incident responses and patient complaints, and to develop the capacity for people to participate fully in their care. Consumer voices and choices are central to own care Focus area 17–18 Key activities Success looks like Sector priority area Partnering in Healthcare Framework Co-design the development of a statewide framework underpinning and promoting consumer participation and engagement Implementation commenced with clear priorities in each domain identified Piloting of priority strategies in health services A, D Patient and family escalation of care Develop and a centralised system for patient and family escalation of care Trial results inform planning and implementation of statewide model A, D Open disclosure Review existing guidelines and training available for health services 100% of reported serious incidents have documented evidence that open disclosure has occurred B Key A Improve patient safety culture B repeated communication breakdowns C unwarranted variation in practice D unwarranted variation in patient experience Consumer voices and experiences improve health services and the health system Focus area 17–18 Key activities Success looks like Sector priority area Consumer representation Increase the number of consumer representatives across SCV and health services Review induction and training programs for healthcare consumer representatives SCV Patient and Family Council established Demonstrable increase in number of trained consumer representatives in health services A
Incident response program Establish the SCV Academy of expert clinical reviewers to support health services to investigate systemic clinical concerns Establish the Panel of External Expert Reviewers (PEER network) to support health services to review serious incidents Refresh of sentinel event program, expand to include serious events not sentinel events (SENSE events) Support for consumer participation in serious event investigations SCV Academy in operation Minimum of 20 PEER reviewers in operation Knowledge shared across the system, including from coronial recommendations Increased number of serious (sentinel and SENSE) events reported to SCV Evidence of consumer participation in serious incident investigation A Key A Improve patient safety culture B repeated communication breakdowns C unwarranted variation in practice D unwarranted variation in patient experience Dissemination of learnings from serious incidents, and local best practice Focus area 17–18 Key activities Success looks like Sector priority area Care Victoria knowledge sharing Develop SCV – VAHI website, bulletins and enewsletters Program of events and webinars Website analytics identify strong user interactivity and downloads Improved patient outcomes Attendance and analytics demonstrate take up and engagement A, B, C, D Key A Improve patient safety culture
B repeated communication breakdowns C unwarranted variation in practice D unwarranted variation in patient experience Quality and safety data analysis drives system oversight and response Focus area 17–18 Key activities Success looks like Sector priority area Support for health services whose quality and safety indicators are flagging a possible problem Analysis of quality and safety data informs SCV participation in regular performance meetings between health services and the department Improved patient outcomes A, C Analysis of relationship between procedure volumes and quality outcomes Work closely with the department system planners to identify and prioritise procedures requiring volume-outcome analysis Advice provided to the department on: Cardiothoracic surgery Bariatric surgery Maternity services A
Lead improvements in priority area 17–18 Key activities Success looks like Sector priority area Improvement partnerships Implement two improvement partnerships focused on timely access to emergency care and specialist clinics services Improve timely access to emergency departments in participating hospitals Improve timely access to specialist clinics A, D Improvement and innovation program Work with the existing 32 improvement and innovation advisors in health services to identify and target priority health issues at a system level Improvement defined, implementation underway Reducing harm Support health services to improve screening, prevention and management of delirium Introduce a statewide clinical practice guideline for delirium The prevalence and impact of delirium in Victorian public hospitals is quantified Health services are working with SCV to decrease the incidence of delirium and to minimise the risk of harm to patients when delirium occurs C Reducing third and fourth degree perineal tears Support 10 Victorian sites to participate in national collaborative to reduce third and fourth degree perineal tears 20% reduction in and fourth degree perineal tears by December 2018 at the 10 sites Prevention of fetal growth restriction Co-design training to support early identification of fetal growth restriction Training commenced Prevention of paediatric clinical deterioration Roll out a standardised Medical Emergency Team (MET) form for paediatrics Evaluation of use of the Victorian children’s tool for observation and response (ViCTOR chart) in paediatrics shows improvement in patient outcomes Key A Improve patient safety culture B repeated communication breakdowns C unwarranted variation in practice