Monday 10 November 2014: Celebrating excellence at the Canterbury Health System Quality Improvement and Innovation Awards I was thrilled to be part of the award ceremony held last week. It’s one of the highlights of my job, acknowledging and celebrating the outstanding work happening every day here in Canterbury. Making it better for Canterbury people and for our health system was what it was all about. It’s alright to be a winner The All Right? campaign cleaned up at this year’s awards. The wellbeing initiative, run in collaboration with the Mental Health Foundation, took out one of two Supreme Awards, as well as the Improved Health and Equity for all Populations Award and the Consumer Council Award. Sue Turner, All Right? Manager, said the All Right? team was humbled to receive three awards at the ceremony. She was quick to acknowledge that staff from right across the Canterbury Health System have been instrumental in the campaign’s success. She said the focus of the campaign has been to put people at the centre of the recovery and support the wellbeing of Cantabrians post quakes. MBPE team – better for patients and the bottom line The other big winner was the Medical Physics and Bioengineering (MPBE) team who together with the Maxillofacial Department have improved outcomes for patients with eye socket fractures. From 2009 to 2013, eye socket fractures were repaired using commercial plates at a cost of about $1000 each and they had to be fitted in theatre. After a CT scan 33 percent of cases were found not to fit properly and required a return to theatre to correct, which caused further trauma, scarring and costs to theatre time. The team’s project involved creating low cost 3D printed models of patients’ eye sockets and using this to pre-shape titanium plates made in the MPBE workshop within the hospital, at a cost of about $26 each. The outcomes have been ‘no return to theatre’ from 31 cases from 2013 to June 2014. Plates usually fit perfectly first time, and time to insert them has reduced from about 30 minutes to 13 minutes and costs have reduced dramatically. It’s heartening to see how smart thinking and collaboration has had such a positive impact for our patients. Since the awards began a decade ago, 193 projects have made a remarkable difference to the Canterbury Health System. The thinking and effort that’s gone into the various quality improvement projects is absolutely outstanding. Despite everyone’s busyness, there’s a consistent drive to make the health system better. Continues on the following page...
The All Right? team with Gillian Bohm (left), Principal Advisor Quality Improvement, Health Quality and Safety Commission, David Meates (left) and Dr Don Mackie (right), Chief Medical Officer Clinical Leadership, Protection and Regulation Business Unit, Ministry of Health - All Right? team -Neil Brosnahan, Rose Henderson, Lucy Daeth and Sue Turner.
Continued…. Key themes of this year’s awards were: collaboration, engagement and being totally consumer-focused. At the end of the day we’re here to serve our community and how we do that together is what makes a real difference. Have a great week - if you’re taking part in Cup & Show week activities or going away for the long weekend, take care. David P.S. The full list of Award Winners is below. We will be bringing you more information on some of these projects in future issues of the CEO update.
2014 Canterbury Health System Quality Improvement and Innovation Award Results Supreme Award Winners
All Right?
Reducing Surgery Time and Improving Patient Outcomes for Eye Socket Fractures (MBPE)
Improved Health and Equity for all Populations
Winner—All Right?
Runner up—Under Pressure. CDHB Point Prevalence Pressure Injury Studies
Improved Quality, Safety and Experience of Care
Winner—Reducing Surgery Time and Improving Patient Outcomes for Eye Socket Fractures
Runner up—Community Alcohol and Drug (CADS) Service Group Programme
Best Value for Public Health System Resources
Winner—A Sharper Phlebotomy Service
Runner up—Optimising Education Provision throughout the South Island
Highly Commended Diabetes Coaching, Team Preceptorship, The Health and Wellbeing Connection
Consumer Council Award All Right? Reducing Surgery Time and Improving Patient Outcomes for Eye Socket Fractures team with Gillian Bohm (left), David Meates (right) and Dr Don Mackie (middle right). Team— Chris Morison, Christopher Lim and Steven Muir.
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Monday’s Facilities Fast Facts Burwood Another large concrete pour is planned for tomorrow, Tuesday 11 November, starting at 4am, for the middle section of the ward blocks. The main steel roof trusses are now being installed on the eastern ward block (see picture at left), while the Back of House building (right, with new cast concrete panelling) now even has glass in the windows.
Above: Main steel roof trusses being installed on the eastern ward block at Burwood Hospital.
Christchurch
Above: The Back of House building with new cast concrete panelling and glass in the windows at Burwood Hospital.
The past week saw continued high usage of the Park & Ride shuttle buses and various refinements to the new systems being put in place – including additional signage. The shuttle buses have transported more than 4,000 people since 28 October. Please remember that there is no public parking at the rear of Christchurch Women’s Hospital. Access to the rear of the site is for ambulances only (behind Christchurch Women’s Hospital) and for deliveries and couriers only (behind Riverside, via the Rolleston Avenue bridge). Also please note that pedestrian access to the hospital across the Rolleston Avenue bridge is now on the left hand side of the bridge only. This is to ensure that pedestrians are separated safely from construction traffic.
