Design, development and implementation of the virtual, coordination, access, referral and escalation service in western New South Wales.
patient transport
rural emergency medicine
telehealth
telemedicine
virtual care
Journal
The Australian journal of rural health
ISSN: 1440-1584
Titre abrégé: Aust J Rural Health
Pays: Australia
ID NLM: 9305903
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
revised:
11
08
2021
received:
07
05
2021
accepted:
16
08
2021
pubmed:
30
9
2021
medline:
26
11
2021
entrez:
29
9
2021
Statut:
ppublish
Résumé
People in rural and remote New South Wales experience avoidable admissions, limited access to skilled clinicians and commonly travel >400 km to access specialist services within the district and >700 km for tertiary services outside. Iterative use of New South Wales Health redesign methodology in the period 2015-2020. Western New South Wales Local Health District is geographically the largest Health District within New South Wales and includes disadvantaged communities. Virtual Coordination Access Referral Escalation is an audio-visually enabled transport, patient flow and clinical advice unit established in 2006 to support patients and clinicians at 35 small, rural and remote hospitals. Right care, right place and right time by the right team the first time. Care delivery close to home and 'on country'. Safe and cost-effective transport. Performance measures to support quality, safety and clinical outcomes. Improving the human experience. Cycles of strategic planning, innovation, productive partnerships, change management and human systems development. Virtual Coordination Access Referral Escalation critical care telehealth more effectively supports rural and remote health care across large distances. Improvements include expanded/redefined management and nursing roles, integration of dedicated critical care emergency medicine specialists within the service, delegated authority to accept transfers, upgraded technology, 24-hour service provision and a central 'Virtual Support' proactive outreach model.
Types de publication
Journal Article
Langues
eng
Pagination
794-800Informations de copyright
© 2021 National Rural Health Alliance Ltd.
Références
Western NSW Local Health District STRATEGIC PLAN 2020-2025 Healthier rural people, thriving communities. 2020. https://wnswlhd.health.nsw.gov.au/Downloads/Publications%20and%20Reports/WNSWLHD%20Strategic%20Plan.pdf
Wakerman J, Humphreys JS, Wells R, Kuipers P, Entwistle P, Jones J. Primary health care delivery models in rural and remote Australia - a systematic review. BMC Health Serv Res. 2008;8(1):276.
Australian Institute of Health Welfare A. Rural & Remote health. Canberra, ACT: AIHW; 2019.
A Healthier Future For All Australians. Final Report of the National Health and Hospitals Reform. 2009.
Bradford NK, Caffery LJ, Smith AC. Telehealth services in rural and remote Australia: a systematic review of models of care and factors influencing success and sustainability. Rural Remote Health. 2016;16(4):4268.
Herrington G, Zardins Y, Hamilton A. A pilot trial of emergency telemedicine in regional Western Australia. J Telemed Telecare. 2013;19(7):430-433.
Newman L, Bidargaddi N, Schrader G. Service providers' experiences of using a telehealth network 12 months after digitisation of a large Australian rural mental health service. Int J Med Inform. 2016;94:8-20.
Moffatt JJ, Eley DS. The reported benefits of telehealth for rural Australians. Aust Health Rev. 2010;34(3):276-281.
Policy Directive PD2018-011 (H18/5279). NSW Critical Care Tertiary Referral Networks and Transfer of Care (ADULTS). Agency for Clinical Innovation. NSW Health; 2018.
NSW Agency for Clinical Innovation. Virtual care: vCare - Western NSW LHD. Sydney, NSW: ACI; 2021. SHPN: (ACI) 210095. ISBN: 978-1-76081-605-6 (print). 978-1-76081-606-3 (online). TRIM: ACI/D21/160. Version: V1; ACI_1343 [02/21].