17–18March!2014! Melbourne!Docklands REPORT! · 2!...

The Lowitja Institute 2nd National Conference on Continuous Quality Improvement (CQI) in Aboriginal and

Torres Strait Islander Primary Health Care

CQI journeys to success

17–18 March 2014

Melbourne Docklands

REPORT

CONTENTS

Overview ......................................................................................................... 1

Conference Aims and Themes ......................................................................... 1

Organising Committee ..................................................................................... 2

Lowitja Institute Conference Coordination ..................................................... 2

Conference Venue ........................................................................................... 2

Master of Ceremonies and Session Chairs ...................................................... 2

Satchels/Lanyards/Gifts ................................................................................... 2

Sponsorship and Trade Exhibition ................................................................... 3

Conference Delegates Statistics ...................................................................... 3

Social Program ................................................................................................. 4

Travel Grants ................................................................................................... 4

Promotion ........................................................................................................ 4

Abstracts .......................................................................................................... 5

Keynote Speakers ............................................................................................ 6

Conference Program ....................................................................................... 6

Feedback from Delegates ................................................................................ 12

ACKNOWLEDGMENTS

Many thanks to the following Lowitja Institute staff for their tireless contribution to the planning of the conference to make it a success: Holly Brambley, Tara Dempster-‐Clark, Liz Izquierdo, Tracey Johnston, George Kirby, Cristina Lochert and Penelope Smith. Thank you also to volunteers Anne Karslake, Seoirse Laffan and Andrew John for their generosity and hard work.

The Lowitja Institute 2nd CQI Conference 17–18 March 2014 Report 1

OVERVIEW

This report summarises the activities and outcomes of the Lowitja Institute 2nd National Conference on Continuous Quality Improvement (CQI) in Aboriginal and Torres Strait Islander Primary Health Care Conference held in Melbourne on 17–18 March 2014.

This was the 2nd National CQI conference in Aboriginal and Torres Strait Islander health held in Australia, following the great success of the first conference held in Alice Springs in May 2012.

CONFERENCE OBJECTIVES AND THEMES

Conference objectives and themes were developed at the early stages by the organising committee and the Lowitja Institute’s Healthy Start, Healthy Life program.

Objectives

Continuous Quality Improvement (CQI) refers to a system of regular reflection and refinement to improve processes and outcomes that will provide quality health care. An increased focus on integrating CQI into the operations of primary health care providers to Aboriginal and Torres Strait Islander people has been shown to yield substantial benefits.

Our goal is to make CQI everyone’s business. The conference provided opportunities for participants to:

• share knowledge about how best to embed CQI into everyday practice, ensuring better access to the highest-‐quality and comprehensive primary health care for Aboriginal and Torres Strait Islander peoples and communities including health promotion, dental health, social emotional wellbeing, alcohol and other drug programs (among others)

• learn about successful CQI examples and how best to transfer this knowledge to others working in the Aboriginal and Torres Strait Islander health and wellbeing space.

The CQI conference was developed for service providers, including community-‐based community controlled services and government agencies, along with researchers, health industry and policy development government departments.

Themes

• CQI practice at local and/or regional level

• Consumer perspective

• CQI models and systems

• CQI influence on policy

• CQI data

• Accreditation

• CQI implementation

• Health promotion


ORGANISING COMMITTEE

A CQI Conference Committee was established in August 2013 with representatives from diverse organisations from community controlled, government and research sectors as follows:

Bridget Carrick Office for Aboriginal and Torres Strait Islander Health, Department of Health and Ageing

Kerry Copley Aboriginal Medical Service Association of the Northern Territory Trish Jean National Aboriginal Community Controlled Health Organisation Veronica Matthews Menzies School of Health Research Tomi Newie Top End Medical Centre, Queensland Health Lynette O'Donoghue Menzies School of Health Research David Scrimgeour Aboriginal Health Council of South Australia Lauren Trask Queensland Aboriginal and Islander Health Council

LOWITJA INSTITUTE CONFERENCE COORDINATION

Liz Izquierdo Program Manager, Healthy Start, Healthy Life Penelope Smith Stakeholder Management Officer

The Conference Organiser Pty Ltd was contracted to work with Lowitja Institute staff to take on the conference administration including registrations, abstract submission, delegates’ accommodation and travel, and contact with participants. The conference coordination team worked closely with this company to ensure that all aspects of the conference were attended to.

