Table Top Abstracts—Session 1 (2:00 3:00pm) · 2016-11-10 · Table Top Abstracts—Session 1 (2:00-3:00pm) ollaborative Approaches to Patient are ... Private hospital admission

Table Top Abstracts—Session 1

(2:00-3:00pm)

Collaborative Approaches to Patient Care

Please select 2 topics for Session 1.

TABLE 1 TABLE 2 TABLE 3


Table Copy Only—Please do not mark

Available at checkup.org.au/outreachforum

Table 1 | Lifestyle Therapies and Training Solutions & Save the Children Australia

Clare Griffin, Business Lead, Lifestyle Therapies and Training Solutions

Elizabeth Gallard, North Queensland Programs Manager, Save the Children Australia

TITLE: Out of the clinic: Collaboration to provide services where people gather Traditionally health care services in rural communities have operated in a clinic based model where

clients are expected to attend a clinic or hospital to receive services. LTTS and Save the Children Australia

have formed a collaboration that sees a shift in the way services are offered to clients. Namely allied

health services working with support groups in offering services where the clients are, whether that be in

a park, in a home, at a refuge or under a tree.

This collaboration has led to better support services for both allied health teams and support workers as

well as holistic support for families or individuals accessing either services. Working across both regional

and remote communities, Save the Children Australia and LTTS have built a model that enables

vulnerable families to access allied health services at the time they need them outside of a clinic

environment. Across Queensland this collaboration has been more successful through the incorporation

of additional external stakeholders and the further collaborations across multiple industries.

This presentation will outline the who, what and how of this collaboration as well as an analysis of the

strengths, challenges, learnings and opportunities into the future.

Table Top Hosts - Session 1 (2:00pm—3:00pm). Please select 2 topics.


Table 2 | ISIS Psychology Services

Hazel Burscough, Psychologist

TITLE: Telehealth in the community

The benefits of providing a complementary telehealth service to enhance patient access and improve out-

comes in patient care in rural and remote areas.

Outline of Collaborative Model/Approach:

Telehealth services provided to the community of Cherbourg in collaboration with the local AMS. The tele-

health service is complementary to face to face visits.

Challenges implementing the model/approach:

Technical issues e.g. internet/phone coverage.

Clients being available at the designated time.

Overcoming a resistance to not being face to face.

Practices that don’t work in an Indigenous Community – cultural issues.

Engagement with Community Elders

Restrictions with Medicare are inflexible.

Key successes/outcomes:

Clients are able to receive a consult in their own home, as many of the Cherbourg clients live outside of the

community in rural areas and either find it hard to travel or currently rely on the transport service to pick

them up and deliver them to Cherbourg for their face to face sessions.

I would like to see this service offered in other areas that I visit as many people travel many kilometers

from farms to attend and will help to respond immediately with crisis situations that may arise. Tele-health

allows the patients to get more services to supplement their Medicare allowance.



Table 3 | Gidgee Healing

Mel Roirdan, Director – Service Planning and Development

TITLE: Integrating health, early childhood and education to improve health outcomes for Aboriginal

children across the Lower Gulf region

In recognition of the significant gaps in the early life outcomes of Indigenous children in the Gulf of

Carpentaria region, coupled with the knowledge that child health and early childhood learning are entirely

inter-dependent, Gidgee Healing has extended its model of care to ensure an integrated continuum of care

exists between its Maternal and Child Health services and the Early Childhood and Education sectors.


Working in a close partnership with the Mornington Island and Doomadgee communities, Gidgee’s

Maternal and Child Health Service now includes Allied Health/Child Development professionals working

across various community-based settings, including playgroups; long day care centres; kindergartens;

schools and the Children and Family Centres (CFCs). This integrated, cross-sectoral approach has

multiplied the impact that could have been realised by a stand-alone health service through the alignment

of effort among partners - enabling the timely identification and management of children with

developmental issues in their early years. In accordance with the principles of community-control, Gidgee’s

approach places particular emphasis on the involvement of families/carers in their child’s care, recognising

the critical importance of family involvement if our services are to affect real change and improve the

health and developmental outcomes for our children.

