Northern Health is introducing an electronic Referral Manager (E-Triage) system on 25 June, capable of processing 130,000 patient referrals per annum.

The Referral Manager will replace the current paper process in use and was a need identified by Ernst and Young in 2018 and endorsed by our Audit and Risk Committee.

Daniella Chapkoun, Project Lead, Referral Manager (E-Triage) Project says, “Because the current system is a paper process, it’s harder to track the referral once it leaves the Business Centre.”

Says Daniella, “With the new Referral Manager, we can ensure the security of the referral, ensure our patients get their referral actioned and they get an appointment  in an appropriate time frame.”

As Daniella points out, from a referrer’s perspective the process will be easier- no longer multiple forms, but one centralised point electronically. It will cover all the specialist clinics including Cardiology, plus Allied Health and Community Access.

“This will help the referrer and help the triaging process – because we know where every referral is at every point.”

From a patient point of view, it will be faster too, says Daniella.  “When their GP refers it will be actioned quicker. We no longer are printing referrals and leaving it in the mailroom- it will all be electronic.”

“Every action is done within seconds and the whole process from registration to appointment can be done in 10 minutes. Currently this takes at least 24 hours.”

Chief Medical Officer, John Ferguson, says, “The introduction of the new Referral Manager system is very timely and is to the benefit of our patients and referring doctors specifically, ensuring that referrals sent to us will be appropriately recognized and managed efficiently and effectively.”

“Using the system requires some training, and changes in current work practices for our medical staff, which are being worked through. Ultimately we do see this system to be advantageous for patient care and I strongly encourage our medical staff to work with us and help implement the new referral manager system at Northern Health.”

Featured pictures shows from left to right: Maria Tucker, Divisional Director Nursing- Cancer Services, Lucinda Stoneham, Future State Specialist Clinics Project Lead, Sam Soggee, Director of Operations, Cancer Services and Specialist Clinics, Cathy Fletcher, Nurse Unit Manager, Danielle Byrne, Project Officer, Referral Manager Project  and Daniella Chapkoun, Project Lead, Referral Manager.

 

In the coming months, the Central Sterilising Services Department (CSSD) at Northern Hospital Epping will be preparing to move into their new home in the tower.

Sometimes known as the “heart of the hospital”, the CSSD is a 24/7 department that cleans, disinfects and sterilises all reusable medical devices used in procedures, providing services to the operating theatres and other departments and campuses of Northern Health.

The move comes as part of the Northern Hospital Stage 2 Expansion Project. Led by Nurse Unit Manager, Evient Koh, the team have been working hard to undertake extra training, implement new technology and take on more roles as part of a new model of care.

This includes taking over the management of orthopaedic loan equipment, reprocessing of endoscopes, set-ups of theatre lists and centralising reprocessing of reusable medical devices from the clinics.

The CSSD team, in collaboration with the supply department, have also helped to realign the role of supplying and managing ward and clinic imprest stock and transition this service to the supply department to form part of a standard ordering process.

The team are looking forward to moving into their new location, and they will have a larger space to work in, including a separate area for each stage of the sterilisation process.

“In the tower, we will also have more equipment and it’s going to be more spacious than what we currently have,” said Melanie Almazan, Associate Nurse Unit Manger.

The process will also become more efficient as they will have access to larger washers and more sterilisers to increase production.

Introduced last year, the team have been using an innovative new tracking system which enables them to track patients and the instruments used on them.

“This is important because if we need to check if an instrument was processed accordingly for a certain patient – for example if they had an infection – then we can prove it was processed correctly,” Melanie said.

The system also allows the team to check which staff members handled which instruments, as well as keep track of the number of instruments and how many are out for repair.

“Just last month we also started Antigermix – a new high level disinfection, so we are centralising all the cleaning processes in CSSD,” Melanie said.

“I’m very thankful for the staff because with all of this technology, they really have taken the time to learn, and they have been very positive in accepting the changes. As soon as we explained it to them, the staff were quite open with it, so we are happy that from all the senior staff to the junior staff they are taking this on with open arms, and our manager has been explaining it to all of us as well,” Melanie said.

“I would like to thank all our staff who had been very resilient with the many changes that have taken place in our department in the past year. Our staff have taken over the management of loan equipment in both Broadmeadows and Northern Hospital, endoscope processing in Northern Hospital, set-up of theatre lists in Broadmeadows and scheduled to commence in Northern Hospital in June – all of which were previously the responsibility of the theatre nursing staff,” Evient Koh said.

