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Melbourne Health Community Advisory Committee. Strategically Evolves into the Future. Presented by Florence Kingsley-Matthews. About Melbourne Health. Major public health service in Victoria Provides patient services at The Royal Melbourne Hospital – City Campus and Royal Park
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Melbourne Health Community Advisory Committee Strategically Evolves into the Future Presented by Florence Kingsley-Matthews
About Melbourne Health • Major public health service in Victoria • Provides patient services at The Royal Melbourne Hospital – City Campus and Royal Park campuses, North West Dialysis Service and North Western Mental Health. • Cared for more than 105,000 patients in 2006/07 and provided 6,300 outpatients appointments • Approximately 6,000 employees across 25 sites
Melbourne Health CAC • Community Advisory Committee established in 2001 • Committee comprises 6 consumer members and 2 Board members • Monitors implementation of a Community Participation Plan (revised every 3 years) • Purpose of Plan: to increase opportunities for consumers, carers and community to become active partners in decision making at all levels
What do we mean by a strategic CAC Influencing the “big picture” of consumer participation Clinical Governance Models of Care Strategic Planning Communication with community
Why have we taken a more strategic approach? To ensure consumer participation is seen as an ongoing continuous activity rather than a series of ad hoc projects
How we were going to achieve this? By setting goals Short term goal Work with departments to encourage consumerparticipation and build awareness of its effectiveness. Long term goalFormally integrate consumer participation into strategic and operational plans and performance indicators.
Working towards long-term goal • Consumer involvement included as a Divisional Action in the 2007/08 Business Plan. • Consumer participation included as a key enabler to achieving the objectives of the Clinical Governance Framework These structures replace previous sporadic and variable work in the area of consumer, carer and community participation.
Clinical Governance CAC members have been trained alongside staff to participate in Root Cause Analysis Working Groups to review adverse events. In 2007, a Key Performance Indicator was established to include consumer participants on 50% of Root Cause Analysis Workshops.
Root Cause Analysis – Comments from CAC members “I was very relieved that I could participate without needing lengthy explanations or feeling I was a nuisance” “I was pleased that all concerned were able to provide brief explanations that quickly enabled me to understand all that I needed to proceed, in a helpful and positive way” “There was a great deal of respect for the patient, interest in the family and potential communication barriers considered as factors”. “CAC membership was a very appropriate grounding to participate in an RCA”. “My participation was positive and well received from staff”
Strategic Planning • Consumer consultation in the development of Melbourne Health’s Strategic Direction 2005-10 • Consumer consultation in Melbourne Health’s Master Planning
Service Development/Models of Care • Consumer participation in the development of the RMH Service Plan to identify future service delivery that best meets the needs of the community • Consumer participation in the new model of care for the RMH Emergency Department redevelopment
Communication with the community • The CAC developed Partnerships in Care, a statement of patient rights & responsibilities that emphasises the importance of patients and clinicians working together. • Consumers advised on content of the Information Booklet for patients and careers at RMH. • Consumer contribution to Melbourne Health’s Report to the Community on Quality.
Other CAC activities The CAC participated alongside Dieticians in a “20-course” testing of food for the new patient menu. Members filled in an assessment sheet for each tasting, covering areas such as appearance, taste and texture.
What has been the CAC’s role The role of the CAC has become one of advising the Melbourne Health Board on the overall strategy of community participation and monitoring progress on implementation.
How did we get here? • The inclusion of consumer participation in organisational processes • Giving the CAC a role in monitoring and evaluating • Ensuring a systematic and sustainable approach • Strong support and commitment from Executive and Management • Being patient…….