Leading Better Value Care

Leading Better Value Care 2017-2022

From volume to value

Western Sydney Local Health District

We Acknowledge

Western Sydney Local Health District acknowledges the first people of the land. The overarching Aboriginal nation in Western Sydney is the Darug nation. We pay our respect to Elders past, present and emerging. We acknowledge the significance of land, water, spirit, kinship and culture and the importance that these elements have to the health, well-being and future of the Aboriginal community.

Artwork by Leanne Tobin. Leanne’s artwork reflects the vibrancy and transitional motions of the dragon-flies as they move through their journey of life.

Contents

Value Based Healthcare

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Value Based Healthcare in New South Wales

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Leading Better Value Care

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Leading Better Value Care in Western Sydney

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Value Driven Models Empowering the Health System

5

LBVC 5-year Impact

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LBVC Activity Snapshot 2017-2022

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LBVC Service Providers in Outpatient Models

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LBVC Portfolio Highlights

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Cover: Osteoarthritis Chronic Care Program physiotherapist and dietician with a patient

Western Sydney Local Health District

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Value based health care is one of the most important topics in health care transformation today. Value based approaches to organising care are widely touted as “critical” to improving the health outcomes of patients worldwide and controlling runaway health care costs. Value based healthcare aims to redesign health care delivery systems to add value for patients. Value Based Healthcare

Value Based Healthcare in New South Wales

In NSW, value based healthcare means continually striving to deliver care that improves:

delivers outcomes that matter to patients and the community, is personalised, invests in wellness and is digitally enabled. A collaborative approach will ensure that we are delivering the best outcomes for patients and the best value for the system. It needs to be considered at all levels of healthcare.

health outcomes that matter to patients

experiences of receiving care

experiences of providing care

Individual

effectiveness and efficiency of care

Service

Value based healthcare requires engagement from patients, the community, clinicians and organisations to establish a sustainable health system that

System

Left to right: Jacqueline Dominish, Executive Sponsor of Value Based Healthcare (VBHC) & District Director Allied Health. Faiza Wajahat, District Manager VBHC Western Sydney Local Health District (WSLHD).

Leading Better Value Care 2017 – 2022

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Leading Better Value Care is the flagship program that is accelerating value based healthcare in NSW. It involves clinicians, networks and organisations working together on high-impact initiatives to improve outcomes and experiences for people with specific conditions. The program identifies and scales evidence based initiatives for specific diseases or conditions. It focuses on managing conditions in the most appropriate setting. Leading Better Value Care Western Sydney Local Health District started embedding the Value Based Healthcare principles by rolling out the NSW Health’s flagship program Leading Better Value Care in 2017-18. This has been a key enabler in WSLHD’s journey to sustainable health systems delivering outcomes that matter to patients and the community. The transition from volume to value allows health systems to continuously improve the delivery of effective healthcare, so that care is aligned with outcomes and experiences and available resources are used optimally. Over the last five years, the 13 programs under LBVC have transformed how we deliver care across WSLHD. These programs were set up as one-stop-shops, with multiple clinicians from different teams, managing the patient together in one consultation. This led to immense improvement in patient experience and resulted in positive health outcomes for the patients. Leading Better Value Care in Western Sydney

Left: Westmead Precinct

Western Sydney Local Health District

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2 Steering Committees 20 Clinical Teams Dashboard Gurus Patient Reported Measures (PRM) Champions

Value Driven Models Empowering the Health System Establishing Leading Better Value Care initiatives has been a key enabler in WSLHD’s journey to sustainable health systems delivering outcomes that matter to patients and the community. The transition from volume to value allows health systems to continuously improve the delivery of effective healthcare so that care is aligned with outcomes and experiences and available resources are used optimally. In WSLHD, the District Director Allied Health has accountability for the VBHC roll out and the LBVC Program. There are 13 LBVC initiatives TRANCHE 01 TRANCHE 02 Chronic heart failure Hip fracture care Hypo fractionated radiotherapy for breast cancer Wound management Direct access colonoscopy Paediatric bronchiolitis Osteoarthritis chronic care program Chronic obstructive pulmonary disease Osteoporosis re-fracture prevention Inpatient management of diabetes mellitus Diabetes high risk foot services

