South West Area Maternity Initiative - (SWAMI Project)

Steering Group Committee Chairperson: Mr J Fletcher (CEO)

Minutes

Date: Thursday August 4th. 2011√ Dr Chris Beaton (Medical Lead)

Venue: Allied Health

Seminar room (map attached)√ Ms Patrice Hickey (Midwifery Lead)

SWHC Warrnambool

√ Ms Lauren Newman (Project Facilitator)

Time: 1500 – 1700 (A) Ms Joan O’Neill (DoH) Victoria

Reference Group: √Ms Pauline Kearns (WDHS), (A)Ms Sharon Woods, (A)Ms Tina Pettigrew (CAH), (NA)Ms Sarah Williams (TMHS)√Mr Grant Holmes (SWHC - Camperdown), √ Ms Wendy Buckland (PDH),

√ Mr Peter Logan, √Ms S Morrison (SWHC – Warrnambool) (NA) Ms Leanne McPherson (SJOG),

(A)Dr Ruth Stewart (Otway Div GPs).√Ms Ami Hodgkinson, DoH BSWR.

Guest attendance; √ Dr Alastair Wilson (Director of Medical Services- WDHS)(A) Mr Wayne Weaire (TDHS)

Topic
Introduction to meeting / Jim Fletcher
Chairperson
1. / Apologies / As noted Above (A)
2. / Adoption of minutes 9/6/11 / Adopted by group √
3. / Business / Discussion Lead / Key Points / Action
SMART; Specific, Measurable, Achievable, Resourced, Time frame
i / Workforce
  • Medical
  • Midwifery
/ Chris Beaton
Medical
Service workforce report / Service gaps
Recruitment / Midwifery led service must have C/S backup capability (consultation & referral)
Midwifery workforce (fragile) backfill maternity leave etc.
Nurse / midwife practitioner role > capacity for scope of practice.
Depletion in medical workforce SWHC Warrnambool & WDHS – upcoming resignations August and end 2011.
Discussion at regional level as a group
  • Alignment to State health plan (DoH)
  • Shortage of GP proceduralists
  • View of Obstetric model
Patrice provided a brief on new model out of Sunshine, includes regional registrar rotation, model of funding & training money for registrars etc.
Action Patrice to gain permission to share the work as an example for SW maternity working group (SWAMI).
Update next meeting
Action form a working party to develop a business case for submission to DoH, benchmarked on Sunshine model
Chris, Patrice, Alastair, Lauren
ii / Service capacity / capability
  • Consultation & Referral
  • Role delineation capability / capacity
  • DoH framework (1-6 levels of care).
  • Managing risk; Quality & safety.
/ Chris Beaton
Lauren Newman / Finalised documents
Services
Audit / compliance
MNCN (CAH)
(on hold) / Discussion re review of completed documents housed on maternity connections web site.
All services have completed documents.
CAH document being finalised – currently in draft form.Coroners recommendations post PDH case included reference to document and highly recommend all rural services implement this framework to manage clinical risk.
Action– Tina. Completed docs to be uploaded on MC site when complete
Annual review of documents to maintain currency.
Action (all) Individual health service – maternity rep / leader. Oversee at a regional level – Ami.
Action Compliance measurable at regional annual audit – KPI practice within level of capability / capacity.
Action; Lauren Attach the public document coroners recommendations for reference.
iii / Clinical Practice
  • Collaborative care
  • Consistency
  • CPGs
  • MNCN
/ Lauren Newman
Chris Beaton
Peter Logan
Sue Morrison / Update
AN care / clinics / collaborative models
Funding opportunity / MNCN forum August 29th. 30th.
IOL audit results
New (state) obesity guidelines
Action(Lauren) Report next meeting
Alastair developing WDHS policy/ process document around stillbirth, neonatal deaths / autopsy. Welcome information from colleagues in region.
Action .Patrice to provide any relevant documents from Stillbirth committee, forward to Alistair. PSANZ guidelines key reference tool.
Alastair to forward e mail address for contact.
IMPROVE workshop scheduled for end of August in Geelong, Vacancies in workshop.
Action Lauren to forward information flyers to group, need to register promptly.
SWHC on site AN care, September / Oct. (Private / public blended Model) as per the Greenwell Clinic, - located on the current mid floor when mid moves to new unit. ? GP referral for women attending clinic. Still finalising operational details.
No updates on CAH model this meeting.
MNCN lead – Improving maternity services for aboriginal women. SWAMI has completed a proposal for mapping continuity of maternity care includes KMS (Koori Maternity Service), health service (intrapartum care) on going care
Action Lauren Update from MNCN leadership group re funding allocation by next meeting
Pauline reported KMS to present at WDHS in next few weeks
Ami reported state funded review of KMS service has commenced.
iv / Education
  • Shared Opportunities / resources
  • Stakeholder group
  • Morbidity & Mortality meeting
/ Chris Beaton
Lauren Newman
Ami Hodgkinson / GP education
Credentialing
Workshop feedback
Regional M&M
meeting
Thursday 10th Nov @ SW TAFE W’bool
Rural Mid Support Program
(report
Neoresus Program (NETS)
Regional maternity education / Pregnancy care workshop held in Warrnambool highly successful ‘sell out’. Great effort and thanks to specialist presenters & Chris for chairing the day.
Action (Lauren) evaluations / pre and post tests currently being finalised. Report next meeting
Documents completed for regional M&M meeting; (accepted at meeting) confidentiality / KPI template aligned to Mat indicators.
Date to host meeting Wednesday 9th November 1600hrs – 2100hrs @ SW TAFE W’bool, cost $22.00 pp. date to be confirmed during that week.
Emphasis on the importance on practioners to attend this forum to maintain credentialing to provide pregnancy care.
1. Action Chris FIO requirements for Meeting
2. Action; Lauren to inquire about video link, and speak to Vicky Hunt Otway div GPs re attracting PD points for GPs. By next meeting.
Position vacancy 0.6 EFT. Lauren has accepted the position of DON at TDHS commencing September 5th. Position advertised Saturday August 6th. Warrnambool, Portland, Hamilton
Action Sue SWHC – Regional centre holding funding for program
Lauren & Kirsty Mitchell (SWHC) have completed facilitator training for program. Program will be recognised as national neonatal resus education program. Adult learning package & quiz pre attending the education training. Scenario based practical (3 hrs). Facilitated by NETS team. Cost is $50 per service to link with the pre reading and quiz. Contact nets ed for further information (Rose Boland)
W:
T: 03 9344 2419
Draft completed for additional funding to operate a regional education program. Includes brief on professional links rotations with Barwon Health / larger maternity hospitals.
MSOP - Funding Opportunity – education topics 1. Pregnancy care / obstetric emergencies (MSEP), NeoResus ‘first response training (NETS), CTG Surveillance (RANZCOG), breastfeeding Ed (e learning package).
Action; next step to discuss opportunities with Barwon Health (Therese Cotter)
Actions:Lauren will forward draft and questionnaire for review & service feedback.
All Please include number of midwives who would be rotating form your service on professional links.
v / ICT
  • e system
  • data collection
  • integrated seamless care
  • Interprofessional handover (transfer & discharge)
/ SWHC
Peter Logan
Lauren Newman / Shared interface
Shared pnt information
STATS / data collection
Maternity Connections web site SW Vic. (update) / Peter reported work is slowly progressing. SWARH’S priority focused on major changes with implementing TRACK system.
Eventually TRACK program will be the depository for maternity episodes of care / admission, accessible to outlier services. Timelines 3 – 4 months.
ActionsPeter to provide an update report next meeting
Slowly progressing, some challenges with the timelines. Site can be viewed at

