S12: People powered change and process


Tuesday 31 Oct | 15:10-17:10


 


Part 1: Implementing age friendly healthcare system in primary care for housebound people


As the population grows older care systems are exploring approaches to care for people in place (home). This needs an integrated approach with health and for those that are housebound access to comprehensive primary care. The session will using an interactive and engaging approach with brief ‘2-minute conversations’ and ‘online polls’ discuss the implementation of an Aged Care Friendly System approach embedded in Primary Care in the Australian Capital Territory. A quality improvement approach using the 5M framework, team-based care and virtual care integrated with face to face care.


After this session, participants will be able to:



  • Describe what an Age Friendly Health System approach is

  • List enablers and barriers for implementation in primary care

  • Describe a model of care embedding virtual care and tele-examination in primary care


Paresh Dawda, Prestantia Health; Australia


 


Part 2: Elevating lived experience (2): Safety, power and consumer stories in quality improvement


Consumer stories are a powerful influence in building ‘the will’ for quality improvement work. However, personal stories used in this way are often about sharing experiences of when things didn’t go well, or weren’t safe. It is important to understand the power consumer stories have while creating psychologically safe opportunities for sharing that minimise potential for harm such as re-traumatisation. This interactive workshop will be led by consumers and SCV staff, share examples and experiences of where good practice has and hasn’t occurred. Participants will work together to identify ways to safely incorporate lived experience stories in quality improvement work.


Objectives:



  • Creating awareness of the how to balance beneficial outcomes with potential for harm in using consumer stories for quality improvement

  • Consider how to take action to create psychological safety when using consumer stories in quality improvement work

  • Build on the learning presented and explored in Elevating lived experience (Part 1): Co-designing and co-delivering the PPH collaborative)

  • Take away a range of change ideas that can be tested locally to create psychological safety for those wanting to share their lived experience to support quality improvement.


Nami Nelson, Safer Care Victoria; Australia


Kristiina Siiankoski, Safer Care Victoria; Australia


Simon Waring, Safer Care Victoria; Australia


Alana Donaldson, Safer Care Victoria; Australia


 


Part 3: Healthcare culture change at the system level – Sisyphus had it easy

The Medical Registration authority in Australia runs an annual survey of doctors in the early years of their careers, prior to specialist qualifications. Recent surveys have included measures of workplace culture. The data shows that early career doctors witness and experience adverse behaviours such as racism and bullying in the workplace, and that they identify other doctors as frequent perpetrators. Given the link to patient safety, creating a positive workplace culture is a high priority. This session will present an overview of the approach being taken, including the evidence base for change.


Objectives:



  •  Understand the link between patient safety and a positive workplace culture

  • Compare behavioural vs system interventions

  • Apply system-thinking to workplace culture challenges



Jillann Farmer, Royal Australasian College of Medical Administrators, Australia