a productivity tool for health advising richard williams western sussex hospitals trust
TRANSCRIPT
A Productivity Tool for Health Advising
Richard Williams
Western Sussex Hospitals Trust
I’VE GOT THIS GIRL, SHE’S CHLAMYDIA POSITIVE. SHE THINKS HER DRINK MIGHT HAVE BEEN SPIKED. OH, AND HER PARTNER’S BISEXUAL AND USED NEEDLES – BUT DON’T WORRY, SHE DOESN’T WANT AN HIV TEST, SHE JUST WANTS THE TREATMENT…
CAN YOU SEE HER FOR A QUICK CHAT?
Context
• Understanding the Health Advising role
• Business/management culture
• Difficulties measuring efficacy/productivity
• Evidence
The Productivity Tool
Dimension Measure Rationale Evaluation
The Productivity Tool
Dimension Measure Rationale Evaluation
Clinical
(F2F & non F2F)
Teaching & Training
Development
Activity supportive of health advising
Activity supportive of clinic
Value Added
Clinical F2F
Dimension Measure Rationale Evaluation
Clinical F2F
Clinical F2F
Dimension Measure Rationale Evaluation
Clinical F2F PN
Provider Notification
Prevention
Health Education
WeSSI
Referrals received
Referrals made
Consultations
(complexity)
Consultations
(number)
Clinical F2F
Dimension Measure Rationale Evaluation
Clinical F2F PN Increase detection, Tx STI/HIV
Provider Notification
Prevention Reduce acquisition STI/HIV
Health Education Reduce psychological morbidity
WeSSI
2ndary prevention, PN
reduce morbidity, risk management Referrals received
Referrals made 2ndary prevention, reduce morbidity
Consultations (complexity)
Safeguarding, prevention, reduce morbidity
Consultations
(number)
Indication of workload
Clinical F2F
Dimension Measure Rationale Evaluation
Clinical F2F PN Increase detection, Tx STI/HIV
Audit
Provider Notification
Audit
Prevention Reduce acquisition STI/HIV Audit
(process & outcome)
Health Education Reduce psychological morbidity
Patient Satisfaction Questionnaire
WeSSI
2ndary prevention, PN
reduce morbidity, risk management
Audit
(interventions, new information received)
Referrals received Log
(Inpatients, Antenatal)
Referrals made 2ndary prevention, reduce morbidity
Log
(Psychology)
Consultations (complexity)
Safeguarding, prevention, reduce morbidity
Log
(PEPS, SA, U16, CSW)
Consultations
(number)
Indication of workload Log
(face 2 face, telephone)
Clinical non F2F
Dimension Measure Rationale Evaluation
Clinical Non F2F
Clinical non F2F
Dimension Measure Rationale Evaluation
Clinical Non F2F
Recall system
Comprehensive patient management
?
Positive results ?
Liaison (other depts, primary care)
?
Teaching and Training
Dimension Measure Rationale Evaluation
Teaching and Training
Teaching and Training
Dimension Measure Rationale Evaluation
Teaching and Training
STIF
Introduction to HIV
HIV Awareness
Observation
(Competency)
Increase detection, Tx STI/HIV
Improve PN
Reduce stigma
Risk management (confidentiality)
Log
(teaching & training)
Evaluation forms
Development
Dimension Measure Rationale Evaluation
Development
Development
Dimension Measure Rationale Evaluation
Development PN:
Community contact cards
Partner information leaflets
PN Competency pack
GMFA online PN service
PEP:
Patient information leaflets
Initiate new practice to drive up standards
Log
Activity supportive of health advising
Dimension Measure Rationale Evaluation
Activities supportive of health advising
Activity supportive of health advising
Dimension Measure Rationale Evaluation
Activity supportive of health advising
Supervision
(peer & managerial)
Maintain professional standards
Log
Supervision
(external)
Log
Appraisal
Maintain professional standards and identify gaps
Log
CPD Log
Activity supportive of clinic
Dimension Measure Rationale Evaluation
Activity supportive of the clinic
Activity supportive of clinic
Dimension Measure Rationale Evaluation
Activity supportive of the clinic
Meetings Coordination, continuity communication, and consistency of practice
Log
(PEP, A-N, CG)
Conference feedback
Maintain professional standards
Log
Value Added
Dimension Measure Rationale Evaluation
Value Added
Value Added
Dimension Measure Rationale Evaluation
Value Added Involvement on national/local bodies (SSHA, BASHH)
Assist in setting national/local standards
Log
Submission of abstracts
Giving presentations
Share best practice and maintain professional standards
Log
Benefits
• Overview of service
• Highlights gaps - extra resources
• Highlights work - reassurance
• Plan and set priorities
• Demonstrates value - productivity
• Report
ONCE UPON A TIME
“THE McSCREEN”
OH YES!
Audit
Dimension Measure Rationale Evaluation
Audit PN (C4, B)
Maintain and improve practice
Log
Provider notification
Log
HIV PN Log
CHIVA Log