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Project recommendations

The Queensland Clinical Senate is charged with developing strategies to help address major clinical issues presenting challenges across the health system.

We consider complex and multifaceted issues that take considerable evidence gathering, consultation and deliberation in order for the Queensland Clinical Senate to provide recommendations.

Growing deadly families: a healthy start for young children

Meeting date/s:  4 August 2017

The Queensland Clinical Senate partnered with the Institute for Urban Indigenous Health, Queensland Aboriginal and Islander Health Council, Health Consumers Queensland and the Queensland Department of Health to deliver the Growing deadly families forum.  The forum focused on improving the health of Queensland’s Aboriginal and Torres Strait Islander women and families, through a healthier start to life.

Recommendations focus on strengthening partnerships between local communities, Aboriginal Community Controlled Health Services, primary health networks, hospital and health services and other key local stakeholders to identify goals, design, implement and evaluate integrated services that empower patients.

Read the Growing deadly families 4 August 2017 meeting report and recommendations (PDF, 784KB)

Challenges in healthcare

Meeting date/s:  23-24 March 2017

In a complex and ever-changing health system, challenges are inevitable. The purpose of the March 2017 Queensland Clinical Senate meeting was to give senior clinicians and health administrators the opportunity to consider two such challenges - public hospital bariatric surgery and medication safety in the digital future. Delegates were challenged to:

  • identify the key elements of an effective bariatric surgery program in Queensland.
  • articulate how clinical governance can maximise the opportunities digital technologies can bring to electronic medication management.

Among the recommendations are:

  • bariatric surgery being publicly available in Queensland to specific groups of patients who will benefit the most.
  • the establishment of clear clinical governance of electronic medication management.

Read the 23-24 March 2017 meeting report and recommendations (PDF, 657KB)

Integration - beyond fragmentation

Meeting date/s:  3-4 November 2016

The Senate’s second meeting about integrated care (held 12 months after the initial integrated care meeting) gave Senate members and guests the opportunity to discuss how to take integrated care to the next level in Queensland – what systematic changes are required to make sure integrated care is ingrained in everything we do and how can successful models be sustained and rolled out?

The Senate’s recommendations focus on the need to reconsider the way services are funded so that we can more easily move from siloed to collaborative care, and providing the tools to robustly evaluate, share and roll out integrated care programs that are working.

Read the 3-4 November 2016 meeting report and recommendations (PDF, 431KB)

The Digital Transformation of Health

Meeting date/s: 4-5 August 2016

The Senate’s ‘Digital transformation of healthcare' meeting gave clinicians, health system leaders, consumers and digital health experts the opportunity to share experiences and knowledge of the digital hospital and cutting edge digital technology. It is critical that clinicians keep up to date with what is available in the digital space and what it means for patients and clinicians. We must also be thoughtful in the way technology is integrated - change management is a critical step in the process. The conference also identified a number of digital hospital challenges - the need to ensure an ongoing commitment to necessary investment in digital hospital infrastructure as well as the importance of ensuring digital hospital solutions for regional and rural Queensland. We cannot afford a 2-tiered health system and the Senate will advocate strongly around these issues.

Read the Meeting report (PDF, 285KB)

Value based healthcare—shifting from volume to value

Meeting date/s: 17-18 March 2016

Globally, health care systems are struggling with rising costs, increasing demand for services, inequitable access and variations in the safety and quality of services. To ensure a sustainable healthcare system, it is acknowledged that clinicians and consumers must question existing models of care to ensure there is real benefit to the patient for the investment of resources.

As clinicians we must strive for a system that identifies what a quality outcome is for our patients, both at the individual and community level, and ensure that this is front and centre in all health care delivery. The Queensland Clinical Senate challenges clinicians and healthcare executives find opportunities to move resources away from low-value to high-value models of care.

Read the 17-18 March 2016 meeting report (PDF, 412KB)

Your integration is my fragmentation - building relationships

Meeting date/s: 15-16 October 2015

Integrated care is critical for a sustainable health system to deliver the best possible health outcomes for individuals and communities. If the health system is going to respond effectively to the challenges it faces, action to improve the integration of hospital and primary care services must start now.

The Queensland Clinical Senate meeting brought together more than 140 senior clinicians from across the state to learn from local, interstate and international initiatives, to identify the actions needed to create a more integrated system in Queensland.

Read the 15-16 October 2015 meeting report and recommendations (PDF, 503KB)

Every K over is not okay – putting the brakes on obesity

Meeting date/s: 30-31 July 2015

One in four (25 per cent) Queensland children are overweight or obese. Two in three (65 per cent) Queensland adults are overweight or obese. Without a serious commitment to obesity prevention, our next generation of Queenslanders will have a lowered life expectancy for the first time in modern history.

The Queensland Clinical Senate partnered with Health Consumers Queensland to discuss obesity prevention strategies and interventions.

Meeting delegates supported the need for:

  • a systems approach to obesity prevention with the establishment of a whole of government policy agenda
  • a strong statement of intent from the health system in Queensland demonstrating a commitment to a healthy workforce and healthy community
  • clinicians and consumers working in partnership to develop and implement strategies so that monitoring weight is accepted by the community and incorporated into standard healthcare delivery.

Read the 31 July 2015 meeting report and recommendations (PDF, 503KB)

The clinical imperative for seven-day healthcare delivery

Meeting date/s: 26-27 March 2015

It is widely recognised that patients admitted to hospital on the weekends and after hours have poorer health outcomes. Known as the ‘weekend effect’, it is a healthcare issue gaining increased attention with moves being made locally and internationally to provide consistent access to comprehensive healthcare across the seven-day week.

