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Key Problem:

Retaining Staff through Service Redesign Presenter: Vicki Durston, Cheyne Chalmers, Lynne Bickerstaff Hospital: Southern Health Vicki Durston Email: vicki.durston@southernhealth.org.au Phone: 03 95946161 Mobile: 0407531924 Acknowledgments: Caron Hill & Felice Borghmanns. Key Problem:.

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Key Problem:

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  1. Retaining Staff through Service RedesignPresenter: Vicki Durston, Cheyne Chalmers, Lynne BickerstaffHospital: Southern HealthVicki DurstonEmail: vicki.durston@southernhealth.org.auPhone: 03 95946161Mobile: 0407531924Acknowledgments: Caron Hill & Felice Borghmanns

  2. Key Problem: Acute Ambulatory Services (2007) needed to be responsive to meet the needs of SH and the service users: • improve access to services • divert and substitute care to relieve hospital demand • adopt universal approaches maximising efficiency, workforce flexibility and transfer of resources • provide models of care that reflected the needs of the client and SH

  3. Aims of this project: Phase 1 • To improve governance in patient care • Retain staff through service redesign • Implement a career structure • Implement new models of care Phase 2 • Reduce reliance on brokerage by converting dollars spent to EFT

  4. Key Changes Implemented: Phase 1 Implementation of a comprehensive career structure • Introduction of Grade 2 RN nurses into HITH • Introduction of a Clinical Educator • Introduction of CNS’s and CNC into the service • Introduction of a Grade 4A • Two new bundles of care: Cellulitis and Anti-coagulation Phase 2 Cost benefit analysis of brokerage to EFT conducted Project plan to be developed September 2009 .

  5. Acute Ambulatory Care team – Southern Health 2009

  6. Outcomes so far: Pre and Post Cultural Survey of staff

  7. Outcomes so far: Patient Care The hospital’s utilising the new HITH medical model. This has had significant reductions in LOS for cellulitis, patients

  8. LESSONS LEARNT • Essential to have vision and leadership • Stakeholder engagement • Invest in team development • Be values based • Celebrate success • Be prepared to influence ( industrial )

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