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Value Based Wound Care in MSHHS

Project Status: 

Currently there are a large number of services within Metro South Health (MSH) undertaking wound care, without central co-ordination or pathways. It is anticipated that a service redesign will improve the patient journey, hospital burden, and avoidable ED presentations and admissions.

This project will employ a project officer to co-ordinate the development of a MSH wide integrated wound care service. This will draw from existing services and utilise evidence-based, contemporary practices, to improve patient outcomes and hospital efficiencies. 

This project aims to achieve the following:

  • Stakeholder engagement - response of subspecialties for the management of wounds in an evidence based care model.
  • Investigate alternate funding models – Brisbane South PHN shared care model, GP public-private model and Wound Cooperative Research Centre fee for service.
  • Develop a model of care to inform Stage Two and guide implementation of the service.
  • A detailed report to inform key stakeholders of the optimal model of care.
  • Map the existing services, internal/external resources and referrers and most appropriate location for service.
Aims & Goals: 

Map the existing services, internal/external resources and referrers and most appropriate location for service. Stakeholder engagement - response of subspecialties for the management of wounds in an evidence based care model. Investigate alternate funding models – PHN shared care model, GP public-private model and Wound CRC fee for service. Develop a model of care to inform Stage Two and guide implementation of the service. A detailed report to inform key stakeholders of the optimal model of care.

Evaluation/outcomes: 

The completion of Phase One has identified an increased number of wounds presenting to hospital and associated avoidable admissions, the lack of a co-ordinated service and referral pathways, long waits to access specialty outpatients, lack of accurate data sets, community disengagement from the service and a lack of co-ordinated post-acute care follow up across MSHSS.

The following recommendations have been made to inform Phase Two:

• Develop clear referral pathways for wound resources across MSHHS, to ensure patients are referred to the right service in a timely manner, rather than multiple presentations to multiple services
• Development of MSHHS wide policies and procedures to ensure uniform documentation, digital photography, follow-up of chronic wound and discharge planning
• Implement demand management and workforce capacity strategies that would ideally include potential for telehealth (as currently demonstrated by the MSHHS Teledermatology Clinic), e-consultation store and forward pathways for wound follow up to allow for sustainable delivery of the service
• Workforce capabilities, growth of a nurse practitioner work force, and skill sharing with community partners (as currently demonstrated by the University of Sunshine Coast partnership with Blue Care)
• Identify the requirements for a central point of referral for initial assessment, wound care implementation, clinical support, triaging of internal and external referral and knowledge transfer
• External engagement with community stakeholders will be required to investigate potential collaborations and alternate models i.e. Mater Vascular Service, Brisbane South PHN, Blue Care.

Lead Service / Stream: 
Keywords: 
Wound care, chronic venous ulcer, value based
Last updated 6 December 2017