# ACT Teaching Nursing Home Bid/Open forum - 22 September 2011
## Attendance

* Laurie Grealish (Chair) - University of Canberra
* Jenny Symons - Banksia Village
* Nikki VanDieman - Morshead Home
* Deborah Booth - Calvary Retirement Community Canberra
* Rachel Bacon - University of Canberra
* Nikki Lucas - University of Canberra
* Rachel Davey - University of Canberra
* Karen Griel - Alzheimers Australia
* Petrea Messent - Alzheimers Australia
* Marg Thornton - Illawarra Retirement Trust
* Heather Austin - ACT Health
* Rhonda Maher - ACT Health
* Russell McGowan - Health Care Consumers ACT
* Kay Martens - Goodwin Aged Care
* Jude Fishlock - Goodwin Aged Care
* Kathy O’Dea - Salvation Army Aged Care Services
* David Shiell - Calvary Retirement

## Apologies

* Diane Gibson - University of Canberra
* David Jeffery - Anglicare
* Keith Lyons - National Institute of Sports Studies
* Darlene Cox - Health Care Consumers Association ACT
* Jo Gibson - University of Canberra
* Jane Allen - Alzheimers Australia
* Kasia Bail - University of Canberra
* Gabrielle Cooper - University of Canberra
* Greg Kyle - University of Canberra
* Mark Naunton - University of Canberra
* Gylo Hercelinskyj - University of Canberra
* Kate Maher - Calvary Health Care ACT
* Luke Oborn - Illawarra Retirement Trust
* Mary Cruickshank - University of Canberra
* Carmel McQuellin - University of Canberra
* Rosemary Oates - Anglicare NSW
* John Howard - University of Canberra
* Karen Swinbourne - Villaggio Sant’Antonio
* Wendy Marshall - Baptist Community Services
* Maggie Jamieson - Lifeline Australia

## Opening

The meeting opened at 1.30pm, with a welcome from Laurie Grealish. Laurie outlined the Forum’s aims:
* Develop a ‘fresh’ name for the Teaching Nursing Home Consortium model that we want to advance;
* Finalise a draft terms of reference and governance model for the Teaching Nursing Home tender; and
* Identify the processes required to support achievement of the vision and objectives of the Teaching Nursing Home.
Laurie provided a history of the project from November 2010, and acknowledged the work of the sub-committee of the March Forum, and the UC team, who helped to develop the papers for this meeting. The meeting has been set up into three parts to reflect the aims.

## Title

Using the words from the productivity commission report, provided by Darlene Cox, small groups began to develop possible titles for the project. These are found in Table 1. In the last activity for the day, individuals voted on the titles and the ‘votes’ are in the column next to the name. Some groups developed a list of preferred words – these are in Table 2.

### Table 1 Possible names

* Innovative pathways to resident/person centred care - 7 votes
* Innovative partnerships to older person centred care
* Connected care
* Health Professionals in Partnership (HPP)
* Professionalising the workforce: Improving the care. An innovative approach to the care of support of older Australians
* Enhanced skills for autonomous aged care support - 2 votes
* Gateway to supported aged care education - 6 votes
* Reform and co-contribution to student education
* Increasing the capacity of the aged care workforce
* Aged Communities Education Scheme (ACES) - 11 votes
* Partnerships in aged care services, education and research 2012 and beyond
* Aged care education pathways
* Aged care education and research pathways
* A new world of aged care services, education and research - 1 votes
* New paradigms in aged care services, education and research partnerships - 2 votes

### Table 2 Preferred Words

Quality, Choices, Health, Caring, Access, Respect, Autonomy, Capacity building, Supported, Workforce reform, Aged communities, Supported, Better, Person-centred care, Gateway, Positive, Living, Community, Individuality, Co-contribution, Opportunity

## Governance

Laurie reviewed the vision and objectives developed by the sub-groups, the key elements of the operations, the principles and the structure.

### Small group discussion was held around the following questions

* Would your organisation support the vision/objectives? What would you change?
* Are there other operations that a governing body might do?
* Are there other governance principles you would include?
* Are the four advisory groups suitable? Others?
* Is the type of board membership suitable for proposed vision/objectives? Suggestions?
* Other suggestions/ideas?

