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NSW Health Award
NSW Health Award
Eyes Open: Improving service delivery for the Royal North Shore Hospital ophthalmology service
The ophthalmology service delivers excellent ophthalmic care, however, patient and staff feedback demonstrate that the service delivers a poor patient and staff experience. This project focused on identifying opportunities for improvement that relate specifically to patient and staff experiences, and then implementing sustainable changes to address these experiences.
Royal North Shore Hospital
Added: 6 May 2019|Last updated: 9 October 2019
Imagine: An initiative to support the wellbeing of staff at Bulli District Hospital
This is a staff-based wellbeing initiative program; designed to demonstrate an increase in staff satisfaction and workplace engagement.
Bulli Hospital
Added: 5 April 2019|Last updated: 22 April 2019
Community Eye Care in Western Sydney
Community Eye Care (C-EYE-C) improved access to ophthalmology services for patients in Western Sydney, by partnering with local optometrists to conduct standardised examinations, which were then reviewed remotely by hospital ophthalmologists.
Western Sydney Local Health District
Added: 11 July 2018|Last updated: 30 January 2019
V-DOTS – A unique client care for protracted tuberculosis regimens
The project team implemented an innovative, secure, low cost, and high impact program using readily available digital technology, to transform the current tuberculosis service to a patient-centred delivery model.
Murrumbidgee Local Health District
Added: 18 December 2018|Last updated: 15 January 2019
Development After Infant Surgery Study
The Development After Infant Surgery (DAISy) study is the first of its kind in the world. It investigated neurodevelopmental outcomes in infants who had major surgery within the first 90 days of life.
Sydney Children's Hospital Network
Added: 2 November 2018|Last updated: 19 November 2018
Innovative Service Delivery Model
Western Sydney Local Health Districtestablished a Mental Health Acute Assessment Team at Cumberland Hospital. The service responds to relevant Triple Zero calls via a dispatch system, using dedicated paramedics and mental health clinical nurse consultants.
Western Sydney Local Health District
Added: 28 May 2018|Last updated: 22 June 2018
Elimination of Hepatitis C in a Prison Setting
The Justice Health & Forensic Mental Health Network introduced the first Hepatitis C Virus elimination program in the NSW correctional setting.
Added: 6 June 2018|Last updated: 21 June 2018
Working Together to Stop Violence
Mid North Coast Local Health District developed a comprehensive staff training program on domestic and family violence, to better understand violence prevention and create a safer, more respectful workplace.
Mid North Coast Local Health District
Added: 29 May 2018|Last updated: 20 June 2018
Bridging Cultures
Mid North Coast Local Health District empowered Aboriginal patients to manage their own health care, by providing education, information on services, self-management strategies, culturally-sensitive care and links to community health services.
Added: 25 May 2018|Last updated: 11 June 2018
On Time, Every Time for People with Parkinson's
To ensure 75 per cent of PD patients at Coffs Clinical Network are identified within four hours of admission, receive medications on time and have a carer who is satisfied with the patient's medication management.
Mid North Coast Local Health District
Added: 9 May 2018|Last updated: 28 May 2018
Aboriginal Wellbeing Hospital Discharge Booklet
An Aboriginal cultural resource was developed to improve the hospital discharge journey of Aboriginal patients, families and carers in MNCLHD. The clinical redesign process involved monitoring data, developing culturally appropriate resources and collaborating with Aboriginal people to gain the best health outcomes after discharge from hospital.
Mid North Coast Local Health District
Added: 29 January 2018|Last updated: 12 February 2018
Central Line Infection Prevention in Newborns
RPA Hospital implemented an education, audit and training package for staff in its Newborn Care Unit, to reduce infections related to central line use in vulnerable newborns.
Royal Prince Alfred Hospital
Added: 12 December 2017|Last updated: 22 December 2017
Confident and Connected at Home on Haemodialysis
Nepean Blue Mountains Local Health District, in collaboration with The University of Sydney and Western Renal Services, developed a mobile app that allows patients to send their home haemodialysis data to nursing staff remotely and in real time.
Nepean Blue Mountains Local Health District
Added: 23 October 2017|Last updated: 8 November 2017
Child-at-Risk Electronic Medical Record Alert
NNSWLHD developed a unique alert system for at-risk children and pregnant women that is integrated into the patient's electronic medical record
Northern NSW Local Health District
Added: 25 August 2017|Last updated: 11 September 2017
The Rhythm and Rhymes Adolescent/Adult Program
The Rhythm and Rhymes Adolescent/Adult Program is a 12-week hip-hop therapy program designed to engage young people with severe mental illness in a way that is enjoyable, creates a sense of purpose in their lives and helps them reconnect to themselves and others.
Justice Health and Forensic Mental Health Network
Added: 23 August 2017|Last updated: 7 September 2017
Caring for Our Carers
Blacktown Mount Druitt Hospital (Blacktown Campus) added Carer Zones to single rooms in its new Clinical Services Building, so carers can stay at the hospital overnight in comfort.
Blacktown Mount Druitt Hospital (Blacktown Campus)
Added: 24 July 2017|Last updated: 8 August 2017
In Safe Hands: Structured Interdisciplinary Bedside Rounds
The structured interdisciplinary bedside rounds (SIBR) project involved a restructuring of the Medical Unit at Orange to allow care to be delivered via daily interdisciplinary patient and family-centred rounds delivered in plain English with collaborative care and goal planning involving patient, family and the multidisciplinary healthcare team.
Orange Health Service
Added: 10 September 2014|Last updated: 11 November 2016
Restoration of Voice for Tracheostomy Patients in the Intensive Care Unit
Royal Prince Alfred Hospital implemented the first randomised controlled trial in the world that demonstrated the benefits of using an in-line speaking valve in an Intensive Care Unit, to restore the voice of mechanically-ventilated tracheostomy patients.
Royal Prince Alfred Hospital
Added: 10 June 2016|Last updated: 27 June 2016
Community Integration Team: At Risk Youth Mental Health
The Community Integration Team is a cohesive statewide health service that coordinates care for young people who have mental health problems and/or problematic drug and alcohol use, while they are in the juvenile justice system and three months after their release.
Justice Health and Forensic Mental Health Network
Added: 2 May 2016|Last updated: 23 May 2016
Novel Approaches to Promoting HIV Testing
SLHD promoted a community HIV testing service called a[TEST] in Newtown, through a digital marketing strategy and advertising in public spaces.
Sydney Local Health District
Added: 23 February 2016|Last updated: 8 April 2016
My Recovery: The Consumer-led Journey
The Mental Health Recovery Unit (MHRU) implemented an eight-week program that used the Mental Health Recovery Star tool to help consumers set recovery goals and manage their own recovery reviews.
