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Dr Tim Smyth Deputy Director-General Health System Quality, Performance and Innovation HNEAHS Quality Symposium 15 Sept

Patient Centred Care – is it really possible in our lifetime?. Dr Tim Smyth Deputy Director-General Health System Quality, Performance and Innovation HNEAHS Quality Symposium 15 September 2010. Key points. Great health care needs 3 things – safe, patient centred and effective

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Dr Tim Smyth Deputy Director-General Health System Quality, Performance and Innovation HNEAHS Quality Symposium 15 Sept

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  1. Patient Centred Care – is it really possible in our lifetime? Dr Tim SmythDeputy Director-General Health System Quality, Performance and Innovation HNEAHS Quality Symposium 15 September 2010

  2. Key points • Great health care needs 3 things – safe, patient centred and effective • A number of “wake-up” calls • A lot happening in NSW Health and we need to build on this • Is an “AAA” bypass required? • How can the Department help you and your team?

  3. Plenty happening • Patient and Carer Experience Program: • Patient survey • Improving Patient and Staff Experience (IPSE) • Co-design projects • Clinical Service Redesign • Patient streaming in EDs • Chronic disease management program (incl Walgan Tilly)

  4. The 3 essential ingredients - safe • We have a safe health system, but we can make it even safer: • Between the Flags • Better clinical handover • Sepsis • Falls • HAI • Medications

  5. Effective • IPART report • Avoidable admissions, readmissions and ED representations • Appropriateness of planned surgery • Stroke services • Cancer services

  6. Patient centred • A classic “win win”: • Good for the person • Good for their family and carers • Good for the health care providers • Good for the community • Not purely “one way” – a balance is required • eg: local versus concentration of service

  7. Wake up calls • Women presenting with a threatened or actual miscarriage to our EDs • People with dementia admitted to hospital • Cancellations for planned procedures • Mental health client tragedies • Advanced care planning • When we have to get help for ourselves or our family

  8. Turning projects into sustainable change? • Still a challenge for us all • Do we have an addiction to “projects”? • Models of care across care settings • Leadership needed • Patients and carers are the only people who actually experience the full “journey”

  9. An “AAA” bypass? • Attitudes • Advocacy • Application

  10. Drivers • Change in information asymmetry • Baby boomers and younger generations expect more • National health “reform”? • EHR making choice more possible? • Emerging leaders

  11. Barriers • Us, us, us ………. • Specialisation • “hole” of government • Undergraduate and postgraduate training • Ability to “listen” to our patients, their families and carers

  12. Worldwide momentum for greater information and choice • Patient portals and useful websites • English NHS ‘choose and book’ • “Patientadviser.com” ??? • Bureau of Health Information

  13. How can we help you? • Patient and Carer Experience Program http://www.health.nsw.gov.au/performance/pcexperience.aspemail us at: PatientCarerExperience@doh.health.nsw.gov.au • Clinical Service Redesign • Training and project materials • CEC program and appointment Dr Karen Luxford

  14. Health system can change! • Day surgery • Mental health • Cancer services • Management of diabetes and asthma • Adolescent health services • Birthing choices

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