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Page 1: Change Champions & Associates Newsletter MAY 2011

[

[ NEWSLETTER FOR INNOVATORS

MAY2011

Page 2: Change Champions & Associates Newsletter MAY 2011

Contents

Preface

5 > We are Metamorphosing

Char Weeks

6 > Patient Centred Care– The US Experience

Bill Shannon

10 > Communicating with patients with little or no speech:

Can internet technology help?

Dr Louise Greenstock PhD & Mr Brendon Wickham

12 > Preventing Alcohol and Risk– Related Trauma in Youth:

An in-hospital trauma prevention initiative

Claire McGuinness

14 > Clinical Engagement Compendium

Change Champions & Associates

Articles

16 > May 2011

18 > June 2011

> July 2011

19 > August 2011

> September 2011

Seminars & Master Classes

ABN: 49 833 110 992

P: (02) 9692 0533

F: (02) 9518 6898

E: [email protected]

W: www.changechampions.com.au

Page 3: Change Champions & Associates Newsletter MAY 2011

External Events

Resources: Publications, Papers & Reports

20-21 > Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units > Strategic Directions for Strengthening Nursing and Midwifery > The route to success in end of life care– achieving quality for people with

learning disabilities > Maintaining and improving the quality during the transition: safety, effectiveness, experience

22-23 > Review of early warning systems in the NHS > Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care > Calculating Outcomes Potentially Sensitive to Nursing > Improving healthcare quality at scale and pace– Lessons from the Productive Ward program

24 > Physical Health of People with Mental Illness

Mental Illness Fellowship of Australia

26 > Building Leadership to Improve Patient Based Care Seminar

Clinical Excellence Commission

27 > Research survey on the use of nursing informatics at provider/organisational level

Gerry Bolger

Page 4: Change Champions & Associates Newsletter MAY 2011

Innovation

Leadership Integration

Knowledge Dissemination

Quality

Creativity

Ideas

Management

Exposure

Networking

Seminars

Skills Development

Resources

Service Collaboration

Master-Classes

We are Change Champions & Associates.

We are...

Page 5: Change Champions & Associates Newsletter MAY 2011

Skills Development

We are now spreading our wings as

Change Champions & Associates-

a leaner, reinvigorated organisational

structure that better fits our strategy and

culture. We also have a brand new logo,

which brings a fresh look and a more

tailored identity to better represent what

we do.

And the upside for you as that we have

sharpened our focus on providing events

that are closer to your home!

In the coming months, you will see our

program of Master Classes and one day

events unfold, replacing most two day

seminars. And we will bring them to

a capital or regional city near you... so you

can save your travel time and expenses for

your holidays.

Right now we are looking for the best

facilitators the world can offer to deliver

Master Classes that address hot topics

and issues for the health, education and

government sectors. So, if you have an

issue or know of an awesome facilitator

whose work will draw a crowd email us at

[email protected]

We are also looking to spruce up our

website, www.changechampions.com.au

to add a wider variety of resources such as

self published books, e-learning modules,

toolkits, compendia of resources etc.

Do you have some resources that might

go well in our web store? Contact Diane

Vatinel at [email protected]

for more info.

Char Weeks

Innovation Leader

Change Champions & Associates

We Are Metamorphosing.

Page 6: Change Champions & Associates Newsletter MAY 2011

Patient Centred Care: Sharing the US Experience

By US Expert Storyteller and Presenter Bill Shannon

Sometime in the middle 90’s, savvy American

Hospital and Health system CEO’s looked toward

the future. They, like any good leader, anticipated

significant changes that are now the routine:

shorter length of stay, increased outpatient

surgery, tougher negotiations with insurance

companies, more government involvement, and

alliances aimed at better pricing from suppliers.

They saw something else: A more competitive

marketplace, demanding patients, rapidly

developing healthcare technologies and data

available to everyone. These leaders saw

customer service, and looked at it as if were they

were running a retail or service corporation. They

were right. Those who did not see it coming are

still playing catch up.