Murrumbidgee Local Health District
Added: 8 February 2016|Last updated: 8 April 2016
Mighty Germ But Tight Plan Can Send The Baby Home
The Royal Hospital for Women conducted an audit to measure the success of an early discharge policy that was implemented in January 2011.
Royal Hospital for Women
Added: 23 February 2016|Last updated: 8 April 2016
The Many Colours of Blacktown and Mount Druitt
The Arts and Culture Program at Blacktown and Mount Druitt Hospitals creates welcoming and safe spaces by collaborating with local artists and community groups.
Western Sydney Local Health District
Added: 24 February 2016|Last updated: 8 April 2016
Early Detection of Chronic Kidney Disease in Aboriginal People
Northern NSW Local Health District developed an algorithm that was applied to the electronic medical records of patients at Bugalwena General Practice, to identify whether they had early-stage chronic kidney disease.
Northern NSW Local Health District
Added: 18 January 2016|Last updated: 8 April 2016
Healthy Mouths in Hospital
This project implemented a more effective method for cleaning dentures in hospital and delivered education session to staff and patients on the link between oral health and systemic infection.
Southern NSW Local Health District
Added: 18 March 2016|Last updated: 4 April 2016
Nurse Practitioner for Outreach Rapid Response Acute Aged Care Service
This project implemented a nurse practitioner led service that delivers care to older people in the community within residential aged care facilities or at home.
Mid North Coast Local Health District
Added: 29 February 2016|Last updated: 14 March 2016
Strong Fathers, Strong Families: The Possum Cloaks Project
An eight-week parenting program was developed for Aboriginal and Torres Strait Islander fathers, which included lessons on carving culturally and personally significant artworks onto possum cloaks for their babies and children. The program was fully funded by the Office of Aboriginal and Torres Strait Islander Health.
Nepean Blue Mountains Local Health District
Added: 23 February 2016|Last updated: 9 March 2016
Southcare Outreach Service (SOS)
The Southcare Outreach Service is a new model of care that delivers a rapid response, multidisciplinary team to clients aged over 65 years in their home to prevent presentations to the emergency department.
South Eastern Sydney Local Health District
Added: 19 February 2016|Last updated: 7 March 2016
Rapid Access Colonoscopy: Faecal Occult Blood Test
This project designed and implemented a rapid access colonoscopy service for positive faecal occult blood test referrals in HNELHD.
Hunter New England Local Health District
Added: 24 February 2016|Last updated: 2 March 2016
Preventing Catheter-Associated Urinary Tract Infections
This project developed nurse-led protocols for the insertion, removal and management of indwelling urinary catheters at John Hunter Hospital.
Hunter New England Local Health District
Added: 8 February 2016|Last updated: 26 February 2016
A Culturally and Linguistically Diverse Engagement Strategy for BreastScreen NSW
BreastScreen NSW engaged Culturally and Linguistically Diverse (CALD) communities, through art workshops that allowed participants to visually express their feelings about breast screening.
Cancer Institute NSW
Added: 1 February 2016|Last updated: 15 February 2016
Singing to Health: A Choir for People with Neurological Communication Disorders
The War Memorial Hospital Waverley created a weekly social choir led by a volunteer music therapist, for outpatients with chronic communication impairments due to acquired and progressive neurological deficits. The choir supported the health of individuals, by building partnerships and facilitating continuity of care.
War Memorial Hospital
Added: 27 January 2016|Last updated: 10 February 2016
Transforming Acute Stroke Care Locally and Globally
John Hunter Hospital implemented advanced computed tomography (CT) imaging, which allows patient profiling, prognostic accuracy and personalised acute stroke care.
John Hunter Hospital
Added: 18 January 2016|Last updated: 1 February 2016
Your Health Link: Information the Right Way
Your Health Link is an online gateway to a broad suite of health information, linking the community, patients, carers, teachers and students to over 500 Australian health-related organisations and services chosen by health professionals. Through accessible website design and a comprehensive linking program, Your Health Link has enabled 90.5% of users surveyed to get the information they were looking for.
Mid North Coast Local Health District
Added: 6 January 2016|Last updated: 20 January 2016
A Public-Private Rural Physiotherapy Service
This project established a partnership between the local health district, Primary Health Network and private physiotherapists, to pool resources and deliver physiotherapy services in rural communities.
Murrumbidgee Local Health DistrictMurrumbidgee Primary Health Network
Added: 18 January 2016|Last updated: 18 January 2016
Smoke-free Commercial Outdoor Dining for NSW
A NSW Health public notice campaign was implemented using stakeholder engagement and social marketing strategies, to increase awareness of the smoking ban in commercial outdoor dining areas enacted on 6 July 2015.
NSW Ministry of Health
Added: 7 January 2016|Last updated: 7 January 2016
Blacktown and Mount Druitt Hospitals Expansion Project
This project implemented consumer engagement activities including steering committees, working parties and community forums involving consumer representatives, clinicians and architects, to seek input into the design and development of the Blacktown Mount Druitt Hospital (BMDH) Expansion Project.
Health InfrastructureWestern Sydney Local Health District
Added: 21 November 2014|Last updated: 13 November 2015
Teamwork the Mid North Coast Way: From ED to Urgent Care Centre
Wauchope District Memorial Hospital transformed its emergency department into an Urgent Care Centre, which is equipped to treat patients with minor illness or injury. Patients that require emergency care for serious or critical conditions are transferred by NSW Ambulance directly to Port Macquarie Base Hospital. The successful transition was underpinned by a comprehensive communications strategy made possible by the formation of a dynamic team which included key representatives from health and the community....
Wauchope District Memorial Hospital
Added: 21 October 2015|Last updated: 4 November 2015
Triple CCC Project - Care, Communication, Coordinate
The project team redesigned and implemented a new care coordination model which has transformed care delivery on the medical respiratory ward, improving safety, patient, carer and staff satisfaction.
Shellharbour Hospital
Added: 7 August 2015|Last updated: 4 November 2015
Improving Management of Long Stay Patients
Liverpool Hospital implemented a sustainable process for monitoring, management and early escalation of long stay patients. The goal was to provide a structure for helping clinical teams develop appropriate and high-quality patient management plans.
Liverpool Hospital
Added: 8 July 2015|Last updated: 4 November 2015
Vertebrae Fractures: Rural Management Adaptions
This project developed clear management plans with standardised clinical products and processes, formal education and training, and enhanced clinical governance.
Mid North Coast Local Health District
Added: 27 May 2015|Last updated: 27 May 2015
Let's Be Free of Vancomycin Resistant Enterococcus (VRE)
The project implemented measures to deal with nosocomial infections, including increased swabbing, improved cleaning services, cleaning surveillance tools, personal hygiene packs and patient questionnaires.
