Breakfast session Friday, 21 May 2010 7.30am - 8.30am |
Sandra Hills, Chief Executive Officer - Benetas Sandra is hosting a special breakfast session at Better Practice Adelaide, about inspiring and motivating participants to consider their own development through self planning – career development, managing burnout and leadership. She will discuss what senior and aspiring managers need to do to be effective through goal setting, education, mentoring while managing their health. Top |
Concurrent session 3a Friday, 21 May 2010 EBPRAC – Falls prevention project |
Kirsten Moore, Research Fellow and PhD candidate, National Ageing Research Institute and The University of Melbourne; and Beverly Adams, Nurse Unit Manager - Bill Crawford Lodge, Ballarat Health Services Biography: Kirsten has a background in psychology and sociology and has worked as a researcher at the National Ageing Research Institute for the past ten years. She is a PhD candidate through the University of Melbourne undertaking a qualitative study looking at carers experiences of Extended Aged Care at Home-Dementia packages. She has undertaken a large range of studies in residential aged care settings including recently managing the Star project, a large scale project across three States that aimed to promote evidence based falls prevention practice in nine residential aged care facilities. Bev Adams is the Nurse Unit Manager of Bill Crawford Lodge which is a 30 bed high level care ambulant dementia unit. Ballarat Health Services. Falls Resource Nurses for Star project. Session information: Implementing practice change to provide evidence based care is time consuming and challenging. This presentation presents a two year project that used an action research method to implement falls prevention guidelines in nine diverse RACFs. Comprehensive audits of existing falls prevention practices in each facility were used to identify priorities for practice change. Facility staff, with external guidance undertook an action research process that involved developing an action plan, implementing the plan and evaluating the outcomes. Barriers and enablers to implementing falls prevention interventions, project outcomes and resources developed for the project will be described. Presentation: The Star Project: Working together to prevent falls in residential care Top |
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| | Graham Bedford, Policy Team Manager, Australian Commission on Safety and Quality in Health Care Biography: Graham Bedford is a Policy Team Manager with the Australian Commission on Safety and Quality in Health Care. He manages the Commission’s Medication Safety and Open Disclosure Programs and oversaw development of the Falls Prevention Guidelines.Prior to joining the Commission, Graham worked on other joint Commonwealth and State initiatives in health, education and training. He is a former industrial relations lawyer. Session information: Preventing Falls and Harm from Falls in Older People: Best Practice Guidelines for Australian Hospitals, Residential Aged Care and Community Care 2009– New guidelines, new directions The session will describe why the Australian Commission on Safety and Quality in Health Care is involved in falls prevention, how the new guidelines were developed and the key messages from them. It will focus on the new intervention and assessment recommendations which have been based on evidence from the residential aged care. Top |
Concurrent session 3b Friday, 21 May 2010 Encouraging innovation |
Dr June Heinrich OAM, Chief Executive Officer, Baptist Community Services; and Conjoint Professor, Faculty of Health, University of Newcastle Biography: June was appointed the CEO of BCS on 1 September 1994. Over the past 14 years she has become one of the key voices in the not-for-profit sector on aged and community care issues. June and BCS are recognised for playing a significant role in the development of community aged care across NSW and the ACT. “Ageing in place” is a passion of June’s and she is committed to ensuring that BCS pursues innovate industry-leading practices. June has served on a number of Federal Government advisory committees in aged and community care including the Aged Care Advisory Committee and the Aged Care Workforce Committee. June is Chairman of Baptist Care Australia, the national body for Baptist community service/care organisations and Vice President of the NSW Aged and Community Services Association. In January 2003 she was awarded an Order of Australia for services to the community especially through BCS. In May 2003 she was awarded a Centenary Medal for exceptional services to aged care and in August 2003 she was appointed a Conjoint Professor of the Faculty of Health Sciences, University of Newcastle. June is a passionate advocate for the needs of the frail aged and people living with dementia, along with those on the margins, who often feel powerless and helpless. From August 2007 - 2008, June was the first female president of the Baptist Churches of NSW & ACT, a movement of 350 churches and about 50,000 people. Session information: Change is an inevitable part of life. Organisations which have a culture that opposes or tries to block change run the risk of becoming obsolete in this rapidly changing world. In a recent Staff Climate Survey 76% of the staff at BCS rated the future at BCS as positive and 79% of staff indicated that they are proud to tell people that they work for BCS. In the 2009 Survey over 60% of staff indicated that that they considered BCS is an innovative organisation, up from only 50% in 2004. In this session Dr June Heinrich, the CEO of BCS will outline some of the strategies BCS has adopted to become more innovative and to be able to quickly adapt to changes and opportunities as they occur. Presentation: Innovation Top |
