Brent Knack - GIN Conference Melbourne 2014

Department of Health
Strengthen engagement and implementation
using multiple technologies
Dr Brent Knack1 | Ms Jacinta Lee1 | Ms Lyndel Gray1 | Assoc. Prof. Rebecca Kimble1,2,3
11th Guidelines International Network Conference
Melbourne, Australia
21 August, 2014
1 Queensland Clinical Guidelines, Queensland Health
2 University of Queensland, School of Medicine
3 Queensland University of Technology, Health Sciences
Great state. Great opportunity.
Queensland Clinical Guidelines
Translating evidence into best clinical practice
• Clinical guidelines
• Flowcharts
• Education
• Audit
• Implementation checklist
www.health.qld.gov.au/qcg
Queensland Clinical Guidelines, Queensland Health
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Queensland, Australia
Area:
7.69m Km2
2.97m sq mi
Population: 23.59m
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Queensland, Australia
Area:
1.7m Km2
665,000 sq mi
Population: 4.68m
=
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Queensland, Australia
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Queensland Clinical Guidelines
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Leverage Technology to Support
Implementation
Support:
Build:
• Awareness
• Clinician engagement
• Access
• Confidence
• Endorsement
• Relevance
• Responsiveness
• Applicability
• Usefulness
• Practicality
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Website
• One stop for all resources
• Simple design & navigation
• Located or linked on
respected websites
(e.g. Government, NHMRC)
• Feedback form – web-based
email
• Desktop icon
Queensland Clinical Guidelines, Queensland Health
Queensland Clinical
Guidelines
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6000-9000 visits per month
>30,000 users annually
30% growth over 2 years
Positive feedback from
clinical community
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Clinical Guideline Development
• Establish virtual groups
• Expression of interest
• Conflict of interest
• Manage communications
• Consultation
• Clinicians, consumers and
policy makers
• Working party
• Statewide network
Queensland Clinical Guidelines, Queensland Health
• Email
• Online forms
• Online contact
management
• Scheduled reminders
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Virtual groups
(Poster 26, Fri 15:30 - 16:00)
Features of virtual groups:
• Working party, Statewide consultation
• No face to face meetings
• Work closely with Clinical Lead – phone/meeting
• Engagement:
◦ Clinicians, consumers & policy makers
◦ Novice to expert
◦ Balance on geography, service availability, other demographics
• Greater applicability of clinical guideline to diverse
settings
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Statewide Videoconference Education
• Guideline based education
• Panel of expert clinicians and
service providers
• Presentation, discussion, pre & post
knowledge assessment, feedback
form, certificates of participation
• Statewide videoconference
• Statewide Telehealth Network
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Statewide Videoconference Education
Videoconference
Manager
Queensland Clinical Guidelines, Queensland Health
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•
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Videoconference
Email
Scheduled reminders
Online registration
Online contact management
Information portal
Support resources: Advertising
posters, certificate generator
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Statewide Videoconference Education
Since January 2012:
• 21 sessions
• 60 sites
• >1850 participants
• Geographically diverse
• Rural and remote
• $596,000 baseline benefit
(development & delivery,
decreased duplication)
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Statewide Videoconference Education
N = 613 to 1385
Participant agreement (%) regarding
videoconference education sessions
91%
Knowledge assessments were useful for my learning
Topic was relevant to my position
96%
87%
Knowledge gained has improved my confidence
Education sessions should continue in this format
84%
Presenter displayed sufficient knowledge of the topic
98%
Course content covered the objectives
98%
87%
Overall quality of the session was good
92%
The session was well structured and logical
0%
10%
20%
30%
40%
50%
60%
Participant agreement (%)
70%
80%
90%
100%
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Open Online Education
• Online knowledge assessments
◦ 22 assessments since Jan 2013
◦ >3700 commenced
◦ >1000 registered users
• Recorded videoconferences
• Instructional videos
• PowerPoint slides
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Online Knowledge Assessments
Percentage agreement (%) with statements about
online knowledge assessments
N = 2217 to 2307
Will assist me to apply guideline recommendations
99.0%
Improved my knowledge
98.7%
Assisted to consolidate my understanding
98.9%
Well structured and logical
98.9%
Easy to use
99.1%
Covers key aspects of the guideline
99.1%
A useful self directed learning tool
99.5%
97.4%
Was easy to find on the QCG website
Provide access to appropriate guideline information
99.0%
Could be completed in a reasonable timeframe
99.5%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
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Benefits of Multiple Strategies
• Engagement – clinicians, consumers and policy makers
• Clinician knowledge and confidence
• Opportunities for rural and remote services
◦ Guideline development
◦ Education
◦ Professional development
• Cost benefits from videoconference education
• Responsive platform to promote a consistent, evidence
based approach to clinical care
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Lessons
• Concurrent strategies strengthen clinician engagement
and best practice implementation
• Simple and accepted technologies are sufficient to build
long term efficiency
• Distributed education improves clinician confidence and
is highly valued by clinicians and policy makers
• Education is most effective when available in multiple
formats
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Acknowledgements
Queensland Clinical Guidelines, Queensland Health:
◦ Assoc. Prof. Rebecca Kimble
◦ Ms Jacinta Lee
◦ Ms Lyndel Gray
◦ Dr Brent Knack
Statewide (Queensland) Maternity and Neonatal Clinical Network
Contact Queensland Clinical Guidelines:
E: [email protected] | URL: www.health.qld.gov.au/qcg
Funded by: Health Systems Innovation Branch, Queensland Health
Hosted by: Royal Brisbane and Women’s Hospital, Queensland Health
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Questions?
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Queensland Clinical
Guidelines
•
•
•
Clinical guidelines
Flowcharts
Education
•
Audit
•
Implementation checklist
www.health.qld.gov.au/qcg
Queensland Clinical Guidelines
20
Conflict of Interest Statement:
The presenter and authors declare to have no conflict of interests in respect to the content of this presentation and the 11th Guidelines International Network
Conference, 2014 (Melbourne, Australia).
Cite this presentation:
Queensland Clinical Guidelines, 2014, Strengthen engagement and implementation using multiple technologies, Guidelines International Network Conference,
Melbourne, 2014.
Funding:
Queensland Clinical Guidelines is supported by Health Systems Innovation Branch, Queensland Health.
Feedback and contact details:
M: GPO Box 48 Brisbane QLD 4001 | E: [email protected] | URL: www.health.qld.gov.au/qcg
Copyright:
© State of Queensland (Queensland Health) 2014
This work is licensed under a Creative Commons Attribution Non-Commercial No Derivatives 3.0 Australia licence. In essence, you are free to copy and
communicate the work in its current form for non-commercial purposes, as long as you attribute Queensland Clinical Guidelines, Queensland Health and abide
by the licence terms. You may not alter or adapt the work in any way. To view a copy of this licence, visit http://creativecommons.org/licenses/by-ncnd/3.0/au/deed.en
For further information contact Queensland Clinical Guidelines, RBWH Post Office, Herston Qld 4029, email [email protected]th.qld.gov.au, phone (+61) 07
3131 6777. For permissions beyond the scope of this licence contact: Intellectual Property Officer, Queensland Health, GPO Box 48, Brisbane Qld 4001, email
[email protected], phone (07) 3234 1479.
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