St George Hospital
Added: 25 May 2015|Last updated: 27 May 2015
Quality in Acute Stroke Care Implementation Project (QASCIP)
Following results of a successful trial, the QASCIP implemented three clinical protocols to manage fever, hyperglycaemia and swallowing in stroke (the Fever, Sugar, Swallow (FeSS) clinical protocols). The Nursing Research Institute partnered with the ACI, 15 local health districts, clinicians and the National Stroke Foundation to implement the FeSS clinical protocols in all 36 NSW stroke services.
St Vincent's Health Network
Added: 27 May 2015|Last updated: 27 May 2015
Keep Them Safe and Whole Family Teams - An Integrated Partnership Approach to Health Care
Whole Family Teams (WFTs) include mental health and drug and alcohol clinicians working together in multidisciplinary teams to provide comprehensive mental health, drug and alcohol and family assessment and evidence informed individual and family in-home interventions for approximately six months. The model of care was informed by the best available evidence regarding interventions for families with complex mental health and drug and alcohol needs and the impact of these problems on the safety of their children. The central theme of...
Mental Health and Drug and Alcohol Office (MHDAO)
Added: 18 February 2015|Last updated: 5 March 2015
Standing Balance Classes: improve balance and function for rehabilitation inpatients
This project demonstrates the effective implementation of best evidence to improve patient outcomes in a rehabilitation setting. Patients consistently report poor balance as a significant factor in their recovery. Focusing on patient centred care, clinicians within the physiotherapy department performed an evidence based review aiming to identify the most effective way of improving balance.
Bankstown Lidcombe HospitalCamden Hospital
Added: 16 February 2015|Last updated: 17 February 2015
Rapid HIV and Sexually Transmissible Infections Testing
Sydney Sexual Health Centre with partners ACON and the Kirby Institute, developed outreach testing models staffed by peer educators and a specialist nurse. a[TEST] models included after-hours testing at community organisation premises, a mobile testing caravan at Taylor Square for World AIDS Day, and a Darlinghurst shop front for the Mardi Gras Festival 2014. High rates of consumer satisfaction with the models and success in accessing gay men who had never had a HIV test or were testing infrequently was...
South Eastern Sydney Local Health District
Added: 16 February 2015|Last updated: 16 February 2015
Save the Date to Vaccinate Campaign
The Save the Date to Vaccinate campaign is part of a long term strategy to improve childhood vaccination rates in NSW. The key message of the Save the Date to Vaccinate campaign focuses on 'on time' immunisation, addressing a lack of understanding about the importance of vaccinating children in line with the recommended immunisation schedule.
NSW Ministry of Health
Added: 16 February 2015|Last updated: 16 February 2015
Kitted Out for Blood Cultures
To reduce blood culture contamination rates at Campbelltown Hospital, a blood culture kit was introduced to the adult departments. The project foundation is built on getting it right the first time and reducing unwarranted clinical variation by implementing one standardised kit with one set of instructions. This has embedded better practice focusing on aseptic technique.
Campbelltown Hospital
Added: 11 February 2015|Last updated: 16 February 2015
A Safe Benzodiazepine Guideline for Elderly Inpatients
This project was a result of the Junior Medical Officer Quality and Safety Committee. While defining its role in its pilot 12 months, concerns regarding the prescribing of benzodiazepines in the elderly inpatients were identified and acted upon by way of two audits, guideline creation and education packages.
Hunter New England Local Health District
Added: 5 February 2015|Last updated: 11 February 2015
Active Kyogle
Active Kyogle was a three-year federally-funded chronic disease prevention project which relied on the community to decide the health priorities and collaborative partners to plan and deliver the interventions. Active Kyogle empowered the community to implement a health promotion program to prevent chronic disease focusing on projects that increase healthy eating, physical activity and reducing social isolation.
Northern NSW Local Health District
Added: 5 February 2015|Last updated: 11 February 2015
eCommunicating Patient Feeding Assistance Needs
In 2013 a modification to electronic medical record (eMR) diet ordering was initiated to communicate patient feeding assistance requirements electronically at the time of ordering a patient diet. This modification now triggers a bright marker on the patient's meal tray to clearly indicate their eating assistance needs at every meal.
Prince of Wales Hospital
Added: 11 February 2015|Last updated: 11 February 2015
Healthy Kids Bus Stop (HKBS) Project
The Healthy Kids Bus Stop (HKBS) Project is a community-based integrated care partnership between Royal Far West, Western NSW Local Health District, Western NSW Medicare Local, and Ronald McDonald House Charities to address the gaps in child health needs in rural NSW.
Western NSW Local Health District
Added: 31 October 2014|Last updated: 28 January 2015
Yanagagi Numbadil Nurbul - Walking Together in Friendship
Bathurst Health Service was one of eight NSW Hospitals to participate in the Aboriginal Identification Hospital Quality Improvement Project. This initiative has considered the needs of Aboriginal people as outlined in the NSW Health Impact Statement to ensure a significant focus on quality improvement and partnering with Aboriginal patients and community.
Western NSW Local Health District
Added: 31 October 2014|Last updated: 19 December 2014
Electronic Patient Journey Boards
The Electronic Patient Journey Board is a highly visible interactive touch screen, able to feed data directly from the electronic medical record and patient administration system. It is designed to facilitate multidisciplinary handover meetings with information displayed in a highly visual medium with graphic icons and colour schemes to discretely share clinical, financial and demographic information.
Central Coast Local Health District
Added: 17 December 2014|Last updated: 17 December 2014
In the Hand of Our Clinicians
A mobile phone viewable website allows clinicians ready access to assist in the safe, appropriate and timely prescribing of antimicrobials, thus decreasing the risk of healthcare associated bloodstream infections.
Hunter New England Local Health District
Added: 15 December 2014|Last updated: 17 December 2014
Enhanced Scope of Practice Model of Care
The ESOP Model of Care was designed along with a supporting clinical governance structure, n education and training program and clinical pathways which define the scope of the ESOP Nurse. By developing the current rural nursing workforce to ensure that patients in small communities were able to receive appropriate treatment, by an appropriate person, at the appropriate time, without having to be transferred to larger facilities some distance away....
Murrumbidgee Local Health District
Added: 15 December 2014|Last updated: 15 December 2014
The Angelina Effect: the Personal Risk Assessment Clinic
The development of a Personal Risk Assessment (PRA) Clinic was established to offer women accurate and personalised breast cancer risk advice and assessment
Illawarra Shoalhaven Local Health District
Added: 21 November 2014|Last updated: 15 December 2014
Electronic Chest Pain Pathway (eCPP) in the eMR
The seamless, person-centred Electronic Chest Pain Pathway (eCPP) was developed to be compatible with all other pathways. It provided continuous care for patients with deteriorating health and developed key partnerships between the project teams that co-designed the easy to use evidence based tool.
