Steering Group Committee Chairperson: Mr J Fletcher (CEO)

Minutes

Date: Thursday June 9th. 2011 √Dr Chris Beaton (Medical Lead)

Venue: Boardroom TC Ms Patrice Hickey (Midwifery Lead)

Western District Health Service

Hamilton√Ms Lauren Newman (Project Facilitator)

Time: 1500 – 1700 √Ms Joan O’Neill (DoH) Victoria

Reference Group: AMs Pauline Kearns (WDHS), AMs Sharon Woods, √Ms Tina Pettigrew (CAH),

A Ms Sarah Williams (TMHS), AMs Anne McMeel (THS), VCMr Grant Holmes (SWHC – C),

AMs Wendy Buckland, √ Ms Maree Adams (PDH), VCMr Peter Logan, VCMs S Morrison (SWHC – Warrnambool)TCMs Leanne McPherson (SJOG), N Dr Phil Hall, √ Dr Ruth Stewart (Otway Div GPs).

A Ms Ami Hodgkinson, DoH BSWR. √ MS Jenny Sutherland (WDHS)

√ = attendance, A = Apology, VC = video conference link, TC = teleconference link, N = not attending,

item / Topic
Introduction to meeting / Jim Fletcher
Chairperson
1. / Apologies / As listed above (A)
2. / Adoption of minutes 14/4/10 / Minutes adopted unanimously
3. / Business arising from previous meeting / Discussion Lead / Key Points / Action
SMART; Specific, Measurable, Achievable, Resourced, Time frame
i / Workforce

Medical
Midwifery

/ Chris Beaton
(Report)
Service workforce report
Joan O’Neill
Lauren / Medical workforce
Midwifery workforce
Service report
Nursing & Allied Health rural locum service
Federal Gov Initiative)
NAHRLS / PDH medical workforce OK at present, GP rotating to SWHC for OB upskilling.
Funding model key to retention of GPs in rural services
Minimum number of Proceduralist GPs to maintain service roster (4)
Ruth provided a brief on rural generalist program model for Victoria
Forecast GP proceduralist shortages 6 -12 months WDHS, SWHC Camperdown 1 GP retirement plans– 18 months.
Action; Ruth to forward discussion paper & Vic Rural Generalist advisory group paper to Lauren for circulation to members, by June 15th. (Attachment √).
Midwifery workforce OK at present, resignations DON positions (THS, PDH, and CAH).
Medical Specialist outreach program (MSOP), extended to include allied health. Jenny S has had initial discussion with MSOP. Funding goes to the practitioner (Federal funding). Joan meeting with the group next Tuesday 14th.
Action; Joan to provide further information about the program to the group by next meeting.
:Lauren Highlighted new initiative providing back fill for up to 14 days supporting workforce to attend CPD out of local community.
Action; Lauren to contact the program and circulate a brief report to SC members and regional services by next meeting. .
ii / Service capacity / capability

Consultation & Referral
Role delineation capability / capacity
DoH framework (1-6 levels of care).
Managing risk; Quality & safety.

/ Chris Beaton
Lauren Newman
Peter Logan
Pauline Kearns
Tina Pettigrew / Level 6 service understanding of rural service situation
SWHC (c) √
SWHC (W) √
PDH √
TMHS √
TMS √
WDHS √
CAH (Draft) / Regional Service capability / capacity documents have been endorsed by individual services across the region.
CAH drafts completed, under review by GPs in collaboration with Barwon Health.
Variance in WDHS level 4 Maternity / level 1 neonatal care supported by Paediatrics SWHC Warrnambool.
Action: (Lauren) finalised documents to be loaded onto maternity connections website as soon as web site live (Sept 2011).
Permission from services to showcase documents at upcoming pregnancy care workshop √
iii / Clinical Practice

Collaborative care
Consistency

CPGs
MNCN

/ Tina Pettigrew
Patrice Hickey
Ruth Stewart
Chris Beaton / Update on model CAH
National Maternity Services Plan
AN care guidelines
(ref NICE guidelines)
Chair; J Oats / C Homer
AN care / clinics / collaborative models / Tina reported capability framework nearing completion. CAH enlisting the assistance of MNCN to facilitate medical discussion forum with GPs. Final plans being arranged with Glyn Teale & Debbie Rodgers. Focus on strategic planning collaborative maternity care at CAH.
Tina update next meeting.

