Edition: 5 - July 2014

Clinical Access and Redesign Unit
NEWSLETTER
Inside this edition:
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Better Health for the Bush
Steering Committee Members
From the Chair
2014 Forum
Small Hospitals Patient
Experience Survey
Telehealth
Who’s Who?
Guest Articles
o QReCS
o PaRROT
What’s On
Meeting dates – 2014
How to join the Network
Edition No 5 July 2014
Statewide Rural and Remote
Clinical Network
Welcome to the fifth edition of the Statewide Rural and Remote Clinical
Network (the Network) newsletter.
Officially released by the Hon. Lawrence Springborg, MP, Minister for Health on
6 June 2014, this plan confronts the challenges of delivering rural and remote
healthcare in Queensland. A key element of this plan is the Queensland Rural
and Remote Health Service Framework which classifies rural and remote health
facilities, and describes the services they provide. Both documents are
available online via https://publications.qld.gov.au/dataset/rural-and-remotehealth-service-planning/resource/0d627e3a-1a38-443a-80e5-6b60fd837b8f
Steering Committee
Contact details
Dr Bruce Chater
Chair
Phone: +61(0)749931371
Mobile: +61(0)419674164
Email:
[email protected]
Ms Andrea Chitakis
Network Co-ordinator
Phone: 07 3328 9364
Email:
[email protected]
Chair: Assoc Prof Dr Bruce Chater, Theodore - CQHHS
Rural Practitioner with experience in ATSI Health: Michelle Garner,
Mt Isa - NWHHS
Rural Midwife: Anne Bousfield, Roma - SWHHS
Rural Nurse: Pauline Maude, Bowen - MHHS
Rural Generalist: Dr Adam Coltzau, St George - SWHHS
Rural Generalist: Dr Dan Halliday, Stanthorpe - DDHHS
Rural Generalist: Dr Scott Radcliffe , Atherton - CHHHS
General Practitioner(RDAQ rep): Dr Ewen McPhee , Emerald - CQHHS
Allied Health Practitioner: Robyn Glynn, Occupational Therapist, Torres
Strait – T&CHHS
Consumer Representative: Mrs Susan McDonald, Cloncurry –
Consumer Representative
ATSI Health Worker: Diana Friday, Ingham/Cardwell, THHS
General Practitioner (GPQ rep): Dr Graham McAllister, Murgon DDHHS
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From the Chair
I would like to thank you all for your enthusiastic support of the network.
The modus operandus of the network is to work with our partners – areas of
the department, other networks and HSSs to create an environment in
which you can work more effectively. This is highlighted by the Better Health
for the Bush document which focusses on many of these achievements over
the last two years.
The Forum held in June, provided a further opportunity to hear from you
about what is happening at the frontline; what clinicians are doing and how
you have been supported.
A key companion document to Better Health for the Bush is the Queensland Rural and Remote Health
Service Framework which clarifies the description of health services into:
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District hospital – typically level 3 CSCF with 24 hour birthing and operative services
Rural and community hospitals and MPHSs – typically level 2 CSCF – with in-patient services
Community clinics – typically level 1 CSCF – nurse led clinics
This will be complemented by a revision and simplification of the Clinical Services Capability Framework
which is presently under way (more on that in a future newsletter).
In this newsletter there are two very important articles to help empower you to improve your practice or
clinic.
The first is an article on enabling tele-chemotherapy in your facility. This is a rigorous but not onerous
process developed by and endorsed by both the Statewide Cancer Network and the SRRCN. We hope to see
a developing cohort of enthusiastic and competent rural cancer treatment sites developing though this
process over the coming year.
The second is telehealth, which for all of you, is becoming more common and hopefully becoming just a
normal part of your clinical work. As well as the telehealth facilities in our hospital, the consulting rooms in
my private practice all now have Cisco Jabber (one of a number of product options) on desktop computer,
so I have ready access to patient and other files while videoconferencing with HHS Facilities. I encourage all
the doctors in private practice who want to link with HHS facilities across the state to access and use this
technology.
In November, SRRCN will be convening a meeting of all rural and remote birthing centres to learn from
each other and develop some guidelines about how maternity services can be best managed at various
levels. We look forward to sharing the outcomes of that with you in the future.
We want to support you in gaining maximum use out of your local rural health service - please let us know
if there’s anything we can do to be of assistance.
Bruce Chater
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2014 Forum
Thank you to all who attended the second Forum of the Statewide Rural and Remote Clinical Network, held
on 5 June in Brisbane, to coincide with the 25th Anniversary Conference of the Rural Doctors’ Association of
Qld. Attendance was exceptional with around 170+ participants, including a number of sites from across
the State linking in via videoconference.
Presentations covered the following key areas and provided progress reports on key priority area projects
introduced at the 2013 Forum in Mackay, as well as showcasing initiatives developed by Hospital and
Health Services:
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Organizing services for safety
Achieving efficiency: performance and partnerships
Redevelopment and reinvigoration – MPHS, visiting services and rebuilding
Providing services closer to home
Workforce and training
The Program is located on our webpage and most presentations are available on request to
[email protected]
Participants were asked to respond to a free choice poll during the course of the day in answer to the
question “what is the most important current initiative in rural health?” The results are indicated in the
box below. The larger the font , the higher the number of respondents for the topic.