Concurrent session 3c Friday, 21 May 2010 Leadership and facilitating change |
Ian Hardy AM, Chief Executive - Helping Hand Aged Care Biography: Ian Hardy has been Chief Executive of Helping Hand Aged Care in South Australia since 1990. One of the state’s largest aged care providers, Helping Hand built and piloted the first “ageing-in-place” care facility in Australia and is well known for innovation in rehabilitation, hospital avoidance, mental health and social support services for older people. At the end of 2001 Ian completed a two-year term as President of the national aged-care peak body Aged and Community Services Australia (ACSA). He is a member of the Board of the Adelaide Northern Division of General Practice, and is a former member of the Boards of the Repatriation General Hospital in Adelaide and the International Association of Homes and Services for the Ageing, the South Australian Ministerial Advisory Board on Ageing and the State Disability Advisory Board. He was a member of the Reference Group for the Hogan Pricing Review of aged care and of the Australian Government’s Community Care Ministerial Advisory Committee. He has spoken at conferences throughout Australia and in New Zealand, Singapore and Spain. In 2003 he was awarded a Centenary Medal and in 2004 was the recipient of the Aged and Community Services Australia Individual Award for Excellence. In 2005 Ian was awarded the honorary title of University Fellow by the University of South Australia, and in 2007 a Federal Minister’s Award for Excellence in Leadership and Management in Aged Care. In 2008 he was appointed a Member of the Order of Australia (AM) “for service to the community, particularly in the area of aged care as a leading contributor to the development of better services”. He has recently returned from a Churchill Fellowship tour to investigate “consumer-directed” aged care in the UK, Europe and Japan. Session information: The skills for leading change are more important than ever before. Whether change is concerned with managing in an increasingly complex environment or developing and implementing new services and ways of supporting consumers, the ability to lead our colleagues and our organizations effectively is an increasingly significant responsibility. This presentation will outline one organisation’s story of initiating and achieving change and innovation, and offer practical advice for conceptualizing and articulating change, for enthusing staff and for equipping and supporting their involvement within a safe (“no blame”) environment. Top |
Concurrent session 3d Friday, 21 May 2010 Watch this space – Better Practice projects |
Kylie Burke, Regional Physiotherapy Consultant - UnitingCare Ageing, Western Region Biography: Kylie Burke is the Regional Physiotherapy Consultant for UnitingCare Ageing - Western Region. Ms Burke leads a team of physiotherapists and guides the implementation of manual handling, fall prevention and exercise programs for the region. Ms Burke has been a physiotherapist for fourteen years. She has a special interest in gerontology and occupational health. Prior to joining UnitingCare, Ms Burke conducted a community based practice providing physiotherapy services in the homes of older people. The practice also supported a number of residential aged care facilities and community programs in the implementation of individualised programs for clients and conducting staff training. Session information: Edinglassie Village, Emu Plains identified a group of residents that were unable to walk without significant assistance or who were repeatedly falling despite an exhaustive trial of fall prevention strategies. The mobility of residents was primarily limited by the processes of a dementia. Seated mobility in a wheelchair was implemented following assessment by a physiotherapist. Equipment was customised such as wheelchair dimensions, pressure care, anti tip bars and a customised seat belt if required. Environmental audits were performed and modifications to the home were made. Top |
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Dr Michele Chandler, Director for Clinical Leadership and Research Riviera Health Biography: Michele has been in the aged care sector for over 15 years. Her passion for the care of elderly residents living in nursing homes began early in her nursing career as she worked as an Assistant in Nursing whilst undertaking her Bachelor of Nursing in Armidale NSW. Michele then went on to further study and clinical practice as a registered nurse in aged care and completed a Masters Hons degree followed buy a PhD. Michele is also a quality assessor and worked in NSW as a group leader for the Agency up until July last year. Seeking a stronger role in bringing aged care practice into a position of strength through innovation, Michele leapt back into the coalface and now works across 15 nursing homes in the role of Director for Clinical Leadership and Research with a relative newcomer to the industry – Riviera Health. Session information: Her paper today discusses 2 Better Practice initiatives taking place. The first, also co presented by Dr Jo Harrison is on a campaign for Gay, Lesbian, Transgender and sex diverse residents in aged care and the second discusses basal metabolic rates in increasing residents weights. Presentations: Pushing the pink envelope: the issues of LGBTI older residents in aged care Understanding weights: The BMR study Top |