Renal supportive care

Falls in hospital

Leading Better Value Care 2017 – 2022

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LBVC 5-year Impact 2017-2022

Leading Better Value Care initiatives were rolled out with the aim to improve outcomes and experiences for people with specific conditions. The service models were designed to provide holistic care and reduce the burden on the health system by decreasing emergency department presentations and readmissions. There are some global markers which determine the performance of any health service. We have used some of these indicators to assess the performance of six tranche 1 LBVC services* in 2017-18 as compared to

2021-22 for the LBVC patient cohort only and reviewed the overall impact over a five year period. Decreased emergency department (ED) presentations and readmission rates for LBVC patients show that provision of multidisciplinary services, holistic care and outcome based treatment plans, reduce the burden on the health system and promotes efficiency and effectiveness in patient care. *Osteoarthritis Chronic Care Program (OACCP), Osteoporosis Refracture Prevention (ORP), High Risk Foot Service (HRFS), Renal Supportive Care (RSC), Chronic Heart Failure (CHF) & Chronic Obstructive Pulmonary Disease (COPD).

16.9%

33% 1096 less admissions as compared to 2017-18

4,711 more occasions of service as compared to 2017-18

Outpatient appointments increased by 16.9% due to high enrolment rates and additional services.

Hospital admissions

NAP activity

LBVC CHF & COPD

LBVC OACCP, ORP, HRFS & RSC

10.6% Less as compared to 2017-18

Average 25% 1782 in 2017-18, 5883 in 2021-22

Emergency presentations decreased > 10% due to one-stop-shop service models with medical, nursing and allied health care providers available during the same appointment, ensuring holistic care provision for the patients.

Average 25% increase year on year for OACCP, ORP, HRFS & RSC. Steadily increased enrolment over last five years

ED visits

Patients enrolled OACCP, ORP, HRFS & RSC

OACCP, ORP, HRF, RSC, CHF & COPD

2.3% Less as compared to 2017-18 for CHF & COPD.

8.2% 12% &

Readmission rates are lowered by establishing and enhancing support services like transitional care & rehabilitation provision post discharge.

Average 25% increase year on year for OACCP, ORP, HRFS & RSC.

Readmissions

DNA & cancellation rates

CHF & COPD

OACCP, ORP, HRFS & RSC

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Western Sydney Local Health District

LBVC Activity Snapshot 2017-2022 12,750 Patients

127,262 Occasions of Service 17.7% Audio & Video Consultations

LBVC Service Providers in Outpatient Models

Vas Sugeon 5%

Others 4%

Pharmacist 1% OT 3%

Physiotherapist 27%

Social Worker 2%

Med/Surgical 3%

Dietitian 4%

Leading Better Value Care service models function as one-stop-shops, with multiple disciplinary healthcare teams providing care at the same time. The data below displays the range of healthcare expertise engaged in the LBVC programs in the OACCP, ORP, HRFS & RSC out-patients services. Activity by Provider

Endo 3%

Nurse 24%

Podiatrist 25%

Leading Better Value Care 2017 – 2022

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LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Osteoarthritis Chronic Care Program

One Team

The WSLHD Osteoarthritis Chronic Care Program (OACCP) aims to improve access to effective conservative interventions for people living with hip and knee osteoarthritis. Our multidisciplinary program implements high quality evidence-based interventions including exercise, weight-loss and education to improve patient outcomes, prevent avoidable joint arthroplasty and advocate for best patient care.

Rheumatologist Team Lead

Coordinator

Physiotherapist

Dietician

Administration Assistant

Achievements

Challenges • Group exercise classes and hydrotherapy pool closures during COVID-19 lockdowns • Developing a new telehealth

Goals 2023-2025 • OACCP launch Blacktown & Mount Druitt Hospital (BMDH) to improve service access and wait times • Analysis 1-year post OACCP discharge • Post-op comparison between individuals who engaged in OACCP versus standard care

• 29% self-removed • 9% surgery cases escalated • Decreased BMI • Improved mobility scores

based model of care to continue service delivery for patients with online access and capabilities

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Western Sydney Local Health District

LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Osteoporosis Refracture Prevention Service

Two Teams

Osteoporosis is a chronic disease that reduces bone density and strength. The reduced bone strength increases the risk of fracturing a bone from a slip, trip or fall, these are known as minimal trauma fractures (or fragility fractures). Having a minimal trauma fracture is a warning sign for osteoporosis and has a greater likelihood of refracture. The initiative aims to intervene at the identification of the first minimal trauma fracture and intervene to prevent future fractures through provision of a fracture liaison service.