CONFERENCE VENUE

The conference was held the Etihad Stadium, Melbourne Docklands.

MASTER OF CEREMONIES AND SESSION CHAIRS

The Master of Ceremonies was Kylie Belling. Kylie Belling, a Yorta Yorta/Wiradjuri/South Sea Islander woman works as the Aboriginal Programs Coordinator at Quit Victoria. Born and raised in Melbourne, she is a renowned Aboriginal actor and director who has worked extensively across theatre, film and television for almost 30 years since graduating from the Victorian College of the Arts Drama School in 1985.

Chairpersons for the concurrent sessions were selected from the organising committee and delegates.

SATCHELS/LANYARDS/ GIFTS

The conference bag included the report and the summary report from the National Appraisal on CQI project, Lowitja Institute LIt.search card, the report The Shape of Things to Come: Visions for the future of Aboriginal and Torres Strait Islander health research, the Family Wellbeing book flyer and inserts from:

• LOGIQC Quality Management (www.logiqc.com.au)

• One Health

• Allen&Unwin new release (www.allenandunwin.com.au)


• Lee Green Accountants, Auditors, Advisors (www.leegreen.com.au) • Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal Corporation

(www.westerndesertdialysis.com/).

A prize was given to the best poster by popular choice at the welcome reception on Mon 17 March. The prize was a painting titled 'Bush Medicine Plants' by Angeline Luck. The winning poster, ‘Which way? A better way’ by R. Newton and T. Matasia, was presented by Apunipima Cape York Health Council.

SPONSORSHIP AND TRADE EXHIBITION

We received sponsorship from the R E Ross Trust (www.rosstrust.org.au) to sponsor delegates from Victoria to attend the conference.

We had four trade tables from the following organisations:

• 20/20 Integrated Solutions (www.2020integratedsolutions.com.au)

• Indigenous Eye Health (iehu.unimelb.edu.au/)

• One21seventy (www.one21seventy.org.au/)

• Quality Innovation Performance (www.qip.com.au/)

CONFERENCE DELEGATES STATISTICS

Registration

The conference was attended by 206 delegates. Delegate demographics are presented in figure 1 and type organisations in figure 2.

Figure 1: Delegate demographics

Figure 2. Organisations represented at the conference

0.0

10.0

20.0

30.0

QLD VIC SA NSW NT WA ACT

Aêndees (%) per state)

0.0 10.0 20.0 30.0 40.0 50.0 60.0

Sectors aênding the conference (%)


SOCIAL PROGRAM

The social program for the conference included three Aboriginal talents:

• Deborah Cheetham (www.deborahcheetham.com/biography)

• Benny Walker (www.facebook.com/pages/Benny-‐Walker/22979081210)

• Stiff Gins (www.stiffgins.net/www.stiffgins.net/Welcome.html)

TRAVEL GRANTS

Eleven delegates who may not have otherwise been able to attend were sponsored through travel and/or registration grants. The selected delegates went through an application process.

PROMOTION

The conference was promoted over a six-‐month period and reported on during the two days events.

• Invitation to participate, expression of interest and call for abstract emails • Australian Indigenous HealthInfoNet website (www.healthinfonet.ecu.edu.au/key-‐

resources/conferences?cid=947)

• In-‐kind representatives from the Lowitja Institute’s Essential Participant organisations

• Twitter feeds once per week from January 2014

• Lowitja Institute website and eBulletin • Emails to diverse organisations such as the Royal Australian College of General Practitioners

(RACGP), General Practice Victoria, Menzies School of Research, Central Australian Aboriginal Media Association (CAAMA), and NITV.

• Greta Donaldson Publicity organised media coverage through the event.

The banner shown below was used in all promotional material.