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Kylie Jacques, Marketing and Communications Manager and Jane Meldrum, Lifestyle and Wellbeing Coordinator - Anglican Care Biography: Kylie is Anglican Care’s Marketing & Communications Manager, a newly created position within Anglican Care to support the organisation’s strategic direction. Kylie is responsible for leading the development and management of communications and marketing across the organisation and is also required to implement specific marketing, communications and promotional programs as required. Jane is Anglican Care’s Lifestyle & Wellbeing Co-ordinator, a position she has held since 2008. Jane has worked for the organisation for 6 years and in the Aged Care industry for the last 11 years. Jane’s role is to ensure innovation and variety in the delivery of lifestyle and wellbeing programmes across all of Anglican Care’s services, in line with best practice. Jane is currently studying to obtain a Bachelor of Social Science and Bachelor in Health, Ageing & Community Services, to further enhance her knowledge and skills. Session information: Come along and hear about Anglican Care’s journey in implementing a unique therapeutic activity into the lifestyle and wellbeing program for our dementia residents across our seven residential aged care facilities and Day Therapy Centre. Our presentation will take delegates through the various stages of the project, including sourcing a stimulating activity, raising of funds, purchase, training of staff, implementation and set up of an associated research program surrounding this exciting new innovation. We will share practical steps on how other providers could undertake a similar initiative including the challenges we faced and the ultimate rewards/benefits for our residents, staff, volunteers and family members. Presentation: Fun and games in dementia care Top |
Concurrent session 4a Friday, 21 May 2010 EBPRAC – Medication management |
Debra Rowett, Director – Drug and Therapeutics Information Service (DATIS); and Sue Edwards, Pharmacy Advisor – DATIS and General Practice Network South Inc Biography and session information: Debra and Sue have a strong commitment to Quality Use of Medicines in Aged care, and the transfer of evidenced based information into practice. Debra is the Director of the Drug and Therapeutics Information Service (DATIS) and Sue has worked with her at the Repatriation General Hospital in Adelaide since 1993. They have been providing medication review and quality improvement services to aged care homes since 1998. Sue is the Pharmacy Advisory to General Practice Network South and is also an editorial advisor member of the Australian Medicines Handbook aged care companion. Debra has extensive experience in designing, implementing and evaluating academic detailing/educational visiting programmes nationally and internationally. Top |
Concurrent session 4b Friday, 21 May 2010 Effective resident assessment |
Ruth Baxter, Director - Save Management Biography: An aged care career spanning 15 years has brought many and varied experiences, including clinical care, management responsibilities, research, consulting and leadership. A creative streak and passion for improvement has led to the re-engineering of numerous processes and clearing a path through the maze of regulations in a positive and non-reactive way. Like many nurses, she has viewed Australia’s documentation processes with cynicism and dismay until finding a method that was professional, efficient and complete. Never afraid to be doing something different when it makes inherent sense, she is now pioneering a very different clinical assessment system. Session information: Ruth will present as case studies, the journey undertaken by two homes that have seeked to improve the system and processes used for resident assessment. What began as research to develop or find an effective, efficient and valid method of assessment led to the implementation of internationally recognised assessment tools at these homes. Now well entrenched and adopted by staff, this presentation will outline the benefits experienced so far and the impact on staff performance, decision making, and quality of resident care. Those who seek an effective and simple method to plan care and measure quality outcomes for residents will enjoy this story of discovery. Presentation: Implementation of an effective resident assessment system Top |
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Suzanne Cullen, Clinical Care Coordinator - Uniting Aged Care Vic & Tas Biography: I am currently the Clinical Care Co-ordinator at Aldersgate Kings Meadows. I hold an International Diploma in Aesthetics, 1988, Degree in Nursing, 2003 (Uni of Tas), Professional Certificate in Wound Management 2005 (UniSA), Post graduate Diploma in Wound Care, 2009, (Monash University) and currently studying for my Post graduate Diploma in Nursing specialising in Aged Care. I presented at the RCNA National Conference in 2002 and did a poster presentation at the Australian Wound Management Association in Darwin in 2008 based on skin care. I would eventually like to produce or oversee the production of a skin care hygiene range for the Aged Care sector that is effective and economical. My passion for skin care has further developed since my interest and education in Wound Management. Session information: This presentation is about raising awareness to care providers within the Aged Care sector. Too often do we continue using products that are harmful to ageing skin. We become regimented in our hygiene practices without "using our brains before we bubble". We need to think more and question the manufacturers and the message that they send across to us. It is the opportunity to spread the word of "over cleaning", to change our habits in skin care and network with other professionals. Presentation: Skin Integument Risk Scale Top |