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Small Hospitals Patient Experience
Survey
In response to a greater strategic focus on the quality of services delivered in
Queensland public hospitals, a statewide patient experience survey will be
conducted with inpatients of small hospitals. The aim of the survey is to
provide a statewide and hospital specific overview of patient experience and
satisfaction. Survey results will assist in identifying areas for improvement at
local and statewide levels, leading to the development of initiatives to address
areas for improvement
The survey will be managed by the Qld Department of Health, Patient Safety Unit. It is envisaged that the
survey will be conducted from September – November 2014 with reports on results expected around midlate April 2015. A snapshot of results will be presented in a future Network newsletter.
Telehealth
Key contacts – Telehealth Co-ordinators
Hospital and Health Service Telehealth Coordinator
Email
[email protected]
Sharon Young
[email protected]
Debi Dean
[email protected]
Tara Nielson (Acting until 1st
[email protected]
Louise Davis
[email protected]
Leah Crow (Telehealth Grad
[email protected]
Jane Williams (Acting)
[email protected]
Children's
Naomi Whiting
Darling Downs
Carolyn Bourke (CNC Telehealth) [email protected]
Lisa Deeth (Business Coordinator) [email protected]
[email protected]
Gold Coast
Karen Whitting
[email protected]
Mackay
Cathie LaRiviere
[email protected]
Metro North
Linda Cuskelly
[email protected]
Metro South
Karen Lucas
[email protected]
North West - Mt Isa
Scott Cameron
[email protected]
North West - Normanton
Rose Beena
[email protected]
South West
Jodie Turvey (Teleheatlh
Rebecca Crouch (Telehealth CN) [email protected]
[email protected]
Adele Leeds (Telehealth CN)
[email protected]
Sunshine Coast
Amy Holmes
[email protected]
Torres Strait Northern Peninsula Sean Taylor
[email protected]
Townsville
Tim Males
[email protected]
West Moreton
Janette Alcorn (Acting)
[email protected]
Wide Bay
Pamela Ellem
Cairns and Hinterland
Cape York
Central Queensland
Central West
Phone
42263244, 0488 091267
42263010, 0429 219932
49925845
email best contact
email best contact
46528000 (email best
0431 763599
54684125, 0448 854716
46165059
56876434, 0414 509815
48857017
36473716, 0417 798891
31768169
47444013
47452100
46505000, 0409 119005
TBC (email best contact)
TBC (email best contact)
0400 765587
40306152
44334152, 0448 828975
38101481
41502271
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Telehealth Support Team
Clinical Access & Redesign Unit
Qld Dept of Health
Daniel Best
Stephanie Ferdinands
Phil Greenup
Matt Page
Andrew Bryett
Position
Email
Phone
Principal Technical Officer
Principal Program Officer
Principal Project Officer
Principal Project Officer
Director
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
3328 9189
3328 9514
3328 9387
3328 9190
External Access to the Queensland Health Telehealth Network
Queensland Health has an extensive videoconferencing network in over 200 facilities around Queensland.
Individuals and organisations external to Queensland Health can securely connect to these facilities using a
number of different products and a reliable Internet connection.
Cisco Jabber (www.ciscojabbervideo.com) is one of these products and currently offers a free standardsbased software videoconferencing solution available to anyone with a PC, Mac or iPad. You will need a
webcam, speakers/headphones, and a valid email address. It should be noted that Cisco Jabber is still
classified as a “Beta” product and has limited support.
Further information on products and connection methods for videoconferencing with Queensland Health
can be found at http://www.health.qld.gov.au/telehealth/html/external_access.asp or calling the
Queensland Health Videoconferencing Helpdesk on 1800 066 888
Who is Who?
Dr Ewen McPhee – SRRCN Steering Committee Member
MB BS (Hons), FRACGP, DRACOG, FACRRM Dip Practical Dermatology (Cardiff). Designated
Aviation Medical Examiner (DAME)
Role: Rural GP
Location: Emerald
Ewen has been a Rural GP since completing his Intern Year in 1986.
He is a long term resident of Emerald, Queensland, having owned his
Practice since 1992.
In 1997 Ewen commenced as a GP Supervisor with the RACGP Family
Medicine Program. With the introduction of regional training he has
been associated with Qld Rural Medical Education and Central and
Southern Qld Training Consortium.
He has remained active in Anaesthetics and Obstetrics but his work
is mostly in the area of primary care service delivery.
A Central Queensland Rural Division of General Practice Board
member on and off since its inception, Ewen has more recently been
actively involved in the Rural Doctors Association (RDAQ) as
Queensland President. This has led to a better understanding of the
Australian Health System and current reform processes. The RDAQ Position has allowed him to develop
closer ties with key Primary Care Organizations including the RACGP, ACRRM, GPQ, Health Workforce
Queensland and the Australian Medical Association.