### The groups reported back the following

* Consumers represented in the vision and objectives. Use research and innovation to assist consumers and providers of aged care services to read their optimal capacity
* The ability to represent back to AHPRA that aged care is moving OK, also the chief nurses
* Consortium board overlaps with the four groups; service innovation should student representative and RN/EN doing the service.
* Innovation service delivery – include or reference to partnership development as well as the work relationship. That partnership should include development into organizations across sectors – acute and non-acute
* Definition of professionalizing – to support the development and consolidation of multidisciplinary/clinical skills, to support the development of education to professional classification…
* ACT capital region & surrounds – be inclusive
* Concern in a lot of these – where we felt education should be first
* Partnerships include under the governance principles – opportunity to establish strong partnerships between sectors and facilities.
* Recognize how progressing with the productivity commission – community will become more
* Fluidity and transfer of knowledge and people
* Education is invisible at the moment
* Quality needs to be in the audit/risk group
* The governance framework – list of principles could include a word other than leadership such as champion…
* Collaboration and engagement in the list of principles
* Board membership could provide an opportunity to use a health economist/ financial member – as a consultant; use consumer – is it the aged person/ care or both. Have the perspectives on the board but not necessarily that many members. Board members may have multiple perspectives – nine maximum.
* Board structure the skills set is critical – 11 may be too big. Only three representatives out of 11. May not want to merge some skills together.
* There needs to be some KPIs with an evaluation phase as part of the governance – how to determine its successful. The idea of action research as an emphasis rather than pure research.
* Flexibility and transfer – articulation emphasized in the professionalizing/education group
* Efficiency/ effectiveness is absence – productive is perhaps a better term.
* Translation into policy; policy engagement
* Strategic focus of the board
* Communication and marketing coming off the consortium board

## Communicating to do our work

Laurie presented on the principles identified to support a culture of collaboration, and provided some examples of communication for the consortium and the project teams.

### The group then discussed the following questions

* How would you/your organisation prefer to engage with the Teaching Nursing Home?
* What other types of information would be helpful to your teams?
* How would you prefer to be engaged regarding project development?
* What other suggestions do you have for communicating to achieve objectives?

### Responses from group discussions included

* like the current engagement through the meetings – regular quarterly meetings like this, email communication
* Wiki - need an email tutorial – using it in limited way
* Tweeting the wiki site to others
* Continue long term advisory group facilitate research projects, placements, participate in projects
* Communicate through own websites – links
* Early in the phases provide information to get the participating groups knowing
* Like email communication – frequent one page updates preferred to newsletter
* Like annual conference face to face use teleconferencing rather than face to face for distance
* Professionalising work for Alzheimers Australia, supervision and placement with students, direct education into the community
* Promoting information through other publications such as community expos, connecting broader community through events
* Stall at Floriade
* Academic ear so continuous rather than intermittent student placements – learning coexists with placement.
* Make use of industry expertise
* Leadership course currently running for students to attend and other local programs used by students
* Expectations of learning outcomes of students – educators meeting is useful for managers, information from other allied health groups
* Prefer active participation
* Clear understanding of expectations and looking to engender partner agreements through MOUS and the like – knowing what is expected by uni, students
* Clear rights and responsibilities statement
* To know the go to person if something goes wrong.
* Web portal where we could communicate – from members discussion board
* What do we want to be communicated –
* Portal idea – blog, facebook, twitter – share ideas
* Group email address provided to everyone
* Facility
   * Pragmatic and practical, expanding workforce number and skill
   * Opportunity through students to gain experience in various settings to smooth the interface between sectors
   * Most providers are members of peak bodies eg not for profit and for profit – good way to distribute information
   * Talk to each other informally, bring regional contacts in the sector
   * Ground in the day-to-day reality
* Aged care service in directorate
   * Research partnership – build on good collaborative relationships
   * Interface issues could help out –policy procedure, follow through with the resident journey to see what happens and where the gaps are
   * Advanced care planning – focus on that in residential aged care
   * Provide a service on advice on clinical issues – active staff development units.
   * Practical education
   * Models of care and evaluation – lend small amount of aged care nurse practitioner
   * Help out with governance advice

## Closing

Laurie made some closing remarks and it was agreed that:
Laurie will contact the group as soon as the tender bid is known; By March 2012, the group will be invited to work with UC on a conference to be held later in 2012; Heather suggested that the group may be able to meet as part of the Directorate’s conference during Floriade 2012 – Laurie to flag with Deb Davies.
The meeting closed at 4.15pm