Action Plan 4: Subacute Capacity Building

Action Plan 4: Subacute Capacity Building

The Action Plan for the Subacute Capability Building project aims to build subacute related skills, knowledge and capability among the clinical workforce, as well as strengthen networks between acute, subacute and the primary care sector to improve the integration and coordination of care for patients.

This project will support a key policy direction of the Department of Health (DoH) to provide a joined up care along the contiuum of care. It will be supported by the Tasmanian Role Delineation Framework (TRDF), the Clinical Services Profile (CSP) and the Statement of Purchasing Intent (SoPI).

This is a cornerstone of the Tasmanian Government's One Health System reforms, as it articulates the delivery of care across the State and enables the DoH as system manager to ensure that there is safe and equitable delivery of care statewide.

The four projects under this action plan are:

  • Project 1 - Improving collaborative care
  • Project 2 - SoPI / TRDF grants program
  • Project 3 - Post-acute discharge clinical redesign
  • Project 4 - Telerehab

Key contacts:

Project 1 - Improving collaborative care

The Improving Collaborative Care project aims to increase the capability of health practitioners, particularly general practitioners (GPs), nurses and allied health, to intervene early to prevent the patient's progression to preventable complications and to reduce the need to access tertiary services for complications associated with their particular condition.

This project will build capability and strengthen networks across all care settings by training health workers and other relevant people in recognising brain injury and how to integrate support systems for the person and the family in the community. The education modules developed will be permanently available online, workshops recorded to improve access for more remote users and be available to members of the community that have contact with brain injured people e.g. police, prison workers and future National Disability and Insurance Scheme (NDIS) workers.

Outcomes

  • Improved collaboration between GPs, nurses, allied health, psychologists/psychiatrists and THS services.
  • Earlier identification of common complications of spinal cord injury, neurological disorders and brain injury, and earlier identification of patients with persistent pain issues.
  • Increased capability in primary care to manage these conditions and their common complications.

Key contacts

Alison Colebrook, Project Officer at alison.colebrook@health.tas.gov.au

Project 2 - SoPI / TRDF grants program

The Statement of Purchaser Intent (SoPI) and Tasmanian Role Delineation (TDRF) Grants program aims to build subacute related skills, knowledge and capability among the clinical workforce through the provision of scholarships and grants to local service providers. These include both individual clinicians, departments, statewide services or non-government organisations (NGOs) to support their staff in acquiring further skills or knowledge that will enhance their clinical practice in areas that directly support any of the following:

  1. the development of new standards models of care incorporating the subacute sector
  2. clinical skill acquisition that enhances delivery of current models of subacute care
  3. SoPI priority conditions directly
  4. the TDRF and CSP and expansion of services from acute to subacute; and
  5. Clinical Redesign initiatives that improve the delivery of and access to better quality and safe care.

The scope these grants create an opportunity for a range of outcomes: the overall quality of care for patients will be enhanced, the skill base within the clinical workforce be developed, further development of models of care and enhanced collaboration across services.

The National Partnership Agreement's Subacute Capability Building project grants and scholarships were advertised on 1 March, 2018.

Outcomes

  • Improved collaboration between clinical service providers along the continuum of care.
  • Upskilling and further training of the sub-acute care workforce.
  • Targeting the management of those conditions that provide the highest burden of disease for Tasmania as per the SoPI priorities.
  • Build service planning into the expansion of services within the TRDF.
  • Improved quality of care.
  • Further support or development of the shortlisted THS Clinical Service business cases.

Key Contact

Kylie Stevanovich, Project Coordinator at kylie.stevanovich@health.tas.gov.au

Project 3 - Post-acute discharge clinical redesign

The Redesign of Hospital Discharge (REHDI) project aims to ensure uniformity, consistency and best practice with respect to the discharge of patients from Tasmanian public hospitals in particular. In doing so, it will engage with internal stakeholders as well as private sector providers and Primary Health Tasmania (PHT) to make appropriate links with the primary care sector.

REHDI is being conducted in three phases, consisting of the following general activity:

  • Phase 1 – project scoping, literature review of best practice, mapping of current discharge processes, due for completion by end February 2019
  • Phase 2 – Consultation and agreement with key stakeholders on principles and process documents identified in phase 1, due for completion October 2019
  • Phase 3 – Implementation plan due for completion end March 2020

The project will deliver a framework that ensures:

  • Standardised discharge processes across Tasmanian hospitals following the establishment of a state-wide THS in 2015.
  • A statewide discharge model that will ensure timely discharge and referral processes for community care services provided by all levels of government and the private sector.
  • A statewide discharge model that will ensure patients are able to leave hospital appropriately supported to enable them to recover at home.

Key contacts

Project 4 - Telerehab

The Telerehab project will develop a telerehab program for patients. In this program, ambulatory rehabilitation clients who meet specific requirements for home based rehabilitation (i.e. are at home alone or with support of a carer) are offered to be part of the telerehab process. The program will provide patients with either 4G enabled iPads or Android devices loaded with rehabilitation specific applications themselves based on a program developed by the ambulatory rehabilitation service team. The program will be monitored and the clients will be reviewed either face to face or via video conferencing/skype/face time processes.

The telerehab project will be delivered by Tasmanian Health Service (THS) ambulatory rehab services including the Community Rehabilitation Unit.

Outcomes

  • Reduced travel time and accommodation costs for THS patients.
  • Better access to services to patients in rural and remote areas of Tasmania.
  • More efficient use of health staff time.

Key contact

Paula Hyland, Executive Director - Allied Health, Tasmanian Health Service at paula.hyland@ths.tas.gov.au