ANYINGINYI HEALTH ABORIGINAL CORPORATION POSITION DESCRIPTION AND SELECTION CRITERIA NYANGIRRU PILIYI-NGARA KURANTTA – BUSINESS SERVICES POSITION: CONTINUOUS QUALITY IMPROVEMENT FACILITATOR POSITION NO: PN 2.9 POSITION DESCRIPTION REVIEWED: September 2013 REPORTS TO: General Manager and the Board of Directors. LEVEL: Administration Level 9.1 ($91,096.58 – $109,325.92) plus $1000 District Allowance per annum. CONDITIONS: 1 – 2 year contract as negotiated 6 weeks annual leave with 17.5% leave loading 10 days sick leave per annum 9.25% employer superannuation Salary Sacrificing:A fringe benefit component of up to $16,049 of gross wage is also available. All other terms and conditions of employment are as per the AHAC Enterprise Agreement 2013 – 2016. Relocation applicable only if not currently a resident of Tennant Creek. Up to a maximum of $5000 each way or storage costs to the same amount. Including travel to and from place of recruitment will be paid to the limit of an economy class airfare. Any claim for travel other than airfares will only be paid on presentation of tax receipts. Must complete at least 12 months service before return travel out of Tennant Creek will be paid . Accommodation applicable only if not currently a resident of Tennant Creek. Furnished accommodation, if available, will be provided with a subsidised rent between $120 - $150 per week, all dependent on accommodation. A refundable bond of $400 payable by 4 x $100 fortnightly installments to be paid and a tenancy agreement entered into between AHAC, the landlord and yourself as tenant. Telephone all private telephone costs and charges will be your responsibility. Electricity & Gas:- All electricity & gas costs will be your responsibility. Corporate Vehicle for select positions provided for business associated duties only. The use and maintenance of the vehicle will be in line with the current AHAC Motor Vehicle Policy. GYM & DENTAL: The gymnasium is free to AHAC employees only, family members are required to pay a membership. Free General Dentistry only (no Laboratory work) is free to AHAC employees only. HOURS of WORK: Monday – Friday (excluding public holidays) 8:00am – 5:00pm accumulating one Rostered Day Off (RDO) per four weeks or 8:24am – 5:00pm (no RDO’s) Please Note: It is compulsory for all AHAC personnel to be in possession of or have the ability to apply for an OCHRE Card at a cost of $52 1|P age CQI Facilitator – September 2013 – Rev. 3 OUTLINE OF POSITION OBJECTIVES AND DUTIES Role: Support improved service and health outcomes by working in collaboration with ACCHS and DoH PHC providers and other stakeholders to implement the agreed NT Aboriginal Health Forum (AHF) CQI Approach in the Barkly Health Service Delivery Area. How role fits to overarching CQI Approach: Facilitate clinical quality improvements in relation to the “Elements” of the NTAHF CQI Approach including but not limited to: a) Using CQI tools and techniques to facilitate change e.g Systems Assessment, PDSA cycles. b) Clinical file audits c) Assist services to collect the 19 Key Performance Indicators (KPI) and EHSDI evaluation data, assist with the review of reports and identifying opportunities for improvement. d) Facilitate feedback to staff, Board and community of results and engagement with them in addressing improvements. e) Data Cleansing to improve the quality of patient data in Patient Information and Recall Systems. Duties: 1. Work with PHC staff and management to outline CQI goals and map current QI systems and activities in Barkly HSDA 2. Assess CQI training needs of staff and teams and coordinate the delivery of training. 3. In partnership with specialist staff, assist management and clinician review of current PIRS applications and clarify issues arising. 4. Assist PHC managers and clinicians to develop and implement a CQI plan that is acceptable to the service, responsible to local circumstances and consistent with the agreed CQI Approach for Aboriginal primary health care. 5. Assist PHC providers to undertake audits and support the interpretation, analysis and effective use of audit data and Service Assessment Tools. 6. Engage with staff to set up processes to ensure consistency in data entry. 7. Work collaboratively with the clinical team and management to feedback CQI data to health teams and the community. 8. Encourage, support and promote CQI Action planning across organizational boundaries. 9. Establish and promote regional CQI interest/reflective practice groups. 2|P age CQI Facilitator – September 2013 – Rev. 3 10. Promote sharing of information on CQI activities, directions and successes. 11. Work with ACCHS boards and DoH management to facilitate the use of CQI in planning, service development and community engagement. 12. Liaise closely with the CQI Coordinators at AMSANT on all higher-level challenges encountered in the CQI domain. 13. Prepare reports, briefings and communications materials as required. 14. Identify critical quality issues for consideration by HSDA management, the CQI Coordinators and the CQI Planning and Steering Committee. 15. Participate in NT-wide or other CQI activities, workshops and initiatives as appropriate. 16. All other duties as directed by Section Manager. 17. A commitment to engage with Continuous Quality Activities within the Section of Anyinginyi that you are employed in, on a personal and team level. 