Statewide Older Person’s Health Clinical Network (SOPHCN)

Terms of Reference

2015 - 2017

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Table of Contents

• 1. Target Client Group ................................................................... 4
• 2. Target Service Area ................................................................... 4
• 3. Principal Functions ................................................................... 4
• 4. Queensland Clinical Senate...................................................... 4
• 5. Network Structure...................................................................... 5
• 6. Workgroups................................................................................ 7
• 7. Decision Making ........................................................................ 7
• 8. Agenda Papers, Submissions and Reports ............................ 8
• 9. Minutes ....................................................................................... 8
• 10. Network Coordinator .............................................................. 8
• 11. Evaluation ................................................................................ 8
• 12. Date of Review......................................................................... 9
• 13 Meetings................................................................................... 9
• 14. Confidentiality ......................................................................... 9
• 15. Conflicts of Interest................................................................. 9
• 16. Approving Authorities ............................................................ 9

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Purpose

The Statewide Older Person’s Health Clinical Network (SOPHCN) will guide improvement in patient health outcomes, functional capacity and quality of life by identifying service gaps in acute and subacute care services including rehabilitation, palliative care, subacute mental health and Geriatric Evaluation and Management and psycho-geriatric services in both hospitals and the community.

1. Target Client Group

The Statewide Older Person’s Health Clinical Network’s target client / patient group are those considered to be older people across the continuum of health care.

2. Target Service Area

The Network will consider the range of primary care, generic and specialised services, along the health care continuum with a particular focus on the provision of acute geriatric medicine, subacute care including Geriatric Evaluation and Management (GEM), geriatric rehabilitation, and residential aged care.

3. Principal Functions

The SOPHCN Steering Committee will operate in a manner consistent with the current version of the Department of Health Clinical Network Policy and Implementation Standard. The principal functions of the Statewide Older Person’s Health Clinical Network Steering Committee include:

•  Provide expertise, direction and strategic advice to the Minister of Health, the DirectorGeneral of the Department of Health, Hospital and Health Services (HHSs) and clinicians on matters relating to the delivery of Older Person’s health care and evidence based best practice in Queensland.
•  Develop standards, guidelines and clinical indicators for the older person’s clinical service to promote quality improvement and standardisation of best practice across Queensland.
•  Work towards the development of a Geriatric Services Framework, the scope of publicly funded services, and / or clinical categorisation processes in the areas of older person’s health services.
•  Develop and promote multi-disciplinary training opportunities throughout older person’s services in Queensland Health.
•  Undertake service gap analysis of subacute services.
•  Review and make recommendations on initiatives such as service plans, service
• improvement initiatives, clinical policy, clinical research, and information systems relevant to older person’s services delivered by the Department of Health and its partners.
•  Liaise with external bodies, for example, the Primary Health Networks, research centres, other networks, and tertiary and consumer organisations to identify opportunities for collaboration.
•  Foster education and research.
•  Find innovative ways to support primary care.
•  Collaborate with other relevant Clinical Networks.

4. Queensland Clinical Senate

The Clinical Chair, Statewide Older Person’s Health Clinical Network or a nominated representative has automatic membership of the Queensland Clinical Senate as a voting ex officio member.

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The Queensland Clinical Senate provides a forum for a multi-disciplinary group of clinicians with diverse perspectives to share their collective knowledge in the deliberation of strategic clinical issues and to make recommendations to Queensland Health through the Director-General. The Clinical Senate will complement rather than duplicate or usurp the work of Statewide Clinical Networks, the Clinical Network Council and other strategic review and planning processes.

5. Network Structure

The Older Person’s Health Clinical Network will consist of a Steering Committee and a broader Collaborative Membership.

6.1 Steering Committee

The role of the Steering Committee is to provide high level specialist clinical advice to inform strategic directions, planning and policy and promote optimal health care in the area of older person’s health services. In accordance with the Clinical Networks Implementation Standard (v1.0), membership of the Steering Committee will be multi-disciplinary and include Statewide representation from medical, nursing and allied health. Individual members have the responsibility of informing their Hospital and Health Service Chief Executive and executive teams of any decisions and / or outcomes from the Network.