Website visits

Link Hits Link Hits

/cqi-‐2014 5,357 /cqi-‐2014/speakers 362

/cqi-‐2104/program 1,091 /cqi-‐2014/support-‐attend 291 /cqi-‐2014/registration 493 /cqi-‐2014/photos 249

/cqi-‐2014-‐abstract-‐submission 443 /cqi-‐2014/objectives 243 /cqi-‐2014/presentations 416 /cqi-‐2014/mc-‐performers 165


ABSTRACTS

Submissions

Forty-‐four abstracts were received. The following table represents the number of abstracts received under each of the conference themes.

Total

Accreditation 7

CQI models and systems 7

CQI data 13

CQI practice local/regional 5

Consumer perception 1

Health promotion 2

Implementation 9

Abstracts were reviewed following the below considerations/guidelines:

• each abstract was reviewed by two persons. Consequently, each of the reviewers assessed 29 or 30 abstracts

• the Program Manager also read all abstracts so if there was an abstract showing contradictory assessments it was discussed it individually but the Program Manager was able to contribute towards the decision

• author’s name and affiliations were eliminated so the review was blind • conflict of interest was minimised almost to zero by not assigning any abstract submitted by

someone with strong connection with any of the reviewers

• Scores were between 1 and 5 where: o 1 = not suitable for oral/poster presentation: no results, unclear purpose and findings o 2 = borderline for oral/poster presentation: relevant but poorly written, or not relevant,

or not pitched at target audience o 3 = suitable as oral/poster presentation: interesting, but needs some feedback and

improvement for its acceptance o 4 = suitable/very good for oral/poster presentation: fits well with theme of conference,

well written and relevant o 5 = excellent paper: original, relevant and well-‐written, has results with appropriate

analysis, and fits theme of conference

• reviewers completed their assessment by assigning a score between 1 and 5 and writing any relevant comments

• assessment information was collected in one spreadsheet after receiving all assessments.

All abstracts were accepted. However, in some cases more information was requested from authors, changes in the format, theme, etc. Four abstracts were withdrawn.


KEYNOTE SPEAKERS

Professor Ross Bailie Scientific Director, National Centre for Quality Improvement in Indigenous Primary Health Care, Menzies School of Health Research

Ms Lisa Briggs Chief Executive Officer, National Aboriginal Community Controlled Health Organisation (NACCHO)

Mrs Mary Buckskin Chief Executive Officer, Aboriginal Health Council of South Australia (AHCSA)

Georgie Crozier Australian politician representing the Liberal Party of Australia in the Victorian Legislative Council

Dr Dale Ford Principal Medical Advisor, Improvement Foundation

Ms Rebecca Gooley Quality Improvement Coordinator, Katherine West Health Board

Mr Aaron Hollins Public Health Register, Queensland Aboriginal and Islander Health Council

Ms Vicki Holmes Chief Executive Officer, Nunkuwarrin Yunti of South Australia

Ms Jo Loader Quality Improvement Manager, Goondir Health Services

Ms Roberta Newton Quality and Risk Manager, Apunipima Cape York Health Council

Dr Hung the Nguyen General practitioner, Royal Australian College of General Practitioners (RACGP)

Ms Samantha Palmer First Assistant Secretary, Indigenous and Rural health Division, Department of Health

Mr John Paterson Chief Executive Officer, Aboriginal Medical Service Association of the Northern Territory

Ms Julie Tongs OAM Chief Executive Officer, Winnunga Nimmityjah Aboriginal Health Service

Dr Mark Wenitong Aboriginal Public Health Medical Officer, National Aboriginal Community Controlled Health Organisation (NACCHO)

CONFERENCE PROGRAM

The conference program was prepared by Healthy Start, Healthy Life program manager Liz Izquierdo with assistance from the organising committee.

The CQI Conference Committee’s direction was to ensure that the aims and themes of the conference were best addressed. Therefore, the program was developed around different delivery modes:

• plenary sessions with keynote speakers • workshops and café style presentations with CQI experts to provide practical sessions in the

use of CQI tools and latest developments, and • concurrent sessions with short presentations, case studies, research outcomes and CQI

stories to share with other participants.


