Our Achievements cont’dImprove consumer experience strategic Goal 3As a health service provider, our consumers are the focus of our work at <strong>Northern</strong> <strong>Health</strong>. Meeting the healthcare needs of our diverse community now and into the future is fundamental to our success. We aim to providehigh quality and effective care that ensures the consumer experience of our services is as positive as possible.Improving time spent on direct patient careIn late 2010 <strong>Northern</strong> <strong>Health</strong> commenced a trial of theProductive Ward: Releasing Time to Care program. Theprogram, developed by the UK’s National <strong>Health</strong> Service, hasproven successful at empowering nursing teams across the UKto improve the way they work and increase the time they spendwith patients. <strong>Northern</strong> <strong>Health</strong>’s trial was conducted in Unit Cand the Maternity and Women’s <strong>Health</strong> Unit at The <strong>Northern</strong>Hospital, and the Geriatric and Evaluation Management Unit atBroadmeadows <strong>Health</strong> Service.Project teams received intensive training and completed threefoundation modules which aimed to make the ward morestructured and organised. Initiatives included ‘Patient Statusat a Glance’ boards to ensure staff know what every patientis waiting for ‘Knowing How You Are Doing’ boards to provideward staff with weekly updates on their performance againstpatient safety and access indicators and the ‘Well OrganisedWard’ to reduce the time spent trying to find equipmentand consumables. Pre and post audits indicate significantachievements have been made:• Unit C staff now spend 24 per cent more time providingdirect patient care by reducing the time spent onadministrative tasks;• Maternity staff now spend 25 per cent more time providingdirect patient care by reducing the time spent in motion(walking around the ward to find things/people) andmanaging patient flow; and• The Geriatric and Evaluation Management unit has reducedmedication dispensing time from 44 minutes to 14 minutes.Feedback from participating wards has been extremely positiveand although the formal trial has finished, the participatingwards continue to rollout additional modules focused onimproving medicines usage, admission and discharge planning,and meals management. A final evaluation of the trial in late2012 will help assess opportunities to rollout the program inother wards.Award winning Transcultural and LanguageServices<strong>Northern</strong> <strong>Health</strong>’s Transcultural & Language Services (TALS)team were proud recipients of the 2011 National ExcellenceAward for Outstanding Contribution to the Translating &Interpreting Industry. The award is the highest recognition inthe industry and was awarded by the Australian Institute ofInterpreters and Translators and reflects <strong>Northern</strong> <strong>Health</strong>’slongstanding commitment to cultural competency across itscampuses.Demand for <strong>Northern</strong> <strong>Health</strong>’s TALS services continues to growwith approximately 3500 patients per month or 875 patientsper week using an interpreter when dealing with <strong>Northern</strong><strong>Health</strong>. The TALS team comprises 17 staff who are accreditedto speak Arabic, Turkish, Italian, Greek, Assyrian & Chaldean,Macedonian, Vietnamese, and Chinese.Working to bridge the health gap in Aboriginaland Torres Strait Islander healthThe <strong>Northern</strong> <strong>Health</strong> Aboriginal Support Unit continues towork to build knowledge of local health services within thegrowing northern suburbs indigenous community. In March, The<strong>Northern</strong> Hospital, in partnership with Plenty Valley Community<strong>Health</strong>, hosted a diabetes education workshop designed tohelp educate the ageing indigenous population about the riskof developing complications associated with diabetes. Theworkshop was an interactive session where participants wereinvited to share personal stories and had the opportunity to gettheir eyes, feet, blood pressure and blood readings checked byqualified staff.In another partnership with Plenty Valley Community <strong>Health</strong>,<strong>Northern</strong> <strong>Health</strong> is working to educate local Aboriginal womenabout the need for pap screens with free workshops and tests.Other key activities for the <strong>Northern</strong> <strong>Health</strong> Aboriginal SupportUnit included:• Participation in the Improving the Pathways to Hospital Careproject, led by St Vincent’s <strong>Health</strong> which will identify existingand implement new pathways of care for ATSI patients;• A joint project facilitated by the <strong>Northern</strong> <strong>Health</strong> AboriginalAdvisory Committee between <strong>Northern</strong> <strong>Health</strong>, theVictorian Aboriginal <strong>Health</strong> Service and the <strong>Northern</strong> AreaMental <strong>Health</strong> Service (NAMHS) which will result in theemployment by NAMHS of an Aboriginal mental healthclinician and a Koori Mental <strong>Health</strong> Liaison Officer;• Development of an Aboriginal employment strategy underthe Karreeta Yirramboi state government strategy which willbe implemented in late 2012; and• Development of an Aboriginal maternity program, which willfocus on supporting Aboriginal women, which been fundedthrough the regional Closing the <strong>Health</strong> Gap strategy andwill commence shortly.26 annual report <strong>Northern</strong> <strong>Health</strong> 11/12