3|P age CQI Facilitator – September 2013 – Rev. 3 Selection Criteria Essential 1. Ability to motivate staff in the community controlled and government sector, and facilitate change in a high-pressure, culturally diverse environment. 2. Sound interpersonal, writing and cross cultural skills. 3. Knowledge of, and interest in, approaches to Continuous Quality Improvement, including the use of quality improvement tools and techniques. 4. Strong strategic and analytical thinking and problem-solving abilities. 5. Ability to develop, implement and evaluate Quality Improvement Projects. 6. Knowledge of factors influencing Indigenous health status. 7. Be in possession of or have the ability to apply for an OCHRE Card (Working with Children) Desirable: 1. Tertiary qualifications as a health professional and/or in public health or PHC 2. A demonstrated background in community health and/or community development. 3. Ability to travel to and stay in remote communities for short periods when required. 4. Experience in CQI and organizational change. 5. Ability and willingness to develop knowledge of PIRS applications. 4|P age CQI Facilitator – September 2013 – Rev. 3 ORGANISATIONAL OVERVIEW The Anyinginyi Health Aboriginal Corporation Governance Model AHAC Governance Model In line with the Pathways to Community Control “…Community Control requires communities and their organization to possess both the understanding of and the ability to apply the knowledge and competence on which sound engagement is built. It also depends on the capability of government organizations and structures to understand and find new ways of working that responds to community’s calls for greater levels of engagement.” (Page 9, Pathways to Community Control) The AHAC Governance Model illustrates how the Barkly community, AHAC Board of Directors, the General Manager and the AHAC Sections are integrated and work collaboratively serving the needs of their clients. The border of the Model represents the Barkly region. The Barkly community representatives are elected to the AHAC Board of Directors situated in the Model’s inner rim. The business of the corporation is managed by or under the direction of the Board of Directors. The Directors may exercise all the powers of the corporation except any that the CATSI Act or the AHAC Rule Book requires the corporation to exercise in general meetings. The General Manager over sees the everyday operations of AHAC as an entity. Each highlighted Section is managed by individual Section Manager to guide and direct the programs of each section and oversee the management of employees. 5|P age CQI Facilitator – September 2013 – Rev. 3 The arrows within the Governance Model represent how services are utilised. There are various ways that clients or individuals can access AHAC Services for example: Community people accessing our services – on a needs basis AHAC representatives from their individual sections going out and providing an outreach service to the community/communities or promotion of programs 6|P age CQI Facilitator – September 2013 – Rev. 3 The Anyinginyi Health Aboriginal Corporation Primary Health Care Service Delivery Model Primary Health Care is a social approach to health that is about ensuring everyone has the right to affordable, accessible and appropriate health care. Primary health care has a broad focus on the social environment rather than just health services. It has a holistic approach to health development and based on social justice, equity, community participation, social acceptability, cultural safety and trust. It also has a broad approach that strongly links with the social determinants of health. The primary health care approach includes prevention, advice, public health, education, promotion, research, evaluation and community development, as well as primary care delivered in an empowering, multidisciplinary way that helps people to help themselves. The AHAC Primary Health Care Service Delivery Model reflects the important elements of the holistic health care approach in combining the community, family and client. When managing Aboriginal client care the three components of family, community and culture are intrinsic to good health outcomes. The AHAC Primary Health Service Delivery Model underpins the way all AHAC services are delivered to the individual client, their family and overall to the community. All AHAC client-related policies and procedures reflect the Primary Health Service Delivery Model. Each AHAC Section has a set of referral forms and processes in place that links the client to more than one Section. 7|P age CQI Facilitator – September 2013 – Rev. 3 “Whole of Family” Primary Health Care Approach AHAC programs have been developed to strengthen all areas of well-being for Aboriginal people. AHAC’s strategic Plan 2012/13 has identified a review of AHAC Section’s roles and responsibilities as required. The following information is provided as an overview of program areas: Parlpuru Ninji Kari - Health Centre The Health Centre delivers primary health care, clinical, GP, women’s health, men’s health, chronic disease management, Specialist services and community engagement liaison. AHAC has been working proactively with government service providers to develop partnerships and coordinate service delivery to achieve better outcomes for clients. The Health Centre is often the first point of contact for clients, formal