CHOC information: Staff can now find information on forthcoming works at the Child Haematology & Oncology Centre (CHOC) on the Facilities Development pages of the intranet.
Design news: At the end of October, the developed designs for the Sterile Services, Front of House, AMAU and Oncology areas were signed off by the Clinical Leaders Group. The developed designs for Child Health, Child Oncology, ICU, Radiology and Wards were presented to the Group last week. The current round of sign-offs is a significant milestone, as it is the last in-depth design phase for both Burwood and Christchurch.
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Bouquets
Emergency Department, SARA Ward 16 I was recently an acute patient in SARA and Ward 16. All staff from ED to the ward - Drs, nurses, orderlies, radiology, Gastroenterology Department were professional, reassuring, supportive, and friendly. A positive experience with a good outcome. Please pass on my appreciation to all these departments and keep up the good work you do often under trying conditions.
Ward 25, Christchurch Hospital Five fabulous nurses – Elana, Kimberley, Timothy, Nan Peng, Berny. Ward 11 and ENT, Christchurch Hospital Service in both parts of the hospital was great. Thanks for being so caring and helpful and understanding. Ward 23, Stroke Acute, Christchurch Hospital Fabulous staff, doctor and nurses. Thank you so much for your loving care of my mum. Ward 16/17, Christchurch Hospital The nursing staff and Rose (Wd16), Grace, Sarah and Rachel (Wd 17) have been superb, my first time in hospital, and I have nothing but praise. The medical staff were also wonderful, giving full explanations at every step of my stay here. Thanks very much to everyone. SARA, Christchurch Hospital You have the most amazing, thoughtful and caring nursing staff. They are worth their weight in gold. Ward 19, Christchurch Hospital I have this past week visited my sister in Ward 19. I have had quite a bit to do with hospitals in the North Island. I just want to compliment you. Your staff are exceptional. The cleanliness is above other hospitals and the care better than others. Thank you so much, your team is wonderful. Ward 23, Christchurch Hospital I would like to say every staff member was great, it was like being in a hotel. Also the food was incredible, great selection. Thank You All. Pain Management Service, Burwood Very prompt and professional service. Obviously catering for the individual’s needs. Thank you. Highly skilled Wendy you are, quite simply the best In your expertise, ahead of the rest With care, understanding, and a listening ear Kindly you helped me, despite my great fear For injections and blood make me weak in my knees Oh! I need a lot of help, do it quickly I beg, please No sight or sound, as you told me to breathe deeply The experience would pass, although grown for me steeply Because my phobia takes over, creates panic-stricken thought And I can’t remain calm, as I wish and I ought But you handled me with kind, sensitive care Distracting me so I could be much less aware As you did, you did what you had to do With positivity, effectiveness, by just being true To your skills and vocation in medical care Thank you so much Wendy, is what I want to share.
Monday 10 November 2014
“Lest we forget” - 2014 a year when we should remember
Through this year and next, there will be a number of opportunities to commemorate the start of the First World War and the significant events that unfolded over the ensuing four years. Perhaps most significantly for Kiwis, the tragic outcome of the attempt to establish a bridgehead at Anzac Cove. It was to be the war to end all wars, but sadly it didn’t. Each year on Anzac Day we promise to remember those who made the ultimate sacrifice in the hope that through remembering, fewer have to make it in future. Laurence Binyon's poem, ‘For the Fallen’, the third and fourth stanzas of which became the ‘Ode of Remembrance’ * and to which “Lest we forget” was later added, was actually first published in The Times in September 1914 – just weeks after the outbreak of war. It was originally written to honour the already alarming numbers of British war dead on the developing Western Front but has since been used as a tribute to all casualties of war. The first of our events will take place at The Princess Margaret Hospital at 1100 hours on Armistice Day, tomorrow, 11 November – this year it will be 100 years since hostilities began. Andrew Henderson, Ward 1A Charge Nurse Manager has organised this quietly local event. “I believe TPMH to be a place of special significance, particularly given our older client base. Many of our patients will have served in WWII, and others will have family members that served in WWI.” Andrew plans to enlist Air Cadets from No 18 Avon Air Training Corps Squadron to distribute 250 poppies donated by the Christchurch RSA on Tuesday 11 November to inpatients at The Princess Margaret Hospital. It’s a sobering thought, especially for those with teenage boys, that had they been born a hundred years earlier they might have been among the first to go to the front. If you would like to mark this occasion, please consider observing one minute’s silence at 11 o’clock tomorrow, in meetings, at your desk or as your duties allow. * ‘Ode to the Fallen’ features the immortal line “They shall not grow old, as we who are left grow old…” and ends with the words “We will remember them”.
