Service Safety Nets. Clinical Services Capability Framework for Public and Licensed Private Health Facilities v3.2 (2014)

Transcription

1 Service Safety Nets Clinical Services Capability Framework for Public and Licensed Private Health Facilities v3.2 (2014) Presented by: Cathy Hindmarsh CSCF Project Manager, Prevention Division, DoH

2 What is the CSCF? patient safety & quality tool and service safety net (because it describes minimum requirements for services by capability level) not a MoC; or workforce planning tool; or substitute for accreditation, credentialing & SoCP and/or clinical judgement

3 CSCF conceptual framework

4 Queensland rural & remote health service framework (June 2014) Specialist L6 services Regional hospitals L4 / L5 services District hospitals L3 services Rural hospitals L2 services Multi Purpose Health Services Community hospitals L2 services Community clinics L1 services

5

6 Scenario 1: (significance of naming conventions) Queensland rural and remote health service framework June 2014 Intent of framework is to avoid misleading the public (and staff) about service capability

7 Scenario 1 continued: (significance of naming conventions) Emergency services: L1 to L3 referred to as emergency care centres while L4 to L6 are Emergency Departments (Australasian College of Emergency Medicine specification)

8

9 Scenario 2 continued: (avoiding service mismatches) Intensive care services commence from L4 but does not preclude provision of Close Observation service (for HI observation, cardiac monitoring, suicide watch, correcting dehydration, etc)

10 Scenario 3: (power of service networking) although F2F considered gold standard local partnering, specialist outreach and visiting services increase capability levels also increase capability level through telehealth, teleradiology, telepharmacy and telechemotherapy (QH has largest telehealth network in Australia but only 7% uptake per mth)

11 Scenario 3 continued: (power of service networking) new Moura Community Hospital (completed in May 2015) pilot site for statewide Telehealth Emergency Medicine Support Unit linking staff with emergency specialists at Rockhampton & Emerald Hospitals to make diagnoses and reduce need for unnecessary patient transfers Teleradiology for remote reporting and clinical advice on diagnostic images

12 Scenario 3 continued: (power of service networking) Outpatient telehealth services provided by Cairns & Hinterland HHS to patients in FNQ e.g. Diabetes services including High Risk Foot speciality consultations Older Persons Health Services Mental Health After Hours Emergency Services CHHHS implemented rural & remote outpatient telepharmacy service South West HHS hub and spoke telehealth model coordinated by CNC telehealth role with support from spoke facility CN telehealth

13 Scenario 3 continued: (power of service networking) Queensland ABF model supports outpatient telehealth services by funding eligible outpatient telehealth services at both provider and recipient ends Admitted patient telehealth event payment available to provider-end HHS (from 1 July 2014) MBS items available to eligible health care professionals

14

15

16 Scenario 6: (adopting QH endorsed guidelines) Queensland Remote Chemotherapy Supervision guide (QReCS) to enable chemotherapy closer to home published July ReCS%20Guide.pdf enables provision of L3 medical oncology services closer to patient s home

17 Scenario 7: (service substitution) Hospital in the Home (HITH) program providing care in patient s permanent or temporary residence for treatment of 5 common conditions (Cellulitis, PE, UTI, respiratory infection and/or venous thrombosis) 75% HHSs (12 of 16) currently employing HITH model of care HITH patients considered inpatients of acute hospital facility and funded through ABF Hospital in the Nursing Home MITH, PITH and GEMITH under development in Gold Coast HHS

18 Appreciating capability level drivers: Not all about status or kudos Facilitating whole-of-system connectivity Ensuring availability of relevant support services such as Medication, Medical Imaging and Pathology services Ability to provide training programs and attract R&D dollars

19 CSCF myth busters not a public sector compliance tool applicable irrespective of service model not a staffing tool CSCF levels are not fixed (SA, S13.2 DoH recognises CSCF levels can change during the course of a year notification process requirement) not a mechanism for securing dollars (perpetrated by SA statement (S13.2) where funding is directly linked to CSCF level, DoH may seek verification of change in level notified by HHS) it is a patient safety and quality tool providing a robust service safety net for health care providers

20 Thank you for listening!