PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...

More documents

Recommendations

Info

Specific recommendationsBest practice guidelines5. Discussions occur with the TEDGP, the CADPHC, the Good Health Alliance NT, AMSANTand urban Community Health Services to develop a policy regarding which best practiceguidelines will be used as the basis for care planning in urban areas.Clinical Information systems6. Discussions occur with AMSANT, the Divisions of General Practice, the Good HealthAlliance NT and other relevant non government organisations to identify an informationsolution to support chronic disease care delivered by the renal services, urban serviceproviders, and for health services that will not be suitable to implement PCIS.7. NTDH&CS work with Divisions of General Practice, AMSANT and ACCHOs to agree on aprocess that links community health service providers into a coordinated and integratedcare plan and recall system with general practitioners and community controlled healthservices in urban areas.8. Resources are provided to services to enable a greater level of participation by the shortterm and permanent workforce in orientation and refresher training in PCIS systems andpaper based recall systems, to facilitate better use by health teams in communities.9. Strategies are developed to implement quality improvement systems, including regularclinical auditing cycles, to monitor the effectiveness of population health systems in allsites.Note: These last 2 recommendations will form a robust basis for service level outcomeevaluation as well as processes evaluation when the NTPCDS is reviewed again in future.Staff Orientation and Training10. The NTDH&CS, the Divisions of General Practice, Rural Clinical Schools, the NGOs andACCHOs develop a strategic and coordinated interprofessional approach to theorientation and training of all clinical and educational staff working in the NorthernTerritory in the area of chronic disease.This process should include at least: Identifying and conducting together the components of orientation that are commonto all disciplines.Evaluation of the NT Preventable Chronic Disease Strategy 2007xvi
Exploration of joint funding arrangements to support joint conduct of orientation andprofessional development in chronic disease prevention, early detection andmanagement.11. Conduct quarterly orientation programs based on Pathways to Professional Practicemodel and advertise these in advance to all ACCHOs and NGOs.12. Investigate the feasibility of conducting these programs Territory wide in an effort toensure better quality, higher participant numbers and fiscal implications.13. Significant investment be made by NTDH&CS to ensure access to regular training, reliefand support for all staff, especially those in remote areas. It is estimated thatapproximately 10 per cent of the total remote workforce budget should be invested inthis important area.14. Include serious mental illness and depression in the professional development programand develop a module in this area.15. Investigate the feasibility of different modes of training delivery for these programs.Whole of Government Approach + Indigenous employment16. Establish clear targets for Indigenous employment and monitor and measure themregularly. These should be publicly reported on an annual basis to ensure continuedinvestment and focus on Aboriginal employment. This may be occurring in the currentreview.17. The role of Aboriginal Health Workers in the management of acute care and chronicdisease is reviewed, to ensure clinical expectations reflect training and preparation forthose important roles.18. The overseeing committee strongly support the preventative role of AHWs and educatemanagers about the importance of this role.19. Support systems for Indigenous workers in NTDH&CS working with the PCDS beestablished and adequately funded for success.Prevention and health promotion programs20. The NTDH&CS refocus and prioritise prevention and health promotion programs to makea real impact on reducing the burden of chronic disease.21. Genuine investment is made into prevention and health promotion programs, as apriority. This includes support for specialised staff to lead, advise, and educate othersabout sustainable and identifiable programs that encourage healthy living and preventionof chronic disease.Evaluation of the NT Preventable Chronic Disease Strategy 2007xvii