Canterbury Collaborative Simulation Interest Group Meeting Date: 24 November 2014 Time: 2.00pm – 5.00 pm Venue: Bevan Lecture Theatre, 7th Floor University of Otago School of Medicine. Christchurch Hospital. Registration fee: No charge Programme: When it all goes wrong! Sharing the bad and the good in simulation. For more information select the image. To register please contact: Professional Development Unit.
Monday 10 November 2014
Nurse’s determined efforts to raise money for Breast Cancer Foundation Dialysis Nurse Ashleigh House, was thinking of her Mum when last week she donned a pink wig and wore pink clothing at Christchurch Hospital. For the second time in seven years Ashleigh’s mother is facing a battle with breast cancer. She first got breast cancer at the age of 42 and now has cancer in her other breast and recently had another mastectomy, she is currently receiving chemotherapy and will go on to have radiation. Because of what her mother is going through Ashleigh decided she wanted to do whatever she could to raise awareness of the disease and raise funds for the Breast Cancer Foundation. Last month for Breast Cancer Awareness month Ashleigh set up an online account to raise money for the Foundation. Not content with that, she decided to raise more money, so organised a raffle, bake sale and a ‘pink day’ at work. Her efforts have so far raised a total of $2553. Not content with that, Ashleigh also got all the Canterbury rugby team to sign a rugby jersey that she will auction on Trade Me with the proceeds going to the Breast Cancer Foundation. “I just thought if I can make a little difference it can help others that are going through the same as my Mum,” Ashleigh says. The Breast Cancer Foundation is the country’s foremost breast cancer education and awareness organisation and they rely on fundraising events, and every little bit counts. “I would like to say a huge thank you to everyone who donated,” she says.
Above: Nurses, Tayleisa Dwyer (left) and Ashleigh House at the cake stall at Christchurch Hospital.
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Move over Weta Workshops The first open day for our Medical Physics and Bioengineering Department workshops held last week proved very popular. It was a chance for staff to come and see where our brand of magic happens and meet the people doing the work. Three tours were held last Tuesday where the MPBE technicians and engineers showed off their Mechanical, Electrical and Surgical Instrument Workshops. There was a lot of interest in the Department’s 3D printer and MPBE Team Leader Chris Morison explained that a larger printer will hopefully be arriving soon. A full display of titanium implants, patient monitors, custom surgical tools, and all sorts of other medical devices were on hand. “It was great to welcome such a wide variety of hospital staff into our workshops and show them what we can do. They were all amazed by the capabilities we have and that this facility is available within their own health system. They soon saw that this was our main strength – being able to speak their language and work so closely with them to develop exactly what they need. The team here are all very proud of the devices and products we create and so were very keen to show them off,” says Chris says. The MPBE team is also delighted that their entry with the Maxillofacial Department into the 2014 CDHB Quality Improvement and Innovation Awards has received a Supreme Award (as mentioned earlier in this update). The entry concerned reducing surgery time and improving patient outcomes for eye socket fractures. This story featured in our 20 October 2014 CEO update. If you missed the chance to get down to the workshops there is another chance available. The final open day is Wednesday 12 November with tours available at 9am, 11am and 1pm Follow signs for "Medical Physics & Bioengineering Workshops" on the Lower Ground Floor of the Riverside Building. Contact Chris Morison on 80651/364 0651 or chris.morison@cdhb.health.nz for more details or to arrange alternative times. You’ll also find information here about the MPBE $10,000 Health Innovation Challenge which is running during November. More details here: http://cdhb.health.nz/mpbe Below: Staff were amazed by the capabilities of our MPBE team.
Monday 10 November 2014
From drab to fab The Bone Marrow Transplant Unit (BMTU) family room at Christchurch Hospital has been providing facilities and a quiet space for more than 23 years. The room has a shower, kitchen, seating, small television and collection of books and puzzles for all haematology patients and their families to use during their stay on the unit. It’s done a good job but has been looking a bit ‘tired’ with faded and broken furnishings and old furniture. A couple of months ago, following a meeting in the BMTU family room, it was decided Above: From Drab—It was obvious the that the room needed an update. family room needed a makeover. Christchurch Hospital redevelopment includes a new haematology ward but this won’t be available for a number of years. Helen McDermott, one of the Support Services Co-ordinators for Leukaemia & Blood Cancer New Zealand (LBC) decided to take the matter in hand. Helen and colleague Emma Cowan are the Support Services Co-ordinators for the South Island, providing information and support for all those with a blood cancer diagnosis, their families and carers. She sought funding for the project from LBC, applied for funds from Dry July and spoke with the Christchurch Hospital volunteers. “With donations from Dry July and LBC and the donation of a television, DVD and dishwasher from the hospital volunteers, we have managed to create a wonderful, peaceful space,” says Helen. “This is especially appreciated given that the hospital is undergoing a major redevelopment and is extra busy and noisy.” Beautiful red leather furniture, a feature backwall (a photo of Lake Matheson), new cupboard doors and bench top, extendable table, bookcase, clock, flat screen TV and DVD and new blinds have changed the room from drab to fab. A blessing of the renovated room was held last Wednesday. The event was attended by the Aucklandbased CEO of Leukaemia & Blood Cancer New Zealand, Pru Etcheverry, staff from non-Government Organisations – (Canteen, Child Cancer) Haematology consultants and CDHB staff including Jan Danrell (Volunteer Co-ordinator of Christchurch Hospital volunteers), Arran Graham, Site Manager who made all the necessary changes and Dr Iain Ward on behalf of the Dry July team. Margaret Riordan who is receiving treatment for leukaemia uses the family room quite a bit. She recently celebrated her 70th birthday and was asked to cut the cake for the room blessing—pictured below left. Left: To Fab - New leather furniture and a picturesque mural have done much to brighten up the space. Below: from left: Alexa Evenden, Helen McDermott, Pru Etcheverry (LBC) and Emma Cowan, LBC Support Services Co-ordinator.