Three panels (plenaries) involving 14 keynote speakers were presented, nine posters displayed, and 35 concurrent presentations were delivered at the conference, consisting of:

• Six café style

• Twenty-‐two oral

• Seven workshops.

PROGRAM – MONDAY 17 MARCH, 2014

07:30–08:00 REGISTRATION AND ARRIVAL TEA/COFFEE, MEDALLION CLUB TERRACE BAR

08:00–10:00 OPENING PLENARY SESSION, MEDALLION BRASSERIE

08:00–08:05 Welcome and Introduction to Aunty Di Kylie Belling, Master of Ceremonies 08:05–08:15 Welcome to Country Aunty Di Kerr 08:15–08:30 Performance Debora Cheetham 08:30–08:45 Opening Address Georgie Crozier MLC 08:45–10:00 Government and community

controlled sector CQI perspectives Q & A Panel Chair: Kylie Belling (MC) Q. From the perspective of government and the community controlled sector, what is the current status of CQI in Aboriginal and Torres Strait Islander health? Q. From their perspective, what are the key enablers to embedding and sustaining CQI across the community controlled primary health care system?

Panel: Lisa Briggs (NACCHO) Mary Buckskin (AHCSA) Aaron Hollins (QAIHC) Samantha Palmer (Department of Health, Indigenous & Rural Health Division) John Paterson (AMSANT) Julie Tongs (Winnunga Nimmityjah AHS)

10:00–10:30 MORNING TEA – MEDALLION CLUB TERRACE BAR

10:30–11:30 PARALLEL SESSIONS 1A, 1B AND 1C

1A: Data (Oral Presentations)

1B: Models and Systems (Oral Presentations)

1C: Challenges and Enablers in CQI (Oral Presentations)

Medallion Brasserie Crest Room Medallion Lounge Medallion Lounge Medallion Lounge Medallion Lounge

10:30–10:50 Aboriginal data in Aboriginal hands: The NACCHO data repository Jason Agostino, Katie Panaretto, Renee Williams, Lisa Briggs, Mark Wenitong & Ngiare Brown

The role of the Systems Assessment Tool in guiding improvement in Indigenous primary health care Frances Cunningham, Sue Ferguson-‐Hill, Veronica Matthews & Ross Bailie

Supporting the business of Aboriginal and Torres Strait Islander community controlled health Lauren Trask & Roderick Wright

10:50–11:10 Duration of CQI participation: A key factor explaining improvement in Type 2 Diabetes service delivery Veronica Matthews, Gill Schierhout & Ross Bailie

Developing an ACCHS model for quality improvement of vision and eye health care Colina Waddell, Tania Waitokia & Anna Morse

There’s only one enabler; come up, help us’: Staff perspectives of barriers and enablers to CQI in Aboriginal primary health care settings in South Australia Jo Newham, Gill Schierhout, Paul Ward & Ross Bailie


11:10–11:30 Eyes on the prize: Use of Clinical File Audit data to set goals and priorities at the local and regional health service level for Aboriginal Community Controlled Health Services in NSW and NT Anna Morse, Colina Waddell & Luke Arkapaw

Developing an evidence based model of care for people at risk of or living with a blood borne viral illness in an Aboriginal Community Controlled Health Service Belinda Hammond, Warren Miller, Eva Pratt, Andre Duszynski, Virginia Healy, Mary Ellen Harrod & John Kaldor

Understanding the impact of a multifaceted quality improvement intervention to improve cardiovascular disease risk management in Aboriginal Community Controlled Health Services: TORPEDO Process Evaluation Bindu Patel, Marilyn Lyford, Katie Panaretto, Jenny Hunt, Tim Usherwood, Mark Harris, Anushka Patel & David Peiris


2A: Café Style Conversations

2B: Café Style Conversations


Medallion Brasserie Crest Room Medallion Lounge Chair: Lyn O’Donoghue Chair: Janet Kelly Chair: Barbara Nattabi

Increasing effective engagement of Aboriginal workforce in continuous quality improvement – how can we do this better? Kerry Copley & Louise Patel

Revisiting the first principles of continuous quality improvement; are we on the right track? Kushani Marshall

CQI is not a body part! (or why I learned to stop worrying and love accreditation) Paul Ryan, Trish Jean &, Patricia Lewis

12:30–13:30 LUNCH – THE GRILLE

13:30–14:15 PLENARY SESSION, MEDALLION BRASSERIE

CQI Models and Initiatives Chair: Kylie Belling (MC) Panel discussion on current CQI models: Q. Describe key system features that enable integrated quality improvement in Aboriginal and Torres Strait Islander health care centres. Q. Comment on sustainability of models?