Over the years, treating patients like valued

customers while they were treated clinically led

to the descriptor, “Patient Centered Care.” It

meant new ways of looking at the patient and

family experience in all healthcare delivery. It

meant approaching the patient experience in,

during, while, around, before and after—let’s say

surrounding—in unprecedented ways. And, there

is no going back.

Page 7: Change Champions & Associates Newsletter MAY 2011

Here’s a sampling from your allies in America:

The government and hospitals themselves

sharing patient satisfaction scores for all to

see. Comparison-shopping, and the willing-

ness of patients to travel for a better place.

Patient satisfaction data will be measured

with the rigor of outcomes, infection rates,

safety, financial results and employee

satisfaction. Patient Centered thinking will

force changes in employee and physician

behavior, processes in place, marketing,

facility design—just about everything. Tools

like the quadrants in the Harvard Balanced

Scorecard will dedicate one quadrant, yes

25%, toward patient satisfaction scores equal

to outcomes, financials and employee

relations. The realization that it’s more than

diagnostics and clinical care driving success—

it’s the entire patient experience—

contributing mightily to the bottom line and

improved outcomes.

No differentiation between nonprofit and for

profit hospitals in understanding the need to

get better at service. Everybody’s in the game.

A look outside the industry for ideas and help.

The Disney Institute (which I helped open and

now consult with and for, shares the Business

Behind the Magic all over the world and in

every industry thanks to Disney’s stellar

service reputation and customer loyalty)

notes 40% of its business come from

healthcare.

Picture more staff training, leader

development and continuous improvement

efforts focused like never before.

Picture these:

Increasing staff whose only job is patient/visitor relations

Government sharing scores and data nationally for all to see and compare using a standard list of

questions. (From pain management to wait times to “Likelihood to recommend this hospital”.)

Fierce competition for awards and percentile ranking which when successful, are part of marketing

campaigns, banners throughout the hospital and negotiations with insurance companies.

Targeted accountabilities for staff, nurse and physician behavior, and mandatory improvement plan

structures in place.

Architectural design, patient flow changes—the entire patient experience—now considering way-

finding, signs, wait times, appointment scheduling, parking and transportation, discharge instruc-

tions and timing, a concierge function, rounds…just about everything.

Inpatient menus by choice, just like a restaurant

Billboards along major highways showing Emergency Room wait times, updated in real time. Even

texting a number to see about the wait.

What can the people and caregivers in Australia expect

as this sort of emphasis comes to be Down Under?

Page 8: Change Champions & Associates Newsletter MAY 2011

Patient Centred Care continued...

Consumers are savvy, too. Many make their living in the

service industry, so their bar is higher. Everyone is paying

more out of their own pocket, so they’re paying more

attention. Patients are now using WebMD, checking scores,

reading blogs and entering chat rooms; some go to rather

sophisticated works like The Merck Manual or PDR. They

come with questions, self-diagnoses and higher expectations.

Australians are friendly by nature, at least stereotypically, so

compared to my home in America; you have a leg up Down

Under. Overall strategy, local tactics and sharing of best

practices—ideas on making the experience surrounding

clinical care-- is not only coming, it’s the right thing to do.

By Bill Shannon

Read Bill Shannon’s full bio and download the July Master Class

programs from www.changechampions.com.au

Patient Centred Care

Sharing the Experience from Three Great Brands:

Disney, da Vita and Duke University

19 July 2011– Sydney, NSW 20 July 2011– Melbourne, VIC 22 July 2011– Adelaide, SA 25 July 2011– Perth, WA 26 July 2011– Brisbane, QLD