Illawarra Shoalhaven Local Health District
Added: 21 November 2014|Last updated: 15 December 2014
Paediatric Bereavement – The Experience of Families
Videos and resources have been developed to support families who have experienced the death of a child. These resources also educates health professionals on the experience of grief and loss, improving the service provided to emotionally isolated families.
Sydney Children's Hospital Network
Added: 21 November 2014|Last updated: 15 December 2014
Holistic Health for Mental Health Clients
The co-located General Practice clinic has cared for over 100 consumers who had not seen a General Practitioner in the last 12-18 months. In partnership with existing metal health services, the co-location model ensures community mental health services work collaboratively with the GP to improve the health status of community mental health clients, providing seamless and continuous care. This initiative increases community access to GPs, Psychiatrists, Clinical Psychologists and other Allied Mental Health Professionals for Mental Health Care....
Sydney Local Health District
Added: 21 November 2014|Last updated: 21 November 2014
ACI Research Framework
Aim: To guide all research the ACI undertakes, commissions or partners in, to ensure this research meets the highest ethical, scientific, regulatory and professional...
Benefits: This framework ensures that ACI research meets the highest ethical, scientific, regulatory and professional standards.
15 October 2014
Rural Innovations Changing Healthcare (RICH) Forum
Aim: To offer a conference without the travel where projects can be presented from the nearest participating venue. RICH is an annual 'virtual' foru...
Benefits: Using a combination of face to face, videoconference and social media, the one day forum links 17 satellite hubs across rural NSW bringing together a mix o...
10 October 2014
Centre for Healthcare Redesign (CHR) Graduate Certificate Program
Aim: The Centre for Healthcare Redesign (CHR) Program aims to: Increase capability within the Health System to deliver, redesign and service improvement activities;&...
Benefits: The CHR Graduate Certificate Program builds capability in Project Management, Change Management and Redesign through a combination of eLearning, face-to-face tr...
11 August 2016
Palliative and End of Life Care: A Blueprint for Improvement
Aim: The Blueprint aims to guide services and Local Health Districts in constructing their own localised models of care.
Benefits: The Blueprint emphasises the need for an integrated approach to care whereby relationships between specialist palliative care providers and care providers acros...
22 February 2016
Emergency Surgery Redesign
Aim: To provide a reference tool for Local Health Districts when initiating the redesign of emergency surgery practices.
Benefits: There are multiple benefits, including:Improved patient outcomesEnhanced patient and surgical team satisfactionIncreased trainee supervision in emergency surger...
30 May 2014
48 Hour Follow Up Evaluation
Aim: To determine what proportion of eligible patients receive follow up; and whether the provision of enhancement funding has had any impact on rates of follow up.&...
Benefits: The 48 Hour Follow Up program was conceived as a result of the NSW Walgan Tilly Redesign project, which aimed to address gaps in health care and to improve...
5 January 2016
ACI Building Co-design Capability Strategy
Aim: The Strategy aims to build capability in patient experience and co-design thinking, methods and practices within the ACI and across NSW Health by empl...
Benefits: Delivering more person-centred and sustained health care improvement as a result of working in partnership with consumers, carers and health care workers.Strong...
8 December 2016
Rural Health Network
Aim: To provide a co-ordinated approach to the implementation of models of care and innovation for rural communities, including the use of technology; To develo...
Benefits: To support rural and remote clinicians and provide co-ordination between ACI, health service providers and consumers in rural areas to inform and drive improved...
20 January 2014
ACI Guidelines for Home Enteral Nutrition (HEN) Services (2nd edition)
Aim: To provide a generic best-practice framework for the care of people needing HEN.
Benefits: The ACI Guidelines for HEN services promote a coordinated, multidisciplinary and patient-centred approach for people requiring HEN.
13 April 2015
Implementation of the Statewide Pain Plan
Aim: To document and implement a statewide pain strategy to reduce the burden of chronic pain in the community.
Benefits: Following the implementation of the NSW Pain Plan, there will be greater access to expert services, and improved support for primary care, for people living in ...
20 January 2014
NSW Rehabilitation Model of Care
Aim: To implement a consistent model of care for rehabilitation services which supports equity of access, appropriateness of care, and the provision of care in the l...
Benefits: Through the provision of early, intensive rehabilitation, patients will benefit from: Shorter lengths of stay in hospital due to more intensive therapy service...
20 January 2014
Osteoarthritis Chronic Care Program (OACCP) Model of Care
Aim: The OACCP aims to provide interventions that support people with osteoarthritis of the hip and/or knee to: Self-manage their condition and co-morbidities; ...
Benefits: The OACCP model of care has been implemented and evaluated in eight LHDs in NSW. Most of the participants have been on the NSW public hospital wa...
9 February 2015
Blood and Marrow Transplant Environmental Cleaning (BMTEC) Project
Aim: To ascertain the methods by which units are cleaned (e.g. frequency and process), resourcing, training, and education of environmental service personnel and cli...
Benefits: With the support of the BMT Network Council and ACI, the BMTEC project provides the following benefits: (i.) Enhanced compliance with the Environmental Cleanin...
20 April 2018
Toolkit for Adolescents and young people with chronic pain: Supporting transition or direct entry to adult services
Aim: To develop a statewide toolkit of resources to assist pain clinics managing adolescents and young people aged 14-25 years with chronic and complex pain. The too...
Benefits: The experience of young people entering adult services will be assisted by having age appropriate treatments, approaches and resources available. The transition...
26 April 2016
Home Enteral Nutrition (HEN) Factsheets and Brochures
Aim: To provide information about HEN for consumers and health professionals. Practical information for health professionals about HEN in NSW.
Benefits: Improved support for consumers accessing HEN services.
13 April 2015
Clinical Innovation Program – Spread of Innovation
Aim: The aim of the ACI Clinical Innovation Program is to:Accelerate implementation of ACI Models of Care and Guidelines; Assist in the sharing and sp...
Benefits: Improved implementation and system uptake of models, with demonstrated patient and health system benefit; Reduction in time and effort for LHDs to replicat...
7 August 2014
NSW Subcutaneous Insulin Prescribing Chart
Aim: To standardise an adult subcutaneous insulin chart and minimise risks in insulin prescription, administration and documentation.
Benefits: The chart combines prescription and administration with blood glucose, ketone monitoring and glycaemic management. It links all the necessary information for gl...
16 July 2015
Care of Adult Patients in Acute Care Facilities with a Tracheostomy
Aim: To improve the safety and quality of care provided to adult patients with a tracheostomy in NSW hospitals.
Benefits: Reduce number of, and severity of adverse events in adults with tracheostomy Improve patient experience and outcomes Improve staff experience in caring for pati...