6.1.1 Selection of Chair / Co-Chairs

An expression of interest (EOI) for the position of Network Chair and/or Co-Chairs will be formally advertised and disseminated to all GARU Medical Directors, members of ANZSGM, the SOPHCN Steering Committee, SOPHCN Collaborative and SOPHCN Working Groups for consideration and broader dissemination. Appointment of the Chair / Co-Chairs is for a period of up to two years and applicants will undergo a formal selection and interview process. The role of the Clinical Chair / Co-Chairs is to lead and chair the Statewide Older Person’s Health Clinical Network and provide high level leadership and specialist clinical advice to the Minister of Health, Director-General of the Department of Health, Hospital and Health Service Chief Executives and other stakeholders, to inform strategic directions, planning and policy and promote optimal health outcomes in the area of older person’s services in Queensland.

6.1.2 Selection of Members

Membership of the statewide network will be multi-disciplinary and principally comprise clinicians with representation from medical practitioners, nurses and allied health clinicians from across the State. The Network will also include relevant NGOs, a consumer representative, a general practitioner and representatives or leaders of associated subgroups. Steering Committee members will be selected after the distribution of an EOI through the SOPHCN Steering Committee, SOPHCN Collaborative and SOPHCN Working groups for consideration and wider dissemination. Steering Committee members will need the endorsement and support of their Chief Executive before applying.

There is an expectation that Steering Committee members will provide regular feedback to their Chief Executive on SOPHCN activities.

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Larger HHSs may have more than one representative on the Steering Committee. The Steering Committee is appointed for a period of two (2) years. To ensure continued momentum with existing projects and activities, no more than 50% of existing steering committee membership should be replaced at any one time.

Members will be shortlisted by the Network Chair and Line Manager, Healthcare Improvement Unit. If multiple nominations are received for key stakeholder positions on the steering committee, nominees for contested positions will be decided at the next scheduled steering committee meeting.

The consumer representative will be sourced through an EOI application process through a relevant Older Person’s Network. The General Practitioner will be sourced through the Royal Australian College of General Practitioners (RACGP) and / or by recommendation from other Networks about previous Committee participation by a GP.

==SOPHCN Representative Position

Dr Federico Cavestany-Ricker Staff Specialist Geriatrics, Cairns Hospital Cairns & Hinterland Hospital & Health Service

Ms Michele Gardner Executive Director, Rural and District Wide Services Central Queensland Hospital & Health Service

Dr Somnath Sinha Clinical Director, General Medicine, Mackay Hospital Mackay Hospital & Health Service

Dr Alison Mudge Clinical Director, Research and Education, Internal Medicine & Aged Care, Royal Brisbane & Women’s Hospital Metro North Hospital & Health Service

Dr Kana Appadurai Clinical Director, Geriatric & Rehabilitation Services, Assistant Director, Department of Internal Medicine & Aged Care, Royal Brisbane & Women’s Hospital Metro North Hospital & Health Service

Dr Robert O’Sullivan Staff Specialist, Geriatrician and General Physician, Department of Internal Medicine & Aged Care, Royal Brisbane & Women’s Hospital Metro North Hospital & Health Service

Associate Professor Paul Varghese

Clinical Chair of SOPHCN Director of Geriatric Medicine / Consultant Geriatrician / Physician, Geriatric and Rehabilitation Unit, Princess Alexandra Hospital and Centre for Research in Geriatric Medicine, University of Queensland School of Medicine Metro South Hospital & Health Service

Ms Trish Harrower Clinical Team Leader, Social Work, Internal Medicine, Aged Care & Patient Flow, Princess Alexandra Hospital Metro South Hospital & Health Service

Dr Lisa Kelly Staff Specialist, Geriatric Medicine, Princess Alexandra Hospital Metro South Hospital & Health Service Mr Graham Kraak Director, Strategic Policy, Strategic Policy & Legislation Branch Queensland Health