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Facilities Map (updated)
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Guest Article
Provided by the Central Integrated Regional Cancer Service (CIRCS).
Queensland Remote Chemotherapy Supervision (QReCS) Model
in summary.
QReCS Guide has been developed to support the implementation of the QReCS model and is
supported by evidence from several studies on Teleoncology. This Guide is intended to support
the safe and sustainable administration of chemotherapy closer to home for patients from rural
and remote areas utilising Telehealth.
The initial steps when considering implementing the QReCS model include:
• Agreement between provider and recipient facilities management and clinical team
• Allocation of 3 – 6 preparation time to meet the QReCS guide 10 requirements
Queensland Remote Chemotherapy Supervision (QReCS) Model
Medical review by
oncologist/haematologist CSCF level
4, 5, 6 cancer services
Telehealth modules
Supervised by CSCF
level 4, 5, 6 chemotherapy proficient
nurses
Patient at
CSCF level 3
Supported by family
members, rural
generalist medical
officers, pharmacist
and chemotherapy
nurses (supervised or
capable)
Cancer pharmacist at CSCF level 4, 5,
6 cancer centre
Provision of
chemotherapy
and cancer care locally
To implement this model, the following 10 requirements have been recommended:
1.
2.
3.
4.
5.
6.
Strategy and governance
Financial considerations
Workforce
Chemotherapy medication management
Telehealth readiness
Chemotherapy administration readiness
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7.
8.
9.
10.
Information technology and support
Legislation and special considerations
Education and training
Documentation and discharge
The QReCS Guide is now available at http://www.health.qld.gov.au/circs/
Guest Article
Provided by the Rural and Remote Clinical Support Unit
Program Summary
The PaRROT program is based on the:
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National Chronic Disease Strategy
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National Primary Health Care Strategic Framework
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National Preventative Health Strategy
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National Aboriginal and Torres Strait Islander (Closing the Gap) Health Plan
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Expanded Chronic Care Model (Wagner et al 1999)
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Purpose
Provide orientation and training to support:
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A population focused primary health care approach to service provision
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A primary health care approach to chronic disease care
The building of the rural and remote workforce capacity for chronic disease care
Aims
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Support health care workers planning to work in the rural and remote sector to
understand the primary health care approach to care prior to commencement in the
sector
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Provide orientation to new employees– focusing on primary health and chronic
disease care in the rural and remote health setting
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Ensure existing health care workers receive consistent messages about
comprehensive primary health and chronic disease care
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Support learners at undergraduate and postgraduate levels to understand the
population focused primary health care approach to chronic disease care
Support health professionals participating in professional development activities to
better understand rural and remote primary health care service provision
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Scope
The PaRROT training program has been developed for the multi-cultural, multi-disciplinary
team and will support the education, orientation and training of:
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All health service workers in rural and remote areas
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Workers at pre-recruitment, pre-commencement, orientation and in the provision of
ongoing care
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Chronic disease prevention, detection and management in a comprehensive
primary health care framework
For more information, please visit http://www.health.qld.gov.au/parrot
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What’s On
4th Rural and Remote Health Scientific Symposium
2-3 September, Old Parliament House, Canberra
http://www.ruralhealth.org.au/symposium2014/
Services for Australian Rural and Remote Allied
Health (SARRAH) 2014 National Conference 17 – 20
September Mantra on Salt Kingscliff, NSW www.sarrah.org.au
2014 Rural Medicine Australia Conference 30 October-1
November Sydney http://www.ruralmedicineaustralia.com.au/
2014 Indigenous Men’s Conference 13-15 October
2014 Indigenous Women’s Conference 13-15 October
Cairns http://www.indigenoushealth.net/indigenouswomenconference.htm
6th Australian Rural and Remote Mental Health
Symposium 12 – 14 November 2014 Albury
http://anzmh.asn.au/rrmh/
13th National Rural Health Conference – 24-27 May 2015
Darwin http://remoteaustraliainstitute.net.au/events/13th-national-ruralhealth-conference
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When does the Network Steering Committee meet
in 2014?
The Steering Committee currently meets via teleconference mostly on the last Tuesday of each month.
July 29
October 28
August 26
November 25
September 30
December
How to join the Network
Guest Article
You are receiving this Newsletter because you
Articles on topics that interlink with rural and remote
requested that your details be included in the
health service provision will be most welcome.
broader membership database of the Statewide
Contributions should be no more than one page
Rural and Remote Clinical Network, or you have in
including any graphics. No guarantee can be given
the past expressed interest in the activities of the
that articles will be published as this will depend on
Network.
timing, space and appropriateness as determined by
Membership of the broader Network is open to
the Network Steering Committee.
any interested persons - if you are aware of
others who may wish to be involved or interested
in the activities of this Network, please pass this
Newsletter on.
To become a member, all you will need to do is
email your
name
and contact
details
to
[email protected]
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