“We are all very excited and looking forward to moving into our new department and it is only possible because of the team work and support given to the management and each other as we embrace Northern Health’s value of being Kind, Safe and Together,” Evient added.

Over the last year, Craigieburn Centre has ramped up their Rapid Access Iron Infusion Clinic.

The pilot project, which started in late 2018, is targeted at reducing waiting times for patients in need of an iron infusion.

The clinic keeps four chairs in the Craigieburn Day Medical Unit available – two of those chairs are used for referrals from Northern Hospital’s Emergency Department (ED).

“One of the key benefits is that it helps free up the Short Stay Unit in ED. Our aim is to get the patient in as quickly as possible, so we book an appointment and it’s all done in a very quick time frame. Then they come in, have their haematology appointment and then go straight around and have their infusion,” said Carol Northmore, Craigieburn Centre Site Operations Manager.

Dr Teresa Leung, Consultant Haematologist, has been leading the project. Dr Leung reviews the two patients referred from ED, and fills the other two chairs with patients who are referred from the community to the haematology service with iron deficiency anaemia.

She says the motivation behind the rapid-access clinic was to improve patient experience and assist community members to receive their iron infusions quicker. Previously, GP’s would send a referral and it would be triaged as per clinical urgency so that would mean certain patients could wait up to three months to see a doctor and afterwards would go on another waiting list to receive their infusion. Sometimes patients would be upset as they would come in for their appointment expecting to receive their infusion on the same day, and some of these patients would end up presenting to ED in distress.

“Part of the aim of this service is to re-direct patients who end up in the ED to Craigieburn quickly to have their infusion,” Dr Leung said.

“Secondly, we aim to shorten that period of waiting time between getting seen and getting the iron infusion. So far the feedback we have has been excellent in that it helps to improve patient experience and relieve some of the bed pressure in ED,” Dr Leung said.

“I think the project has been quite successful – it meets patient’s needs and is very patient-focused which is great. A research poster was developed on the project and displayed at Research Week,” Carol said.

The project success has been a collaborative effort of many different teams coming together to help ensure the smooth running of the clinic, from medical staff to nursing, pharmacy and administrative staff across both Craigieburn Centre and Northern Hospital. Although the clinic only runs one day per week, there is a lot of planning and work done in preparation so the flow is seamless on the day, and Enrolled Nurse, Lindy Weir, plays a key role in patient coordination and liaison.

Furthermore, as an initiative to promote patient education, the team have also developed information packs for patients containing written materials on oral iron supplements to assist them once they go home.

“People become iron deficient from a number of causes but there is often a dietary component to it. So we’ve developed an information pack which our day medical staff use to educate patients on iron rich foods, as well as how to take their iron tablets properly. We try to make their journey more fruitful than just coming in for their infusion and then walking away,” Dr Leung said.

“It’s been a good piece of work and we’d loved to see it expand. The staff got on board really quickly and have been very helpful and really engaged,” Carol said.

“Thank you to all the staff who have embraced this new challenge!” Dr Leung added.

Northern Health and DPV Health are thrilled to announce they have signed a collaborative Memorandum of Understanding (MOU) to support initiatives for innovation, shared service planning and delivery to benefit our growing communities.

The MOU will establish a framework to strategically explore opportunities for both parties to collaborate and address priority health and wellbeing issues across outer Northern Melbourne.

Working closely together, DPV Health and Northern Health have already commenced collaboration on a range of projects including:

• The establishment of a COVID-19 Screening Centre, operated by Northern Health at DPV Health’s Epping site in March 2020.
• Northern Health’s “Staying Well with Diabetes in the North” project, to establish an integrated, multidisciplinary health care model targeting diabetes.
• DPV Health’s “Community Watch” project which aims to develop a whole of region coordinated approach for a wellbeing check and referral guide for local community organisations to support their clients to stay well during the COVID-19 isolation period and beyond.

Don Tidbury, DPV Health CEO, said, “The MOU builds on the already great alliance between DPV Health and Northern Health. Successful partnerships between the acute and primary health systems will ultimately benefit the growing communities we serve.”

Siva Sivarajah, Northern Health Chief Executive, said, “We are pleased to further develop this longstanding partnership with DPV Health. Healthcare in the future needs collaboration like this to better connect all aspects of people’s health care needs.”