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Dennis Priede, Director of Clinical Services - De Paul Villa Aged Care Biography: Had a long and varied career as a manager, beginning with self employment, then small business, and then several multinationals. Declined an overseas posting with IBM after achieving a 50% productivity gain, and relocated to Queensland from Victoria. Worked as a consultant specializing in logistics with a small team helping companies solve problems associated with expansion and contraction. Changed fields, studied nursing and won everything except the silver medal. Went straight to community mental health, and had extra training in assessing and intervening in the aged. Left to work in residential aged care and also conducted community home health assessments for doctors. Since joining De Paul Villa, initiated and implemented an innovative change in the assessment, planning, intervention and monitoring process. The results that stemmed from this earned a Better Practice Award for De Paul Villa. Session information: A less expensive, less intrusive and more effective method. At last, a simpler, less time consuming method of assessing resident care needs, relying more on what the resident and or representative report, and relying more on what care givers observe. The method is also designed to improve reassessment and communication of changed care needs, and assists other health providers. Less time spent by licensed nurses collecting information and keeping it up to date means lower costs, or, if hours can’t be reduced, means more time spent actually providing care. Maybe other homes could benefit from De Paul Villa’s experience, including increased staff and resident satisfaction, and decreased staff turnover. Top |
Concurrent session 4c Friday, 21 May 2010 Continuing education |
Robyn Smith, Manager, Enhancing Practice Program (Northern Health) and Allied Health Learning and Research – Northern Health (representing the COTA Vic/Northern Health Enhancing Practice Partnership) Biography: The Enhancing Practice Team comprises four experienced facilitators who are passionate about promoting person centred practice and high quality aged care. Each has 20 or more years experience working in public sector health, community services and education. Qualifications of the team are all at Masters level spanning the discipline areas of allied health, applied science, health services management and education. The Enhancing Practice Program developed through collaboration between a public health service (Northern Health in Melbourne - 3 team members) and a consumer advocacy group (Council on the Ageing Victoria - 1 team member). This program has been successfully implemented in public sector and not-for-profit acute, sub-acute, community and residential aged care settings over the past five years. In this presentation, we will draw on our experience of implementing this Program to give Better Practice Conference participant’s practical, useful ideas for improving person centred practice in their own organisations. Session information: This presentation will utilise the team experience of implementing this process in a range of health care facilities across Victoria over the past 5 years. They will elaborate on the change theory and practical requirements for individual practice and organisational culture change in aged care settings. All members of the team are experienced presenters and facilitators, used to working with and engaging groups of participants that have varying degrees of interest in both the topic and practice of person centred care. Top |
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Susan Younger, Director of Care and Samantha Gillick, Lifestyle Manager - Eden in Lynbrook Biography: Susan Younger is Registered Nurse Division 1 with over 30 years nursing experience. Susan has worked in Australia and the UK in a variety of roles as diverse as acute care, midwifery, maternal and child health, community and palliative care aged care and disability. Over the last 11 years she has worked in senior roles within aged care and has a passion for making aged care a better place now and for the baby boomers (of which she is one) of the future one! Samantha Gillick has over 15 years experience within the aged care setting. Her qualifications are in aged care and Lifestyle. She has been an active member of her local DT association Samantha is an dementia care mapper and has worked with Susan in fine tuning the student program in two other facilities over the last 11 years Session information: Attraction and retention of staff is often a major issue and cost to aged care facilities. An aged care facilty decided to utilise the situation of RTO's and student requests for clinical placements into a positive outcome for all- residents , current staff, student, facility, RTO and the aged care industry by creating a program where they could apply their knowledge into practice within a setting where person centered care was actually practised. Presentation: Innovation: In-House Student Program Top |