Monday 10 November 2014
CT scanner has new home in Ashburton Ashburton Hospital has inherited a newer CT scanner, which will provide clearer imaging leading to improved diagnostics and better patient outcomes. The old CT scanner had been in since 2006 and is now in storage destined for the Christchurch Hospital mortuary next year. The newer CT scanner is a 64-slice, compared to a 4-slice, which basically means clearer imaging. It is also capable of a head to foot scan in 12.5 seconds and it also means a much lower x-ray dose for patients. It has come from Canterbury Community Based Radiology, in Merivale, which is owned and run by the Canterbury DHB. Radiology staff have been going to Christchurch Hospital over the past year for training on the new machine. Technicians from GE Health Service were in Ashburton last week helping to remove the old scanner and install the new one –and all going well, it will be up and running from today. Removing the old CT scanner was challenging because of the weight of it. The original forklift was too small so Alan McCormack from Helmack Engineering kindly helped out with a bigger one.
Above: Keiichi Noguchi, technician looking through the new machine.
Above: The scanner being moved by the forklift. Monday 10 November 2014
Best paper / presentation award for Christchurch nurse A Christchurch Hospital Nurse claimed the best paper/ presentation award at the Perioperative Nurses College Conference in October 2014. Pip Francis, Clinical Nurse Manager Radiology attended the Conference in Queenstown. Pip’s presentation was titled ‘Credentialing a PICC team’. The paper described the journey of PICC nurse inserters in Radiology as they worked towards achieving PICC credentialing. This included PICC insertion for infants, children and adults. Pip received the ‘Debbie Booth Travel Award’ for her presentation. Congratulations Pip on this achievement. The Christchurch Hospital team is the first in NZ to become credentialed PICC nurse inserters.
OMGPIVC—One million global catheters (PIVC) world-wide prevalence study Over 425 hospitals in more than 40 countries have now signed up In 2013 Elizabeth Culverwell, IV Nurse Educator - Cannulation and Ruth Barratt, Infection, Prevention and Control Clinical Nurse Specialist (IP&C CNS) at Christchurch Hospital were approached by the principal investigator at Griffiths University Australia to participate in the OMGPIVC world-wide prevalence study. A pilot was conducted by Ruth at Christchurch Hospital in 2013 in preparation for the main prevalence study date 2014. Christchurch Hospital was the only New Zealand hospital to participate at this time. This study is a one-day worldwide study investigating the use of peripheral IV cannula (PIVC) in adult and paediatric hospital patients in over 40 countries and has been approved by the Griffiths University Human Research Ethics Committee for AVATAR (Australian vascular access teaching and research group). This study is the largest of its kind ever attempted and will provide previously unavailable data on the prevalence and management of PIVCs including the average dwell of a PIVC and identifying risk factors contributing to PIVC failure. The aim of the study is to promote global awareness of PIVC assessment and care. To identify and compare the prevalence of PIVCs in hospital populations worldwide.
To evaluate the prevalence of PIVC complications (extravasation, phlebitis, occlusion, thrombosis) in patients with PIVCs worldwide.
To benchmark international use of PIVCs, including cannula characteristics such as type and size, anatomical placement along with types of intravenous fluids and medications infused.
To identify risk factors associated with PIVC failure.
To identify the prevalence of unused or unneeded catheters.
To identify the current practice in PIVC dressing use and management.
To identify the current practices in PIVC securement.
To compare local hospital policies on PIVC insertion and management with international guidelines.
To encourage future international collaborative research among vascular access nurses and physicians. Continues on the following page...