Dr John Endacott Clinical Service Director, Community Integrated and Subacute Services (CISAS) Sunshine Coast Hospital & Health Service

Dr Olayiwola Otaiku Clinical Director, Staff Specialist, Gerontology, Townsville Hospital Townsville Hospital & Health Service

Mr Ryan Bergin Clinical Nurse Consultant, Older Persons Service, Ipswich Hospital West Moreton Hospital & Health Service Healthcare Improvement Unit - 7 -

Ms Samantha Woodhouse Nurse Educator, Ipswich Hospital West Moreton Hospital & Health Service

Ms Sue Coffey Service Manager, Acute to Community Integrated Care, Sub and Post-Acute Care, Integrated Care Stream West Moreton Hospital & Health Service Other Representatives Profession

Dr Ian Williams, GP Representative General Practitioner, Camp Hill Health Care

Mr Mark Tucker-Evans Consumer Representative Chief Executive Officer, Council on the Ageing (COTA) Qld

Mr John Woodward Pharmacy Representative Pharmacist, Central Queensland & Sunshine Coast Primary Health Network

Ms Edwina Caesar Non-Government Organisation Representative A/Chief Operating Officer, RSL Care Limited

6.1.3 Other participants

The Chair / Co-Chairs may from time to time invite other individuals or groups to present, or to observe at meetings of the Network. Observers and guests do not have authority to make determinations in respect of Network deliberations.

Where agreed by the Chair / Co-Chairs, members may invite guests to attend meetings to provide expert advice and support to a specific topic raised. The guest’s attendance is limited to the duration of discussion on that specific topic.

6.1.4 Sub-committees

The Chair / Co-Chairs of the Steering Committee has the authority to create relevant subcommittees or other subordinate bodies he / she deems necessary to assist the committee in discharging its responsibilities.

6. Workgroups

The Steering Committee may determine that time-limited work groups should be formed to complete a body of work.

A member of the Steering Committee may be nominated by the Network Chair / Co-Chairs to act as a Clinical Lead of the work group. The Clinical Lead may also act as the Chair of the work group. A work group Chair / Clinical Lead may also be sought from outside the Steering Committee through a process of EOI.

If an interim work group is to be convened, the Network Chair / Co-Chairs and Executive Sponsor need to advise the duration of the interim arrangements and whether membership will be organised through an EOI or direct appointment by the Clinical Chair / Co-Chairs and Executive Sponsor. The Network Chair / Co-Chairs and the Executive Sponsor will determine and document the roles of work group members prior to an EOI process. Work groups will report progress regularly and provide a final report to the Network Steering Committee.

7. Decision Making

Steering Committee recommendations are made by consensus where possible. In the event that a consensus is not reached, a majority decision will be sought. Should this not occur, the Chair / Co-Chairs will have the casting vote.

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If the Chair / Co-Chairs are absent from a meeting or vacate the position, the Chair / Co-Chairs must appoint another person to act as the Chair on a temporary basis.

8. Agenda Papers, Submissions and Reports Agenda papers, submissions and reports must be cleared and submitted through the Network Chair / Co-Chairs. Agenda papers will be called for at least two weeks prior to the meeting date. Items will be delivered to the Network Coordinator no later than one week before the meeting date. The agenda will be circulated no later than the Friday before the meeting date.

Items may be managed Out-of-Session where:

I. The item is urgent and must be considered before the next scheduled meeting; or

II. In circumstances when face-to-face meetings are not possible, to enable business to be progressed.

9. Minutes

Meeting minutes including action lists will be distributed to all members within fourteen working days. Minutes are taken as draft until they are ratified at the next Network meeting.

10. Network Coordinator

Network Coordinator support will be provided by the Clinician Engagement Team, Healthcare Improvement Unit.

11. Evaluation

The Steering Committee will develop an annual Work Plan and Communication Strategy to guide clinical network activities. The Work Plan is linked to the Department of Health Strategic Plan and will reflect the Queensland Government organisational priorities and detail the activities to be completed by the Network. The Work Plan will incorporate action plans from all work groups under the clinical network.