Customer Service Excellence

Full day Master Class with Expert Storyteller and Presenter Bill Shannon

27 July 2011– Sydney, NSW

Attendees will learn the three major customers

service delivery systems, and learn how to “walk in the shoes of their customers” using a tool

devised by Disney

HEAR BILL SHANNON THIS JULY 2011

Page 9: Change Champions & Associates Newsletter MAY 2011

Change Champions & Associates invites submissions from suitably qualified professionals to participate in its Master Class Road Shows touring Australia and New Zealand throughout 2011. If you are a facilitator on a hot topic in the field of health, education or government sectors– then this could be the right opportunity for you. To read the Master Class submission guidelines visit: http://www.changechampions.com.au/call

-for-papers

We are pleased to announce the winner of the

Master Class Draw

Karen McDougall Rehabilitation and Aged

Care Services, VIC

Winner of a $100 Westfield Voucher

simply by doing a survey!

Thank you to everyone who participated in our Master Class Needs Assessment Survey advertised in our last newsletter. The survey is still open and we’d greatly appreciate your input so we can create seminar and master class programs on the topics that YOU want to hear about!

Want to suggest a topic for a Master Class?

Let us know by doing our Master Class

Needs Assessment Survey:

http://www.surveymonkey.com/

s/75DJJWM

ARE

YOU A

F A C I L I T A T O R

ON A

HOT

T O P I C

?

Page 10: Change Champions & Associates Newsletter MAY 2011

The Australian Health Workforce Institute (AHWI), a joint

venture of the University of Melbourne and the University of

Queensland, and General Practice Victoria (GPV), the peak

State-based organisation for the Divisions of General Practice,

are currently engaged in a research project exploring the

ways that patients with little or no speech communicate with

GPs and the potential of internet technologies to address

challenges in patient-GP communication.

The research is funded by the Institute for a Broadband-

Enabled Society (IBES) at the University of Melbourne. AHWI

has partnered with GPV to address the concern that people

with little or no speech are sometimes disempowered when

communicating in health care contexts. Communication

Rights Australia (CAUS) have provided specialist advice and

advocacy for people with little or no speech involved in the

project.

Dr. Louise Greenstock PhD Mr. Brendon Wickham

Communicating with patients with little or no speech:

Can internet technology help?

Page 11: Change Champions & Associates Newsletter MAY 2011

The primary objective of this research is to explore the perspectives

of patients with little or no speech on their communication with

GPs, as well as the experiences that GPs have of communicating with

these patients.

The researchers, Louise Greenstock and Brendon Wickham, have

conducted a focus group with four participants with little or no

speech, and three one to one interviews with GPs in Victoria. Par-

ticipants of the focus group were encouraged to provide details of

their experiences of communicating with GPs and the challenges

they have faced in the past. Similarly, GPs were interviewed about

how they communicated with patients with little or no speech in the

past and their experiences of the challenges inherent in these inter-

actions. Interview transcripts were transcribed and thematically

analysed, resulting in a set of themes and subthemes.

Findings of the research have indicated that patients with little or no

speech would like to be able to make contact with their GP via email

and GPs were not against this idea in principle. GPs did however

raise concerns about medico-legal matters and the prioritisation of

incoming mail. There was also some concern about staffing and in-

frastructure requirements.

There was agreement across the participants that GPs should re-

ceive more training in disability awareness and in how to facilitate

communication with patients with a range of needs and abilities.

The research has also shown that while there was interest and en-

thusiasm for telehealth and online consultations, there were a range

of factors to consider, including staffing and cost and payment pro-

tocols.

The final report for this research will be complete in June this year

and it is hoped that the research will stimulate debate and raise

awareness about the importance of two-way communication (both

synchronous and asynchronous) between GPs and all of the patients

they interact with.

