Renal Stream Annual Operational Plan
February 2014-2015
Renal Stream operational Plan 2014
Our Vision:
Healthy People - Now and into the future
Our Goals:
Keeping people healthy and in the community
Providing world class clinical services with timely access and effective
infrastructure

Deliver disease prevention, early intervention and health promotion across the lifespan

Close the Gap between Aboriginal and non-Aboriginal health inequality
STRATEGIC PRIORITIES
Service (The service we provide)




Improve equity of access and service delivery
Cooperate, collaborate and communicate with our partners to best meet agreed health needs
Develop a culture of service and person-centred care that includes needs of families and carers
Sustain effective clinical networking
Safety and Quality (Excellence - every patient, every time)

Deliver safe, evidence-based, effective and appropriate healthcare
Resources (Managing our services well)

Advocate for the most effective use of the finite resources available
Positioning for the future (Proactively preparing and forecasting)


Plan for the future health needs
Encourage multidisciplinary innovation, education and research
Our staff and workplace culture (Supporting and encouraging our staff)

Develop competent and capable staff with the right cultural fit
CORE VALUES: Collaboration Openness Respect Empowerment
Community (The people we serve)
Clinical Networks and Streams Purpose:
To link groups of health professionals from primary, secondary and tertiary care to work together in a
coordinated manner
To build staff capacity and improve service delivery to ensure equitable provision of high quality, clinically
effective care.
Clinical Network/Stream Roles
Facilitate strong relationships to encourage district wide innovation
Enable clinical practice innovation to minimise clinical variation and waste whilst maintaining clinical standards.
Contribute to setting and supporting HNE Health LHD strategic and operational priorities.
Measuring performance
Our performance measures and targets align with the Tier 1, Tier 2 and Service measures and targets in the Service Agreement between NSW Ministry of
Health and HNE Health.
Tier
Performance Measures
Targets
Timeframe for
reporting
50%
6 monthly
Stream
% of people dialyzing at home
Stream
% of patients known CKD patients using temporary access device at first dialysis
< 20%
6 monthly
Stream
% of patients on unit based Haemodialysis with a URR>65% and or KT/V >1.4
95%
6 monthly
Stream
% of home haemodialysis patients with a URR >65%
95%
6 monthly
Stream
% of peritoneal dialysis patients with a Kt/v > 1.7
95%
6 monthly
Stream
Peritonitis rates > 1:32 per patient month
6 monthly
Stream
Blood stream infection rates related to CVDC lines < 2.3 per 100 patient months
6 monthly
2
CORE VALUES: Collaboration Openness Respect Empowerment- Ratified February 2014
Strategic Priorities
Actions
Response
Timeframe
Accountability
Deliver disease prevention,
early intervention and health
promotion across the
lifespan
Develop a plan for the management of stage 3 CKD
in consultation with key partners including Medicare
locals and population health
 Develop health pathways to support
management and referral.
April 2014
Clinical Lead
Improve equity of access
and service delivery
Deliver safe, evidencebased, effective and
appropriate healthcare
Support initiatives to Close
the gap between Aboriginal
and non-Aboriginal health
inequality
Investigate and develop Telehealth opportunities for
renal services such as :
 Rural Clinics
 professional development of staff
 support for clinical review
 support for home dialysis
Implement education of renal staff and patients in
supportive care and end of life / palliative care
Develop area wide evidence based dialysis vascular
access management processes to plan, map,
manage and educate patients and staff. This
includes:
 alignment of staffing resources
 development of clinical pathways and education
materials.
Investigate and Develop plan to:
 increase people dialyzing at home
 reduce patients with known CKD using
temporary access device at first dialysis
 Support all staff to complete online respecting
the difference package
 Identify and prioritise staff and units to attend
cultural respect training
 Undertake review of all units for cultural safety
 Look for opportunities to participate in
Aboriginal events such as NAIDOC week
June 2014
Stream
Coordinators/Nurse
Educator/ clinical
Telehealth
June 2014
August 2014
Nurse Educator/Clinical
Nurse Consultants
Clinical Lead /Stream
Coordinators/Nurse
Educator/CNE
Aug 2014
Clinical Lead
Ongoing
Renal service managers
Stream Coordinators
Outcomes/Comments
March 2014
July 2014
April 2014
Renal service managers
Aboriginal Services rep
3
CORE VALUES: Collaboration Openness Respect Empowerment- Ratified February 2014