2016 LINK Application – EXAMPLE ONLY
Title
Please provide the title of your project.
“ ‘X’ Community Psychosocial Support”
Author Details (the person filling in this application)
Name – Joe Bloggs
Title – Health Professional
Email –
Phone - 07 3000 0000
Project Applicants
Please provide details of the people/organisations applying for this project funding
Please list any Metro North partners
Person 1 – Director of Services, ‘X’ Hospitals
Person 2 – Executive Director, ‘X’ Hospitals
Please list any partners external to Metro North
Persons Name - Super Clinic
Persons Name - Primary Health Network (PHN)
Persons Name - Elders Alliance
Persons Name - Indigenous Health Forum
Persons Name - Institute for Urban Indigenous Health (IUIH)
Persons Name - Multicultural Association of ‘X’ and Surrounds inc.
Persons Name - St John’s Ambulance (Qld)
Project Leaders
Please provide details of the lead METRO NORTH contact person
Name –First Name, Surname
Title – Director of Services
Facility –‘X’ Hospitals
Address – Hospital, Street Address, Suburb, Q, Postcode
Phone - 07 3000 0000
Email –
Please provide contact details for one lead EXTERNAL PARTNER
Name –First Name, Surname
Title – Manager of Service
Organisation –Super Clinic
Address – Clinic, Street Address, Suburb, Q, Postcode
Phone - 07 3000 0000
Email –
Project Coverage
Please select your project coverage
Metro North wide
More than one Facility but not all of Metro North
One Facility only
Please list the Facilities covered by your project (if not MNHHS wide)
“X’ Hospital
‘X’Hospital
Please specify the LEAD Metro North Facility
‘X’ Hospital
Please select the lead service/stream for the project
N/A
CISS
Mental Health
Medical Imaging
Oral Health
Clinical Services
Heart and Lung
Medicine
Surgery
Critical Care
Women's and Children
Cancer Care
Corporate Services
Medical Services
Nursing and Midwifery
Allied Health
Please select the project types (select as many as applicable)
Education
Infrastructure
Model of care
Technology solution
Process redesign
Restructure
Service redesign
Other
Project Details
Initiative - In a few sentences, please summarise your project (Word Count - 150 words or less)
‘X’ Community Psychosocial Support is proposed as a flagship project for partnering between Metro North Hospital and Health Service (MNHHS) and community based health and psychosocial support services. The bringing together of these sectors will influence each other in two directions:
•The community groups will bring in a consumer perspective which will assist the hospital in developing its patient and family focussed paradigm of care
•The hospital will orient psychosocial support services towards supporting the health needs of their client group
Together, these influences will better align services to consumer needs. Better psychosocial support to consumers and their families will strengthen the psychosocial capability of this community.
Objectives (Describe what the initiative is intending to achieve. This should be described as a measurable objective ie have dimensions of measurability - to do what, for whom and by when) No more than 4 objectives
- Develop and strengthen partnerships between project partners by the end of the project
- Develop a collaborative model of care between partners by month three of the project
- Trial the model of care with a cohort of ED frequent attenders by month 9 of the project
- Evaluate outcomes from the model and develop recommendations by project end
Defining the need. (Describe the following elements. What is the service need or opportunity to be addressed? What are the context, background and inequity to be addressed?) Word Count - 300 words or less
A rare opportunity exists right now for public and private health care services and social service providers within a 3 kilometre radius of the ‘X’ Hospital to formally establish working partnerships. While this socially disadvantaged area has attracted funding, the work of the services on the ground will determine the success of that investment. This is evidenced by the Australian Government Department of Health (2012) evaluation of GP Super Clinics. The hospital has a role to play in plugging vulnerable people into the right services and the services have a role in supporting these people in the community. The local landscape has an opportunity to change from having very limited services where the Hospital may be perceived as the ‘main support’ or ‘last resort’ for the vulnerable. All partners have a vested interest in assisting each other to achieve their specific mission. It is important that existing and new services develop as part of a network, rather than in silos, to create a stronger and healthier community (Murphy, 2012).
The proposed partnerships will provide a range of new health service options and social care supports to a cohort of patients that will be selected from the existing data on 200 frequent attenders at the ‘X’ Hospital. The partnership project will aim to maximise use of existing resources, with new and renewed partnerships and new referral pathways, to support those frequent attenders with a profile of psychosocial vulnerability and/or disadvantage. The aim of the improved support system will be to strengthen psychosocial wellbeing which is a common predictor of frequent attendance and unnecessary readmission in a sub-group of frequent attenders. This is evidenced by research within the MNHHS (Mudge et al., 2011; Mudge, Shakhovsky, Karrasch, 2013, Pumar et al., 2014) and in health more broadly (Hong et al., 2012; Keyhani et al., 2014).