26 June 2015
The Nutrition and Mental Health Toolkit
Aim: The purpose of the toolkit is to provide guidance, tools and resources to support the:Implementation of the Nutrition Standards for Consumers of Inpatient Menta...
Benefits: The toolkit will assist LHDs / Networks and/or facilities in both developing and implementing an action plan to meet the requirements of the Nutrition Standards...
13 April 2015
State Cardiac Reperfusion Strategy (SCRS)
Aim: To improve care for all patients in NSW with a suspected Acute Coronary Syndrome (ACS) and reduce the time from symptom onset to reperfusion for patients with S...
Benefits: Care is tailored to specific settings so that all patients, regardless of their geographical location or presentation pathway can benefit from early access to s...
21 May 2015
Understanding the Role of Health Economics at ACI
Aim: Improved decision-making to support the delivery of sustainable, system-wide change proposals.
Benefits: Describes how health economics will be integrated into the work of the ACI; Articulates the objectives and principles of the ACI economics function and te...
20 January 2014
Minimum Standards for Safe Procedural Sedation
Aim: To support the safe provision of procedural sedation (in non-operating-theatre settings) across NSW public hospitals, ensuring all clinicians who provide sedati...
Benefits: A consistent approach for procedural sedation across NSW, Local Health Districts (LHDs) and hospitals; Appropriate skills and training for all clinicians ...
21 August 2015
Nutrition Standards for Paediatric Inpatients in NSW Hospitals
Aim: To define the types and amounts of foods that must be offered to paediatric patients on standard hospital menus.
Benefits: An evidence-based guide on food and nutrition for paediatric patients in hospital.
20 June 2014
Diagnostic Report to Inform the Model for Palliative and End of Life Care Service Provision
Aim: The Diagnostic Report aims to define the problems associated with the provision of palliative and end of life care and to better understand the root causes of t...
Benefits: This Diagnostic phase has identified key challenges in the provision of care to people approaching and reaching the end of life. By identifying and refining the...
5 August 2014
Support Network for the Local Health District Redesign and Innovation Leaders Group
Aim: To enable, support and challenge group members to achieve their mission of driving healthcare quality and efficiency through shared knowledge, collaborative com...
Benefits: This network can generate significant momentum for local and system change by optimising relationships within and across clinical and geographical boundary line...
5 August 2016
Endoscopy Information System (EIS)
Aim: To develop a high-quality endoscopy reporting system to ensure that an accurate assessment of NSW endoscopy services can be undertaken against accepted pat...
Benefits: The implementation of a standard EIS across NSW Health will:Provide accurate statewide information on endoscopic procedures carried out in NSW public ...
23 September 2014
Parenteral Nutrition Factsheet
Aim: To provide introductory information about parenteral nutrition for patients and their carers. Parenteral nutrition is a specialised nutrition solution deli...
Benefits: Improved information for consumers accessing parenteral nutrition.
20 June 2014
Nutrition Standards for Adult Inpatients in NSW Hospitals
Aim: To define the types and amounts of foods that must be offered to patients on standard hospital menus in NSW.
Benefits: To provide an evidence-based guide on food and nutrition in hospitals.
13 April 2015
Diet Specifications for Adult Inpatients
Aim: To provide detailed specifications for a range of therapeutic diets for adults in NSW public hospitals.
Benefits: The specifications provide an evidence-based guide on food and nutrition for adult inpatients in hospital.
13 April 2015
1 Deadly Step
Aim: The 1 Deadly Step program promotes screening, early detection and follow up of chronic disease in Aboriginal communities in NSW. The unique component of 1 Deadl...
Benefits: The 1 Deadly Step project is an initiative of the Chronic Care for Aboriginal People Program (CCAP). This project demonstrates how the CCAP Model of Care c...
4 January 2016
NSW Pain Clinic Referral Form and Process
Aim: To provide a consistent method when making a referral from primary care to a tertiary pain service, irrespective of where the service is located.
Benefits: All services will have the same triage criteria and process for accepting patients from primary care.
17 November 2014
Care of Confused Hospitalised Persons (CHOPs) program
Aim: Provide simple strategies to improve the care outcomes of older patients with confusion in NSW hospitals, through:increased staff knowledge and skills to i...
Benefits: Increased screening, improved risk assessment and more appropriate treatment and management of confusion.Increased awareness, knowledge and skills of staff to b...
14 August 2015
NSW Standardised Pain Charts (adult)
Aim: Development and implementation of statewide charts to be used at the bedside when delivering Patient Controlled Analgesia (PCA), ketamine infusions and neuraxia...
Benefits: Benefits include improved safety and quality of care for patients.
15 December 2014
Pleural Drains in Adults - Consensus Guidelines
Aim: Improve the standard of clinical practice in the insertion, management, trouble shooting and removal of pleural drains in adults within NSW hospitals.
Benefits: Improve patient experience and outcomes. Increase awareness of 'good' practice in relation to pleural drains. Support managers and clinicians to imp...
15 January 2016
NSW Chronic Pain Clinics Information Flyer
Aim: To provide information to consumers and primary care clinicians on the purpose and approach of various pain management services, alongside relevant contact deta...
Benefits: Benefits include improved information for consumers on available pain-management services in NSW. The flyer outlines each of the publicly-funded pain management...
22 January 2014
Inclusion in Mainstream Health Services: Using Visuals for people with intellectual disability
Aim: This project aims to improve communication between people with disabilities and health professionals in busy mainstream healthcare environments by developing an...
Benefits: Using visual aids for people with intellectual disability in busy healthcare environments can assist with communication and allay fear and confusion for t...
10 July 2015
Nutrition Standards for Consumers of Inpatient Mental Health Services in NSW
Aim: To define the types and amounts of foods that must be offered on the menu for people admitted to inpatient mental health facilities in NSW .
Benefits: Implementing the standards will:Support recovery; Help people achieve good physical and mental health; Meet the needs and expectations of consumers.
13 April 2015
Standards for High Risk Foot Services (HRFS) in NSW
Aim: "The Standards" will be used to:Provide a consistent definition for HRFSReduce clinical variation, aligning existing services tostate, national and ...
Benefits: Facilitate equity of access to an appropriate level of foot care for all patients in NSW by supporting a basis for standardising the clinical servicesImprove ca...
18 June 2015
Nurse Delegated Emergency Care (NDEC) Project
Aim: To provide timely, quality care for patients presenting to EDs in rural and remote areas with low risk, low acuity conditions, and to empower Registered Nu...
Benefits: For patients - access to timely and quality care for less-urgent conditionsFor nurses - a validated and authorised framework to work within their scope of pract...
