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Each year, WSLHD hosts the Quality Awards as an opportunity to harness the creative and innovative ideas of staff, who are committed to making a difference to patient care and health outcomes.
Some of the winning projects will now be submitted to the NSW Health Innovation Awards and the NSW Premier's Awards.
People with a serious mental illness have a significantly reduced life expectancy compared to the general population. The ‘My Health Passport’ sought to empower mental health patients to be partners and leaders in their own healthcare with access to a wide range of physical healthcare services and screening opportunities. Outcomes included 19 patients undergoing breast screening, of which one was diagnosed with breast cancer for which she is now receiving treatment.
The clinic at Riverstone Neighbourhood Centre is the first time the Women’s Health Clinics at Blacktown Hospital has partnered with a non-government organisation to provide antenatal services in the community. The clinic removes the barrier for women who may find it difficult to get to Blacktown Hospital due to lack of transport, or personal or financial difficulties. More than 615 women have attended the clinic so far, which has led to it expanding from one to two days per week. Consumer-reported benefits include receiving care closer to home, free parking, no stairs, welcoming staff and accessibility of community support services from one location.
This project sought to reduce falls risk and hospital admissions for falls-related injuries for all patients admitted to Westmead Outpatient Physiotherapy. Initiatives included the implementation of the first outpatient falls risk screening tool in Western Sydney Local Health District, regular staff education sessions, and falls prevention strategy meetings with staff, patients and family. Outcomes for participants included no falls-related hospitalisations, a reduced average falls risk from moderate to low, and 80% compliance with a home exercise program.
The unexpected increase in drug-related deaths and injuries at NSW music festivals required an effective and rapid response. Western Sydney was the first local health district to apply disaster management principles and deploy a team to festivals using self-developed equipment, resources and medication kits. The early recognition and management of severe drug toxicity at festivals led to reduced illness and no further deaths after deployment.
This is the first program to address supplemental oxygen compliance in a non-respiratory service. Audits and questionnaires allowed staff to acknowledge their own deficiencies, then generate and implement solutions based on their own learning styles. Significant improvements included an increase in prescribing compliance from zero to 100% and increase in target oxygen saturation range documentation from 14% to 86%.
The nurse-led rapid access clinic for bowel cancer screening patients is an original and effective approach to the growing clinical problem of bowel cancer. The faecal occult blood test (FOBT) clinic significantly reduces the burden on gastroenterology clinics and provides a streamlined, accessible, patient focused service for FOBT-positive patients. The nurse specialist provides rapid triage, initial consultation, education on diet and bowel preparation, and liaises with GPs regarding outcomes.
Cultural attitudes and food habits in adults are difficult to shift. This project aimed to improve food outlet staff engagement to promote healthy food and drink choices. The stakeholder engagement model worked with small scale businesses such as Mount Druitt Kiosk and large businesses such as Coca-Cola Amatil. At Mount Druitt Kiosk, compliance with the Healthy Food and Drink framework rose from below 20% to 100% in one year.
A child and youth navigation project was designed to reform the mental health model of care in Westmead Hospital ED, with the aim of reducing non-urgent presentations by 50%. The navigator saw 71% of young people who presented to Westmead ED during the week, leading to a reduction in re-presentation rates from 20% to 3%. Sustained evaluation demonstrates decreasing wait times, effective links with GPs and service providers after discharge, and the potential to improve outcomes for the youth.
The project introduced a basket storage system in the medication room for non-imprest medications on Blacktown Hospital surgical unit, as opposed to using bedside drawers for each patient. Nurses saved an average of almost 60 minutes to complete the round, which improved overall productivity and morale. There is now extra space available on benchtops to prepare medications, and patients are less susceptible to risks as the ability to self-administer medications has been removed.
Munch & Move is a NSW Health program that aims to reduce childhood obesity by 5% by 2025. By December 2018, 100% of Blacktown City Council’s early learning childhood services had adopted the program – an increase from 17% in July 2017. Outcomes included significant improvements to food menu compliance, staff training, reduced food waste and colloquial evidence children were enjoying more vegetables.
Drug concentration is altered if depot injections are administered at an unlicensed muscle site. A baseline 12-month audit in June 2018 found only 83.6% of long-acting antipsychotic depot administrations were being given correctly. After implementing all the strategies, this improved to 92.3% by October 2018 and 100% by April 2019.