DOR Report_2010 - Diabetes Outreach

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Background Diabetes Outreach is an off site program of Country Health SA and co-located at The Queen Elizabeth Hospital, Diabetes Centre. The service provides and facilitates health care provider continuing education and support programs as well as consultancy and assistance with rural diabetes service planning thereby building the capacity of rural and remote health services in providing best practice diabetes education and care. Diabetes Outreach works towards its aim by working with a state-wide interdisciplinary network of organisations and individuals involved in diabetes education and care. These organisations include Rural and Remote Hospitals and Health Services, Aboriginal Health Services and General Practice. Programs focusing on capacity building and quality and safety by utilising a range of distance education and support models (Attachment B). All programs are based on best practice. Best practice in this context is defined to be the use of evidence based medicine to underpin a consistent level of service which would be expected at each service. Diabetes Outreach is currently funded via a Site Specific Grant from SA Health.* The key principles for both Country Health SA service planning and the Strategy for Aboriginal and Torres Strait Islander People are outlined below and underpin the work of Diabetes Outreach. Principles for Country Health SA service planning 1 ; > Focussing on the needs of patients, carers and their families. > Ensuring sustainability of country health service provision. > Ensuring effective communication with local communities and service providers. > Contributing to equity in health outcomes. > Providing a focus on safety and quality. > Recognising that each health service is part of a total health care system. > Maximising the best use of resources. > Adapting to changing needs. > Improving Aboriginal health status. Strategy for Aboriginal & Torres Strait Islander people 2 ; > To implement regionally coordinated knowledge management processes. > To develop collaborative diabetes implementation plans. > To provide coordinated ongoing workforce development programs. > To develop and implement effective organisational capacity building initiatives. Both strategies reinforce the need for an integrated and cooperative approach as well as a seamless patient journey. * 2009-10 Budget $429,639 Medical 0.1 FTE Nursing 2.0 FTE Admin 1.8 FTE Diabetes Outreach Report 2010 Page 10 of 44
Diabetes is one of the fastest growing chronic diseases in Australia. The burden of diabetes is also much greater for people in low socioeconomic circumstances, Aboriginal people and those from rural and remote areas. For the above groups there are higher levels of disability, morbidity and mortality 3 4 . Data highlights that; > In 2007, South Australia had 82,500 adults (age 16 years and over) living with diabetes in rural and remote South Australia 5 . This is a 15% increase from 2003. > Diabetes complications are the leading cause of potentially avoidable hospitalisations in South Australia in 2005/06 and 2006/07 6 . > Comparisons done between metropolitan Adelaide and rural and remote South Australia in June 2005 found the prevalence of diabetes to be significantly higher in rural and remote South Australia, 10.2% compared to 7.8%, a 2.4% difference 7 . > Persons living in rural and remote regions generally have worse health, in terms of mortality, hospitalisation rates and risk factors compared to those living in metropolitan areas 3 . > South Australia has the most geographically isolated Aboriginal communities in Australia 8 . > Diagnosis of diabetes in Aboriginal people in 2004-05 were double that of the non-Aboriginal population 9 . > There are 191 children living in rural and remote South Australia with type 1 diabetes, 29 of these are on insulin pump therapy 10 . 127 young adults between the age of 18 and 25 with type 1 diabetes are living in country South Australia, with 64 of these on insulin pump therapy 10 . > Diabetes shows up some 10 years earlier in Aboriginal people than non-Aboriginal people. Diabetes Outreach aims to improve health for rural and remote South Australians by supporting the capacity of local health professionals in providing evidence based diabetes education and care. Diabetes Outreach has six complementary strategies to achieve this. > Adopting a whole-of-population approach. > Developing and promoting standards of care. > Training and support for health professionals who provide care and education to people with diabetes and those at risk of diabetes. > Developing and maintaining professional and consumer resources. > Supporting and promoting local and statewide networking and collaboration. > Promoting quality assurance and appropriate documentation. The vision of Diabetes Outreach is: “Better health for rural and remote South Australians by supporting health service providers towards best practice in diabetes care.” The 2007-2008 Country Health SA Service Agreement has formed the framework for the presentation of this report (Attachment C). The Service Agreement is currently under review. Diabetes Outreach Report 2010 Page 11 of 44
Page 1 and 2: Diabetes Outreach Service Report 20
Page 3 and 4: Contents page 1. Acknowledgements 5
Page 5 and 6: Acknowledgements Diabetes Outreach
Page 7 and 8: 235 health professionals are regist
Page 9: workers, that supports an integrate
Page 13 and 14: individual format. Template documen
Page 15 and 16: Regional Support Scheme Grant award
Page 17 and 18: Network collaboration Diabetes Outr
Page 19 and 20: Attachment A Diabetes Outreach - Pr
Page 21 and 22: Attachment C Extract from last Serv
Page 23 and 24: Attachment E Introduction to diabet
Page 25 and 26: Attachment F > Reinforcement as wel
Page 27 and 28: Attachment G Regional Education Ser
Page 29 and 30: Pt Augusta Fellowship Learning Grou
Page 31 and 32: Attachment H Regional Education Ser
Page 33 and 34: Attachment J Videoconferencing Seri
Page 35 and 36: Attachment K Session 7 Type 1 diabe
Page 37 and 38: Diabetes Outreach Report 2010 Page
Page 39 and 40: Diabetes Outreach Report 2010 Page
Page 41 and 42: Attachment N Diabetes Education Fac
Page 43 and 44: Attachment O > Participate in the c

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