Fabulous Failures HIC 2016 Forum
-
Upload
belinda-macleod-smith -
Category
Health & Medicine
-
view
103 -
download
1
Transcript of Fabulous Failures HIC 2016 Forum
9/05/2016
1
Working Towards Genuine Co-design
Heather Davis and Seleena Sherwell,
Manager CSIC
SMICS
April 2016
9/05/2016
2
SMICS
Is a joint initiative of Alfred Health, Cabrini
Health, Peninsula Health and Monash Health
We are one of 9 Integrated Cancer Services
Established in 2005
An affiliated member of the MPCCC
9/05/2016
3
SMICS
2,967 square kilometres
Eleven local government areas
Three Primary Health Networks
1,452,278 people
• 49% male
• 51% female
9/05/2016
4
Where do our patients come from?
9/05/2016
5
SMICS
Vision: to facilitate a network of cancer services
in southern Melbourne which offers exceptional
care, an ideal experience and optimal clinical
outcomes for people affected by cancer.
9/05/2016
6
SMICS Mission
Through collaboration with partner
organisations, facilitate the creation of a cancer
care system in southern Melbourne which is:
• integrated
• leads best practice
• improves clinical outcomes
• and is person centred
9/05/2016
7
SMICS Consumer Engagement
• The most important component of our work
• We have worked to develop plans, strategies
and frameworks
• We have not really worked with consumers to co-
design our consumer strategy until recently
• SMICS consumers are now developing their own
consumer participation plan in partnership with
SMICS and it will be truly consumer led
9/05/2016
8
Working towards Experience Based Co-design
• A structured approach that aims to ensure that
health care organisations realise the full potential
of patients – the biggest resource they have for
improving the quality of care.
• By proactively establishing and maintaining
meaningful relationships with patients to
understand their lived experience and utilise it to
improve health services
9/05/2016
9
Experienced Based Co-design
Join the conversation , Cranwell K, McCann Terence, Polacsek M
When used effectively it enables health
providers to:
• Understand what is currently working well
• See where care and experiences can be
improved
• See where workforce skills need to improve
• Change organisational systems to improve
care and experiences
9/05/2016
10
Co-design
2010, Waitemata District Health Board
9/05/2016
11
Engage
Proactively establishing and maintaining meaningful relationships with patients to understand and improve health services (Department of Health: 2008).
• should underpin all improvement work
• should occur throughout the life of any service improvement project
• consumer advocates should be valued members of any steering or reference groups
• the views and experience of consumers are central to any design activities undertaken
• identification of high value touch points provides focus for quality improvement
9/05/2016
12
Engage with health professionals and consumers to establish goals and how to go about achieving them.
• gather different perspectives before determining your specific goals and what work needs to be done
• also useful for the review of specific services/programs
• data related to service provision and demand may be helpful
• bring people together to focus your efforts and establish your vision
Plan
9/05/2016
13
Understanding patient experience of services and
identifying improvement ideas.
• learn about peoples experience of service delivery
• understand the experiences people desire
• identify how services might be improved to meet
peoples expectations
Explore
9/05/2016
14
Develop
Working with patients to turn ideas into improvements that will result in better patient experiences
• development involves being creative with patients to evolve improvements that patients value highly for their effectiveness.
• creativity can be achieved through brainstorming issues and ideas
• accept all ideas
• take into account stakeholder needs
• utilise patient scenarios to explore and develop changes
• have the ideal patient experience in mind
9/05/2016
15
Decide
Choose what improvements to make and how to make them.
•Involve consumers in decision making to ensure balanced and
effective improvements are made to a service
•Helps build service improvements that offer mutual gains for
patients and the service
•Identify service touch points and which to focus on
9/05/2016
16
Change
Partner with other stakeholders to turn improvement ideas into action.
9/05/2016
17
A strong foundation…
2005 – SMICS/HIC Project
• Consumer Participation Strategy • Consumer Advisory Group • Appointment of Consumers to SMICS ten Tumour Groups
and various project steering committees • Consumer register
2008 – Additional Consultation undertaken for each tumour stream
• Identification of areas for improvement • Service improvement work initiated
9/05/2016
18
What went wrong?
• By 2010 most things had fallen over
• Two consumers sitting on Tumour Groups
• Very few project or steering committees included consumer representation
• 22 consumers on the consumer register but most not actively involved in any of SMICS work
• The CAG was largely operating as a support group.
• Consumer engagement was not considered a priority at an executive level
• One SMICS team member was responsible for consumer participation
• Recruitment of new consumers was at a standstill
• Minimal evaluation of consumer involvement being carried out
• Health professionals reluctant to re-appoint consumers to tumour groups
• CAG operating more like a support group than an advisory committee
• Lack of education opportunities
9/05/2016
19
What did we do well?
• Continued to recruit to and maintain a consumer register – 44 people of
who approximately 10 are actively involved in SMICS work.
• Consumer led projects – Chan, Joy (tumour group)
• Consumer initiated education to community
• Consumers delivering education
• Consumers on multiple steering groups and project working groups
• A SMICS staff member and several consumers have completed HIC
consumer courses and others have attended various consumer
advocacy training
• Consumers were involved in the development of SMICS vision, mission
and strategic plan
9/05/2016
20
Moving forward…
•Consumer reference group established to develop the SMICS consumer participation plan 2016-2020 and 2016 work plan
– New recruitment material being developed to ensure interests and skills are known
– TORs for all groups or committees required so expectations are clear for everyone involved
– Clinicians need to be educated so are comfortable and confident engaging with consumers – chairs, etc.
•For first time a consumer will be appointed to our governance committee
9/05/2016
21
The top 5… (+1)
• Consumers should be involved prior to the commencement of any piece work (but is never too late to engage)
• Involvement should continue for the duration of a project
• Support from the top is imperative
• Buy in from involved health professionals is vital
• Consumer engagement is a team effort
• Lessons learned need to be shared widely
9/05/2016
22
SMICS
Thank You