The Work Plan is reviewed at each meeting for progress against the stated strategies and is updated to reflect the status of the item as either:

 on track / completed

 delayed

 no action progressed / major issues identified.

The Statewide Older Person’s Health Clinical Network will:

 Provide, on request, an annual report to:

o The Queensland Minister for Health;

o The Director-General Department of Health;

o Deputy Director-General, Clinical Excellence Division;

o Executive Director, Healthcare Improvement Unit, and

o The HHS Chief Executives.

 Report progress against the workplan quarterly to the Executive Sponsor as part of a continuous improvement process;

 Participate in an annual self-assessment process for State Clinical Networks, and

 Participate in formal internal or external evaluations as required. Healthcare Improvement Unit - 9 -

12. Date of Review

Terms of Reference must be reviewed at least annually.

13 Meetings

Meetings of the Steering Committee will be held bi-monthly. Attendance can be face-to-face or via telephone / video conferencing.

A quorum is achieved with fifty percent of members plus one in attendance at a meeting, within 20 minutes of the scheduled commencement time of the meeting. For the purposes of determining a quorum, a nominated proxy will count as a member in attendance.

In the absence of a quorum, the meeting may continue at the Chair’s discretion with any items requiring decision to be deferred and circulated to members as an out of session item following the meeting.

Non-attendance at two consecutive meetings without prior notification will result in the steering committee member advising of their ongoing availability and interest in participation on the SOPHCN. The decision to continue will be made at the discretion of the Chair / Co-Chairs.

Network forums may be held each year to:

1. Provide clinicians representing participating Hospital and Health Services and consumers with the opportunity to exchange information on current work of the Statewide Older Person’s Health Clinical Network;

2. Identify and prioritise current issues pertaining to older person’s services and inform the work plan, and

3. Advise on strategies to address issues pertaining to older person’s health services.

14. Confidentiality

Members of the Network may receive information that is regarded as ‘commercial in confidence’, clinically confidential or have privacy implications. Members and proxies acknowledge their responsibility to maintain confidentiality of all information that is not in the public domain.

15. Conflicts of Interest

To meet the ethical obligations under the Public Sector Ethics Act 1994, Network members and proxies must declare any conflicts of interest whether actual, potential, apparent, or appear likely to arise, and manage those in consultation with the chair. This may relate to a position a member holds (e.g. Chair of an external organisation) or to the content of a specific item for deliberation.

16. Approving Authorities

1. Clinical Chair, Statewide Older Person’s Health Clinical Network Name: (Dr) Paul Varghese Signature:…………………………………………………………………………………………….. Date: 15 /10/ 2015

منتجات رائعة

https://www.sahealth.sa.gov.au/wps/wcm/connect/a9fe7b804e5a9463887bfcfefb3fa04f/Geriatric+Consultation+Liaison+Team+Model+of+Care.pdf?MOD=AJPERES&CACHEID=a9fe7b804e5a9463887bfcfefb3fa04f

https://www.sahealth.sa.gov.au/wps/wcm/connect/638944004e5a8a958835fcfefb3fa04f/Geriatric+Evaluation+and+Management+Unit+Model+of+Care.pdf?MOD=AJPERES&CACHEID=638944004e5a8a958835fcfefb3fa04f

https://www.sahealth.sa.gov.au/wps/wcm/connect/706a1c804e5a92798859fcfefb3fa04f/Description+of+an+Area+Geriatric+Service.pdf?MOD=AJPERES&CACHEID=706a1c804e5a92798859fcfefb3fa04f

https://www.sahealth.sa.gov.au/wps/wcm/connect/5036a2004ec5804b960ad6a699be551e/Community+Geriatric+Service+Model+of+Care.pdf?MOD=AJPERES&CACHEID=5036a2004ec5804b960ad6a699be551e

رابط

https://www.health.qld.gov.au/caru/networks/docs/sophcn-tor.pdf