1 / 12

Improving Services to Aboriginal and Torres Strait Islander Peoples: The ABCD Extension Project

Improving Services to Aboriginal and Torres Strait Islander Peoples: The ABCD Extension Project. Background to the ABCD Extension Project (1). Poor health outcomes Lack of consistent measures of quality of care Impact of interventions is often not sustained

agrata
Download Presentation

Improving Services to Aboriginal and Torres Strait Islander Peoples: The ABCD Extension Project

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Improving Services to Aboriginal and Torres Strait Islander Peoples: The ABCD Extension Project

  2. Background to the ABCD Extension Project (1) Poor health outcomes Lack of consistent measures of quality of care Impact of interventions is often not sustained Modern CQI as a potential strategy in PHC

  3. Background to the ABCD Extension Project (2) Original ABCD Project (2002 – 2006) Examined feasibility and impact of applying modern QI approaches in Indigenous PHC Findings Systematic approach to using audit and system assessment tools is feasible Results in improvement in Health centre systems Adherence to best practice guidelines in service delivery Intermediate health outcomes

  4. Wider implementation Additional tools Integrate process into routine activity Research on factors affecting uptake and sustainability of impacts 2005 - 2009 Aims of the ABCD Extension Project

  5. ABCD Extension Project: Approach STEP 1: Signed Agreement STEP 2: Training/ Orientation STEP 6: act Implement changes STEP 3: Audits, system assessment STEP 5: Action Planning. Clinic feedback, workshop & goal setting for system changes STEP 4: Participatory Interpretation. Data analysis & report preparation Project implemented through regional hubs: Top End Central Australia Far West NSW WA North QLD

  6. DARWIN BRISBANE PERTH SYDNEY ADELAIDE ABCD Site CANBERRA MELBOURNE ABCD tools only ABCD associated sites HOBART

  7. Participatory Action Research Clinical Audits Systems Assessment Observation by Hub Coordinators quarterly reports; scoring on key factors; structured dialogue In-depth Interviews (largely focused on two regions) practitioners, health centre managers and staff, policy makers, Hub Coordinators, researchers Research Methods

  8. Trends for overall delivery of preventive services: All services with 3+ rounds of audit data

  9. Preliminary findings from preventive services audits 36 services which completed three rounds of audits (n = 1024-1129 client records

  10. Trends for overall delivery of preventive services: Selected services with 3+ rounds of audit data

  11. Preliminary findings: Key factors explaining improvement in preventive services Leadership for QI (Medical and Management) Population health approach Regional level support systems Involvement of AHWs in preventive care

  12. What next? Complete analysis ABCD Extension Project Final Report Other dissemination Integrate lessons into One21seventy service support ABCD Research Partnership Improving practice through research

More Related