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Continued…. The information gathered will assist researchers and educators to develop and deliver best practice for IV cannula care. It will also allow CDHB to compare performance, identify areas for further education, patient safety initiatives, quality control issues, use of consumables (dressings, IV cannulas), number of redundant cannulas, etc. The team pre planning meeting was held prior to the due date. The campus wide point prevalence study was conducted on 4 November 2014 by a team consisting of 10 Registered Nurses. Two hundred cannulae and patient documentations were observed. The following staff participated in the all-day surveillance data gathering. Ruth Barratt –IP&C CNS Elizabeth Culverwell - IV NE Cannulation Mike O’Callaghan - IP&C CNS Carol Mcsweeney- IP&C CNS Becky Conway- NE Child Health Kerry Winchester - NE Pete Van den Ouden- Radiology PICC nurse inserter Karen Maber Nursing Pool IVL Rommel Principe - Ward 23 IVL Gemma Sword - Gynae ward Acknowledgements: Ruth and Elizabeth would like to acknowledge the great team effort from all involved. This has enabled us to gather information on the management and care of cannula not only for a global initiative but also for our own hospital data. They would also like to thank the following CNMs: Pip Francis, Liz Henderson and Anne-Marie Evans who supported their IV link nurses enabling them to participate and be part of this important global study. In addition they would like to acknowledge the cooperation of the patients and ward nursing staff during their time spent in each area. Where to from here: The results of this Global prevalence study will be published in a peer-reviewed journal and presented at international conferences. Acknowledgement of participation in the study will be included in the final journal publication.
DHB Whanau Ora Update No 27 October 2014 The 27th issue of Te Kete Hauora's electronic newsletter has been published, providing District Health Boards with Whānau Ora updates. Read newsletter Previous newsletters are available online at the National Service Framework Library.
Monday 10 November 2014
Donation creates opportunity for exercise Within a short time of being set up, the first of two exercycles donated to Hillmorton Hospital was being used by consumers. Schizophrenia Fellowship Inc. Canterbury has given two exercycles to Hillmorton’s Te Awakura Unit. Fellowship Secretary, Clare Mouat, says the donation came about after consumers told them the one thing that would have made their stay at Hillmorton better was more opportunities for exercise. “We were at a meeting of consumers and they were talking about things they would have liked to do while they were in Hillmorton. They said it would have been good if they could have been able to keep fit. I thought – what a good idea.” The Fellowship was also planning to purchase a treadmill which would go in the Forensic Services Unit. It would suit those people who weren’t able to move around the hospital’s gardens, she said. The exercycles were being placed in Te Awakura’s atrium. Hillmorton Nursing Director, Wendy Lowerson, said the donation is “fantastic”. “The response so far from consumers is that they are thrilled with being able to have these here.”
Schizophrenia Fellowship Inc. Canterbury Secretary, Clare Mouat (left), Clinical Director, Steve Duffy and Nursing Director and Wendy Lowerson (right).
Clinical Director, Adult General Group, Steve Duffy, said options for exercise in acute psychiatric facilities were limited. “So it is going to be wonderful and is greatly appreciated.”
Meet some of our first SI PICS SUPER USERS What is a super user? District Health Boards across the South Island will assign super users to become the local experts and champions of the South Island Patient Information Care System (SI PICS) in advance of the implementation of SI PICS in their DHB. They will support the transition to SI PICS at their DHB. SI PICS Super Users are local subject matter experts in the current patient administration and information system processes at their DHB; for example in Nelson Marlborough DHB, they are the experts in Ora*Care and the process used locally to support the patient journey. There will be super users all over the region! Click here for more information.
South Island Alliance Monthly Update—October 2014 Read more about Keeping up to date with SIPICS monthly eNewsletter Quality and Safety learn from Canterbury experiment New eRisk Management System: Development on Track, Testing has begun SIRTH workshop on future of health workforce a success Monday 10 November 2014
New health literacy resource helps patients plan for a visit to their general practice team For many New Zealanders, general practice team and pharmacy visits are their most frequent interaction with health services, but are they getting as much out of them as they could? Let’s PLAN for better care, launched as part of the inaugural Patient Safety Week, 3 to 9 November, is a Health Quality & Safety Commission initiative to help patients prepare for doctor appointments and find out more about their medicine at pharmacies. The A4 flyer, with an accompanying promotional poster, encourages people to plan ahead for practice visits and to ask questions when there so they fully understand their diagnosis and treatment. It also suggests questions they can ask pharmacy staff. PLAN stands for: ‘P = Prepare for your visit; L = Listen and share; A = Ask questions; N = Note down what you need to do next.’ The back of the flyer has space for patients’ questions and notes. GPs like patients to be well prepared for their visit to the doctor, says Tony Dowell, a Wellington GP and Professor of General Practice at the University of Otago, Wellington. ‘We want patients to be able to tell their story well because it helps in the diagnosis. And we do like patients clarifying things. We want them to be safe. If they go away with misunderstandings about what has been discussed, that can be potentially dangerous. ‘GPs already encourage patients to ask questions and help them to make their voice heard. But we can always enhance that, and having a structured way to do it, such as Let’s PLAN, is a great boost.’ Let’s PLAN has been tested with groups of different ethnicities, and piloted in medical practices and pharmacies in Hawke’s Bay and Auckland. It is available free of charge to GPs and pharmacies, and copies can also be downloaded from the Commission’s website. ‘Our consumer network started the ball rolling with Let’s PLAN and has been involved as we have developed it,’ says Dr Chris Walsh, the Commission’s Director of Partners in Care. ‘When visiting your doctor, it is easy to forget or not mention health information that can sometimes be really important. Let’s PLAN will help patients gather their thoughts before their visit, making it more efficient for both them and their health providers.’ For more information, contact Health Quality & Safety Commission Communications Coordinator Guy Somerset, (04) 913 1745, 021 813 591, guy.somerset@hqsc.govt.nz. Follow on Twitter at #LetsPLAN and visit Facebook page LetsPLANforbettercare. If you would like copies of the Let’s PLAN A4 pads and posters, please email patientsafetyweek@hqsc.govt.nz stating the numbers you would like and where you would like them delivered.