Currently in draft form open for comment and feedback. Guidelines and feedback template circulated to regional services. Closing date 27th June.
Action; Members to review and provide comments and feedback by June 25th.
Update by Chris & Peter. AN clinic on site – development stages, move with new ward opening – Sept 2011.
iv / Education

Shared Opportunities / resources
Stakeholder group
Morbidity & Mortality meeting

/ Lauren Newman
Joan O’Neill
Chris Beaton / Rural Mid Support Program
Ongoing funding
GP education
Otway Div GPs.
Regional M&M meeting / Ami has investigated midwifery rotation opportunities with Barwon Health. Positive discussions need further clarification re actual needs of w/force.
Action; report from Ami Circulated with minutes. (regional / CNE funding)
Joan reported that the RMSP has been funded for next 12 months, current CMCs extended contract 3 months; to meet industrial requirements will be re advertised in 3 months, contract then for 9 months.
Lauren flexible on site visits (single sessions, ½ day or full day)
Action; Services to negotiate requirements with Lauren (ongoing)
Pregnancy Care Workshop July 2nd. Great response, a few spaces left. 50% GPs / 50% midwives. Aligned CPD points through professional bodies.
Action; registrations through Otway div GPs. Waiting list possibilities.
Evaluation report provided by Lauren, services happy with template. Tina suggested adding capability / capacity variances into the reporting template. Suggested regional meeting date early November, includes GPs and relevant allied health clinicians.
Ruth suggested develop a code of conduct (set of rules),
Chris identified the need to have a FIO – clients de identified aligned to privacy / confidentiality requirements. The application and the event should attract CPD points
Action; Ruth to forward example of code of conduct used in the CMCN project √
Lauren to investigate FIO application / requirements
Lauren to finalise template addition C&C variance.
Lauren to draft code of conduct for circulation and comment
Lauren to speak to Vicky Hunt Otway div re GP CPD points aligned to the activity.
v / ICT

e system
data collection
integrated seamless care
Interprofessional handover (transfer & discharge)

/ SWHC
Peter Logan
Lauren Newman
Jenny Sutherland
Jim / Shared interface
Shared pnt information
ISBAR tool
Maternity
Neonatal
WDHS Pilot
(Based on John Hunter model).
Maternity Connections web site SW Vic.
SKYPE
Virtual visiting.
Commonwealth funded virtual consulting
Specialist consult / Progress Report. – Project has begun, inbound work. Discussion re where the data sits for outbound i.e (Track) or migrates directly to BOS.
Action: Peter to provide update report next meeting
WDHS feedback; Jenny reported charts have been circulated; now require an staff education plan. Suggest an flow chart mapping plan for staff education.
Action; Lauren to develop a flow chart for education.
MNCN feedback; happy with the content, will take to leadership group for discussion, & tweaking.
Feedback to Lauren following next leadership meeting.
Progress report
Work in action, awaiting update progress report from Chas (auscity).
Action; Lauren – progress report next meeting.
Jenny reported several women have utilised this option for consultation, midwives slowly engaging in the alternative visiting option.
Rural & remote Victoria , grant $6,000 to establish clinics
SWARH have circulated documents to CEO’s in SW region.
vi / SWAMI continuation

Ongoing funding

/ Joan O’Neill / Evaluation
Continuation of SWAMI project
Sustainability of key initiatives / Re funded for 0.2 EFT until December 2011. Extended time- anchor key SWAMI initiatives to date Finalise the web site, outline a sustainable communication strategy post SWAMI.
Action:Direction – Jim, Sue, Ami, Patrice, Chris) – Joan.
Draft constructed for circulation.
Item / Topic / Discussion Lead / Key Points / Action
SMART; Specific, Measurable, Achievable, Resourced, Time frame
4. / Rural Midwifery Support Program

Ongoing funding
Regional SC report

/ Lauren Newman
Sue Morrison
Joan O’Neill
(report) / State Reference group report
Funding / continuation of program / DoH funding 12 months. EFT for SW area 0.6. Joan reported very positive evaluations from services state wide. Letter will be forwarded to CEO’s of regional hospitals re the program.
Regional hospital lead in the project, interviews for ongoing CMC at the regional service level.
Francis Driver (executive director) DoH.
6. / Service Communication / collaboration / Continued strengthened partnerships post SWAMI / Actions; (Ownership, accountability, responsibility of services) e.g. shared education, links, and resources.
Services to review key objectives and provide direction re implementation to sustain collaboration & communication post SWAMI project
7. / Open Forum
Further comments. / Jim / Ongoing meetings
1500 – 1700 / Thursday August 4th. @ SWHC Warrnambool
Thursday October 13th. @ WDHS Hamilton
Thursday December 8th. @ SWHC Warrnambool

Meeting Closed @ 1630

Next meeting: Thursday August 4th. SWHC Warrnambool

1500 – 1700

Lauren Newman (0457710552)