Endocrinologist Team Leads

Fracture liaison Coordinators

Physiotherapists

Occupational Therapists

Dietitians

Administration Assistants

Achievements

Challenges • Increased case identification from ORP screening tool has impacted waiting times

Goals 2023-2025

• Pilot site for the Osteoporosis Refracture Prevention (ORP) screening tool and the PRM Health Outcomes & Patient Experience (HOPE) platform • 2% refracture rate • Partnering with Hospital in the Home (HiTH) for Osteoporosis patients to receive home-based treatments • Finalist for WSLHD Quality Award 2021 • GP engagement and community education events

• Expansion of service to reduce wait times • Dedicated space for

• Limited capacity to expand due to space and staff restrictions • Closure of face-to-face service due to COVID-19 • Research audit on hold during the pandemic

clinics Blacktown & Mount Druitt Hospitals (BMDH) • Incorporate telehealth into model of care for initial assessment • Physiotherapy group classes

• Dedicated Dual X-ray Absorptiometry (DEXA) machine operator • Recommencement of research

Leading Better Value Care 2017 – 2022

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LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Diabetes High Risk Foot Service

Two Teams

Foot ulceration is one of the leading causes of hospitalisation for people with diabetes and in serious cases, can lead to amputation. Diabetes-related foot complications are serious and best managed by multidisciplinary high risk foot services. The target of this service is the identification and management of neurological and vascular pathologies that can impede wound healing. The service aims to provide multidisciplinary interventions to prevent amputations and improve the quality of life for patients attending the Foot Wound Clinic.

Endocrinologist & Podiatrist as Team Leads

Podiatrists

Nurses

Diabetes Educator

Vascular Surgeons

Infectious Disease

Clinical Psychologist

Administration Assistants

Achievements

Challenges

Goals 2023-2025

• Junior Podiatrists supervision to ensure evidence practice • Training - total contact casting to ensure gold standard offloading • Aboriginal podiatrist recruitment

• Bariatric plinths to manage obese patients • Lack of vascular consultant/ registrar staffing

• Recruitment of a Senior Podiatrist for Rapid Assessment, Intervention and Discharge – Emergency

Department (RAID-ED) • Training program for total contact casting • Accreditation by the

National Association of Diabetes Centers • Decreasing amputation rates

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Western Sydney Local Health District

LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Renal Support Care

One District Wide Team

Chronic kidney disease causes a slow loss of kidney function, including the ability to remove waste and maintain normal blood pressure, water and electrolyte balance. Chronic kidney disease has a high symptom burden and is associated with other chronic diseases (such as diabetes) and limited lifespan.

Palliative Care Consultant Team Lead

Nephrologist

Palliative Care Physicians

Clinical Nurse Consultant

Dietitians

Clinical Psychologist

Physiotherapist

Occupational Therapist

Achievements

Challenges

Goals 2023-2025 • Develop a research group • Build on leadership roles in education and training statewide

• Establishment of a MDT service including representation from supportive and palliative medicine, nursing and allied health • Fortnightly Renal Supportive Care (RSC) clinics at Westmead and Blacktown Hospitals • Home visits

• Servicing a large population living in a large geographic area with part-time staff • Staffing cover during periods of leave

Leading Better Value Care 2017 – 2022

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LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Chronic Obstructive Pulmonary Disease

Two Teams

Chronic obstructive pulmonary disease (COPD) is a chronic, progressive condition with exacerbating features that limits airflow in the lungs. COPD has a high incidence of multimorbidity and can be complex, disabling and negatively impact on quality of life. The clinical aims of this initiative are to: • reduce unwarranted clinical variation • increase education, resources and support for COPD patients to self-manage their disease • develop optimal care after discharge and at end of life.