Monday 10 November 2014
Vision for a technology integrated Canterbury Health System Did you know that CDHB printed nearly two million pages on 587 multi-function printers per month between January and June this year? That’s a lot of paper and printing and an example of how the health system is still largely built and reliant on processes that originated when printed paper was the extent of our information sharing capability. These processes will no longer be fit for purpose as we move further towards a digital world. A CDHB programme called PaperLite, has a number of initiatives to address the change of focus to technology enabled paperless processes. Sponsored by Executive Director Allied Health, Stella Ward, with a two strong team of Programme Director, Neil McKellar and Programme Manager, Cliff Swailes, it plans to improve the effective delivery of data and use of information to make better decisions, save clinical time, save patient time and provide safer patient care. In the future, data will be critical at each and every point of care that it is generated, and then used effectively to best support the connected patient journey, Neil says. PaperLite aims to ensure that the Canterbury Health System of the future is integrated and supports the best processes for care and patient flow. “Reducing paper use by moving from legacy paper-based processes to much smarter technology-enabled processes will just be just one of several key performance indicators used to measure progress and success. “It is not expected to remove all paper from the system but should dramatically reduce our reliance on paper processes to achieve better outcomes,” he says. The vision is for the Canterbury Health System to: be a seamless, safe, efficient and visible patient journey with better outcomes (“no harm, no wait, no waste”) where fast and error free electronic data and information systems connect and streamline the efforts of multiple services across all parts of the Canterbury Health System provide better and more accessible information to patients and health services personnel who have direct and secure access to health records and systems through devices and other interactive hardware be a more enjoyable and productive work life for health services personnel through timely, accurate and useful clinical, process of care and patient flow information be a more sustainable environment where dependence on paper is dramatically reduced and is reflected in reduced costs in the use, storage, recall and destruction of paper. PaperLite is timely given the significant investment in new infrastructure and service improvement, he says. It will concentrate on supporting existing work, overcoming hurdles and providing linkages between related work to ensure alignment and contribution to the Canterbury Health System vision. The programme will link with other key projects such as the Facilities Development Project, eHealth, digital health, regional initiates and other major service improvements. “There are very successful examples from past efforts, many far-reaching initiatives already underway and an almost unlimited number of opportunities to gain from,” Neil says. PaperLite will use the existing capability of the Information Services Group for development and deployment of technology; the People and Capability team for Change Management; the Business Development Unit to assist with process design; and the Project Office for programme support. It aims to share replicable processes, best practice and successes and ensure that maximum benefit is driven from CDHB investment in technology. The PaperLite Programme portal is now able to be accessed to provide visibility to all the PaperLite-linked activity, provide helpful related information, and the avenue to share ideas, suggestions and feedback.