The Queensland Clinical Senate has made a number of recommendations aimed at improving the outcomes for patients admitted after hours and on weekends.

Read the 26-27 March 2015 meeting report and recommendations (PDF, 408KB)

Measuring performance to improve outcomes

Meeting date/s: 30-31 October 2014

As part of the extensive health reform program underway in Queensland, attention has been directed to measurement of clinician performance to assist in the evaluation of the effectiveness of health services.

The Queensland Clinical Senate endorses measurement of clinician performance as an essential contributor to improving healthcare quality. In addition to identifying key principles to underpin governance of clinician performance measurement throughout the Queensland Public Hospital system, the QCS made a series of recommendations.

Read the 30-31 October 2014 meeting report and recommendations (PDF, 276KB)

End-of-life care

Meeting date/s: 25 July 2014

End-of-life care is an important issue for both consumers and clinicians. Queensland Clinical Senate partnered with Health Consumers Queensland to host two forums in July 2014: the first for consumers and the second bringing consumers and clinicians together. The aim of the forums was to have an open conversation about end-of-life care planning and to explore opportunities for the health system to deal more effectively with consumer wishes.

The Queensland Clinical Senate recommends:

  • development of an end-of-life care charter for display and adoption in all health facilities across Queensland
  • a community engagement and awareness campaign
  • clinician and student clinician education and training about best practice end-of-life conversations and care
  • the development of wholly integrated models of care for end-of-life.

Read the 25 July 2014 meeting report and recommendations (PDF, 592KB)

National emergency access target (NEAT)

Meeting date/s: 27-28 March 2014

Much clinical debate has arisen around the final target setting for NEAT. In seeking to examine the range of evidence and opinion surrounding the issues, Queensland Clinical Senate considered the question, ‘Is 90 per cent the right target?’ The Queensland Clinical Senate has compiled a detailed report that provides an overview of the evidence and culminates in a series of recommendations for consideration by the Department of Health.

The Queensland Clinical Senate recommends:

  • pausing jurisdictional NEAT targets at their current 2014 targets (83 percent for Queensland)
  • completion of a scientific review to better inform ongoing policy and targets beyond 2015
  • development of a suite of safety and quality indicators directly related to NEAT
  • advocacy for national adoption.

Read the 27-28 March 2014 meeting report and recommendations (PDF, 290KB)

Research undertaken in response to the QCS recommendations for an evidence based-based review of the quality of patient health outcomes related to NEAT is complete. The National Emergency Access Target (NEAT) and the 4-hour rule: time to review the target was published by The Medical Journal of Australia on 16 May 2016.

Other publications related to this work:

Clinician education and training

Meeting date/s: 24-25 October 2013

Clinician education and training (CET) are critical elements of a contemporary health service. The Queensland Clinical Senate advocates that effective measures of CET for Hospital and Health Services will enable recognition of the important contribution CET makes to the overall quality of the health system. In considering CET measures, Queensland Clinical Senate developed five measures focused on governance, budget allocation, interprofessional learning, team-based simulation training and the learner-teacher experience.

The Queensland Clinical Senate recommends that the Department of Health:

  • incorporate the CET performance measures into Hospital and Health Services service agreements
  • introduce a governance structure to monitor CET performance by Hospital and Health Services and refine the measures based on objective outcomes over time.

Read the 24-25 October 2013 meeting report and recommendations (PDF, 924KB)

Clinician engagement

Meeting date/s: 16-17 May 2013

Clinician Engagement in the planning, delivery improvement and evaluation of health services is essential to achieve improved health outcomes and efficiencies. In addition to the recommendations the Queensland Clinical Senate developed a position statement on effective clinician engagement and a survey tool to assist Hospital and Health Services and Medicare Locals to measure the effectiveness of clinician engagement against the Queensland Clinical Senate statement.

Read the 16-17 May 2013 meeting report and recommendations (PDF, 212KB)
Read the QCS Position Statement on effective clinician engagement (PDF, 211KB)

Organisations are invited to download the survey tools and modify them to meet local needs. The Queensland Clinical Senate recommends organisations:

  • run the survey annually using an online survey tool
  • distribute the results of the survey to clinicians within their organisation, describing how the issues identified in the survey will be addressed.

Hospital and Health Services – clinician engagement survey (PDF, 141KB)
Medicare Locals – clinician engaqement survey (PDF, 141KB)

Advance care planning

Meeting date/s: 16-17 May 2013

Quality end-of-life care is a significant element of health care systems. In recognition of the important role advance care planning can play to improve the quality of end-of-life care for people, the Queensland Clinical Senate made a series of recommendations to improve the uptake of advance care planning across Queensland.

One recommendation relates to the development and implementation of standardised best practice advance care planning documentation across primary care and hospital services. Following a review of multiple advance care planning forms in use within Australia, the Queensland Clinical Senate has recommended resources developed by Queensland Health be evaluated. The evaluation is due to be completed late 2014.

Read the 16-17 May 2013 meeting report and recommendations (PDF, 212KB)

Last updated: 9 November 2016

Activity report

The Activity report provides a summary of key Queensland Clinical Senate activities achieved in 2015-16.

Read our Activity report 2015-16 (PDF 1129 kB)

Charter for care of patients at the end of life

The charters aim to provide a platform for patients and their families/carers to openly discuss their wishes for care at the end of their life with healthcare workers. All Queensland health facilities and relevant professional and consumer representative organisations are encouraged to endorse and display the charter.

Download

National Emergency Access Target (NEAT)

A recommendation of the Queensland Clinical Senates March 2014 meeting was a scientific review of the National Emergency Access Target. The National Emergency Access Target (NEAT) and the 4-hour rule: time to review the target was published by The Medical Journal of Australia on 16 May 2016.