Gidgee Healing is working with our partners Save the Children Australia and Lifestyle Therapies and

Training Solutions (LTTS) to deliver a comprehensive suite of locally-tailored child health, development and

family support programs to support pregnant mothers, parents, infants, toddlers and school-aged children,

including vulnerable children with complex needs. In doing so, we are working to fill a long-standing gap

that exists across the region.



Table 4 | Torres and Cape Hospital and Health Service

Denise Newman, Ear Health Co-ordinator – Southern

TITLE: Ear, Nose and Throat (ENT) Surgical Project

A joint collaboration to provide ENT surgical procedures in Cairns in September 2016 demonstrated

working together in strengthening partnership and engaging services at local level.


Partnership approach through:

Small network group meetings were formulated with TCHHS ( Experts advisory group)

Using Services Mapping exercises – to identify service gaps.

Developing Patients ENT flow chart and Patients Journey as a Frame Work.

Engaging Non-Government ( Private Sector) and Government Services

Communicating with local services.


Monitoring & Evaluation Approach:

Short time frame – 6 months

Distance to travel – Patients traveling to Cairns

Paper work – Private hospital admission paper work

Communication – between contracts and agreements.

Resources – Health workers on ground


Leadership Approach;

Successfully reaching our target goal through:

Coordination & Facilitation

Expert advice

Commitment and dedication



Table 5 | Institute for Urban Indigenous Health

Amy Hagstrom, Adult Occupational Therapy Team Leader

TITLE: Working together to achieve daily living goals for Aboriginal and Torres Strait Islander clients in

adult occupational therapy

Discussing Institute for Urban Indigenous Health’s (IUIH) collaborative adult occupational services including a case study


IUIH occupational therapists are integrated into existing community controlled Aboriginal medical services. This allows them to work closely with an Aboriginal health worker, Care coordination and Supplementary Services coordinator, GP, podiatrist, physiotherapist and other allied health who are also integrated into the clinic. IUIH occupational therapist might meet with clients at the clinic or in their home, often in conjunction with the client’s care coordinator. This allows for collaboration and follow up. On the first visit they will chat with a client and their family about daily life and explore strengths, supports and challenges for the client and their family. They might also walk through the clients home to ensure this is set up to meet the client's needs. The client, family and therapist will decide if there are any particular things to work together on. The occupational therapist then works closely with other services in the community to ensure our clients have access to the services they need. For example joint visits with specialist public and private services (eg. spinal outreach team, department of housing, University of Queensland hypertonicity clinic). The occupational therapist will help clients to access funding to get equipment or make modifications to their home to make things easier for them at home or to access the community. They access a variety of funding options including MASS, CAEATI, Home Assist Secure, aged care services, HACC and CCSS. They also work with clients to practice strategies to help them manage any chronic conditions. Close links with the CCSS team in south East Queensland often allow for same day provision of equipment which is required to help clients stay safe at home.


Time is required to build strong relationships with clinic staff, other allied health and other service providers in the local community.

Staff turnover in other organisations can make building links an ongoing challenge

Access to funding for equipment can take time, and this creates risk for clients

Travel, time spent with the client, collaboration and linking with services as well as completing appropriate applications for funding is time consuming and thus can reduce the number of clients seen per clinic day.


Increased access to services and equipment for our clients (services they are eligible for but have not previously

been accessing)

Clients reported achieving success at goals surrounding activities of daily living. 86% of clients reported meeting

their functional goals most or all of the time after OT involvement.



Table 6 | Clarity Hearing Solutions

Grant Collins, Principal Audiologist/Managing Director

TITLE: Improving the hearing journey of rural and remote Queenslanders

How patient centred care results in positive patient outcomes.

Clarity Hearing Solution’s collaborative approach to addressing hearing health for patients in

traversing the health system without leaving their community.

How each community is different and adapting to community wants, needs and traditions results in

best outcomes


A collaborative approach including synergistic relationships with Aboriginal and Torres Strait Primary Health Medical Organisations, Queensland Health & private sector. Challenges implementing the model/approach:

Community Expectations

Weather Restrictions

Referral Pathways

Tracking patients

Coordinating and organising patients through ATI and non-ATI organisations


Successful Clinical Outcomes

Community gratitude

Communication and coordination with local key players

Diverse and multiple funding options

Flexible clinical staff



Table Top Abstracts—Session 2

(3:10-4:10pm)


Please select 2 topics for Session 2.