Feature Image (left to right): Briana Baass, Executive Director – Northern Health Chief Allied Health Officer & Partnership; Siva Sivarajah – Northern Health Chief Executive and Don Tidbury, DPV Health Chief Executive Officer

Staff at Broadmeadows Hospital celebrated a wonderful achievement earlier this month, with a patient going home from Unit 2 – Rehabilitation after spending 288 days in hospital.

Jamie was admitted to Northern Hospital Epping on 22 July 2019 after being found unconscious by his mother and fighting for life. The subsequent months saw Jamie struggling to walk, talk and be able to process his thoughts and emotions clearly, due to an acquired brain injury.

“Since coming to hospital, Jamie moved through Emergency Department, ICU, Ward 5 and finally arrived to Rehabilitation at Broadmeadows Hospital in August 2019. During this time, he successfully regained his ability to walk, communicate effectively and was able to regain his independence,” said Belinda Nash, Nurse Unit Manager, Unit 2.

With the help of the Unit 2 Rehab Team and his mother Wendy, he is now able to access NDIS housing and support.

“Jamie is a symbol of the team’s drive and dedication to help patients regain their independence. Well done to both Jamie and the Unit 2 team,” said Grant Taylor, Site Director, Broadmeadows Hospital.

Proudly walking by himself with his mother by his side, thanking the nurses, doctors and allied health that cared for him, Jamie rightfully received a ‘guard of honour’ as he was discharged.

Please see the video below:

The theme for Palliative Care Week 2020 is “Palliative Care… It’s more than you think”.

Palliative care can help people with life-limiting illnesses to live as well as possible, for as long as possible – supporting their physical, emotional, spiritual and social needs.

Alwyn Kennedy, currently a patient at our Palliative Care Unit (PCU) located at Heritage Epping Gardens, is a case in point.

Alwyn came to the PCU after an increasingly difficult time at home and has been with us for just over a week. He was diagnosed with Motor Neurone Disease over six months ago and says he was pleasantly surprised by the care he received.

Says Alwyn, “I always thought that people only went to Palliative care when they have nowhere else to go.”

However, when Alwyn came to Epping Gardens, it was explained to him that Palliative care is not just about end of life care. Alwyn says, “You can receive help, care, attention and advice on how to keep going as long as you can, in a better state.”

He values the advice he has been given, ranging from strategies on how to manage his breathing, painful pressure points, how to keep his throat clear and even advice on how to position himself in his bed.

He says, “Here, they really care about patients and they want you to feel comfortable and ask questions and spend their time with you – they are in no rush!”

He says the nursing staff have been fantastic. “I got on well with them, and the ones I joke with – they know who they are!!”

He adds, “From a medical point of view, I think they are all excellent!” said Alwyn.

Barbara Watson, a Registered Nurse in the Palliative Care Unit, says, “Despite not consciously being driven to work in this particular area of nursing, I have found myself working with a group of colleagues who have dedicated many years of their professional life in palliative care.”

“Our Palliative Care Unit is quite unique in my opinion. After two years, it’s very clear that despite all the emotions one feels in this specialty, it’s the very supportive team that allows nurses to shine.”

She recalls recently entering a patient’s room to find a music therapist singing – which she describes as ‘exquisite!’ She says she went back to the nurses station with tears in her eyes, where her colleagues were there to comfort her.

Says Barbara, “Although the clinical tasks of this unit are of primary importance, such as pain management, equally, it is meeting their other emotional needs by being creative.”

Alison Giles, Medical Director of Palliative Care, says, “We provide care to any patients suffering from life limiting illnesses, and also offer support to their families.”

“The Palliative Care Consult Team sees patients whilst in the hospital or in clinic, and our colleagues in the community teams such as Melbourne City Mission and Banksia Community Palliative Care will support patients at home.”

Although they are not currently able to volunteer due to COVID-19, our Volunteers are also an integral part of the unit and are required to undergo specialised palliative care training under the guidelines of Palliative Care Victoria.

Monica Polimeni, Engagement Advisor, says, ” Volunteers have walked the journey with many palliative care patients over the years, offering a smiling face, a gentle conversation, a listening ear at the times when telling family of the feelings and fears may be too difficult…or even sitting in silence at the bedside to have someone present.”