Respiratory Physician Team Leads

Clinical Nurse Consultant

Registered Nurses

Physiotherapists

Achievements • Ward audit to identify deficiencies in patient

Challenges

Goals 2023-2025

• Staff difficult to engage due to COVID • Additional resources for pulmonary rehabilitation at BMDH & Westmead to manage the waiting list

• Continue the production and distribution of self management calendars • Pulmonary Rehabilitation gym at BMDH • Continue to identify areas of potential improvements through the COPD dashboard

assessment related to smoking • Produced a smoking cessation education program to address deficiencies • Smoking cessation resource board for patients and staff • Provided in-services on smoking cessation to staff

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Western Sydney Local Health District

LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Chronic Heart Failure

Two Teams

Chronic heart failure is a complex condition with exacerbating features caused by structural or functional abnormalities of the heart. It is a severe, disabling condition with multiple comorbidities which negatively impact on quality of life. The aim is to reduce unwarranted clinical variation and to support patients to self-manage their condition. This is achieved by tailoring education and resources to meet their needs and facilitate optimal care across the continuum and between settings, particularly after discharge and at the end of life.

Cardiologists Team Leads

Clinical Nurse Consultant

Clinical Nurse Specialist

Exercise Physiologist

Dietitian

Administration Assistant

Achievements

Challenges • Funding allocation for a psychologist and clinical pharmacist • Overcoming barriers in the inpatient setting and sourcing pre-discharge referrals to this service

Goals 2023-2025

• Establishment of a Multidisciplinary Team (MDT) Transitional Care Clinic for Chronic Heart Failure patients in Westmead. • Reduction in readmission rates • The commencement of Patient Reported Measures program • Development of the Chronic Heart Failure (CHF) Dashboard • Initiated a trial phase program through equity funding at BMDH

• Permanent funding for the service at BMDH reduced readmission & ED presentation rates • Commencement of a home visit heart failure service and a diuretic service • Expansion of Westmead

service to include a pharmacist & clinical psychologist

Leading Better Value Care 2017 – 2022

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LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

In-Patient Management of Diabetes Mellitus

Two Teams

Diabetes is a chronic condition marked by high levels of blood glucose, which can lead to acute and chronic complications. In acute hospitals, hyperglycaemia can increase risk of infection and other adverse outcomes. Chronic high blood glucose levels are associated with long-term complications and comorbidities. The aim is to improve the in-hospital management of diabetes mellitus, enhance patient experience and health outcomes and reduce hospital readmission.

Head of Departments Team Leads

Clinical Nurse Consultants

Achievements • All in-patient Diabetes services participated in two clinical audits • Establishing an inpatient diabetes surveillance system • Providing timely reviews for individuals with unstable diabetes • Addressing the high rates of hypoglycaemia

Challenges

Goals 2023-2025

• Staff completing education modules in inpatient diabetes care • Lack of sufficient resources to manage the need of large number of diabetic patients • Ensuring the appropriate

• Refinement of the parameters of the inpatient surveillance system to better identify individuals at risk of unstable glucose levels • Using the data of the surveillance system to provide feedback and educate others

adjustment of diabetes treatment in hospital to prevent hypoglycaemia

in order to increase and enhance their capacity to manage diabetes

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Western Sydney Local Health District

LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Falls in Hospitals

One District Wide Team

The number of people who fall over the age of 65 years is increasing and fall-related injury represents the single largest cause of hospital presentations. No other single cause of injury, including road trauma, costs the health system more than falls. In NSW each year, falls lead to approximately 27,000 hospitalisations and more than 400 deaths.

Falls Committee

Falls Coordinator

Achievements

Challenges • Pandemic management may further delay implementation of eMR project strategies and local implementation • Falls prevention and management education and training for nursing and midwifery staff is once-off without any refresher courses

Goals 2023-2025 • Intentional rounding: eMR tool to be trialed and reporting capabilities further probed. • eMR FRAMP: working group

• Establishment of a MDT service utilised LHD and Facility Falls committee meetings to promote sharing of data, achievements and escalation. • Revised WSLHD Falls Prevention and Management policy • Creation of an Intentional rounding and Electronic Medical Records (eMR) Falls Risk Assessment and Management Plan (FRAMP) working groups

to finalise revised tool. • Review education and training to align to WSLHD policy

Leading Better Value Care 2017 – 2022

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LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Direct Access Colonoscopy

WSLHD Strategic Planning Group

The Direct Access Colonoscopy (DAC) service provides a streamlined pathway for patients who have returned a positive faecal occult blood test (FOBT) to access clinical review and colonoscopy in the public health system. The overarching aim of the clinic is to improve access to colonoscopy for FOBT positive patients in WSLHD. WSLHD has the third lowest participation in the National Bowel Cancer Screening Program (NBCSP) in Australia.