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Carolyn Moir, Care Improvement Manager - Baptist Community Services Biography: Carolyn has worked for Baptist Community Services for over 10 years in a variety of roles including Care Manager, RTO Education Coordinator for Certificate 5 in Aged Care Work course (winner of DET training initiative award 2005). Regional Education and CI Manager. She is a triple certificate RN, Bachelor Nursing Science, Master of Nursing and Master of Adult Education. She is currently Care Improvement Manager for BCS Sydney Region. Presentation: Developing and implementing staff education in a new high care extra service facility Top |
Concurrent session 4d Friday, 21 May 2010 Governance |
Sharon McGowan, Deputy Chief Executive Officer - Benetas Biography: With a background in nursing (Division 1), a Master’s Degree in Business Administration (MBA) and international experience in health care provision. Sharon’s past professional experience includes a number of operational leadership roles in the National Blood Service in the UK, before being appointed as the National Head of the organisation’s Donor Response Services. She moved to Australia in 2003 to work with the Australian Red Cross Blood Service as National Blood Products Manager. Sharon joined Benetas in 2006 as Executive Manager Strategy and Business Development. She has responsibility for developing and overseeing the organisation’s strategic plan, marketing and communications, initiating service developments and driving improvement programs to establish the organisation as a leader in aged care innovation and services. Sharon was promoted to Deputy Chief Executive Officer in March 2008 to further drive the organisations overall growth and development. Sharon is a graduate of the Australian Institute of Company Directors. Session information: Ask yourself, does my organisation know the major clinical risks we need to manage and if so how can we demonstrate that we are managing these risks effectively? In 2006, Benetas rated the risk of non-compliance in its residential facilities as “low” on the organisation’s risk register based on previous history and performance. This view was shattered when two of its residential facilities were found non-compliant the following year. Benetas responded decisively with a significant investment in systems and processes, staff education and leadership to ensure that we strengthened our approach to quality and risk management. However, how could we be sure our performance was better? Benetas decided to commission an independent clinical governance review to assess our performance and develop a scorecard of measures for clinical governance. Presentation: Clinical Governance – Buzzword or driver of better practice? Top |
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Michael Goldsworthy, Principal Consultant - Australian Strategic Services Pty Ltd Biography: Michael Goldsworthy is widely known throughout the Aged & Community Services Industry for assisting boards, chief executive officers & senior management teams in strategic planning, performance management, governance, mergers, risk management, organisational development and ideas and innovation tours and workshops. Working in a framework of change management, strategic planning and project management, Michael has worked with over 5,000 Community Businesses (Not For Profits) throughout Australia. As his clients can attest, his unique analogies, models, tools and templates provide a powerful approach to recognising the past, understanding the present and creating the future. His many case studies and a national network of clients who are willing to assist other organisations provide additional benefit and value. Michael has a profound understanding, practical experience and proven track record in assisting leadership groups (boards, chief executive officers and senior management teams) address the challenges and opportunities of growing and developing their aged & community care organisation. Over the last twenty years Michael has regularly presented at a wide variety of international, national and state conferences and seminars. He is well known for his unique, graphic models, clarity of thought and his sequential and practical presentations. Session information: Developing An Effective Working Relationship With Your Governing Body; Common Challenges, Practical Solutions Whilst the framework and principles of governance are increasingly well understood by boards and chief executive officers of aged care organisations, the practical implications for some CEOs/DONs remains a challenge.This presentation is squarely focused on identifying and discussing the common challenges faced by CEOs/DONs and the practical solutions to these challenges, and is the second part of a three part session which includes Sharon McGowan, Benetas “Clinical governance and its role in monitoring quality of care” and an interactive session facilitated by Sandra Hills, Chief Executive Officer of Benetas. Attendees at this presentation will leave with a clear understanding of: - the typical challenges and practical solutions
- several tools/techniques that could be used
- other participants issues, ideas and solutions
Presentation: Developing an Effective Working Relationship with your Governing Body Top
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