Table Copy Only—Please do not mark

Available at checkup.org.au/outreachforum

Table 1 | Lifestyle Therapies and Training Solutions & Save the Children Australia

Clare Griffin, Business Lead, Lifestyle Therapies and Training Solutions

Elizabeth Gallard, North Queensland Programs Manager, Save the Children Australia

TITLE: Out of the clinic: Collaboration to provide services where people gather Traditionally health care services in rural communities have operated in a clinic based model where clients

are expected to attend a clinic or hospital to receive services. LTTS and Save the Children Australia have

formed a collaboration that sees a shift in the way services are offered to clients. Namely allied health

services working with support groups in offering services where the clients are, whether that be in a park,

in a home, at a refuge or under a tree.

This collaboration has led to better support services for both allied health teams and support workers as

well as holistic support for families or individuals accessing either services. Working across both regional

and remote communities, Save the Children Australia and LTTS have built a model that enables vulnerable

families to access allied health services at the time they need them outside of a clinic environment. Across

Queensland this collaboration has been more successful through the incorporation of additional external

stakeholders and the further collaborations across multiple industries.

This presentation will outline the who, what and how of this collaboration as well as an analysis of the

strengths, challenges, learnings and opportunities into the future.



Table 2 | Institute for Urban Indigenous Health

Tabs Basit, Work It Out Research and Quality Coordinator Katrina Rae, Exercise Physiology Clinic Lead

TITLE: Work It Out – A collaborative approach to chronic disease self-management for Aboriginal and

Torres Strait Islander people. Discussion of the program including case studies and referral pathways.


Work It Out (WIO) is a chronic disease self- management program. It is integrated into existing community controlled Aboriginal Medical Services. The program is multi-disciplinary and is facilitated by an accredited exercise physiologist or physiotherapist. Allied health staff who are integrated into the clinic and providing 1-1 services also contribute to the program, providing education sessions and building relationships with clients. For example, at one location the Queensland Health cardiac nurse regularly participates in the program which leads to integrated service delivery. Integration in the clinic allows staff to work closely with an Aboriginal health worker, Care coordination and Supplementary Services coordinator, GP and other allied health who are also integrated into the clinic. The program is delivered at a local gym facility. Discharge with a difference – Work It Out is one part of a client’s health and wellness journey and they can connect and reconnect with the program according to their needs.


Timetabling to cover multiple sites and to balance allied health professionals 1-1 caseloads and participation in

the program

Ensuring referral pathways are utilised to maximise revenue but also doesn’t limit client access.

It takes time to build strong relationships between staff. IUIH values and supports staff to make time for

relationship building as a priority. This is ongoing as there is staff movement at clinics and other services.


Clients are integrated into a comprehensive, culturally appropriate Aboriginal and Torres Strait Islander

Community Controlled Health Organisations

Clients value the connections they make with other clients and staff and report this enhances their social and

emotional wellbeing

Work it Out runs at 14 locations across South East and Central Queensland

364 clients currently attend the program

66% of WIO clients maintained or reduced their waist circumference

82% of WIO clients maintained or improved their cardiovascular fitness

70% of WIO clients maintained or lost weight



Table 3 | Queensland Aboriginal and Islander Health Council

Mark Mitchell, Hearing Health Project Officer

TITLE: Keeping up with best practice – Lend me your ears

It has become increasingly clear that some strategies developed to support early intervention approaches to reduce the impact otitis media, while diligently implemented by many dedicated individuals and organisations, is insufficient to realise meaningful improvements in health and educational outcomes for Aboriginal children. The development of the Qld Deadly Kids, Deadly Futures Hearing Health Framework has provided an opportunity to review the evidence and focus on best practice. This presentation will highlight a number of strategies that will support the implementation of new models of care in early childhood and hearing health.


The framework has been developed in partnership with key partners across health, education and early childhood. A high level steering committee that reports to the Ministers of Health & Education ensures action plans are developed and reported on.


The process has been skilfully lead by Queensland Children’s Hospital Health Service. A positive working relationship from the beginning of the QAIHC Hearing Health Project has ensured there was a shared vision of best practice so the process went smoothly.


The implementation plan for key actions from the Framework provides services with an opportunity to

review and redesign the delivery of hearing health services to fit with best practice.



