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 2 Queensland, Australia Area: 7.69m Km2 2.97m sq mi Population: 23.59m Queensland Clinical Guidelines, Queensland Health 3 Queensland, Australia Area: 1.7m Km2 665,000 sq mi Population: 4.68m = Queensland Clinical Guidelines, Queensland Health 4 Queensland, Australia Queensland Clinical Guidelines, Queensland Health 5 Queensland Clinical Guidelines 6 Leverage Technology to Support Implementation Support: Build: • Awareness • Clinician engagement • Access • Confidence • Endorsement • Relevance • Responsiveness • Applicability • Usefulness • Practicality Queensland Clinical Guidelines, Queensland Health 7 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 • • • • 6000-9000 visits per month >30,000 users annually 30% growth over 2 years Positive feedback from clinical community 8 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 9 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 Queensland Clinical Guidelines, Queensland Health 10 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 Queensland Clinical Guidelines, Queensland Health 11 Statewide Videoconference Education Videoconference Manager Queensland Clinical Guidelines, Queensland Health • • • • • • • Videoconference Email Scheduled reminders Online registration Online contact management Information portal Support resources: Advertising posters, certificate generator 12 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) Queensland Clinical Guidelines, Queensland Health 13 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% Queensland Clinical Guidelines, July 2014 14 Open Online Education • Online knowledge assessments ◦ 22 assessments since Jan 2013 ◦ >3700 commenced ◦ >1000 registered users • Recorded videoconferences • Instructional videos • PowerPoint slides Queensland Clinical Guidelines, Queensland Health 15 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% Queensland Clinical Guidelines, July 2014 Queensland Clinical Guidelines, Queensland Health 16 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 Queensland Clinical Guidelines, Queensland Health 17 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 Queensland Clinical Guidelines, Queensland Health 18 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 19 Questions? = 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], 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. Queensland Clinical Guidelines, Queensland Health 21
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