If you’d like to get in touch either Dr Louise Greenstock or

Mr Brendon Wickham, please email Diane Vatinel at

[email protected]

Page 12: Change Champions & Associates Newsletter MAY 2011

By Claire McGuinness Trauma Education Coordinator, (P.A.R.T.Y.) The Royal Melbourne Hospital

P.A.R.T.Y. is an in-hospital trauma prevention initiative aimed at senior

school students (15-18 years) and young offenders (18-25 years). This

program is being run at The Royal Melbourne Hospital, one of two

adult trauma hospitals in Victoria, where many young people are

treated for serious injury as a result of their risk-taking behaviour.

P.A.R.T.Y. gives participants insight into the possible traumatic and

often preventable consequences of risk-related behaviour. This

first-hand look into the physical impact of injury aims helps young

people to recognise risks and make safer choices.

WHY FOCUS ON YOUTH TRAUMA?

Trauma and injury is the leading cause of death and disability in young

Australians with road trauma being the most common mechanism.

Despite significant public education, Australia continues to have a high

road toll.

Over the last five years, The Royal Melbourne Hospital had more than

5000 patients admitted in the age range of 15-25 years and 30% of

these sustained life threatening injuries with long term consequences.

The most common causes of these injuries were road trauma (48% cars

and pedestrians), assaults and fights (28%), and falls (14%).

Worryingly, 35% involved drugs and/or alcohol in some way.

Preventing Alcohol and Risk-Related

Trauma in Youth

An in-hospital trauma prevention initiative

Page 13: Change Champions & Associates Newsletter MAY 2011

HISTORY

P.A.R.T.Y. was developed in 1986 at the Sunnybrook Health Services

Centre in Toronto, Canada. Their Emergency staff created the Program

in response to the high number of preventable injuries among young

people they were seeing time and time again. The P.A.R.T.Y. Program is

now operated by staff at established trauma hospitals in more than 100

sites around the world. In Australia these sites are The Royal Perth

Hospital (WA), Royal Brisbane and Women’s Hospital (QLD), The Alfred

and The Royal Melbourne Hospital (VIC).

THE PROGRAM

The students spend a day at The Royal Melbourne Hospital, following

the patient’s journey from what happens at the scene of an accident, to

the emergency department, the intensive care unit, the trauma wards,

rehabilitation and beyond.

The first half of the day focuses on treatment of an acute injury

including the life saving management of trauma. The students tour our

emergency department, intensive care unit and the trauma wards. An

important, and sometimes confronting, part of the program is meeting

and talking to trauma patients, hearing their stories and learning from

their experience.

The second part of the day is focused on rehabilitation and the long

terms effects of injury. The participants spend time with our allied

health staff, discovering what life can be like with a long-term injury or

disability. They complete tasks such as being fed, dressing, and moving

around with braces, splints, and other orthotic equipment. Once

returning back to school, students are encouraged to further explore

risk-related trauma and its effects.

BENEFITS

Data collected via pre and post-program questionnaires at The Royal

Melbourne Hospital shows an excellent response from participants. When

asked if they thought the program would make them think about their

actions in the future 19% of participants answered ‘Definitely’

pre-program compared to 76% post-program.

Recent research from Canada showed that over a 10 year period those

students who did not participate in P.A.R.T.Y. were twice as more likely to

be injured than those from a similar demographic who attended the

program.

For More information visit:

P.A.R.T.Y. Headquarters: www.partyprogram.com

P.A.R.T.Y. Melbourne: www.partymelbourne.net.au

Page 14: Change Champions & Associates Newsletter MAY 2011

How You Can Contribute to the

CLINICAL ENGAGEMENT COMPENDIUM

In the last edition of our newsletter, we announced the

current development of a Clinical Engagement

Compendium, inviting submissions from professionals

willing to contribute their experiences . The response was

tremendously positive, with plenty of fantastic and

innovative contributions. The March Report on CHAIN

Australasia and the Asian Pacific Rim indicated a very

healthy increase of members, confirming the strong

desire professionals have for the sharing and

dissemination of information and experiences.

