Tuesday 31 Oct | 15:10-17:10

 

Part 1: What matters in healthcare for people experiencing homelessness?

People with lived experience of homelessness find engagement with many healthcare services difficult and have very poor health outcomes with a high rate of morbidity and mortality. There is little evidence determining how to measure the experience and quality of care for this priority population. This study initially undertook a literature review to identify relevant articles on this topic. Subsequently, a framework to support measuring patient experience for people experiencing homelessness in the healthcare setting was co-designed using a modified Delphi methodology.

Objectives:

• Learn the special requirements of people who are homeless for healthcare as identified by this population


• Understand the previous evidence in this area


• Have an evidence-based quality framework that has been co-designed by people with lived experience of homelessness which can be used in the healthcare setting
  
  

Claire Doherty, St Vincent’s Hospital Melbourne, Australia

Matthew Scott, St Vincent’s Hospital Melbourne, Australia

James Morrow, St Vincent’s Hospital Melbourne, Australia

 

Part 2: People aren’t hard to reach, services are: Improving healthcare through lived experience

To effectively innovate healthcare services and make them more accessible to vulnerable communities, we need to address who is represented in the workforce and how they can influence service design. This presentation will explore how health services can better connect with communities and innovate service delivery through a lived experience workforce. During the peak of the COVID pandemic cohealth established one of Victoria’s largest lived experience workforces to better support engagement with culturally diverse communities most at risk. This model demonstrated the value that embedded community insights had in directing responsive and effective healthcare.

Objectives:

• Effectively engage with ‘hard to reach’ communities


• Embed community insights into ongoing design and delivery


• Explore Innovative approaches to address structural barriers

Emit Taylor, Cohealth, Australia

Malik Abdurahman, Cohealth, Australia

 

Part 3: How Community Paramedicine is bridging the health equity rural divide

This presentation describes the implementation and impact of community paramedics to improve healthcare access and equity in Canada and rural Victoria. With a critical shortage of healthcare professionals and resources, community paramedics have emerged as a crucial workforce in the delivery of high quality, safe, targeted healthcare. This presentation will demonstrate the impact of the community paramedic model (known as CP@clinic) on chronic disease and quality of life in Canada and how the model is showing promising results in the rural Australian community health and palliative care sectors.

Simone Heald, Sunraysia Community Health Service (SCHS), Australia

 

Part 4: Asking the community to design the future of HIV care

Great healthcare is about more than clinical care. It is about involvement and partnership between clinicians, organisations and community. Alfred Health’s HIV Service Advisory Group (HSAG) conducted a sensitive, powerful and public discussion with the HIV-affected community to co-design the next generation of HIV care. The result was a clear articulation of the community’s priorities and healthcare needs that will now guide the development of the State-wide HIV service. More importantly, it initiated a genuine approach to service co-design, with the HIV community becoming an active participant in creating the services they require for the best health outcome.

Objectives:

• Use co-design principles to create an ongoing conversation with our HIV community working with our clinical partners and peak bodies


• Extend the reach of the community consultation as far as possible so we could connect with people living with HIV who were not associated with Alfred Health


• Engage with people in more difficult-to-reach communities


• Gather quality information that enables Alfred Health to develop a proposal for future care of people with HIV

Katrina Lewis, Alfred Health, Australia

Max Niggl, Alfred Health’s Consumer Advisory Committee and the HIV Services Advisory Group, Australia