Monday 10 November 2014
Workshop: Good Clinical Practice Update A Good Clinical Practice (GCP) workshop will be held on Thursday 27 November 2014 at the Rolleston Lecture Theatre, University of Otago, Christchurch. The target audience is research nurses and research co-ordinators working in the Canterbury and West Coast regions. Sponsor: Via Innovations, CDHB Schedule: 13.00-13.10 -
Kate Gibb, Nursing Director, CDHB Welcome on behalf of the CDHB and West Coast Directors of Nursing
13.10-13.15 -
Dr Helen Lunt, Clinical Director, Via Innovations, CDHB Outline of workshop programme and introduction to speakers
13.15-14.30 -
Tony Mann, Research Associates Ltd History and principles of ICH GCP, informed consent, adverse events, CRF
14.30- 14.50
Afternoon tea, networking
14.50-15.15 -
Rebecca Coombes, Manager, UOC and CDHB research office Commercial aspects of clinical research - View from NZ Acres and the research office
15.15-16.00 -
Tony Mann Commercial aspects of clinical research, waivers, fraud and misconduct
16.00-16.25 -
Nic Aagard, Senior Advisor, Ethics Committee Your HDEC application: How to avoid common pitfalls
16.25-16.30 -
Dr Helen Lunt Wrap up
Registration: The workshop is free to attendees but pre-workshop registration is requested both for catering and also to allow individualised certificates of workshop completion to be available at the end of the afternoon. For registration and further details contact: Charlotte.Robson@cdhb.health.nz Registration form
Come along to the World COPD Day expo next Wednesday COPD or chronic obstructive pulmonary (PULL-mun-ary) disease is a progressive disease that makes it hard to breathe. "Progressive" means the disease gets worse over time. You are invited to an expo being held at The Canterbury Horticultural Hall, Riccarton Avenue on Wednesday 19 November from 10.30am-2.30pm. More information Speaker Timetable Entry is free and free light refreshments will be available. All attendees will go into the draw for some great prizes.
Monday 10 November 2014
One minute with…Mary Fraher, P.A to General Manager, Hospital Support and Laboratories What does your job involve? A great deal of diary management and note taking at meetings. No two days are ever the same, it is a very busy role, but I’m lucky enough to be working with a great bunch of people. Prior to this role which I am doing on parental leave cover, I was P.A to the Operations Manager. Why did you choose to work in this field? When I left school, many years ago, I did a shorthand typing course at Otago Polytechnic and the first job I got was as P.A to the advertising manager of the Otago Daily Times. Apart from time at home raising a family I have always tended to be drawn to secretarial/administration support type roles. What do you like about it? I love the people contact and knowing that what I do allows managers to get on and do what they do best without getting bogged down in day to day administration stuff. What are the challenging bits? Meetings, meetings and more meetings. Who do you most admire in a professional capacity at work and why? PAs and administration support people generally – they keep the ship afloat. The last book I read was… The Husband’s Secret by Liane Moriarty If I could be anywhere in the world right now it would be… Japan with my daughter. My ultimate Sunday would involve… Brunch at a nice café and a stroll through the botanical gardens. One food I really dislike is… Tripe My favourite music is… Elvis Presley If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz. Above: Mary Fraher
University of Otago, Christchurch Newsletter – Spring 2014 The latest University of Otago, Christchurch, newsletter has been published. Of particular interest are the articles on heart disease and infectious diseases as these research groups include a number of CDHB staff. Read the full newsletter.
Monday 10 November 2014
Staff Wellbeing Programme: RAS - free legal advice regarding EQC/insurance issues Residential Advisory Service (RAS) – free legal advice for Insurance / EQC issues Free 30 minute appointments available at: Burwood Hospital - Tuesday 18 November Christchurch Campus – Thursday 27 November Click here for more information or visit the Staff Wellbeing Programme intranet page Gratitude Challenge – new Tracksuit-inc Challenge New 10 day Gratitude Challenge – registrations are open. Challenge starts 17 November. Click here for more information visit the Staff Wellbeing Programme intranet page Wellbeing Workshops – all staff A limited number of wellbeing workshops are available to all staff during November. Click here to register. For more information click here. Workshop times/locations are as follows: Christchurch Campus – Tuesday 11 November: 1330-1600 Ashburton – Tuesday 18 November: 1330-1600 Christchurch Campus – Tuesday 25 November: 0930-1200 Staff Wellbeing Programme intranet page – Pilates, Zumba, Yoga, Mindfulness… Check out this page for information on yoga, Zumba, Pilates, mindfulness, walking groups, Earthquake Support Coordinators, Employee Assistance Programme (EAP - free counselling for staff), and more…see the Staff Wellbeing Programme intranet page for more information Free Counselling available for all staff – EAP Services For more information click here or visit the Staff Wellbeing Programme intranet page Andy Hearn Staff Wellbeing Coordinator Canterbury and West Coast DHB Phone: 03 337 7394 | Ext: 66394 | Mobile: 027 218 4924 andy.hearn@cdhb.health.nz
Monday 10 November 2014