Clinical Engagement is a positive “can do” hand in glove

approach to connecting clinicians into the planning and

delivery of health care services to improve performance

and achieve better outcomes for patients. Clinical

Engagement is about balancing managers’ and funders’

needs to understand the context of healthcare service

delivery at the coal face and from the perspective of

clinicians, frontline and support teams from across the

spectrum of facilities and professionals; and healthcare

clients and consumers. It’s also about healthcare

professionals and service users being actively engaged in

management processes and enhancing their

understanding around the business end of healthcare

service planning, financing, delivery and evaluation.

To get the compendium off the ground we need YOUR

help to build a repository of information that we can

compile into an iterative document that will be circulated

to CHAIN members as new content is added. You might

be willing to contribute your strategy, policy, model,

information about a program/project, course, network,

knowledge resources etc.

Page 15: Change Champions & Associates Newsletter MAY 2011

CONTRIBUTION CRITERIA

One Page Summary only

Type of contribution

i.e. policy, procedure, tool, resource

Contact

Name, position, institution, email, phone

Originality

Statement of the work’s originality or from where it

was adapted

Confirmation

Confirmation that the summary can be published

with the contact details supplied

Title

Date commenced/developed or Finalised

Aim

Implementation

Results/Outcomes

Statement of impact

(how did it make a difference, if known)

Sustainability considerations

Transferability considerations

Potential Changes

(Statement of what, if anything you would do

differently next time)

Email your contribution to:

[email protected]

To join CHAIN visit:

http://chain.ulcc.ac.uk/chain/index.html

Page 16: Change Champions & Associates Newsletter MAY 2011

Leadership and Management

for Health Professionals-

Sharing the Experience

CONFIRMED INVITED SPEAKERS

Robynne Cooke, Executive Director Medical and Continuing Care Services, Chief Nursing Officer, Northern Health, VIC

Daniel Hitchcock, Occupational Therapist, Four Hour Rule Lead, Sir Charles Gairdner Hospital, WA

Dr Adrian Nowitzke, Chief Executive, Gold Coast Health Service District, QLD

Dr Tony O'Connell, Chief Executive Officer, Centre for Healthcare Improvement, Queensland Health

Todd Sampson, CEO Leo Burnett, Presenter "The Gruen Transfer" and Co-Creator, Earth Hour Initia-tive

Adj Prof Kylie Ward, Health and Aged Care Consultant, VIC

A one day "how to" seminar for aspiring leaders and managers.

Learn practical strategies and techniques from experienced

healthcare leaders and managers.

MAY BUDGET BUSTER!

20% off

if you register 3 people for Leadership and pay

online before 13 May 2011

www.changechampions.com.au

Friday 27 May 2011 NSW Parliament House

Sydney, NSW AUSTRALIA

SEMINAR OF THE MONTH: MAY 2011

CLICK HERE TO GO TO THE

WEBSITE PAGE

Page 17: Change Champions & Associates Newsletter MAY 2011

MAY BUDGET BUSTER!

20% off if you register 3 people for Today’s Hospital and

pay online before 13 May 2011

www.changechampions.com.au

MAY 2011

Handy Hints for the Novice Conference

Presenter

13 May– QLD 03 June– VIC

Moving Forward:

Accepting and Embracing Resistance to Change

17 May– NSW

TODAY’S HOSPITAL:

24/7 Care Every Day of the Year

25 May 2011– NSW

TODAY’S HOSPITAL SEMINAR AIM To showcase initiatives and successful solutions that have improved quality and patient safety out of hours and have enabled clinicians to work more effectively and efficiently.