Executive Director of Operations

LBVC Executive Sponsor

Heads of Departments

Clinical Leads

VBHC Manager

Two Teams

Gastroenterologist Team Leads

Clinical Nurse Consultants

Achievements • Service initiated at BMDH & additional Clinical Nurse Consultant (CNC) recruited at Westmead clinic • Significant reduction in waiting times for colonoscopy for FOBT patients • High number of patients assessed entirely over the phone • Well developed protocols and pathways for safe and efficient patient care • Patient education resources developed for Culturally & Linguistically Diverse (CALD) patients

Challenges • Endoscopy capacity • Part time CNC role • Growing demand for service

Goals 2023-2025

• Increased endoscopy capacity across the LHD • Increase outreach/awareness by engaging General Practitioner (GP) clinics • Develop DAC dashboard to actively monitor service quality

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Western Sydney Local Health District

LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Hip Fracture Care

One Team

A hip fracture is a break occurring at the top of the thigh bone (femur), near the pelvis. It is a significant injury in an older person and is associated with significant morbidity, loss of function and mortality. Sub-optimal management can result in avoidable complications, prolonged hospitalisation and poorer patient outcomes. This initiative aims to reduce unwarranted clinical variation, improve patient assessment, management and experience and ensure effective & efficient care.

Geriatrician Team Lead

Clinical Nurse Consultant

Physiotherapist

Achievements

Challenges

Goals 2023-2025

• Pain assessment improved (1% to 60%) • Day 1 mobilisation - 98% • Reduced mortality rates • Neck of Femur (NOF) powercharts launched • Physiotherpay initiative to prioritise patients with potential for early discharge • In hospital osteoporosis management in patients admitted from aged care facilities

• No dedicated geriatric cover thus geris assessment declining from 100% to 84% (NSW average - 99%) • Social worker to streamline discharge and reduce average length of stay (ALOS) • Pain assessment and cognitive assessment are poorly documented

• Dedicated geriatric medical cover at Westmead • Improve documentation on admission • Improve delirium management • Engage BMDH to implement the initiative

Leading Better Value Care 2017 – 2022

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LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Chronic Wound Care

One District Wide Team

The Leading Better Value Care chronic wound management initiative focus is to improve the management of wounds that do not heal in a timely manner. These are classed as chronic wounds. They include skin tears, pressure injuries, autoimmune/dermatological conditions, diabetic foot ulceration, compromised surgical wounds and leg ulcers. Many patients with a chronic wound are debilitated, immobile and in pain and they feel isolated and self-conscious. These factors impact their employment, relationships and daily life.

Nurse Wound Practitioner

Nurse Wound Specialist

Achievements

Challenges

Goals 2023-2025 • Improved wound outcomes and healing via highly skilled wound specialists and registered nurses • Monitoring of healing rates in UWD clinics • Wound dashboard • PRM implementation • Debridement Education (DEBed) research study

• Capability building of fifty-two nurses in conservative sharp wound debridement (CSWD) • Establishment of two ultrasonic wound debridement (UWD) clinics • Development of a WSLHD & integrated care chronic & complex (CAC) Wound Framework which meets the LBVC Standards for Wound Management

• Skilled workforce • Large community to cater to • Service awareness and referral process

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Western Sydney Local Health District

LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Hypofractioned Radiotherapy for Breast Cancer

One District Wide Team

The Cancer Institute NSW is leading implementation of the LBVC Breast Cancer Hypofractionation Initiative. This initiative focuses on increasing access to hypofractionated radiotherapy for women with early-stage breast cancer at radiation oncology treatment centres across NSW.

Radiation Oncology Consultant

Clinical Nurse Consultant

Achievements • Over 90% of women with early breast cancer in WSLHD receive a short course of radiation therapy (hypo-fractionation) • Care packs were provided

Challenges

Goals 2023-2025

• Patient experience scores for breat cancer patients vary across their treatment journey.

