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

More documents

Recommendations

Info

3.2.1 Staff orientation and trainingObjective 3: Staff orientation – All health staff will have been oriented to chronicdiseases and their underlying causes, and will receive ongoing, on-site support andtraining to improve their chronic disease management skills.The EvidenceThere are five basic competencies that all members of the health workforce require in caring forpeople with chronic health problems (43) :1. An ability to use a patient centred approach – where care is organised around thepatient,2. Communication skills that enable them to collaborate and network with others,3. An ability to ensure safety and quality of patient care is continuously improved,4. Skills in monitoring patients across time through using and sharing informationtechnology, and5. An ability to use a population health approach and public health perspective (43) .Workforce education and training are therefore essential strategies to facilitate improved chronicdisease management (43) .The need for change in usual workforce practices has been well documented and an optimal skillmixincludes clinicians and educators with both clinical and self-management support skills, whocan work as „population managers‟ (44) . Wagner describes the need for a shift in thinkingrequired to move from acute care to chronic disease management that involves:…planned, regular interactions with their caregivers, with a focus on function andprevention of exacerbations and complications… Interaction…(that) includes systematicassessments, attention to treatment guidelines, and behaviourally sophisticated supportfor the patient‟s role as self manager (44) .Workforce development when combined with a number of other strategies is a very usefulcapacity building tool. It contributes to a workforce that is more prepared for bettermanagement and early intervention strategies within chronic disease care, which will improvehealth outcomes.Chapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 30
What orientation and ongoing training programs exist?The need for staff orientation and education programs to implement chronic disease programshas been a high priority featured in business plans for NTDH&CS Darwin Rural Management,Primary Health Care Rural, and Primary Health Care Remote Central Australian programs since1999 to progress the implementation of the NTPCDS. A number of new external initiatives havealso been implemented since then that have assisted with the orientation, training and support ofthe NT health workforce in delivering chronic disease prevention and management across the NT.They include:‣ The Pathways to Professional Practice Program‣ NTDH&CS Orientation and in-service programs‣ Public Health Education and Research Program (PHERP) Innovations program‣ Master of Remote Health Practice Program, Flinders University‣ Divisions of GP continuing professional development programs‣ National Primary Health Care Collaboratives‣ The Healthy for Life program‣ ABCD program‣ CARPA Conferences and meetings‣ NT Chronic Disease Network annual conference‣ Aboriginal Health Worker apprenticeships.‣ Chronic Disease Network3.2.1.1 OrientationPathways to Professional Practice ProgramThe „Pathways‟ program started operating in Central Australia in 1997. It aimed to attract,stabilise, skill, and retain the remote nursing workforce in particular. It also provided a systematicway to provide orientation and ongoing training about chronic disease care and population healthsystems. The program was evaluated in 2003, and it was then implemented across the NT. In2005, the Pathways Program replaced the limited NTDH&CS orientation program in the Top Endto provide more comprehensive orientation and training. In 2007, 28 staff from the Top Endparticipated in the orientation program.NTDH&CS also have an ongoing in-service training program to build capacity around healthpromotion, nutrition and the other underlying social determinants of health that impact uponchronic disease. The Renal Services have adopted a similar approach to the Pathways model. Itincludes group recruitment and intake for orientation and training to create the workforceChapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 31
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 and 16: RECOMMENDATIONSGeneral recommendati
Page 17 and 18: Exploration of joint funding arrang
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: was in place in Central Australia i
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 ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?