CONFIRMED INVITED SPEAKERS

Diana Hamilton– Fairly Dean of Secondary Care Specialties London Deanery, UK

Joint Head of Women’s CAG, King’s health Partners Guys and St. Thomas’ NHS Foundation Trust, UK

Daryl Jones Intensive Care Specialist Austin Health, VIC

Page 18: Change Champions & Associates Newsletter MAY 2011

JUNE 2011

Statistical Thinking & methods

9 & 10 June- VIC 16 & 17 June– NSW 23 & 24 June– QLD

Lean Operating Theatre

1 Day Master Class with International Lean Coach

Sean Lewis

See online for more details

15 June– WA 17 June– QLD 23 June– TAS 24 June– VIC

29 June– New Zealand 01 July– NSW

JULY 2011

Patient Centred Care with Bill Shannon

19 July– NSW 20 July– VIC 22 July– SA 25 July– WA 26 July– QLD

Customer Service

Excellence

with Bill Shannon

27 July– NSW

Successful Reform

Strategies Across the Public Sector

28-29 July– NSW

Page 19: Change Champions & Associates Newsletter MAY 2011

AUGUST 2011

Change Fatigue: Building Resilience in an Environment of Constant

Change

5 August– NSW

Self Management Support Skills for Outpatient

Providers

6 hour Master Class with 3 internationally recognised Experts from Australia, the

USA and the UK

15 August- NSW 16 August- VIC 17 August- SA 19 August- WA 22 August- NT 24 August- QLD

Optimising the

Management of Pain

24-25 August– VIC

SEPT 2011

Outpatients:

Improving Patient Flow and Service Integration

7-8 September– QLD

Innovative Strategies for Engaging and Supporting NET Generation Students

30 September– NSW

Page 20: Change Champions & Associates Newsletter MAY 2011

TECHNICAL REPORT Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units A RAND study of teamwork-improvement initiatives in hospital labor and delivery (L&D) units was designed to document and learn from the experiences and outcomes of five L&D units as they implemented improvements in their teamwork practices over a one-year period. http://www.rand.org/pubs/technical_reports/TR842.html

PUBLICATION Strategic Directions for Strengthening Nursing and Midwifery

This document presents the newly updated strategic directions for strengthening nursing and midwifery services (SDNM) for the period 2011–2015. It seeks to provide policymakers, practitioners and other stakeholders at every level with a flexible framework for broad-based, collaborative action to enhance the capacity of nurses and midwives.

http://www.who.int/hrh/resources/nmsd/en/index.html

RESOURCES

Page 21: Change Champions & Associates Newsletter MAY 2011

PUBLICATION The route to success in end of life care– achieving quality for people with learning disabilities

This NHS publication aims to provide a practical

guide which supports anyone caring for people

with learning disabilities to ensure that those who

may be in the last months of their life receive high

quality end of life care. It may also be useful to

health or social care professionals .

http://www.endoflifecareforadults.nhs.uk/publications/route-to-success-people-with-learning-disabilities

REPORT

Maintaining and improving the quality during the transition: safety, effectiveness, experience This report is the first in a two-phase review about maintaining and improving quality during the transition and beyond. Building on the February 2010 Review of Early Warning Systems in the NHS, it emphasises how quality must remain the guiding principle as organisations move to implement NHS modernisation, and is clear that healthcare professionals are ultimately responsible for the quality of care provided to patients.

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125234

RESOURCES

Page 22: Change Champions & Associates Newsletter MAY 2011

REPORT Review of early warning systems in the NHS This report describes the systems and process, and values and behaviours which make up a system for the early detection and prevention of serious failures. It represents the shared view of DH, Monitor and the CQC and makes clear that safeguarding patients is the responsibility of every organisation and every member of staff - from doctors and nurses in hospitals to commissioners in PCTs and those who manage and regulate the system in SHAs the CQC and Monitor.