Please describe how your project is innovative. Word Count - 250 words or less
It presents a viable alternative or improvement to current practice
It provides a unique and collaborative solution to a problem
There is evidence that a similar innovationhas worked in other locations (eg Britain) and has potential to work in MNHHS
It employs the latest technology and evidence
Itbridges an existing gap through a partnership effort
Strategic Alignment (Briefly describe how this initiative aligns with ANY of the following: MNHHS Strategic Plan, Health Service Strategy, Putting People First Strategy and other strategic priorities) No more than 4 examples
1 - Health services focused on patients and people. The project outcomes will increase access for patients to the program and improved service delivery based upon their actual needs.
2 - Empowering our communities and our health workforce. The project will involve continuous consultation and collaboration with our staff and partners to direct input on service and process changes
3 - Providing our communities with value in health services.
4 - Investing, innovating and planning for the future.
Scope (Describe what is included and what is excluded in the initiative)
In scope:
1. This project will be contained within the ‘X’ area
2. Only the ‘X’ Super Clinic will be involved in the trial
3. If the model is successful it will be extended to include a trial with 50 children to provide a comparison of clinical groups. This trial will be informed by this project but will be conducted separately
Out of scope:
1. All other MNHHS facilities and community agencies not listed as project partners
2. No other clinical groups will be included in the project
Anticipated Outcomes (List the outcome/s that will be delivered if the initiative is implemented)
1. Improved clinical indicators in people affected by psychosocial disadvantage frequently attending Emergency Department at ‘X’ Hospital
2. Reduction in presentations to Emergency Departments
3. A public-private model of care
Assumptions (Describe the key elements that may impact on the ability to deliver the objective)
Project is dependent on:
1. Receiving adequate funding to resource the project.
2. Stakeholders engaging with the project officer to develop a model of care
3. Stakeholders remaining engaged to put the model of care into practice
4. Stakeholders forming genuine, sustainable and properly resources partnerships
Constraints (Describe the constraints associated with the ability to deliver the objective)
The project would be constrained by:
1. No funding
2. Failure to recruit a project officer
3. Lack of engagement by stakeholders
4. Opposing agendas of stakeholders
5. Practicalities of sharing clinical information between stakeholders
6. Ability to develop a funding model to support the public-private partnership
Risks (Define the risks. What are the risks associated with not proceeding with this project and the risks associated with proceeding with this project?)
The risk of not proceeding with this project:
Continuing pressure on the ED department at ‘X’ Hospital; increased cost of service due to inefficiencies; delays in discharge and program extensions, poorly developed partnership with health care partners.
Project Risks:
Human Resources - This is a low risk and can be mitigated by clear communication throughout implementation
Failed Stakeholder Engagement – medium risk but mitigated by the skill of the project officer to network and liaise with them. In addition open and honest communication between all stakeholders facilitated by the project officer.
Inability to access frequent attendees to ED – low risk and mitigated by liaison with executive staff in ‘X’ ED.
Does your project involve consumers?
Yes
No
N/A
If you answered yes, how will consumers or the consumer experience, inform your project? Word Count - 250 words or less
The ‘X’ Hospital Patient and Family Centre Care Manager along with the Consumer Representative on Clinical Council will be consulted to establish a consumer engagement process for this project. It will establish a connection to the consumer group and formally recruit and reimburse consumers in a reference group for the project. Much of the interaction with community organisations will also provide direct consumer engagement along with access to their consumer engagement resources and processes.
If you are partnering with another person/department/organisation, please specify what each partner (including your own) will contribute to the project.
- Director of Services, ‘X’ Hospital – Sponsorship, administration and co- leadership of the project, employment and management of the project officer, chair of the steering committee
- Executive Director, ‘X’ Hospital – Executive sponsorship of the project
- Director, Superclinic – Co-leadership of the project, provision of resources including office space, computer and administration support to the project officer; member steering committee
- Primary Health Network (PHN) – provision of resources eg dissemination of information, preparation of reports, advice and advocacy, member of steering committee
- Elders Alliance – advice and advocacy, member of steering committee
- ‘X’ Indigenous Health Forum - advice and advocacy, member of steering committee
- Institute for Urban Indigenous Health (IUIH) – dissemination of information, advice and advocacy, member of steering committee
- Persons Name - Multicultural Association of ‘X’ and Surrounds inc. - dissemination of information, advice and advocacy, member of steering committee
Related Projects (List any other activities that are occurring across MNHHS that will impact on this initiative. List integration points with other services or service areas)
Related Projects:
Raising them UP project – ‘X’ Hospital Community Development Project
‘X’ Health Care Academy project
The ED Frequent Attenders Project. Opportunity exists for the project teams to liaise; share learning’s and contribute to eachothers Steering Committees to dovetail the projects.