Panel: Ross Bailie (One21Seventy) Dale Ford (Improvement Foundation) Hung The Nguyen (RACGP)

14:15–15:00 POSTER SESSION, MEDALLION CLUB TERRACE BAR

15:00–15:30 AFTERNOON TEA, MEDALLION CLUB TERRACE


3A: Workshop 3B: Workshop 3C: Café Style Conversation Medallion Brasserie Crest Room Medallion Lounge Chair: Liz Izquierdo Chair: Louise Patel Chair: Trish Jean

Which way? Our way Roberta Newton

A conversation about what national CQI data, particularly chronic illness care data, is saying about changing systems and strategies for best practice Ross Bailie, Veronica Matthews, Jodie Griffin, Alison Laycock, Cynthia Croft & Anna Sheahan

What is required to support successful implementation of CQI in health promotion? Lynette O’Donoghue, Christine Armit, Dagmar Schmitt & Nikki Percival


17:00–18:00 WELCOME RECEPTION, MEDALLION CLUB TERRACE BAR 17:00–17:05 Welcome Kylie Belling 17:05–17:15 Performance Benny Walker 17:15–17:20 Introduction of One21seventy Kylie Belling 17:20–17:35 Launch of the One21seventy tools Ross Bailie and Alison Laycock 17:35–17:45 Poster Presentation Awards Lyn Brodie, CEO, The Lowitja Institute 17:45–17:55 Performance Benny Walker 17:55–18:00 Close Day 1 Kylie Belling (MC)

PROGRAM – TUESDAY 18 MARCH, 2014

07:30–08:00 REGISTRATION AND ARRIVAL TEA/COFFEE, MEDALLION CLUB TERRACE BAR

8:00 – 8:55 PLENARY SESSION, MEDALLION BRASSERIE

Successful stories to share Chair: Kylie Belling (MC) Panel session with Q & A on health centres' CQI journey. Q. At health centre level, how have services achieved integration of CQI into everyday practice. Q. How can health centres sustain CQI efforts?

Panel: Debora Askew (Inala Indigenous Health Service) Rebecca Gooley (Katherine West Health Board) Vicki Holmes (Nunkuwarrin Yunti of South Australia Inc.) Jo Loader (Goondir Health Service) Roberta Newton (Apunipima Cape York Health Council)

08:55–09:00 Housekeeping Kylie Belling (MC)

9:00 – 9:45 PARALLEL SESSIONS 4A, 4B AND 4C

4A: Models and Systems (Oral Presentations)

4B: Middle and End Users of CQI Practices (Oral Presentations)

4C: Data (Oral Presentations)

Medallion Brasserie Crest Room Medallion Lounge Chair: Lauren Trask Chair: Bridge Carrick Chair: David Scrimgeour

09:00–09:15 Developing clinical audit tools: One small step in the journey – one major step towards improving Cynthia Croft, Ross Bailie, Stefanie Puszka, Barbara Nattabi & Diana Mosca

Gathering community perceptions of the quality of chronic conditions care – an East Arnhem story Robyn Williams & Celia Gallo

Intensive CQI support improves capacity of a Central Australian alcohol support program: description, monitoring implementation and reporting Debra Gent, Michael Lawton, Carli Pearson & Yvonne Ginifer

09:15–09:30 The WAMS accreditation experience-‐ Fifteen years on and still going strong Christine Corby OAM & Diana Dalley

Meeting the needs of end users: the process of development of a sexual health clinical audit tool for Indigenous primary health care services Barbara Nattabi, Debbie Taylor-‐Thomson, Alice Rumbold, James Ward, Lewis Marshall, Michael Howard, Janet Knox, Suzanne Belton, Suzanne Connor, Linda Garton, Joanne Leamy, Stefanie Puszk & Cynthia Croft

