Delivering continuity of midwifery care to Queensland women

Section 9 Professional development and capacity building.......................................................55
Overview................................................................................................................................................. 55
Development of personal beliefs and philosophy.................................................................................... 56
Clinical skills assessment........................................................................................................................ 57
Professional development plan............................................................................................................... 59
Upskilling ............................................................................................................................................... 59
Mentoring............................................................................................................................................... 60
Midwifery Practice Review....................................................................................................................... 60
Evaluation of outcomes and maintenance of skills................................................................................... 61
Summary of processes for professional development ............................................................................. 61
Section 10 Midwifery practice in continuity models..................................................................63
Introduction............................................................................................................................................ 63
Philosophy.............................................................................................................................................. 63
Responsibility and autonomy.................................................................................................................. 63
Relationships within the MGP.................................................................................................................. 64
Delivering continuity in midwifery models............................................................................................... 66
Organisation of day-to-day care............................................................................................................... 68
A day in a caseload midwife’s life............................................................................................................ 71
Supporting midwifery continuity of care—qualities of a manager............................................................. 72
A day in the life of a caseload manager.................................................................................................... 72
Section 11 Collaborative maternity care....................................................................................74
Communication as the first stage of collaboration.................................................................................... 74
Networking to develop communication pathways.................................................................................... 74
Communication within the service and developing trust.......................................................................... 75
Maternity care coordinator....................................................................................................................... 75
Level of service available......................................................................................................................... 75
Consultation and referral......................................................................................................................... 75
Multidisciplinary case review................................................................................................................... 76
Collaborating with other facilities............................................................................................................ 76
Collaborating with clinicians outside the service ..................................................................................... 77
Section 12 Sustaining and evaluating.......................................................................................79
Ongoing communication within the model............................................................................................... 79
Issues for managers................................................................................................................................ 79
How to sustain your model...................................................................................................................... 80
Retention and managing burnout............................................................................................................ 80
Evaluating outcomes—clinical and staffing.............................................................................................. 81
How to benchmark.................................................................................................................................. 81
Section 13 Eligible midwives ....................................................................................................83
Overview................................................................................................................................................. 83
Eligible midwives.................................................................................................................................... 83
Medicare provider .................................................................................................................................. 83
Collaborative arrangements..................................................................................................................... 84
Insurance................................................................................................................................................ 84
Credentialing.......................................................................................................................................... 84
Visiting access ........................................................................................................................................ 84
Models.................................................................................................................................................... 85
Possible implications for Queensland Health maternity services.............................................................. 86
Section 14 Frequently asked questions.....................................................................................87
Glossary...................................................................................................................................90
Full reference list......................................................................................................................93
Acknowledgments....................................................................................................................98
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Delivering continuity of midwifery care to Queensland women