Integration Points:
‘X’ Emergency Department
Mental Health Services (Public and Private)
Super Clinic
Ambulance Services
Private medical clinics in and around ‘X’
Indigenous services
Multicultural services
Benefits MNHHS (Define the benefits to the organisation (MNHHS) and the patients, that implementing the initiative will deliver)
Avoiding unnecessary hospital admissions
Avoiding hospital re-admissions
Improved discharge practice
Improved admission practice
Improved outcomes for patients, families, carers and consumers
Embedded Model of integrated and connected care
Benefits Partners (Define the benefits to any partner organisations that this initiative will deliver)
Model of integrated and connected care between a public and private health service provider
Shared patient information to improve patient care
Improved access to services
Focus on patient centered health care
Shared technology
An opportunity to demonstrate how health care providers external to Q Health can contribute to the patient journey by partnering together
Key Performance Indicators (How will you measure the success of your project)
• Consumer surveys to measure change in the patient experience
• Changes in health conditions and presentation patterns over a 12 month period (before and after the intervention
• Reduction in the number of ED Frequent Attenders, participating in the project, accessing ‘X’ ED
• Increased utilization of the Super Clinic as an alternative to ED
• Measures of partnership strength
Key Stakeholders (List the key stakeholders relevant to the project AND identify who has been consulted in preparing the concept submission)
‘X’ Hospitals
‘X’ Super Clinic
Primary Health Network (PHN)
Elders Alliance
‘X’ Indigenous Health Forum
Institute for Urban Indigenous Health (IUIH)
Multicultural Association of ‘X’ and Surrounds inc.
St John’s Ambulance (Qld)
University of Queensland
‘X’ HeadSpace
Partners in Recovery
Those highlighted in bold have been consulted in the preparation of this concept submission
Governance and Schedules (Please provide a description of the governance structure and any timelines/schedules for your project)
Governance:
Project Officer – to complete project tasks
Project Manager– To oversee implementation of the project
Steering Committee – to advise on project direction and outcomes and to resolve issues that cannot be resolved within the project parameters
Sponsor / Executive Sponsor – To provide advocacy at an executive level
Schedules:
The project will be completed in 12 months
Key milestones include:
1. Employment of the project officer, establishment of steering committee by start of project
2. Review of current services/practices and development of model of care by end 3rdmonth
3. Implementation/trial of the model completed by end of 9th month
5. Review, refine and document model. Identify opportunities to embed the model of care as business as usual if successful by end 12th month
Budget
Budget Range Please indicate which range your budget falls into.
Less than $50 000
Between $50 000 and $150 000
More than $150 000
Please specify how much money you are requesting for this project
$240 000
Please provide a breakdown of your budget items and how they will be spent.
Labour costs:$225 699
Project Officer - HP5 x .5 = $73 583
Clinical SW/Psych - HP4 x .6 = $82 518
Community Liaison Coordinator - AO4 x .5 = $48 198
Research assistant - HP3 x .2 = $21 400
Non-Labour costs: $14 301
Training - $10 000
Consumer remuneration - $2301
Meeting costs - $ 2000
Endorsement Details
This submission has been endorsed by the Project Sponsor, the MNHHS Project Lead and Partner Project Lead/s
Project Sponsor (required) / Yes / N/AMNHHS Project Lead (required) / Yes / N/A
Partner Project Lead (1) (required) / Yes / N/A
Partner Project Lead (2) / Yes / N/A
Partner Project Lead (3) / Yes / N/A
Endorsement Details (please provide the names of the people endorsing this application and the date of endorsement)
Project Sponsor – Name, Executive Director, ‘X’ Hospital,, 2/3/15
MNHHS project lead – Name, Director of Services, ‘X’ Hospital, 2/3/15
Partner project lead – Name, Manager ‘X’ Super Clinic, 2/3/15
Partner project lead – Name, Manager PHN, 2/3/15
Checklist
Applicant contact details complete
Business Manager Consulted
Other facilities/relevant projects/partners consulted
All costs been considered and relevant expertise (eg IT, procurement etc) consulted
Endorsement sought and provided
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