Explaining variation in delivery of types of care for patients with diabetes: a multi-‐level study in the Australian Indigenous Primary Care setting Gill Schierhout, Veronica Matthews & Ross Bailie


09:30–09:45 Driving a performance culture through CQI Gail Wason & Unna Liddy

Implementing and evaluating a sexual health quality improvement initiatives and a service-‐based model of care in a regional Aboriginal Community Controlled Health Service Sid Williams, Mary Ellen Harrod, Belinda Ford, Floyd Leedie, Marsha Dodd, Mark Saunders & John Kaldor

Understanding quality improvement in Aboriginal & Torres Strait Islander primary health care: learning from the best to better the rest Sarah Larkins, Tania Patrao, Veronica Matthews, Sandra Thompson, Christine Connors, Komla Tsey, Ru Kwedza, Jacinta Elston, Kerry Copley, Ross Bailie & Annette Panzera

09:45–10:15 MORNING TEA MEDALLON CLUB TERRACE BAR


5A: Workshop 5B: Workshop 5C: Workshop Medallion Brasserie Crest Room Medallion Lounge Chair: Cynthia Croft Chair: Gail Garvey Chair: Kerry Copley Create a great quality system in six months Cathy Balding

Mapping tools to better understand and improve complex Aboriginal patient journeys Janet Kelly, Judith Dwye, Brita Pekarsky, Eileen Willis & Natalie McCabe

CQI in motion: Sharing the experiences of One21seventy Diana Mosca, Barry Scrimshaw & Sue Ferguson-‐Hill

11:45–12:45 LUNCH – THE GRILLE



6B: Workshop & Café Style Conversations

6C: Oral Presentations

Medallion Brasserie Crest Room Medallion Lounge Chair: Diana Mosca Chair: Gail Garvey Chair: Paul Ryan

12:45–13:00 Flexible resources for CQI capacity building: E-‐learning modules and evidence briefs Jenny Brands, Alison Laycock & Ferguson-‐Hill

Positive auditing techniques Geoff Gray

Establishing effective partnerships between government and Aboriginal community controlled organisations – How we made it work in the NT? Kerry Copley & Louise Patel

13:00–13:15 Networks, collaboratives and partnerships in Continuous Quality Improvement for Aboriginal and Torres Strait Islander health care Anna Sheahan, Frances Cunningham Veronica Matthews & Ross Bailie

13:15–13:30 Telling a story with data: health challenges for Australian Aboriginal and Torres Strait Islander peoples Julie Nankervis


13:30–13:45 The design, implementation and evaluation of a program to improve developmental practices in remote Aboriginal communities: identifying barriers and facilitators Anita D’Aprano, Sven Silburn, Vanessa Johnston, Frank Oberklaid & Gary Robinson

13:45–14:00 Understanding and improving complex Aboriginal patient journeys: using and adapting patient journey mapping tools Janet Kelly, Judith Dwyer, Brita Pekarsky, Eileen Willis & Natalie McCabe

14:00–14:15

14:15–15:15 Quality and Accreditation in ACCHSs: the good, the bad and the ugly Britt Puschak

Five strategies to lead improvement Unna Liddy

15:15–15:45 AFTERNOON TEA MEDALLON CLUB TERRACE BAR

15:45–16:15 PLENARY SESSION, MEDALLION BRASSERIE

15:45–16:00 Performance Stiff Gins 16:00–16:15 Final remarks and closure Mark Wenitong, Apunipima Cape York

Health Council


FEEDBACK FROM DELEGATES

After the conference, an on-‐line survey was offered to all delegates to provide feed for the event. A summary of some of the questions is presented below.

Conference organisation and facilities

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Delegate identification

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Main reasons to attend the 2nd Lowitja National Conference on CQI

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Aboriginal Torres Strait Islander

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Overall rajng of The 2nd Lowitja Najonal Conference on CQI

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17–18March!2014! Melbourne!Docklands REPORT! · 2!...

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