referral systems have been established to link clients with other services. Clients may be referred to other sections within AHAC in line with the service delivery model. It is a priority of AHAC to improve medical input to the Board and management whilst providing improved support to clinicians. Manu Kinapina Parlpuru Ninji Kari - Regional Remote Health Service The Regional Remote Health Section provides the following services – Bush Mobile – providing primary health care services to remote communities within a 100klm radius of Tennant Creek not serviced by the Northern Territory Department of Health. This service is supported by a medical officer and two nursing staff with the assistance of an ALO/AHW and administrative staff. North Barkly Zone – providing primary health care services to remote communities of the North Barkly region not serviced by the Northern Territory Department of Health. This service is supported by a medical officer and a registered nurse with assistance of an ALO/AHW and administrative staff. Allied Health Services – a full-time nutritionist provides services to major communities within the whole of Barkly region (including Tennant Creek). In addition a Physiotherapist and Podiatrist provide fortnightly locum visits six times per year, the latter focusing on Tennant Creek (at present) with the Physiotherapist providing extra services twice yearly for two weeks to the cattle stations in the north Barkly. Grow Well Program – providing health and capacity building education activities to parents/carers of young children in major communities of the Barkly region. Activities include playgroup, good health & hygiene practices, home skills education, caring for the home environment, self-empowerment. EHSDI Program – the provision of funding for the identification of community members who have not had regular adult or child health checks and providing the latter in an environment conducive to better compliance. Wirlyarra punjarlki kapi Miripartijiki – Sport & Rec This section delivers programs across a broad spectrum of Sport and Recreational areas to all age groups. Sport and Recreation have programs that include ‘Circuit Training’, ‘Cross Training and Cross Fit’. There are active lifestyle programs for kids attached to the After School Program, One on one programs for cliental with specific needs. There are also team sports facilitated by Sport and Recreation that the community engages in. These sports include Volleyball, Netball, Cricket, Soccer, Softball and more. Sport and Recreation also runs a well equipped gym which is utilised by a broad range of the community. Wirlyarra Punjarli Kapi Miripartijiki is working towards seeing the whole Tennant Creek community becoming more active through Sport, Fitness or any other form of movement. 8|P age CQI Facilitator – September 2013 – Rev. 3 Kalpa purru Wirranjarlki - Public Health & Promoting Healthy Behaviours (PHB) Section This section delivers preventative and educational programs across a broad spectrum of health areas, including trachoma, eye health, skin health, tobacco and healthy lifestyles, FASD and diabetes education, amongst others. Programs in PHU aim to increase community members’ ability to have control over their own health, through raising awareness, health promotion and health education, specific health checks and screening, and responding to public health issues. Piliyintinji-ki - Stronger Families The Stronger Families Section services Aboriginal cliental to promote individual and community well-being through a range of coordinated approaches aimed at addressing family violence, social and emotional well being, family and social dysfunction and cultural issues. Piliyintinji-ki employs a community development approach and a holistic planning method when working with families throughout the Barkly region. The Stronger Families section’s operational philosophy is to ‘enhance the capacity of Aboriginal people to define the problems and to work with staff to develop the strategies to address them’. A regional framework was developed in 2007. Nyangirru Piliyi-ngara Kurantta - Corporate Services The Corporate Services Section is the business of the organization responsible for Management and Elected Arm administration, regional organizational partnerships, operational policies and procedures, income and expenditure reporting and monitoring service delivery goals for each AHAC Section for implementation. Corporate Services also delivers financial management and asset development, efficient and responsive human resources, Information Technology, and stores and property management. Corporate Services continually reviews systems to identify the range and scope of accountability pathways, financial policy, management and procedural matters to ensure effective performance and delivery. Regional systems and structures to support appropriate staffing, human resources and industrial arrangements have been aligned with regional governance within budget scope. AHAC’s CQI processes developed are operational according to the NT CQI program with ongoing CQI participation and support from a locally based Barkly CQI Facilitator position. AHAC strives for an effective CQI program to be in place. The AHAC Board of Directors has identified Quality Assurance as a priority for ongoing organizational development. 9|P age CQI Facilitator – September 2013 – Rev. 3