Page 1 and 2: Pty LtdABN 82 147 637 101AN EVALUAT
Page 3 and 4: TABLE OF CONTENTSList of figuresLis
Page 5 and 6: 6.6 Indigenous workforce 996.7 Prev
Page 7 and 8: List of AbbreviationsABCDACCHOsACIC
Page 9 and 10: ACKNOWLEDGEMENTSWe would like to ac
Page 11 and 12: However the extraordinary number of
Page 13 and 14: the establishment of the Sunrise He
Page 15: RECOMMENDATIONSGeneral recommendati
Page 19 and 20: CHAPTER 1. INTRODUCTION1.1 Backgrou
Page 21 and 22: Choosing the 5 chronic conditionsTh
Page 23 and 24: Table 1.1Key Result Areas + Best Bu
Page 25 and 26: prior to the launch of NTPCDS, such
Page 27 and 28: Year * Action Outcome1999 S NT Prev
Page 29 and 30: Year * Action Outcome2005 P Aborigi
Page 31 and 32: CHAPTER 2.EVALUATION METHODOLOGYThe
Page 33 and 34: 2.2 Evaluation StagesThe NTPCDS eva
Page 35 and 36: chronic disease activities funded t
Page 37 and 38: internal project team. It was very
Page 39 and 40: Situation at Baseline1. The Guideli
Page 41 and 42: 3.1.2 Patient information and recal
Page 43 and 44: Ferret Miwatj, Numbulwar, Marngarr,
Page 45 and 46: Medicare information is not for pub
Page 47 and 48: was in place in Central Australia i
Page 49 and 50: What orientation and ongoing traini
Page 51 and 52: programs focus on chronic disease p
Page 53 and 54: The information collected as part o
Page 55 and 56: Assessment against objectiveMost se
Page 57 and 58: career development, and retention i
Page 59 and 60: are. Indigenous employment is NTDH&
Page 61 and 62: NTDH&CS Programs that encourage Hea
Page 63 and 64: 2002 Aboriginal and Torres Strait I
Page 65 and 66: delivering any prevention and healt
Page 67 and 68:
The Community Services Division - A
Page 69 and 70:
1 x AHW Central Australia 2001 S100
Page 71 and 72:
One clinic stated it had no care pl
Page 73 and 74:
Identifies priority practices to in
Page 75 and 76:
There has been a significant growth
Page 77 and 78:
about 25 per cent of the hospital b
Page 79 and 80:
The level of funding provided by th
Page 81 and 82:
Central Australia and two zones cur
Page 83 and 84:
The diabetes education teams at HLN
Page 85 and 86:
maintenance group for people with l
Page 87 and 88:
Rebates for participating or arrang
Page 89 and 90:
Use of Medicine Programmes. Althoug
Page 91 and 92:
CHAPTER 4. CLINICAL OUTCOMES OF THE
Page 93 and 94:
improvements have been made to serv
Page 95 and 96:
A recent ten-year follow-up of a co
Page 97 and 98:
The NTDH&CS also collect birthweigh
Page 99 and 100:
Figure 5.3 Vaccination coverage for
Page 101 and 102:
It is also important to note that k
Page 103 and 104:
eported that 50 per cent of the Ind
Page 105 and 106:
The current action plan identifies
Page 107 and 108:
The availability and cost of health
Page 109 and 110:
Hoy et al in 1995-2000 (100) , and
Page 111 and 112:
5.6 Best practice management5.6.1 P
Page 113 and 114:
disease care in urban areas regardi
Page 115 and 116:
PCIS was developed by NTDH&CS as th
Page 117 and 118:
emote staff can access training and
Page 119 and 120:
In the Top End there appeared to be
Page 121 and 122:
APPENDIX 1EVALUATION OF THE NT PREV
Page 123 and 124:
2.10 Generally speaking, on a scale
Page 125 and 126:
4.4 Briefly recount any anecdotes y
Page 127 and 128:
5.9 Generally speaking, on a scale
Page 129 and 130:
Section 8 • Summary questions8.1
Page 131 and 132:
Preventable Chronic Disease Program
Page 133 and 134:
Year Type Background What is it? /
Page 135 and 136:
Year Type Background What is it? /
Page 137 and 138:
An important background to this stu
Page 139 and 140:
New beliefs do not replace the old,
Page 141 and 142:
Other services are provided to the
Page 143 and 144:
ecame the main priority in many peo
Page 145 and 146:
to be healthy, how to get rid of di
Page 147 and 148:
(Draft Version - © August 2006 Jan
Page 149 and 150:
References1. Dunham, H., Ministeria
Page 151 and 152:
35. Smith, J.D., Progress report fo
Page 153 and 154:
Research Centre for Aboriginal Heal
Page 155:
114. Senior, K., 'A Gudbala Laif? h
show all

PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...

Create successful ePaper yourself

Delete template?

Save as template?