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_113020

RESEARCH PAPER Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care In response to growing interest from the hospital community in better understanding and improving the experience of patients and their families during hospitalization, the Institute for Healthcare Improvement (IHI) conducted an in-depth review of the research, studied exemplar organizations, and interviewed experts in the field.

http://www.ihi.org/IHI/Results/WhitePapers/AchievingExceptionalPatientFamilyEx-perienceHospitalCareWhitePaper.htm

RESOURCES

Page 23: Change Champions & Associates Newsletter MAY 2011

LITERATURE REVIEW REPORT

Calculating Outcomes Potentially Sensitive to Nursing The background to this review is the link between nurse staffing, in terms of hours and skill mix, and certain patient outcomes which have been identified as most sensitive to nursing care. The brief was to see whether there was any evidence that the cost of nurse-sensitive adverse outcomes could be quantified.

http://www.moh.govt.nz/moh.nsf/pagesmh/10466/$File/calculating-outcomes-nursing-review-nov2010.pdf

REPORT Improving healthcare quality at scale and pace– Lessons from the Productive Ward program The Productive Ward Evaluation study aims to tell the story of the Productive Ward to date and determine its impact on the NHS. The evaluation will seek to answer why and how the Productive Ward has been so influential and to identify factors that may enhance the benefits of this programme and, more widely, future innovative approaches to service and quality improvement.

http://www.institute.nhs.uk/images//documents/Quality_and_value/Productive_Ward/PW%20scale%20and%20pace%20full%20report.pdf

RESOURCES

Page 24: Change Champions & Associates Newsletter MAY 2011

Physical

Health of

People

with

Mental

Illness

Unlocking the Door to Health and Wellbeing: Where do we find the key?

The Mental Illness Fellowship of Australia (MIFA) is

undertaking a comprehensive review of physical health

challenges for people with mental illness. A recently

completed literature review and audit of physical

health-related programs delivered by its members has

highlighted a confronting and complex range of issues.

Dr. Katherine Gill, the key consultant to the review, has

summarised the evidence. Some key findings:

Mortality

People with severe mental illness (SMI) are reported to

have a life expectancy of between 10-20 years less than

that of the general population [1-3]. Although suicide

accounts for the highest relative risk of mortality, being

up to 20 times more common than in the general

population [4], approximately three-quarters of the

deaths of people with SMI are caused by physical

illness, with cardiovascular disease being the most

common cause of death [3, 5].

Physical Illness

31% of people with schizophrenia and coronary

heart disease (CHD) are diagnosed under the age

of 55, compared with 18% of others with CHD.

41% of people with schizophrenia and diabetes are

diagnosed under the age of 55, compared with 30%

of others with diabetes.

23% of people with schizophrenia and respiratory

disease are diagnosed before the age of 55,

compared with 17% of others with respiratory dis-

ease [6].

Access to Medical Care

People with SMI have been found to receive insufficient

medical assessment and treatment [7]. It is reported

that people with SMI are less likely to receive

preventative medical care and screening [8], despite

being at high risk for medical morbidity.

Page 25: Change Champions & Associates Newsletter MAY 2011

Social Well Being

Studies show that without a strong support system, many

people with SMI will not manage their illness effectively,

leading to poorer outcomes and increased hospitalisations

[9]. It has been found that people with mental illness are

more likely to have never married, to live alone, to be

unemployed and to have not completed secondary school

[10]. This can lead to isolation, poverty, loss of freedom, poor

social support, loss of dreams and goals [11]. When

combined with the negative symptoms of the mental illness,

this can contribute to a reduced motivation/ability to lead a

healthy lifestyle.

A Public Debate

On Saturday 21 May 2011 at the Masonic Centre in Sydney a

panel of experts, a studio audience and MC Julie McCrossin,

will explore the issues with video and audio links to audiences

in all capital cities. The aim is to get people in all parts of

Australia talking and thinking about the physical health of

people affected by mental illness by:

Building hope for a better future by identifying

practical things we can all do to improve the physical

health of people with a mental illness.

Enjoying a lively discussion with audience participation

from around Australia and from people at home.

