTRIBUTORS 81 Asia Pacific Journal of Health Management 2006; 1: 2 1 AsIA PACIFIC JOURNAL OF HEALTH MANAGemeNT PUBLIsheR EDITORIAL COmmITTee Australian College of Health Service Executives Jim Birch BHA, FCHSE, CHE Consultant, Jim Birch Management Consultancy Pty Ltd EDITOR Jeffrey Braithwaite BA, DipLR, MIR(Hons), MBA, PhD, FAIM, FCHSE, CHE Mary Harris MPH, PhD, FCHSE CHE Associate Professor, Director, Centre for Clinical Governance Research in Health, Faculty of Medicine, University of New South Wales, EDITORIAL ADVISORY BOARD Australia David Briggs BHA, MHM(Hons), FCHSE, CHE, FHKCHSE Co-ordinator Health Management and Gerontology Programs, Robert Cusack BHSM, FNIA, AFCHSE, CHE University of New England, New South Wales, Australia General Manager, Prince of Wales Private Hospital, New South Wales, Australia Gwenda Freeman BA, Grad DipBusMgt, MBA, FCHSE, CHE Fundraising Officer – North West Region, Australian Red Cross, Victoria Mary Harris MPH, PhD, FCHSE, CHE Editor, Asia Pacific Journal of Health Management Mary Harris MPH, PhD, FCHSE CHE Grant Lennox BEc, BHA, AFCHSE, CHE Editor, Asia Pacific Journal of Health Management Chief Executive Officer, Tasmanian Ambulance Service, Godfrey Isouard BSc MHA PhD AFCHSE CHE AFAIM Department of Human Services and Health, Tasmania, Australia Associate Professor, Head, School of Biomedical and Health Janice Lewis BSc, MBus, DBA, FCHSE, CHE Sciences, University of Western Sydney, New South Wales, Australia Program Coordinator, Health Policy and Management, School Hok-Cheung Ma MBBS, MHA, DCH, MRCP, FRCP, FRCP, FHKCP, of Public Health, Curtin University, Western Australia, Australia FHKCCM, FHKAM(Med,) FHKAM (Com Med), FRACMA, FCHSE, CHE Nicola North PhD, MA, FCNA President, Hong Kong College of Health Service Executives and Director of Post Graduate Studies, School of Nursing, Faculty of Medical Chief Executive, Ruttonjee and Tang Shiu Kin Hospitals, Hong Kong and Health Sciences, The University of Auckland, New Zealand Judith Meppem PSM, RN, RM, BHA, COTM, FCN, MACORN, FINE, Terry O’Bryan MAdmin, BBus(Actg), FCHSE, CHE, FCPA MNSWMA(Hon), MNUMS(Hon), FCHSE(Hon) Chief Executive Officer, ISIS Primary Care, Victoria, Australia Former New South Wales Chief Nursing Officer; Consultant, Nursing, Midwifery and Health Care John Rasa BA, MHP, FCHSE, CHE, FAIM, MAICD, FAHRI Associate Professor, Director, Australian Centre for Leadership Rod Perkins BDS, MHA, PhD, FCHSE, CHE Development, Victoria, Australia Senior Lecturer in Health Management, Health Systems Group and Associate, Centre for Health Services Research & Policy, School Stephanie Short DipPhty, BA(Hons), MSc, PhD, FCHSE, CHE of Population Health, The University of Auckland, New Zealand Professor, Dean – Teaching and Learning (Health Group), Head, School of Public Health, Griffith University, Queensland, Australia Mavis Smith BHA, MHA, FCHSE, CHE, FHKCHSE, FAICD Chief Executive Officer, ACHSE, Director, Mavis Smith Health Sally Torr RN, CM, BA, MHP, PhD, FCHSE CHE Consulting, Victoria, Australia Patient Care and Services Manager, Greater Western Area Health Service, Bourke, New South Wales, Australia EDITORIAL OffICE Peter Yuen PhD, BA, MBA, FCHSE(Hon), CHE Mavis Smith BHA, MHA, FCHSE, CHE, FHKCHSE, FAICD Professor, Department of Management and Marketing, the Hong Production Manager and Chief Executive Officer, ACHSE Kong Polytechnic University, Kowloon, Hong Kong Rose Ellis PhD, BA(Hons) Sub-Editor SUbmIssION OF ARTICLes Australian College of Health Service Executives Contributions, including letters to the Editor, should be PO Box 341 North Ryde NSW 1670 Australia submitted to the Editor, ACHSE APJHM [email protected]. Telephone: +61 2 9878 5088; Facsimile: +61 2 9878 2272; au and should comply with the Guidelines for Contributors. Email: [email protected]. These guidelines appear at the end of the journal and are available in electronic form from www.achse.org.au or a hard ISSN: 1833-3818 (Print) copy can be obtained from the National Office by phoning +61 2 9878 5088 or emailing the Editor APJHM at journal@ achse.org.au. 2 Asia Pacific Journal of Health Management 2006; 1: 2 Asia Pacific Journal of Health Management MISSION STATEMENT SUBSCRIPTIONS The mission of the Asia Pacific Journal of Health Management The cost of subscription to the Journal is included in the is to advance understanding of the management of health membership dues for ACHSE members. For non-ACHSE and aged care service organisations within the Asia Pacific members the subscription cost is $80. region through the publication of empirical research, theoretical and conceptual developments and analysis and ADVERTISING discussion of current management practices. All booking and enquiries concerning advertising in the Journal should be directed to the Production Manager The objective of the Asia Pacific Journal in Health Manage- (Editorial Office) ment is to promote the discipline of health management throughout the region by: COPYRIGHT • stimulating discussion and debate among practicing © Australian College of Health Service Executives 2006. managers, researchers and educators; This publication is copyright. Subject to the Copyright Act • facilitating transfer of knowledge among readers by 1968 (Cth), no part of this Journal may be reproduced by any widening the evidence base for management practice; process, without the written permission of the Australian • contributing to the professional development of health College of Health Service Executives. and aged care managers; and • promoting ACHSE and the discipline to the wider ARTICLE RepRINTS AND PERMIssIONS community. Reprints are available in hard copy or as electronic downloads with permission to print. Reprint prices are as follows: MANAGEMENT PRACTICE ARTICLES 1 – 9 copies $6.00 each Management practice papers are practitioner oriented with a 10 – 49 $5.50 view to reporting lessons from current management practice. 50 – 79 $5.00 80 – 99 $4.50 RESEARCH ARTICLES 100 – 499 $4.00 An article reporting original quantitative or qualitative research (Minimum order $10.00) relevant to the advancement of the management of health and aged care service organisations. FOR INFORMATION OR TO ORDER: Health Planning and Management Library RESEARCH NOTES PO Box 341 Shorter than a research article, a research note may report the NORTH RYDE NSW 1670 outcomes of a pilot study or the first stages of a large complex Phone: 61 2 9805-0125 study or address a theoretical or methodological issue etc. In all Fax: 61 2 9889 3099 instances it is expected to make a substantive contribution to Email: [email protected] health management knowledge. DISCLAIMER REVIEWS All articles published in this Journal including editorials are A careful analysis of a management or policy issue of current the opinions and views of the authors and do not necessarily interest to managers of health and aged care service reflect those of the Australian College of Health Service organisations. Executives unless otherwise specified. VIEWPOINTS A practitioner oriented viewpoint/commentary about a topical and/or controversial health management issue with a view to encouraging discussion and debate among readers. LETTERS TO The EDITOR A positive or critical comment about the Journal or a particular article or perhaps some suggestions for future Journal themes or suggestions for improving reader interest in the Journal. Asia Pacific Journal