Presentation by Danielle Byers & Rob Wilkins at the Right Start Forum 27 February 2012

1. Forum aims
To showcase and facilitate the dissemination of educational
resources generated from Team Health’s ‘Right Start’ initiative
To facilitate networking between ‘Right Start’ project
coordinators and forum participants, to foster future
collaboration and development
1

2. Team Health
What we’ve learned so far…
Where we want to go…
Team Health Right Start Forum
27 February 2012
2

3. What are we trying to do?
To improve teamwork, communication and
collaboration for safer patient-centred care, and
better staff experiences
Why are we trying to do this?
• Increased staff motivation, well-being and retention
• Decrease in staff turnover
• Increased patient and carer satisfaction
• Increased patient safety
• Increase in appropriate use of specialist clinical resources
• Reductions in patient mortality and critical incidents
• Increase in access to and coordination of health services
3

4. What do we mean by Team Work?
Interprofessional Education (IPE)
Occasions when two or more professions learn from, with and
about each other to improve collaboration and the quality of care
Interprofessional Collaborative Practice (ICP)
a patient-centred process of communication and decision-making
that enables the separate and shared knowledge and skills of care
providers to synergistically influence client/patient care (Way et
al, 2000)
4

5. The patient perspective…
This first report from the
Bureau of Health Information
shows clearly that patients
are calling out for Patients who felt their quality of
improvements and that care was excellent were likely
improvement in staff to have experienced excellence
teamwork, between doctors in staff teamwork.
and nurses, is the action
most likely to change a fair or
poor patient care experience
to an excellent one.
Bureau of Health Information. (May 2010) Insights into Care:
Patients Perspectives on NSW Public Hospitals
5

6. The clinicians’ perspective…
At the clinical unit level, 96% of respondents reported
that they deliver patient care as part of a team (or
teams), and 94% reported that effective teamwork was
either the most important or in the top three most
important issues affecting the delivery of quality
healthcare
Clinical Excellence Commission (CEC) 2011. Safer Systems Better Care – Quality
Systems Assessment Statewide Report 2011. Sydney: CEC.
6

7. What works?
Multi-faceted strategies
e-Learning modules across professional groups
On-site coaching, debriefing and facilitation
Curriculum that structures formal and informal interactions and is
designed to facilitate enquiry
Clinical placements and particularly rural clinical placements
Champions in both health and education sectors
Interdisciplinary program governance
Links with other programs (Established international movement)
7

8. What we learned from our
Consultations
• Need to acknowledge and build on what’s already out
there: LHDs, Universities, proprietary programs,
research, competency frameworks and existing high
performing teams
• Ensure curriculum is clinically-relevant and clinically-
based (ie work determines the curriculum or case
studies used)
• Move on from pilot and demonstration programs
8

9. Program Model
Right Start: Transition to Work in Health
• Students in their last semester of study
1 • 5000 new clinical graduates a year
• Building core skills & teamwork
Foundations
• New clinical graduates over first 2 years (10 000 phased)
2 • Builds on Transition to Work in Health (1), includes the
use of Simulated Learning Environments
Building High Performing Teams
• Existing clinical teams
3 • 62 000 clinical staff
• Network of facilitators, Settings Approach
9

10. Progress so far
Right Start: Transition to Work in Health
1 • Students in their last semester of study
• 5000 new clinical graduates a year
• Building core skills & teamwork
• August 2011 CETI called for Expressions of Interest from tertiary
providers in partnership with Local Health Districts
• Nine projects were funded
• Evaluation tools chosen - Work Self-Efficacy Inventory
(Raelin, 2010) and the Interprofessional Socialization and
Valuing Scale (King et al, 2010)
• Over 300 final year clinical graduates took part during October
2011 – February 2012
• Evaluation of projects in progress
• Showcase event February 27, 2012
• Build on successful Right Start projects
10

11. What does the data say?
• Preliminary data analysis suggests:
– overall ‘Right Start’ projects have made a difference
– some projects have significantly improved students’
work self-efficacy i.e. participants are more confident
– some projects have shown improvements in participants’
comfort, behaviour and attitude towards
interprofessional collaboration
• As we continue to add to the evidence-base for ICP,
we will add power
• Final analysis including, qualitative data analysis still to
come
11

12. Where to from here?
Foundations
• New clinical graduates over first 2 years (10 000 phased)
2
• Builds on Transition to Work in Health (1), includes the use of
Simulated Learning Environments
• Top ten ‘Foundations’ Module Topics identified through
consultations and a review of literature
• Common procedural, clinical and communication issues that
may affect patient-centred care
• Modules under development: Templates for participant and
facilitator guides, assessment activities
• Mapping of elements, competencies performance criteria to the
Health Training Package (CS&H Industry Skills Council)
12

13. Where to from here…
Building High Performing Teams
3 • Existing clinical teams
• 62 000 clinical staff
• Network of facilitators, Settings Approach
First phase implementation:
• Target LHDs and Speciality Networks
• Identify trial sites and assess
• Recruit and Induct of Team Health Facilitators
• Develop Facilitator Training Package and High Performing Teams
Modules
• Trial curriculum
• Evaluate curriculum, training package and facilitator network
13

14. Questions?
Danielle Byers Rob Wilkins
Learning & Teaching Learning & Teaching
Coordinator Coordinator
02 9844 6527 02 9844 6564
dbyers@ceti.nsw.gov.au rwilkins@ceti.nsw.gov.au
14