Table 4 | Central Queensland Regional Aboriginal & Islander Community Controlled Health Organisation

& Queensland Aboriginal and Islander Health Council

Melena McKeown, Acting CEO, CQ RAICCHO

Faye McGown, Communication Support Officer, QAIHC

TITLE: Growing Healthy Jarjums – The Biloela Tucka Time program

This Presentation will be delivered via video format

Engaging 30 Aboriginal and Torres Strait Islander primary school-age students of Biloela State School in an extended learning program aimed at consolidating in-class learning about household financial management and making healthy eating choices on a budget. The 30 students have very good attendance at school and an after-school homework group under the supervision of the school liaison officer, who would administer the program with the support of the school. It is anticipated this project would commence third term 2016 over a 10 week period.


Working in collaboration with the following organisation to deliver our Tucka Time project:

Education Queensland staff; Principal, Aboriginal Liaison Officer, Teaching Staff, Chaplain– assisting with supervision and delivery of program.

Mothers Group – parents of students who attend the program. Assist with supervision and delivery of program. Dishes cooked are donated to the Mothers Group to have at Breakfast Club.

Woolworths Biloela – donation of ingredients, assist with the delivery of program. Conducted a store tour for students Queensland Police Service – assist with the delivery of the program.

Savour of Flavour – Deliver the cooking program.

Wendy Hannan- seamstress – made the aprons and head scarves.


Sourcing a reasonable priced Nutritionist/ Dietitian to deliver part of the program.


Children are engaged

Children are encouraging parents to cook with them on a regular basis – 75% of the children in the program live in households of 5 or more people so the healthy eating project is touching a large number of people.

Children are bringing suggestions to us regarding healthy recipes.

Parents have welcomed their children’s interest; this has in turn ignited their desire to interact more with each on a basic communication level.

Teacher use the cooking classes as leverage for better outcomes with the homework classes. Children don’t wish to miss out therefore complete their homework tasks in a timely manner.

A sense of pride has come about as a result of the students cooking dishes that are utilised for the breakfast club the following day.



Table 5 | Townsville Aboriginal and Islanders Health Service

Lynette Anderson, Executive Manager Outreach

TITLE: Improving Aboriginal & Torres Strait Islander health through collaboration


This presentation will showcase the Townsville Aboriginal and Islander Health Service (TAIHS) & Townsville Hospital and Health Service collaborative arrangements including:

Shared care model of maternal & child health.

TAIHS Outreach Clinics established.

Establishment of share care model of Social and Emotional Wellbeing Services.


Differing timeframes for action.

Collaboration needs to be resources and legitimised at Senior Management and Board level.

Differing organisational attitudes.


Workforce building together.

Continuity of care for patients.

Enhanced primary health care pathways.



Table 6 | Cunnamulla Aboriginal Corporation for Health (CACH)

Kerry Crumblin, Chief Executive Officer

Ann-Marie Mitchell, Senior ATSIHW

TITLE: Collaboration between CACH AMS and South West Hospital Health Service


The collaboration was formed in August 2015 with Queensland Country Practise as transition managers to provide permanent GP services to CACH and the Cunnamulla Community, under a joint collaboration between Cunnamulla Aboriginal Corporation for Health and South West Hospital Health Service. This is the first such collaboration undertaken in Queensland.


Challenges faced have included building an effective team to manage and deliver our model of care to deliver Holistic Preventative PHC Services incorporating Aboriginal Health and Non indigenous health needs in our remote community under one umbrella. We have 36 visiting services and coordinate them on a monthly basis. We have Check-up funded, Private and Qld Health Allied Health Service providers visit our community.


Our Clients in Cunnamulla now have a 24 hour a day GP services, including a fully functional Health Centre addressing the community needs in our service region.

Continuity of Care with the same Gp’s retuning regularly, access to medical care, providing Holistic Preventative Primary Health Care Services.

Building a sustainable workforce through empowerment and education of our staff, and providing a culturally safe experience for our clients.

Engaging Qld Health and Allied Health Service Providers to provide culturally safe and integrated Primary Health Care.



Documents

Table Top Abstracts—Session 1 (2:00 3:00pm) · 2016-11-10 · Table Top Abstracts—Session 1 (2:00-3:00pm) ollaborative Approaches to Patient are ... Private hospital admission