Minutes_2009-06-11

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Minutes of Cardiac Stream Committee
DATE:
TIME:
VENUE:
Thursday 11 June 2009
12MD – 1.30pm
Video/teleconference:
NBN Meeting Room 1
Cessnock Hospital
Moree Function Centre
IN ATTENDANCE:
APOLOGIES:
ITEM
NO.
1
2
3
Tamworth Hospital Board Room
Taree UDRH
Dr Alex Levendel (Chair), Jane Kerr (Stream Coordinator), Phil Way, Kane Wyborn, Tim Mooney, Helen Wilde, Yvonne Patricks,
Deanne Harris, Lindsay Savage, Dr Simon Mylabathula, Jenny Jennings, Carisa Green
Dr Garry Warner, Michael Dirienzo, Jody Walters, Dawn Mcivor, Candice Dahlstrom, Jenny Knight, Robyn Mears, Professor Fletcher
(Stream Leader), Peter Ivey
TOPIC
DISCUSSION
Attendance/Apologies
As above
Confirmation of Previous
Minutes
Correspondence
Moved: Kane Wyborn
Seconded: Dr Levendel
3.1 In:
3.1.1 Robyn Aylward (ED Stream) re ED Flow
Guideline
3.1.2 Louise Evans re Role Delineation
3.1.3
4
Business Arising
4.1 SAP
4.1.1 Reporting
ACTION / DECISION
Review and compile a list of
comments for feedback to group
prior to sending to ED Stream.
Yvonne Patricks was concerned
whether site managers have
received for comment.
Draft a response for team
review then reply to Louise.
Rose Foale (CWG) re CHIME template
future development
3.1.4 Mary Caine re Strengthening Allied Health
Self-Management training
3.2 Out: Nil
Next meeting
Outcomes from SAP remain positive especially with
achievement of 60% rehab commencement rates.
Funding approved and recurrent. Discussions
Budget build-ups, cost centre
details and lime management
compiled and forwarded to
RESPONSIBILITY /
TIMELINE
Jane Kerr ASAP
Jenny Jennings to check
please.
Jane Kerr by scheduled
date.
Next meeting
Dawn Mcivor, Lindsay
Savage, Jane Kerr by
end of June.
underway with stakeholders re defined future
professional linkage with Stream as part of position
descriptions. Line management and funding will
devolve to respective sites. Not sure if funding will
cover ancillary – need to include all in requested
budget build-up to go to Carolyn Bailey.
Carolyn Bailey ASAP
Need to define what we are measuring and what we
can measure realistically.
Refer to CWG
Jane Kerr
Discuss next meeting.
JK to chase
Jane Kerr
4.2 Transfer Data
Collection
75% of referrals to JHH now from Manning
consistently. Data indicates that referred patients
receive timely care at a cost to GNC patients.
(Historically the reverse has been observed.)
Challenge is to provide equitable access. According
to Jan/Feb data TRRH transferred 12 pts to JHH and
5 to Sydney. During this period the 4 JHH 23 hr beds
were closed. (This issue has been raised with Area
Executive previously.) Issues raised:
 Are some transfers inappropriate?
 Should there be quicker throughput?
 Can we improve timeline? Bed availability is
an impediment.
For further discussion
Lindsay Savage
4.3
2 aspects:
1. Area wide transport review underway
2. Internal transport options being considered, e.g.
part of cardiology transport
For further discussion
Tim Mooney/Lindsay
Savage
ECG scoping document for education required to
enable access to website.
Currently the team is developing a business case
incorporating a training plan potentially based on the
JHH and Nepean models and will include strategies
for staff retention.
ECG package for Lower Hunter
myLink site please.
Jane Kerr
4.1.2 Waiting Lists for
Cardiac Rehab
4.1.3
5
Patient Interviews
Transport Service
Enhancement –
Manning Hospital
General Business
5.1 Working Groups
5.1.1 Workforce
5.1.1.1 ECG
Package
5.1.1.2 Sonography
Kane Wyborn
5.1.2
Community
Acute
5.1.3.1 ACS
guidelines
Deferred to next meeting.
5.1.3
6
There is an identified need in HNE for revision if
nothing else re same (RCA). Some interest being
raised through GMCT Cardiac Network. Still some
reluctance on NSW Health Redesign team’s mind
due to diversity of service provision. Tamworth
working on local version.
For further consideration
Dawn McIvor
5.2
Vascular Network
Operational Plan developed and identifies strategies
with a common theme. Major focus currently
regarding patient transport issues across continuum.
For circulation with Minutes.
Please feedback to Jane ASAP
in preparation for next meeting
11/7.
Jane Kerr
Leadership Group
5.3
IIMS
Nil to report.
Remove from Agenda as RCA
recommendations will be
forwarded for consideration as
required.
Jane Kerr
5.4 Operational Plan
status review
5.5 KPI Report
For circulation.
5.6 myLink/website
update
Documents being downloaded for storage on myLink
so nearly ready for Stream leadership group and
sub-committees to access.
Jane Kerr
5.7 Communications
report
Carisa is keen to hear from anybody with relevant
stories for Health Matters
team
KPI automatic measures are to be applied in next
few days. Manual data still being sorted.
Relevant items and timeframes should be on Agenda
for each meeting.
New Business
6.1 Cardiothoracic
Physios submitting to CGU as an Area guideline.
Surgery: Sternal
Precautions Guideline
6.2
Cardiac Cath Lab
Deferred to next meeting.
Jane Kerr
Jenny Jennings will circulate a
link to enable all members to
check performance as trended.
Jenny Jennings
Procedural Guideline
6.3
Nurse initiated
Thrombolysis
Deferred to next meeting.
6.4 Area wide ECG
reporting
Next Meeting
Deferred to next meeting.
12-1.30pm Thursday 20 August 2009 via video and
teleconference
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