17 August 2016
Telehealth Pilot for Pain Management
Aim: To implement the telehealth toolkit and test and modify its application in the real setting of a pain clinic.
Benefits: Telehealth is a modality that can be utilized to improve access for people to specialized healthcare who live in rural and remote regions.It also provides suppo...
16 July 2015
Electronic Persistent Pain Outcome Collaboration - routine patient outcomes reporting of pain management intervention
Aim: The NSW pain plan provided funding and an outline of a system of collecting and analyzing data from NSW pain clinics which quantified patient outcomes...
Benefits: The routine collection and analysis of data regarding patient outcomes is an important aspect of service delivery and improvement. The data enables benchmarking...
25 February 2015
Home Enteral Nutrition (HEN) Cards
Aim: To improve HEN care and communication between health professionals, via practical reference cards.
Benefits: Improved support for consumers accessing HEN services.
13 April 2015
The Musculoskeletal Primary Health Care Initiative
Aim: The Musculoskeletal Primary Health Care Initiative aims to plan, implement and evaluate a 'one-stop' program of care within primary care settings fo...
Benefits: The Musculoskeletal Primary Health Care Initiative proposes the benefits will be that validated musculoskeletal models of care can be provided in primary health...
9 February 2015
ACI Innovation Awards
Aim: ACI Innovation Awards were introduced at the seven rural Local Health District Quality Awards 2014, and at the HETI Statewide Rural Health and Researc...
Benefits: Winning projects are loaded onto the new ACI Innovation Exchange, replacing Australian Resource Centre for Healthcare Innovation (ARCHI) as a one-stop-shop for ...
10 October 2014
Osteoporosis Refracture Prevention Model of Care
Aim: To ensure people who sustain a minimal trauma fracture have access to early identification, diagnosis, treatment, and follow-up for osteoporosis.
Benefits: Benefits include improved patient outcomes, better utilisation of hospital services, and reductions in health system costs for at risk people.
9 February 2015
Chronic Pain and Spinal Cord Injury Project
Aim: The aim of this initiative was to provide web-based resources for consumers who live with spinal cord injury and chronic pain in addition to a clinical navigati...
Benefits: The project has developed extensive resources and a service model that are now accessible to consumers and clinicians.
12 February 2015
NSW Health Coaching Panel (pilot phase)
Aim: Establish a coaching panel to provide high quality, easy to procure coaches for the health services to:build capability for improvement, implementation and lead...
Benefits: High quality coaches will be pre-assessed and appointed to the coaching panel.LHD / SHN Senior Project Leads and Managers will increase capability for...
7 August 2014
Reducing Unwarranted Clinical Variation (UCV) Taskforce
Aim: To oversee the development and implementation of a system-wide approachto identify, address and reduce Unwarranted Clinical Variation (UCV).
Benefits: To refine care processes and implement evidence-based models of care tosupport improved patient outcomes.
17 November 2013
Regional Aged Care Hospital Avoidance Compendium Report 2014
Aim: To provide a snapshot of current established Regional Aged Care Hospital Avoidance Models of Care as a 'one-stop-shop' for service providers to view...
Benefits: The Compendium will provide a synthesis and analysis of options; programs, the resources and partnerships required for implementation and sustainability, key st...
10 October 2014
Rehabilitation Implementation Toolkit
Aim: To facilitate the implementation of the Rehabilitation Model of Care.
Benefits: The Toolkit assists Rehabilitation Implementation leads and other key LHD stakeholders to understand the value delivered in current care settings, while i...
16 January 2014
Health Pathways Implementation and Evaluation
Aim: The ACI is supporting three sites to implement and four sites to evaluate Health Pathways. Local services review and clarify their patient pathways between prim...
Benefits: Creates clear referral pathways between services Provides comprehensive service information for referring clinicians Links clinicians to the appropriate best pr...
5 December 2013
WentWest Child Development Care (CDC) Coordination Project Evaluation
Aim: To improve the health, growth and development of children through awareness of developmental concerns and service supports.
Benefits: Early identification of need and awareness of services to support patients and families and professionals.
16 July 2015
Stroke Clinical Variation Statewide Strategy (SCVSS) & Stroke Clinical Audit Process (SCAP) V2
Aim: The SCVSS will ensure the delivery of best quality care through a process which regularly assesses clinical variation , determining and correcting its cau...
Benefits: Reduction in mortality and functional outcomes for stroke (ischaemic and haemorrhagic) patients admitted to NSW public hospitals.
14 July 2015
Develop and Implement an ACI Knowledge Management (KM) Approach
Aim: To partner with Health Services to develop and implement an approach that supports collaboration, learning capability and sharing knowledge about innovation and...
Benefits: A robust KM approach will serve NSW Health by ensuring: Both small and large-scale innovations and improvements generated across health services are recognised...
30 May 2014
Cystic Fibrosis Model of Care
Aim: Maintain or improve the health and wellbeing of people with CF Provide consumers with greater choice for how and where care can be safely and effectively provid...
Benefits: Better meet the health care needs of people with CF in NSW now and into the future Build capacity within the health system to provide timely and effective care
15 January 2016
Improving the Medical Inpatient Journey with Criteria Led Discharge
Aim: To reduce delays when a patient is medically ready to return home from hospital.
Benefits: A formalised criteria-led discharge process has the potential to: Improve patient experience: patients are able to get home sooner; Enhance patient safet...
30 May 2014
Music & Memory
Aim: To improve the experiences of consumers in NSW Health services through Music & Memory.
Benefits: International evaluations have shown that Music & Memory:reduces depression, anxiety and painhelps awaken the mind and restore identityparticipants are happ...
4 August 2016
Surgery Redesign School
Aim: The School is aimed at project leaders who are responsible for implementation of surgical models of care, or improving operating theatre efficiency.
Benefits: Increased awareness and skills in project management, change management and Accelerated Implementation Methodology (AIM).
30 May 2014
Minimum Standards for the Management of Hip Fracture in the Older Person
Aim: To improve the outcomes of patients with fractured hips requiring surgery and management in NSW.
Benefits: Reduced medical complications, reduced hospital stays and improved patient outcomes.
7 April 2015
Pain Management Network Website
Aim: Provide freely accessible, evidence based information to consumers with chronic pain; Provide evidence based tools and resources for clinicians to assist t...
Benefits: A major objective of the NSW pain plan is to support the management of chronic pain in the primary care setting. The development of an evidenced based webs...
20 June 2014
Eye Emergency Manual - Smart Phone App
Aim: To provide a quick and simple guide to recognizing important signs and symptoms and management of common eye emergencies for medical and nursing staff in Emerge...
Benefits: This initiative has provided easy access to highly graphical overview of signs, symptoms and management of common eye emergencies.