• To implement a five fraction course of radiation therapy for selected patients with early breast cancer • Improve patient experience scores

to patients who are getting discharged after surgery in 2019-2020

Leading Better Value Care 2017 – 2022

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LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Paediatric Bronchiolitis

Two Teams

Acute bronchiolitis is a common viral chest infection that mainly affects infants under the age of one. It is most common in the autumn and winter. It causes small tubes in the lungs (bronchioles) to become narrowed by inflammation and mucus, leading to difficulty in breathing and poor feeding. A small proportion of infants require treatment to help their breathing and feeding. This intervention aims to reduce clinical variation, unnecessary investigations and ineffective treatments.

Paediatrician Team Leads

Clinical Nurse Consultants

Achievements • Two audits completed • Improvement initiatives BMDH – six minute intensive training (SMIT) • Auburn team engaged

Challenges

Goals 2023-2025 • Sustain improvement projects • Develop Dashboard to monitor quality indicators

• Patient experience scores are low and uptake is minimal • Sustaining the improvement cycle of SMIT

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Western Sydney Local Health District

LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Patient Reported Measures

District Wide Project team

The Patient Reported Measures Program gives patients the opportunity to provide direct, timely feedback about their health-related experiences and outcomes. This feedback helps drive improvements in care across the NSW health system. The collection of PRM surveys is supported by a statewide portal, called HOPE that launched in February 2021. At WSLHD, the rollout of PRMs has been focused on LBVC and Integrated Care services.

Executive Sponsors

VBHC Manager

PRM Officers

Achievements

Challenges

Goals 2023-2025 • Support future releases of the HOPE platform including integration with eMR • Integration of PRM data in to the LBVC dashboard so that impact of PRMs on patients and services can be measured • Work with Primary Health

• Launched eight services across fifteen locations • 1495 consents, 2869 Patient Reported Outcome Measures (PROMs) & 631 Patient Reported Experience Measures (PREMs) completed • WSLHD Quality Award finalist (as part of submission by Westmead ORP Service) • Developed decision support tool for the PROMIS29 Outcome Survey • Designed and implemented specific telehealth & COVID-19 PREM question-set • Rolled out Bronchiolitis & Direct Access Colonoscopy PREMS

• Impact of COVID-19 on services and project team • Competing priorities and resistance to change has meant an agile and tailored approach to the implementation plan

Network (PHN) to ensure an integrated approach to PRMs

Leading Better Value Care 2017 – 2022

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LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

LBVC Dashboard

District Wide Project team

The LBVC dashboard is developed in Qlik Sense and is a clinician-led tool which demonstrates key clinical and operational reporting elements including hospital utilisation information, efficiency, effectiveness of the programs, hospital avoidance and improvement in health outcomes, as well as sustainability in the health system. The dashboard allows internal staff, particularly clinicians, to improve cross team collaboration, monitor their activity and clinical indicators. This in turn assists them to make informed decisions that would benefit their patient’s health outcomes and ultimately influence change within the system.

VBHC Manager

Business Analytics Manager

Clinical Analytics & Performance Unit Manager

Senior Clinical Analysts

Senior Project Manager Business Analytics

Senior Developer Business Analytics

Achievements • LBVC Dashboard includes 14 main data sheets for users to navigate and click through to review, monitor and extract data/information relevant to them • Data dictionary to match the MoH Data Dictionary • Phase 1: Data Sets: iPM. Release Date: June 2020 • Phase 2 & 3: Data Sets: HIE for Inpatient and ED data, OACCP and ORP (Manual source), DAC Provation (Oracle database) Release Date: June & Oct 2022 (delayed)

Challenges

Goals 2023-2025 • Executive support future releases of the dashboard with dedicated resources in Business & Clinical Analytics • Enhance the existing data sets by automating the manual feeds and include additional clinical care standards in the dashboard • Link to the HOPE dashboard

• Complexity in subsequent phases as it involved redesign to include multiple data sources • Massive stakeholder engagement • Data validation • Multiple rounds of user assessment testings with clinicians

for information related to patients’ experience and health outcomes

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Western Sydney Local Health District

Western Sydney Local Health District PO Box 574 Wentworthville NSW 2145 +61 2 8890 9902 | WSLHD-OfficeoftheCE@health.nsw.gov.au www.wslhd.health.nsw.gov.au

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