Bulletin. Rehabilitation Clinical Network. May AROC South Australian benchmarking workshop. Network Chair

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1 May 2014 Rehabilitation Clinical Network Bulletin Welcome to the Statewide Rehabilitation Clinical Network Bulletin, which provides an update to members on recent Network activities. Network Chair Professor Maria Crotty recently completed her term as Chair of the Network. We sincerely thank Maria for her dedication and commitment in leading rehabilitation service system development and associated work of the Network since March We are very pleased to welcome our new Chair, Dr Maria Paul. Maria is a Consultant Rehabilitation Physician for the SA Brain Injury Rehabilitation Service. Please see page 2 for further Steering Committee information, including member profiles. Transition from paediatric to adult rehabilitation services Some time ago the Network developed a paper, reporting the need to address the services and supports for young adults with complex rehabilitation and medical requirements, who are in transitioning from paediatric to adult services. A range of recommendations were proposed. There has been ongoing discussion regarding the most effective approach, enabling improved access to services. AROC South Australian benchmarking workshop On Friday 11 th April, an Australasian Rehabilitation Outcomes Centre (AROC) benchmarking workshop was held at Hampstead Rehabilitation Centre. It was great to see the capacity attendance and keen interest in the workshop, from representatives across each Local Health Network. This Network initiative was aimed at providing an opportunity for services to review their performance against other facilities, discuss potential service issues that may be impacting on report results, and generate discussion and opportunities for quality improvement. Those attending found the day very valuable and appreciated the opportunity to review their facility s data, which was expertly presented by Jacquelin Capell of AROC. We will be taking the opportunity to review the reports again and assist with service improvement initiatives. Our sincere thanks to AROC for their support. We are delighted that a key recommendation is now progressing, and look forward to informing members regarding implementation in the near future. AROC workshop at Hampstead

2 Country Health SA was well represented at this forum - a great opportunity as CHSA has recently submitted their first electronic report to AROC. Data for all rehabilitation sites across CHSA will be submitted in the next reporting round. Service improvement projects Work is in progress on a project to introduce strategies aimed at improving transfer times to rehabilitation / reducing acute length of stay, for stroke and hip fracture patients. This project, being lead by Dr Venugopal Kochiyil, will be finalised at the end of The project report shall incorporate a comparison summary of 2013 vs 2014 data. We are continuing to progress a datalinkage project, which aims to identify the potential for interventions for the prevention of hip fractures following fragility fractures. It is anticipated that outcomes generated from the study will be published in early Rehabilitation Services update There has been ongoing progress in the development of rehabilitation services, thanks to the expert leadership, dedication and commitment of staff across each LHN. Focus this edition: Spinal Cord Injury Services The SA Spinal Cord Injury Service (SASCIS) continues to expand the Noarlunga outreach clinic, with all Consultants now providing outreach services. The clinic is led by a rehabilitation physician, accompanied by a spinal injury nurse from SASCIS, and provides expert intervention with the aim of promoting health maintenance, self management, prevention and management of deterioration and morbidity associated with a spinal cord injury. An evaluation of the Noarlunga clinic was recently undertaken by the Program Manager together with SASCIS medical, nursing and outpatient staff, with the aim to review the clinic from the client perspective and review performance data from an operational perspective. Responses to the evaluation survey were very positive, including 100% of respondents advising they were satisfied with the Noarlunga clinic service and that the Noarlunga clinic was more convenient (than travelling to Hampstead Rehabilitation Centre). The evaluation results will be tabled at the SASCIS Quality Meeting and updated on the Quality Improvement Action Plan, which is reported via the clinical governance committee. Results will also be reported to the Hampstead Rehabilitation Centre Consumer Advisory Committee. Congratulations to all SASCIS staff. Steering Committee Welcome to our recently appointed members: John Forward Senior Service Manager, Aged Care, Rehabilitation & Palliative Care, NALHN

3 Jane Gray Clinical Service Coordinator, Inpatient Rehabilitation, Modbury Hospital Marianne Spizzo Senior Physiotherapist, Paediatric Rehabilitation, Women s and Children s Hospital For a full list of members please go to our web page at: >Health Reform>Clinical networks Profile: Dr Maria Paul What would you like to share about your service? With regards to the inpatient element of our service, we have initiated more frequent team discussions about the patients without increasing amount of time spent in team meetings. This has meant rehabilitation information and patient progress is being shared more effectively. It has also fast tracked discharge planning and reduced length of stay of many patients. With regards to the ambulatory service, we have audited rehabilitation summaries to improve the quality and timely dispatch of summaries.this will enable effective handover of care with our healthcare partners. Where have you previously worked? Dr Maria Paul What is your current role? I work fulltime in public health as a Consultant Rehabilitation Physician for SA Brain Injury Rehabilitation Service. I am based three days a week at Hampstead Rehabilitation centre where we have a 28 bed brain injury inpatient rehabilitation unit. Twice a week I am based at BIRCH, Felixstow, providing ambulatory brain injury services. I worked for the National Health Service, U.K for over 15 years. The biggest achievement I ve contributed to was adopting lean principles and bringing about efficiency savings while reducing waste and improving patient outcomes. I believe it is good to lead by example and I feel there is a lot more we can do as healthcare practitioners in terms of improving our image; not just from a health and fitness point of view but also by promoting a healthy work-life balance. We can t be brand ambassadors for healthcare if we don t look like we practice what we preach.

4 Profile: Marianne Spizzo the needs, goals and interests of the children, young people and families we work with. Newest member of the Network Steering Committee Marianne Spizzo What is your current role? My role as Senior Physiotherapist in the Paediatric Rehabilitation Department at the Women s and Children s Hospital involves the: Assessment and management of children and young people with acquired brain injury, spinal cord injury and other acquired neurological conditions such as Guillain Barre. Management of children and young people with cerebral palsy following an intervention (eg.multi-level orthopaedic surgery or selective dorsal rhizotomy). Assessment of children and young people with cerebral palsy being considered for interventions such as selective dorsal rhizotomy and intrathecal baclofen. I work very closely with my interdisciplinary colleagues to provide intensive rehabilitation programs that are tailored to The ability to have fun and to be creative is essential in this role to ensure that patients enjoy their therapy sessions and remain motivated, whilst at the same time achieving their therapy goals. This can be challenging at times, particularly when working with young children and adolescents on the same day! Working with younger children often requires singing, dancing and pretend play to be incorporated into therapy sessions to disguise therapy. Working with adolescents on the other hand requires the therapist to be cool, talk the talk and listen to the right music. What would you like to share about your service? I was involved in the initial set-up of the Ambulatory Rehabilitation Service and have since been a therapist involved in this program. The introduction of this Service means that children and young people requiring intensive rehabilitation no longer need to remain as inpatients or be admitted as they can receive their rehabilitation as outpatients. The Service is well-received by patients and their families as it enables a positive transition into life outside of the hospital and enhances participation in family and school life. There has recently been a reduction to this service but we hope to see it reinstated at full capacity very soon. I am grateful for this opportunity to represent Allied Health and Paediatric Rehabilitation in this Network.

5 Keep informed If you would like further information or wish to be included in Network activities please Contacts Dr Maria Paul, Chair, Statewide Rehabilitation Clinical Network Anthea Hamilton, Development Manager, Statewide Rehabilitation Clinical Network >Health Reform>Clinical networks Department of Health, Government of South Australia. All rights reserved.

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