2 June 2014
Fascia Iliaca Blocks for older people with hip fracture
Aim: To develop a toolkit of resources facilitating Fascia Ilaica Block (FIB) as a method of pain management in hip fracture.
Benefits: To assist in the practical application of effective pain management as referred to in the Minimum Standards for Hip Fracture; To reduce the harm arising f...
9 November 2015
Understanding Program Evaluation: An ACI framework
Aim: To provide a framework for undertaking evaluations of programs and projects. Programs include projects, models of care, clinical pathways and guidelines, and ot...
Benefits: High-quality evaluation supports accountability and provides a rigorous evidence base toinform health-service development and program design.Program evaluation ...
18 November 2013
Community Acquired Pneumonia Clinical Variation
Aim: To assist clinicians and managers within NSW hospitals to investigate and address clinical, process and systems factors that may contribute to unwarranted varia...
Benefits: Improve patient outcomesReduce unwarranted variation in outcomes following admission for CAP
26 June 2015
High Volume Short Stay Surgical Units (HVSSS)
Aim: The HVSSS Unit Model emerged as a model of care from the Surgery Futures – A Plan for Greater Sydney project (released January 2011). This toolkit p...
Benefits: Improved access to planned surgical services; Improved service efficiency, regarding both operating theatre and bed utilisation; Extended range of p...
30 May 2014
12 Key Learnings from the Diagnostic Report to Inform the Model for Palliative and End of Life Care Service Provision
Aim: To present the 12 Key Learnings from the Diagnostic process that will directly inform the Model for Palliative and End of Life Care (PEoLC) Service Provision in...
Benefits: The key learnings of the Diagnostic Report provide the ACI with the basis on which to develop solutions and a Model of Care that directly address the core ...
5 August 2014
Accelerating Implementation Methodology (AIM)
Aim: To increase Implementation capability across NSW Health; To embed AIM principles in large-scale program and model of care implementation; To apply AIM...
Benefits: Given the scale and pace of change-initiatives there is an ongoing demand for increased capability in applying AIM principles across the NSW Health system. The ...
17 January 2014
NSW Stroke Reperfusion Project (SRPP)
Aim: To improve early access to thrombolysis for ischaemic stroke patients.To improve pre-hospital assessment by paramedics for identification of stroke through a va...
Benefits: There are multiple benefits involved in this project:To train paramedics in the application of the 'FAST' (Face, Arm, Speech and Time) stroke assess...
25 June 2015
How to Develop and Implement a Model of Care
Aim: Providing a methodology for ACI networks to use when creating a model of care (MoC), and to assist networks to implement models that they have developed.
Benefits: Brings together change-management techniques to create five key phases when developing a model of care: Project Initiation; Diagnostic; Solution Desig...
18 November 2013
Medical Imaging District Services (MIDS) Implementation Toolkit (business model)
Aim: To assist Local Health Districts implement a more business-like approach to the delivery of Medical Imaging clinical services for sustainability and better pati...
Benefits: Timely access to services and reporting to enable better patient care Appropriate referrals, optimal use of imaging Economies of scale across the LHD reduc...
25 February 2015
Patient Experience and Consumer Engagement (PEACE) Methodology
Aim: The Patient Experience and Consumer Engagement (PEACE) methodology supports the ACI's ongoing commitment to promote meaningful engagement and consumer-led...
Benefits: The PEACE methodology captures consumer input and harnesses direct patient and carer experience to inform ACI activities.
23 February 2015
A Clinician's Guide: Caring for people with gastrostomy tubes and devices
Aim: The Guidelines are a practical resource for clinicians to assist them in providing standardised care for children and adults who have a gastrostomy tube or devi...
Benefits: The Guidelines provide a practical, evidence-based approach to the care of patients with gastrostomy tubes and devices in NSW.
13 July 2015
Factsheet on Food and Nutrition in NSW Hospitals
Aim: To provide introductory information for patients and their carers about food and nutrition care in NSW hospitals.
Benefits: Benefits include clear information for consumers on food and nutrition care provided in hospital.
13 April 2015
Telehealth Resource Package
Aim: To assist in the implementation of Telehealth as a service delivery method.
Benefits: Telehealth is a tool that can improve the delivery of health care programs to patients and provide equity of access, especially for people who may be disadvanta...
3 March 2016
Framework for the Statewide Model for Palliative and End-of-Life Care Service Provision
Aim: To inform the development of a comprehensive model of care for equitable palliative and end-of-life care service provision in NSW.
Benefits: The Framework is the foundation for advancing work towards the Network's vision that all NSW residents have access to quality care based on assessed need ...
20 January 2014
Pre Procedure Preparation / Perioperative Toolkit
Aim: To review the NSW Health Guideline: Pre-Procedure Preparation Toolkit.
Benefits: To review the existing toolkit to ensure it supports best practice for pre procedure care for patients undergoing surgery or a procedure.The existing toolkit wa...
11 August 2015
Investigating Clinical Variation in Acute Care
Aim: The aims of the ACI Investigating Clinical Variation in Acute Care project are to identify clinical variation in the inpatient management of COPD, CAP and CHF a...
Benefits: Unwarranted clinical variation (UCV) is an ongoing barrier to providing safe and effective care for patients. Recognising and addressing UCV has been identified...
13 March 2017
Guidelines for Research in the Area of Intellectual Disability
Aim: To guide people interested in conducting research in the field of intellectual disability, including how to include people with intellectual disability themselv...
Benefits: Research guidelines are often not tailored to inclusive research for people with intellectual disability. This paper suggests different models of how this may o...
12 November 2013
Stroke and Vision Defects Study: Phase 1 Validation of a Vision Screening Tool
Aim: To validate the effectiveness of the Tool developed for use by stroke clinicians, in detecting the presence of vision defects in patients diagnosed with stroke.
Benefits: The Vision Screening Tool will facilitate rehabilitation and recovery for patients with stroke by detecting both acquired and long standing vision defects.
3 July 2014
Hepatitis C: A guide to current treatment and care
Aim: To provide health care managers and staff with information to help design and implement services for the best care for patients with hepatitis C in their own en...
Benefits: Improvements in clinical practice and patient care.
9 December 2014
Clinical Variation in 30 Day Mortality for Acute Myocardial Infarction
Aim: To examine clinical variation in 30 Day mortality for patients presenting with Acute Myocardial Infarction to hospitals throughout NSW.
Benefits: Increased understanding of the factors that contribute to unwarranted clinical variation (UCV) in 30 day mortality for Acute Myocardial Infarction. If UCV is co...
6 November 2013
Statewide Burn Injury Service (SBIS) Telehealth Project
Aim: To establish a Telehealth model of care for the Statewide Burn Injury Service.
Benefits: There is significant potential for Telehealth to focus on patient centred care and improve the quality of care for:Patients by providing services that will allo...