Join us at a local event; see– www.mifa.org.au to locate

member organisations, or join us online by registering at

http://www.meetview.com/healthwellbeing20110521/

References

1. Allebeck, P., Schizophrenia: A life-shortening disease. Schizophrenia Bulletin, 1989. 15: p. 81-89.

2. Brown, S., Excess mortality of schizophrenia: a meta-analysis. British Journal of Psychiatry, 1997. 171: p. 502-508.

3. Brown, S., H. Inskip, and B. Barraclough, Causes of excess mortality of schizophrenia. British Journal of Psychiatry, 2000. 177: p. 212-217.

4. Tondo, L., G. Isacsson, and R. Baldessarini, Suicidal behaviour in bipolar disorder: risk and prevention. CNS Drugs, 2003. 17(7): p. 491-511.

5. Osby, U., et al., Mortality and causes of death in schizophrenia, in Stockholm County, Sweden. Schizophrenia Research, 2000. 45: p. 21-28.

6. Hippisley-Cox, J., et al., A comparison of survival rates for people with mental health problems and the remaining population with specific

conditions. In Equal Treatment - Closing the gap. 2006, Disability Research Council.

7. Muir-Cochrane, E., Medical co-morbidity risk factors and barriers to care for people with schizophrenia. Journal of Psychiatric and Mental

Health Nursing, 2006. 13(4): p. 447-452.

8. Druss, B.G., et al., Quality of Preventative Medical Care for patients with mental disorders. Medical Care, 2002. 40(2): p. 129-136.

9. WFMH, Mental Health and Chronic Physical Illnesses: The need for continued and integrated care. 2010, Woodbridge: World Federation

for Mental Health.

10. Coglan, R., et al., Duty to Care: Physical Illness in people with mental illness. 2001, Perth: The University of Western Australia.

11. Lawn, S., "The Needs of Strangers": Understanding Social Determinants of Mental Illness. Social Alternatives, 2008. 27(4): p. 36-41.

Page 26: Change Champions & Associates Newsletter MAY 2011

Building Leadership to Improve Patient Based Care Seminar

22 July 2011, The Mint, Sydney

The Clinical Excellence Commission and Australian

Commission on Safety and Quality in Health Care will

jointly host a free, one day seminar focusing on Building

Leadership to Improve Patient Based Care.

The Seminar will focus on strategies for building leaders in

this important area of health care quality and will feature

international speakers including Dr Jocelyn Cornwell -

Director, The Point of Care Programme, The King's Fund

and Susan Frampton, CEO, Planetree, USA.

There are no registration costs, but spaces are limited and

targeted specifically at the following attendees:

Chief Executives

Chairs of Governing Councils, Clinical Leaders

Senior Executive Managers

Clinical Governance Directors

Quality Managers.

You will be informed by the organisers if you have been

registered to attend.

Please contact Debby Shea with all enquiries

Ph: (02) 9269 5515 [email protected]

Research survey on the use of nursing informatics at

provider/ organisational level

Gerry Bolger is completing a personal research

survey on the use of nursing informatics at provider /

organisational level. Gerry has been heavily involved in

understanding the contribution that nurses make to

quality outcomes in the UK. Until late 2010 Gerry was the

policy lead at the Department of Health in England,

developing and identifying the nurse sensitive outcome

Indicators with the NHS chief nurses group and frontline

staff. He is currently researching some of the barriers and

issues around articulating this with a standardised

terminology and approach.

He would greatly appreciate your assistance to complete

the short questionnaire on the informatics systems and

models nurses are using at an organisational level.

The responses can be anonymous, although it would be

helpful for Gerry to have a contact point should he have

any follow up questions from the information you have

provided. For those who reply and provide their contact

details Gerry will send the report, which he anticipates

will be available in late June. To reassure responders, no

organisation will be identified without the express written

consent of that organisation.

The survey form can also be completed on-line at

http://www.bojac.eu/gerrybolger/survey

Page 27: Change Champions & Associates Newsletter MAY 2011

P: (02) 9692 0533 F: (02) 9518 6898 E: [email protected] W: www.changechampions.com.au

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