Delivering continuity of midwifery care to Queensland women

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Balance of service demand and resource allocation 1. Develope a service profile 3. Evaluate performance Service demand Resource allocation (supply) 2. Resource allocation (supply) Costing 1. Develop a service profile • Aims • Objectives • Environmental analysis • SWOT analysis • Activity • Acuity/complexity 2. Resource allocation (supply) • Service demand • Activity • Acuity/complexity • Other factor 3. Evaluate performance • Routine monitoring performance against the plan • Scorecard reporting • Analysis of the balance of demand for services/activity with resources allocated Examples below are based on: • cost comparison using Business Planning Framework budget workup sheet • a comparison of wages and on-costs between a Clinical Nurse Midwife Nursing Grade 6—04 Midwife who works full shift work; and a Clinical Nurse (Nursing Grade—04) Caseload (MGP) Midwife who carries a caseload of 40 women per year. NB: cost variations may vary in relation to the locality of service and associated staff entitlements, and workload management practices. 46 Delivering continuity of midwifery care to Queensland women
Table 2. Comparison of costs: Midwifery Core Staff and Caseload Midwife Clinical Midwife – Core staffing arrangements NG6-04 Salary and Wages $ 79 431 Overtime @ 10% $ 7 943 Penalties @15% $ 11 915 Clinical non lab expense $ 6 233 SSP $ 2 542 Allowances Misc Other Allowances $ 2 339 Annual Leave back filling & Leave Loading $ 8 813 LSL Levy $ 1 847 Sick Leave Backfill $ 3 050 Professional Development Days Training Days $ 915 Superannuation @ 12.75% $ 13 748 Workcover Premium @ 1.5% $ 1 892 Professional Development $ 1 500 Rural Area Nursing Incentive Package (RANIP) Allowance $ 2 000 Temp-Medical - Temp-Nursing - Temp-VMO Temp-Health Practitioner Grand Total $ 144 168 Clinical Midwife – Caseload NG6-04 Salary and Wages (annualized salary @ 30%) $ 103 260 Overtime @ 10% Penalties @ 15% Clinical non lab expense $ 6 233 SSP $ 2 542 Allowances Misc Other Allowances $ 2 339 Annual Leave back filling & Leave Loading (no backfilling) $ 1 406 LSL Levy $ 2 188 Sick Leave Backfill Professional Development Days Training Days $ 915 Superannuation @ 12.75% $ 13 282 Workcover Premium @ 1.5% $ 1 838 Professional Development $ 1 500 Rural Area Nursing Incentive Package (RANIP) Allowance $ 2 000 Temp-Medical - Temp-Nursing - Temp-VMO Temp-Health Practitioner Grand Total $ 137 503 A guide to implementation 47
Page 1 and 2: Nursing and Midwifery Office, Queen
Page 3: Nursing and Midwifery Office, Queen
Page 6 and 7: Section 9 Professional development
Page 8 and 9: 4 Delivering continuity of midwifer
Page 10 and 11: 5. Cultural change—building a sup
Page 12 and 13: Section 1 Why provide continuity of
Page 14 and 15: These reforms can be seen as part o
Page 16 and 17: The emotional and social benefits w
Page 18 and 19: Section 2 Midwifery continuity mode
Page 20 and 21: shifts, but also rotate across ante
Page 22 and 23: For well women, evidence supports t
Page 24 and 25: Gottvall, K., Waldenstrom, U., Ting
Page 26 and 27: • The project officer develops se
Page 28 and 29: - on-call arrangements - relief - (
Page 30 and 31: Section 4 Key elements to successfu
Page 32 and 33: Key issues for leaders in midwifery
Page 34 and 35: At the Gold Coast Hospital Birth Ce
Page 36 and 37: Goondiwindi A review of Goondiwindi
Page 38 and 39: Culture of birth—current issues I
Page 40 and 41: A mechanism to inform and engage th
Page 42 and 43: Section 6 Clinical governance Eleme
Page 44 and 45: Consumer participation and informed
Page 46 and 47: Clinical practice guidelines To ens
Page 48 and 49: Award levels for midwives Often mid
Page 52 and 53: Considerations when implementing ca
Page 54 and 55: Section 8 Industrial issues The ann
Page 56 and 57: Example: A new MGP model is impleme
Page 58 and 59: References Collins, C., Fereday, J.
Page 60 and 61: Each midwife working in Queensland
Page 62 and 63: Midwives working in continuity of c
Page 64 and 65: Skills for managers Managers suppor
Page 66 and 67: • Midwifery Practice Review (MPR)
Page 68 and 69: • Find a few sources of evidence
Page 70 and 71: Interactions within the whole MGP T
Page 72 and 73: Measurement of continuity provided
Page 74 and 75: • clearly outline what constitute
Page 76 and 77: At 1 pm I receive a call from K, sh
Page 78 and 79: Section 11 Collaborative maternity
Page 80 and 81: Example Mary presents to Miles Hosp
Page 82 and 83: Collaboration with GPs A range of m
Page 84 and 85: How to sustain your model The abili
Page 86 and 87: References Homer, C. Brodie, P. & L
Page 88 and 89: MBS rebates are available for a ran
Page 90 and 91: Hybrid private and public models Wo
Page 92 and 93: operationalised the universal postn
Page 94 and 95: Glossary This glossary includes all
Page 96 and 97: Team midwifery: A model of maternit
Page 98 and 99: 94 Department of Health and Ageing.
Page 100 and 101:
Queensland Health. (2008b). Queensl
Page 102 and 103:
Acknowledgments Queensland Health w
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Delivering continuity of midwifery care to Queensland women

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