Action (All)forward relevant documents and Maternity news items for uploading. Lauren to provide update next meeting.
vi / SWAMI continuation / Lauren
Ami / Sustainability of key initiatives
Timelines / Open discussion attended ongoing group meetings following completion of SWAMI project Dec 2011. All in agreement to continue regional maternity meetings next year.
Various roles defined – continues the relationship
Jim not in chair next year
  • Department of health
  • OBGYN Chris
  • Patrice
  • Service reps

Item / Topic / Discussion Lead / Key Points / Action
SMART; Specific, Measurable, Achievable, Resourced, Time frame
6. / Service Communication / collaboration / All / Continued strengthened partnerships post SWAMI / Action (all) Discussion – ongoing post December
  • Group structure (group decision)
  • Group elects a chair / secretary (named timeframe)
  • Department of health role (regional level)
  • New recruit (SWAMI / RMSP) Lauren? consultant role, Ami / Chris / Sue Morrison determine structure
  • Funds held at SWHC Warrnambool
  • Develop a questionaries ‘think tank’ for circulation to members (Lauren)

7. / Open Forum
Further comments. / Open / Jim thanked Lauren for the SWAMI project management time, document work and outcomes achieved over the past 18months.

Meeting Closed @ 1630

Next meeting: WDHS Hamilton

Thursday October 13th. 1500 – 1700

Boardroom

Minutes recorded and typed by Lauren Newman SWAMI Project Facilitator (August 2011)

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