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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:
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.
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.