The Palliative Care Consult Team at Northern Health sees over 1,000 patients every year across Northern Hospital, Bundoora Centre and Broadmeadows Hospital. Our PCU has about 350 admissions every year, with approximately 900 patients cared for at the end of their life at Northern Health last year.

Children coming for surgery at Northern Hospital Epping can now drive into the operating theatre, thanks to the new Range Rover kiddy car, kindly donated in collaboration between Northern Health Foundation and Whittlesea Salvation Army.

The idea for the kiddy car came from Dr Jenny Coulson, Anaesthetist at Northern Hospital.

“As a group, we wanted to avoid kids getting stressed when they come into theatre and we thought the use of the car would make the kids happier when coming here,” she explained.

Dr Coulson explained the car is a good idea as it provides transport around theatre area. By using the car, the children don’t get put in the trolley, with the idea already proven successful in Asia.

“I reached out and spoke to Josie Verga, Northern Health Foundation Fundraising Manager and she was excited about the story and knew exactly the community group who would consider this opportunity.  One call to the Whittlesea Salvation Army, and the deal was done. Hopefully we will have a fleet one day,” she said.

The car also has a personalised number plate, with the Whittlesea Salvation Army name. The feedback from the children and families has been great, with our young patients happily engaged with a new way of arriving into theatre.

Featured image: Kalel and Dr Jenny Coulson

The Northern Health Respiratory Department has launched a specialist ambulatory pleural service as part of its Pleural Medicine Unit – the only formalised service of its kind in Victoria.

Pleural diseases occur when there is a problem in the chest cavity, the space between the lung and the chest wall. This often results in the production of fluid in the chest cavity (called pleural effusion) which can lead to breathlessness, chest pain and other symptoms. Fluid in the chest cavity may become infected (called empyema/pleural infection) and air from the lung may sometimes escape in to the chest cavity (called pneumothorax). Pleural diseases are common and the burden is increasing.

Dr Sanjeevan Muruganandan is a lung specialist and pleural lead, who has done his PhD with Professor Gary Lee in Western Australia – a world leading pleural researcher. The purpose of the Pleural Medicine Unit is to optimise care in patients with pleural diseases by reducing procedures, hospitalisation and standardising care pathways.

“There are over 50 recognised causes of pleural effusion, and our approach is to provide a service that accurately and quickly diagnoses the cause of the pleural problem so that the appropriate treatment can be given.”

“The aim of this innovative service is to reduce further procedures and pleural related hospitalisation, work collaboratively with our thoracic surgical colleagues and ultimately standardise care in all aspects of pleural diseases. In some patients who aren’t fit for surgery, the service offers a less invasive option, which is evidence based,” Dr Muruganandan said.

For example, an indwelling pleural catheter (IPC) can be inserted by the team to assist in the management of chronic recurrent pleural effusion, allowing patients to drain away the fluid whenever they have symptoms, such as shortness of breath. This prevents them from having multiple procedures, prolonged and further hospitalisation.

Noel Smith was one of their patients who had an IPC inserted.

“It meant a lot to me because I was able to be awake while they were doing it and it wasn’t painful. They explained to me what they were doing and it gives you hope if you know what’s going on – especially when you’re awake – I just thought that was tremendous,” Noel said.

“My quality of life definitely improved once I had the catheter in – it helped to take the fluid off, so I was breathing much better. Confidence-wise too, I thought the way they treated me and explained things to me – it built my confidence up so much,” Noel added.

The service is especially unique as it has the first Pleural Clinical Nurse Consultant in Victoria – Kirstin Tirant. Kirstin acts as a direct contact for patients as well as nursing staff when they need assistance, helping them over the phone and reducing the need for patients to have to present to hospital. With the addition of Dr David Feng earlier this year as the Pleural Fellow, the service is growing rapidly and contributing to research in this field.

“For patients with cancer, it’s often more about treating the pleural effusion. Some patients have a very short life-span, so we try to improve their symptoms and quality of life by helping them stay at home for as long as they can by offering that support system,” Dr Muruganandan said.

The team is able to fast-track patients to the pleural clinic, avoiding presenting to the emergency department.

“We have a consult service for the hospital which helps expedite their management plan,” Kirstin said.

“Our team is often involved at the beginning, helping to provide a diagnosis, and we support them throughout their journey. As a team being present throughout their whole journey, we can link these patients with the correct service at the right time,” Kirstin added.

Featured Image: Dr Sanjeevan Muruganandan and patient Noel Smith