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NZGG – Self-harm and Suicide Prevention Collaborative
Collaboratives – making best practice
happenSilke Kuehl
Emergency Nurse AdvisorSelf-harm and Suicide
Prevention Collaborative - Whakawhanaungatanga
NZGG – Self-harm and Suicide Prevention Collaborative
NZGG – Self-harm and Suicide Prevention Collaborative
Outline• The collaborative best practice
implementation approach
• Kiwi approach whakawhanaungatanga
• The benefits & early results for consumers & clinicians
NZGG – Self-harm and Suicide Prevention Collaborative
Our collaborative• Best practice – evidence-based
guideline
• Best people – team with right experience and knowledge
• Best process – results focused supported collaborative
NZGG – Self-harm and Suicide Prevention Collaborative
Self-harm and suicide prevention collaborative
• Implementing guideline• Mental health, Emergency
Departments, Māori health• Consumer focus• Families focus• 12 months• 10 DHBs
NZGG – Self-harm and Suicide Prevention Collaborative
Participating DHBsNorthland WaitemataCounties Manakau WaikatoLakes TaranakiMidcentral Hutt ValleyWest Coast Southland
NZGG – Self-harm and Suicide Prevention Collaborative
We are using a best practice implementation process
• Support from leaders and influencers• Team approach working across services• Use key tools - process mapping, PDSA• Encourage learning from others – latest
research, other DHBs• Rapid feedback on impact of change – 4
targets • Ongoing support and guidance - NZGG
NZGG – Self-harm and Suicide Prevention Collaborative
• Map client pathway at each of these phases of care• Identify a typical problem at each point of the process• Find examples of best practice• Identify measures to monitor improved processes• Test the changes
CommunityCare
ED, Mental & Mäori Health Services
Discharge Destination
Presentation Assessment Management
National Institute of Clinical Studies © 2005
Consumer pathway
NZGG – Self-harm and Suicide Prevention Collaborative
NZ FlavourWhakawhanaungatanga – what we do and
the way we do it…• Connected like kin or whänau• Shared responsibility for one another• Common understanding• Cheerful cooperation• Corporate responsibility
(Russell Bishop, Kathy Irwin and Louise Ihimaera)
NZGG – Self-harm and Suicide Prevention Collaborative
NZGG – Self-harm and Suicide Prevention Collaborative
Benefits of a Collaborative • The collaborative process can achieve
rapid change• Clinician driven process means that it is
implemented using an evidence-base in a way that works for clinicians in their local situation
• Implementing evidence-based proven methodology that can be used again & again
NZGG – Self-harm and Suicide Prevention Collaborative
Benefits for Consumers• Improved responsiveness • Better referral and coordination between
emergency and mental health services• Improved access to services• Improved follow up• Culturally appropriate services• Family/whänau and friends in the picture
NZGG – Self-harm and Suicide Prevention Collaborative
Benefits for DHBs• Opportunity to participate in national
quality improvement project• Transferable skills• Cost effective• Professional development of staff• Manage service risk• Service improvement for consumers
NZGG – Self-harm and Suicide Prevention Collaborative
Early Results• Better understanding of consumer
journey• Changing attitudes in some EDs• Better relationships between Māori
health, mental health and ED• Better idea of the number of people
presenting with self-harm and suicide ideation
NZGG – Self-harm and Suicide Prevention Collaborative
More collaboration• Collaborative
methodology being evaluated in NZ
• Opportunity to build on skills for other service areas
• Contact NZGG for more information
