Aboriginal Health

Aboriginal Health Monash Health Fellowship practice exam December 2017

NSQHS – 6 key actions • Safety and quality address specific health needs of Aboriginal people • Monitoring strategies to meet safety and quality priorities of Aboriginal people • Strategies to improve cultural competence and cultural safety • Demonstrate a welcoming environment • Work in partnerships with Aboriginal communities • Ask and record Aboriginal identity in administrative and clinical systems

Aims of Aboriginal Health Plan • Achieve accurate identification • Improve access to health services • Support health professions to provide culturally-sensitive and appropriate care • Provide pathways for appropriate and timely referrals to and from community services • Form relationships with community organisations to support coordination of care and mutual understanding

Process • Monthly working group • Employ dedicated ED staff member to coordinate implementation and progress • Perform gap analysis with data and local community interviews • Develop education plan for ED staff • Review ED to provide culturally safe environment • Develop policy and process for referrals from and discharges to community services • Social connectivity activities

Question 16 - part a You have been asked by your director to prepare a plan to address Aboriginal health in your Australian Emergency Department. a) List four (4) important sources of information you would go to in preparing for this plan (4 marks)

Sources of information • ACEM • Literature review • Other hospitals / emergency departments • Department of Health • Indigenous elders/community • Aboriginal liaison officers/local level service

Part b • List three ways to engage your local aboriginal community in formulating this plan. • Engage with elders/indigenous leaders • Visit communities and ask questions about perceptions and experiences • Survey past and present aboriginal patients • Liaise with local aboriginal health centres • Get involved with community events • Invite local community representatives to your health service

Part c • List three ways to engage your department in formulating this plan • Ask the staff what they think • Involve everyone! • Formulate a plan based on what they say • Involve staff in implementation and leadership • Involve staff in ongoing maintenance and audit • Meetings, surveys, feedback mechanisms

Part d • List two general elements that should be in your final plan • Achieve accurate identification • Improve access to health services • Support health professions to provide culturally-sensitive and appropriate care • Provide pathways for appropriate and timely referrals to and from community services • Form relationships with community organisations to support coordination of care and mutual understanding

General tips • Timing • Read the question entirely through • Read the individual question you are answering • Answer the question • Don’t write the same thing in multiple different ways • Answer every question (don’t skip and go back) • If you have more than the required number of answers, cross one out • Timing

This is just an exam

Aboriginal Health