Our Achievements cont’dThe outstanding work of <strong>Northern</strong> <strong>Health</strong>’s Aboriginal LiaisonOfficer, Karen Bryant was recognised in the SACS Awards forfurthering understanding of the healthcare needs of Aboriginalpatients and their families within <strong>Northern</strong> <strong>Health</strong>. Her forwardthinking and creative approach has led to significant increasesin attendances by Aboriginal people at <strong>Northern</strong> <strong>Health</strong>,which over time, will help to close the health gap forAboriginal people.The <strong>Northern</strong> <strong>Health</strong> Aboriginal Advisory Committee continuesto provide the Aboriginal community with mainstream andprofessional support, input and direction to the AboriginalSupport Unit. It has indigenous community and mainstreammembers and senior <strong>Northern</strong> <strong>Health</strong> managementrepresentation.Growing community engagementSince the introduction of a new Community Engagementframework in early 2011-12, <strong>Northern</strong> <strong>Health</strong>’s <strong>Health</strong>Community Development and Consumer Participation Unithas established The <strong>Northern</strong> <strong>Health</strong> Consumer Network,comprising consumers and community members with aninterest in health care issues. The Network provides a poolof consumers who can be consulted on various healthcareissues and who are available to provide a consumer/communityperspective on a range of issues. For example, the ConsumerReview group, which is a ‘virtual committee’, provides aconsumer base for staff to consult with in regard to thedevelopment of consumer information materials. Communitymembers have participated in many other projects resultingin the provision of significant advice and insight to <strong>Northern</strong><strong>Health</strong>. These include; a cold plating food trial, a way findingand signage project, the redevelopment of the special carenursery, the cardiology redesigning care project and the reviewof many brochures and information sheets.Developed by the <strong>Northern</strong> <strong>Health</strong> Advanced Care Planningprogram, <strong>Northern</strong> <strong>Health</strong>’s approach uses ‘ACP in 3-steps’:(A) Appoint an Agent;(C) Chat and Communicate; and(P) Put it on Paper.To progress Advanced Care Planning, the team haveprovided staff and community education, developed systemsand processes to support advanced care planning andimplementation and provided direct advance assistance to staff,patients and the community.More Advisory Committee achievementsThe <strong>Northern</strong> <strong>Health</strong> Population <strong>Health</strong> Advisory Committeeis a formal sub-committee of the <strong>Northern</strong> <strong>Health</strong> Board withrepresentation from all major primary health care providersin the North, including local government, Medicare Local,RDNS, Women’s <strong>Health</strong> in the North, Mental <strong>Health</strong> Services,Department of <strong>Health</strong>, Community <strong>Health</strong> and Primary CarePartnerships. This year the Committee focused on diabetesand mental health services and the development andcommencement of the <strong>Northern</strong> Melbourne Medicare Local andsupported <strong>Northern</strong> <strong>Health</strong>’s successful application to becomea World <strong>Health</strong> Organisation <strong>Health</strong> Promoting Hospital.The <strong>Northern</strong> <strong>Health</strong> Cultural and Staff Diversity Committeecomprises external stakeholders and consumer organisationsincluding amongst others ADEC, the Cancer Council, CEH,Diabetes Australia, City of Whittlesea, Spectrum MRC, MonashUniversity, Ethnic Communities Council of Victoria, FoundationHouse, Women’s <strong>Health</strong> in the North, and RDNS) continuesto oversee the successful implementation of the <strong>Northern</strong><strong>Health</strong> Cultural Responsiveness Plan, and the <strong>Northern</strong> <strong>Health</strong>Disability Action Plan.Progressing <strong>Northern</strong> <strong>Health</strong>’s AdvancedCare Planning<strong>Northern</strong> <strong>Health</strong>’s Advanced Care Planning program is designedto offer inclusive and accessible advance care planning to the<strong>Northern</strong> community. Advanced Care Planning is a processof thinking about, talking about and writing down future healthcare decisions. The plan comes into effect if and whena person is unable to make decisions for themselves, andit can help family, friends and the treating clinicians determinewhat medical treatment the person would have wanted in thatsituation.11/12 <strong>Northern</strong> <strong>Health</strong> annual report 27