Item Deliverable Description Acceptance Criteria / Responsibility Suggested time frame Estimated Delivery Date Status 1 Contact made with ECI Notification that is an interested implementation site for NDEC Senior clinician / manager 2 Documented agreement between LHD / site / clinicians and GP(s) to commence local NDEC implementation Formal decision through appropriate consultation to commence NDEC at (Signed formal project plan can serve this purpose. Template available) 1 – 2 weeks 3 Implementation team nominated Core key stakeholder group nominated and invitations sent from LHD executive Template available Potential team identified, formal invitations sent 1 – 2 weeks 4 Implementation team membership confirmed Invitations are accepted by invitees Implementation team confirmed 1 – 2 weeks 5 Project plan / terms of reference / meeting schedule / agenda confirmed Review ECI Implementation templates. Adopt and localise or create equivalent documents Templates available Documents reviewed, edited (or created) and enacted. All implementation team members 2 - 4 weeks 6 Key local / LHD stakeholders identified and communication plan completed Key stakeholders identified and engagement strategy prepared Templates available Strategy reviewed. Engagement with clinicians, community and LHD commences. Ongoing throughout implementation All implementation team members Within 4 weeks. Ongoing review 7 Entire NDEC suite is reviewed. NDEC is “localised” as indicated Includes implementation, education, RN accreditation, patient care, auditing and governance. Appropriate alterations are made in line with local context. The ‘how’ aspect of NDEC at Templates available Key local operational decisions are agreed including auditing regime, staff education strategy, NDEC operational hours and referral process All implementation team members and key clinical stakeholders 4 – 6 weeks 8 Patient care documents are endorsed by delegating medical staff Patient care documents are reviewed by local medical staff and endorsed for delegated care by RNs at Documents reviewed and endorsed as agreed locally Senior local medical officer / medical lead for implementation 2 – 4 weeks 9 Patient care documents (medication standing orders) are submitted to LHD Drugs and Therapeutics committee (or equivalent) Patient care documents are agreed upon, then medication standing orders are submitted to Templates available Medication Standing Orders submitted to Implementation team / Within 1 week of above
22 Post-implementation surveys and audits are completed Post-implementation surveys and audit is conducted, analysed and results fed back to individuals. Corrective practice changes are completed as indicated Templates available Post implementation surveys and completed (in line with item 11 and 12). Within 3 months of 23 Implementation process feedback to ECI General and specific feedback sent to ECI on implementation successes, challenges and future suggestions, including results of item 22 Implementation feedback provided to ECI including of improvement for site and / or ECI Implementation team Within 6 months of 24 Ongoing local governance formally handed over to Governance is handed over to for ongoing NDEC oversight Once NDEC is implemented, the implementation team is disbanded with formal handover to for ongoing governance within 6 -12 months of ‘go-live 25 Ongoing partnership with ECI Although the implementation phase is complete, NDEC will continue to evolve with practice improvements and the local context. NDEC will require regular (annual) review and revision at a local and state level. Review and review should be managed as a distinctive process outside of implementation. However, it is noted that members on the implementation team would be well place to contribute to a local or state (ECI) NDEC review working party Review and revision process will be coordinated through . Ongoing feedback loops between and the ECI On-going (outside scope of implementation project On-going (outside scope of implementation project