Free Legal Advice – Staff Wellbeing Programme Are you stuck or confused about your insurance / EQC matters? The Residential Advisory Service (RAS) provides free independent and impartial assistance to help home owners navigate through their rebuild, repair or resettlement issues. The service is focussed on progressing issues between home owners, insurance companies and the Earthquake Commission. RAS is holding two morning clinics for CDHB staff members where you have the opportunity to meet with one of our Independent Advisors, who are all qualified lawyers. You will be able to briefly discuss your situation, hear how the service may be able to assist you and ask questions about your rebuild or repair process, but you will need to make an appointment. RAS clinics will be held at: Burwood Hospital from 9.00am to 12.00pm on Tuesday 18 November 2014 Christchurch Campus from 9.00am to 12.00pm on Thursday 27 November 2014 Note: Appointment rooms will be confirmed nearer the time. To make an appointment please email Glenys Thornhill glenys.thornhill@cera.govt.nz who will telephone you back to arrange a suitable time. Appointments will be in 30 minute slots starting on and half past the hour. When emailing please ensure you include your daytime contact number. If you can’t attend either of the above clinics but would like to know if RAS can help you please call RAS on (03) 379 7027 or 0800 777 299 or check out the RAS website: https://advisory.org.nz Andy Hearn Staff Wellbeing Coordinator Canterbury and West Coast DHB Phone: 03 337 7394 | Ext: 66394 | Mobile: 027 218 4924 andy.hearn@cdhb.health.nz For more information about other Staff Wellbeing Programme initiatives visit the Staff Wellbeing Programme intranet page
Department of Psychological Medicine, University of Otago, Christchurch & SMHS, CDHB Tuesday Clinical Meeting Tuesday 11 November 2014, 12:30 pm – 1:30 pm Venue: Beaven Lecture Theatre, 7th Floor, School of Medicine Building Title: " Teaching and learning during the Christchurch Earthquakes - a health professional perspective" Presenter: Dr Sandra Richardson, Senior Lecturer, Centre for Postgraduate Nursing Studies Chair: Dr Philippa Seaton, Director, Centre for Postgraduate Nursing Studies Special notes These meetings are held on a weekly basis (except during school holidays). A light lunch will be served at the School of Medicine venue from 12 noon. Psychiatrists can claim CME for attending these meetings. The sessions will be broadcast to the following sites: For TPMH attendees the venue is the Child, Adolescent & Family Inpatient Unit, Ground Floor. Access is from the main reception at TPMH. For Hillmorton attendees the venue is the Lincoln Lounge, Admin Building, Hillmorton Hospital The dial in address is: Psych Med Grand Round. If you have difficulties dialling in please call 0800 835 363 to be connected. Monday 10 November 2014
Things move fast in recruitment. That’s why we’re on: LATEST OPPORTUNITIES Canterbury District Health Board Clinical Pharmacology Pharmacist ePrescribing
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See all vacancies at: https:/cdhb.careercentre.net.nz West Coast District Health Board Patient Safety Officer See all vacancies at: https:// westcoastdhb.careercentre.net.nz/
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Consumer Council Update As part of continuing expansion and increased consumer participation across the Canterbury Health System, Consumer Council members have recently been involved with the following:
The Consumer Council Deputy Chair joined the CDHB contingent attending the Asia Pacific Health Conference in Melbourne A member of the Council was selected to attend the Consumer Facilitator Training programme organised by Health, Quality and Safety in Wellington (only two people were selected from the South Island) Several members of the Council took part in the Asian Health Day held recently and three others were actively involved in Older Persons’ Health Day Provided feedback on the review of the ChCh Hospital main reception area in preparation for the closure of Riverside and Oncology entrance/exits The Chair and two other members took part in the CCN Strategic Planning Workshop Consumer Council have presented to two cohorts of Xceler8 in the past period Consumer Council members have been invited to undertake Collabor8 training. Two have taken up the offer for the next workshop A Consumer Council member is part of the Patient Portal Pilot which is currently underway. Engaged with CDHB Health, Quality and Safety looking at falls visual aids which is part of the Falls Prevention Programme and is currently being trialled in a Christchurch Hospital ward – The Falls visual aids project ensures staff and visitors know at a glance what vulnerable patients require to assist them with mobility. The Chair was invited to meet the new Minister of Health Jonathon Coleman and the Consumer Council has a representative on the newly formed Infection Prevention and control board. For any queries relating to the Consumer Council or to request their participation please email consumercouncil@cdhb.health.nz or phone Wayne Turp (03) 364 4130 Monday 10 November 2014
In brief‌ Newsletter from the National Orthopaedic Enhanced Recovery After Surgery (ERAS) Collaborative Read the October/November 2014 issue here.
Family Violence and the Law Workshop on legal protections for those experiencing family violence. When: Friday 12 December 2014, 9am-12.30pm Where: MSD building, 7 Winston Ave, Papanui. To enrol: subject to availability, e-mail Jen Burgess canterburyamu@barnardos.org.nz More information.
Cricket World Cup 2015 Volunteer Opportunities The ICC Cricket World Cup is being co-hosted by Australia and New Zealand in February and March 2015. To make this tournament a success the organisers are looking for a number of volunteers to fill key roles across all the host cities. Christchurch has the honour of hosting the opening game of the tournament on February 14, a number of warm-up games, and an opening event. Committed and enthusiastic volunteers are need to make this happen. More information.
Read the latest SCIRT news here
Monday 10 November 2014