The trial EAP Program finished mid 2019 and improvements were made based on feedback and outcomes from the evaluation. A staged roll-out of the full WQ HCH model was made available to practices based on diversity of practice, location and change readiness. A capacity building program was implemented using the Primary Care Practice Improvement Tool (PC-PIT) designed by the University of Queensland for practices who required additional readiness support prior to commencing the WQ HCH program.
Benefits of practice participation
Working together in a team-based manner means sharing the load. This not only reduces some of the burden on GPs and nurses, it also allows other members of the health care team to utilise the full extent of their training and maximise their professional capacity. This collaborative, team-based approach to care has been shown to increase job satisfaction and provide a better work-life balance.
Benefits of participating include:
Having an experienced dedicated WQ HCH Coordinator
Improved patient engagement and experience
Cleanse, manage and assess population and practice data to optimise business performance
Develop, and improve, sustainable quality improvement systems and processes
Build more engaged teams who are responsive to improving quality and sustainable change
Having an opportunity to influence co-design and trial new models of care
Having access to professional development activities that build the capacity and capability of the practice team
Having access to a Community of Practice (CoP) through a support network of other WQ HCH practices to share learnings and best practice
Being informed and assisted in how to respond to current and emerging health policy direction.
How will the practice be supported to implement the WQ HCH?
WQPHN will offer a range of ongoing support (click here to go to Support for Uptake), in line with practice needs and will work in partnership to provide support for uptake of the WQ HCH Foundations. The WQ HCH Coordinators will:
Work directly with the practice team
Help identify areas for improvement based on the WQ HCH Maturity Matrix (to assess the transformation journey)
Support to implement patient satisfaction tools
Use QI programs and training to improve systems and processes
Provide training support in care planning, recall and reminder systems, motivational interviewing, CAT4Plus and TopBar, GoShare and VideoCall
Assist with the development of Practice registers
Use of WQPHN Service Frameworks to help with the introduction of evidenced-based programs e.g. Diabetes Service Framework, Child and Family Framework, SEWB Framework.
Support PIP incentive plan and uptake - including PIP-QI
Support to register for Q Viewer
Support uptake and meaningful use of My Health Record
Provide support to interpret the Practice Performance Analysis (PPA)
Support the development of a WQ HCH Progress Action Plan
Provide practice and population data reports
Provide education, resources and communication tools
Support for connecting care with the WQ HCH neighbourhood
Support with tracking and monitoring progress
Support with Accreditation
How will the success of the WQ HCH be measured?
The WQ HCH is working with tertiary partners (University of Queensland-Mater Research, Centre for Rural and Remote Health and James Cook University) to evaluate the program using the Quadruple Aim framework to measure the performance and success of the model. For further details on the evaluation framework click here.
How is WQ HCH different to the National HCH trials?
The WQ HCH Model reflects the Australian health system
Design and evaluation have been informed by Western Queensland Working Group who live and work in the region
A rigorous recruitment process was used to assess ‘practice readiness’ into the program using eligibility criteria against the 10 WQ HCH foundations
A pre-implementation phase using four Progress Tools is used to inform the development of an Progress Action Plan (including improvement strategies)
A full day workshop with practices is undertaken to orientate them to the program
Ongoing support for uptake of the program including training, tools and resources are provided
WQ HCH Coordinator support is provided to participating practices
Maturity Matrix tool adapted to the Australian context including alignment with MBS system
Practice Performance Analysis undertaken to identify revenue generation and sustainability
Western Queensland PHN acknowledges the traditional owners of the country on which we work and live and recognises their continuing connection to land, waters and community. We pay our respects to them, their cultures, and to elders past and present.