nzgg – self-harm and suicide prevention collaborative collaboratives – making best practice...
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NZGG – Self-harm and Suicide Prevention Collaborative
Collaboratives – making best practice
happenSilke Kuehl
Emergency Nurse AdvisorSelf-harm and Suicide
Prevention Collaborative - Whakawhanaungatanga
NZGG – Self-harm and Suicide Prevention Collaborative
NZGG – Self-harm and Suicide Prevention Collaborative
Outline
• The collaborative best practice implementation approach
• Kiwi approach whakawhanaungatanga
• The benefits & early results for consumers & clinicians
NZGG – Self-harm and Suicide Prevention Collaborative
Our collaborative
• Best practice – evidence-based guideline
• Best people – team with right experience and knowledge
• Best process – results focused supported collaborative
NZGG – Self-harm and Suicide Prevention Collaborative
Self-harm and suicide prevention collaborative
• Implementing guideline• Mental health, Emergency
Departments, Māori health• Consumer focus• Families focus• 12 months• 10 DHBs
NZGG – Self-harm and Suicide Prevention Collaborative
Participating DHBs
Northland WaitemataCounties Manakau WaikatoLakes TaranakiMidcentral Hutt ValleyWest Coast Southland
NZGG – Self-harm and Suicide Prevention Collaborative
We are using a best practice implementation process
• Support from leaders and influencers• Team approach working across services• Use key tools - process mapping, PDSA• Encourage learning from others – latest
research, other DHBs• Rapid feedback on impact of change – 4
targets • Ongoing support and guidance - NZGG
NZGG – Self-harm and Suicide Prevention Collaborative
• Map client pathway at each of these phases of care• Identify a typical problem at each point of the process• Find examples of best practice• Identify measures to monitor improved processes• Test the changes
CommunityCare
ED, Mental & Mäori Health Services
Discharge Destination
Presentation Assessment Management
National Institute of Clinical Studies © 2005
Consumer pathway
NZGG – Self-harm and Suicide Prevention Collaborative
NZ Flavour
Whakawhanaungatanga – what we do and the way we do it…
• Connected like kin or whänau• Shared responsibility for one another• Common understanding• Cheerful cooperation• Corporate responsibility
(Russell Bishop, Kathy Irwin and Louise Ihimaera)
NZGG – Self-harm and Suicide Prevention Collaborative
NZGG – Self-harm and Suicide Prevention Collaborative
Benefits of a Collaborative
• The collaborative process can achieve rapid change
• Clinician driven process means that it is implemented using an evidence-base in a way that works for clinicians in their local situation
• Implementing evidence-based proven methodology that can be used again & again
NZGG – Self-harm and Suicide Prevention Collaborative
Benefits for Consumers
• Improved responsiveness • Better referral and coordination between
emergency and mental health services• Improved access to services• Improved follow up• Culturally appropriate services• Family/whänau and friends in the picture
NZGG – Self-harm and Suicide Prevention Collaborative
Benefits for DHBs
• Opportunity to participate in national quality improvement project
• Transferable skills• Cost effective• Professional development of staff• Manage service risk• Service improvement for consumers
NZGG – Self-harm and Suicide Prevention Collaborative
Early Results
• Better understanding of consumer journey
• Changing attitudes in some EDs• Better relationships between Māori
health, mental health and ED• Better idea of the number of people
presenting with self-harm and suicide ideation
NZGG – Self-harm and Suicide Prevention Collaborative
More collaboration
• Collaborative methodology being evaluated in NZ
• Opportunity to build on skills for other service areas
• Contact NZGG for more information