16 April 2015
Guidelines for the use of Telehealth for Clinical and non-Clinical Settings in NSW
Aim: The Agency for Clinical Innovation (ACI) Rural Telehealth Working Group has developed state-wide Guidelines for those using telehealth across NSW. The aim of th...
Benefits: Ability to reduce wait times; Focus on patient centred care closer to home; Additional way of providing broader care options; Implementation o...
3 March 2016
Non-Invasive Ventilation (NIV) Guidelines for Adult Patients with Acute Respiratory Failure
Aim: Provide clinicians in critical care areas and specialist respiratory care units with best practice guidance regarding the provision of NIV for appropriately sel...
Benefits: Improve patient experience and outcomes Reduced need for invasive ventilation, prolonged mechanical ventilation and tracheostomy Reduce length of stay
26 June 2015
Transition Care Principles
Aim: The principles document for the transition of young people with chronic conditions from paediatric to adult care has been developed by the Agency for Clinical I...
Benefits: Despite agreement about the importance of effective transitional care, there is little evidence to inform best practice about both the process of and what const...
20 October 2014
Acute Myeloid Leukaemia (AML) Model of Care
Aim: To optimise the quality of care for patients with AML and enable a consistent approach to the provision of care. It provides a set of principles and outlines th...
Benefits: Key points included in this model are:Mechanisms to ensure early identification and referral to an AML treatment centreA multidisciplinary team (MDT) approach t...
10 July 2015
Improving Patient Outcomes from Cataract Surgery Study
Aim: The primary aim of the research is to explore patient-centred outcomes of cataract surgery in Australia and the effectiveness of currently available tools to as...
Benefits: While there is a large body of knowledge describing visual improvement following cataract surgery, we currently know little about the expectations that Australi...
8 December 2014
Operating Theatre Efficiency Strategies
Aim: Following the Auditor-General's report, Performance Audit: Managing operating theatre efficiency for elective surgery, the ACI will work with the Ministry...
Benefits: Increased collaboration and support for operating theatre efficiencies.
20 January 2014
Catalogue of Research on Intellectual Disability (NSW)
Aim: Identify current research and research gaps concerned with intellectual disabilities.
Benefits: Awareness of what research is current in the field of intellectual disability in NSW, including gaps, funding sources, and identification of suggestions for min...
4 December 2013
Access to Health Services for People with Intellectual Disability: The Patient Story
Aim: To inform people with intellectual disability, and their carers, about how the health system works to address their needs; To give health professionals ins...
Benefits: Adapting the health service needs of people with intellectual disability according to their identified needs.
4 December 2013
Mapping of Services within NSW Health for People with an Intellectual Disability
Aim: Develop a web based service directory of available NSW Health service and resources for people with an Intellectual Disability. Identify existing specialist ser...
Benefits: Information collected will be developed into a web based service directory for use by clinicians/health professionals, consumers and their families/carers. The ...
2 June 2014
Assistants to the Anaesthetist
Aim: During an episode of anaesthesia, the anaesthetist must be assisted by another appropriately trained person, in order to ensure the safety and quality of care f...
Benefits: Standardising education and training requirements for the anaesthetic assistant; Ensuring safe and efficient anaesthesia; Ensuring anaesthetic assis...
21 August 2015
Model of Care for Prevention and Integrated Management of Pressure Injuries in People with Spinal Cord Injury and Spina Bifida
Aim: To promote a model of care which focusses on supporting self-management and education strategies for the person with Spinal Cord Injury (SCI) / Spina Bifida (SB...
Benefits: There are an estimated 6,500 individuals living in NSW with spinal cord injury (SCI) and spina bifida (SB), who have an overall lifetime incidence of press...
7 June 2016
Specialist Outpatient Services Improvement Project
Aim: This collaboration is designed to support the achievement of providing equitable access to timely, quality care, efficiently and sustainably, in the outpatient ...
Benefits: It is intended that this initiative will provide the system leadership and direction required to achieve the following service outcomes:Services that are respon...
10 October 2014
Blood and Marrow Transplantation Long Term Follow Up (LTFU) Project
Aim: The primary goal of this project is to develop clinical guidelines for management of patients following allogeneic blood and marrow transplant. The guidelines a...
Benefits: LTFU assists early recognition of complications, survival and quality-of-life issues for patients post-BMT transplant. These benefits have been supported b...
5 August 2016
Framework for Urinary Continence in Children and Young People
Aim: This initiative aims to provide leadership, support and advice on development of a framework for paediatric urinary continence that includes evidenced based gui...
Benefits: The potential benefits include: development of state wide evidenced based guidelines for clinicians that aim to improve patient care development of an educatio...
4 January 2016
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text:
French director Edouard Deluc devotes his latest movie to the Fauvist painter and his exile in Tahiti, in U.S. theaters from July 11.
After Cézanne and I by Danièle Thompson last year and the recently released Rodin by Jacques Doillon, a third biographical movie has now arrived in theaters. This time the subject is Gauguin, another leading, 19th-century French artist and a precursor of modern art. The movie opens in 1891. Paul Gauguin is in his forties and looking for a way out of the conformist, bourgeois, Parisian life which has now stopped inspiring him. The artist leaves his wife and five children and moves to Tahiti in French Polynesia. There he hopes to rediscover painting as a free man in the wilderness, far from the moral, political and esthetic codes of "civilized" Europe. Gauguin makes his way deep into the forest, braving solitude, poverty, and illness. He also meets Tehura, a girl of just 13 in reality, who goes on to become his partner and the subject of his finest paintings. Astute audiences will notice that the teenager has been swapped for a young woman in the movie…
Edouard Deluc's movie takes us to the heart of the artist's self-inflicted, painful, initiatory journey at a time when his talents were still unrecognized. Vincent Cassel's physical performance is spectacular. The actor revealed in Mathieu Kassovitz' 1995 film La Haine plays the artist plagued by illness, appearing thin and sickly, obsessed by his work, and willing to sacrifice his family and his health in the name of his art. A self-consuming, burning Gauguin. French colonialism on the island is glossed over, and the relationship between the artist and his Tahitian muse is the movie's main backdrop. As the film develops, the libertarian, idealistic character transforms into a dominant male figure who imprisons his lover to ensure her faithfulness, and flies into violent rages upon seeing his work copied and sold by the locals. Raw emotion does reappear at the end of the film when moviegoers are treated to the sublime paintings the artist produced during his two-year exile.
U.S. release date: July 11, 2018
Running time: 102 min
Director: Edouard Deluc
With: Vincent Cassel, Thueï Adams, Malik Zidi
U.S. distributor: Cohen Media Group
=> Find all U.S. showtimes for this movie on the website FrenchFlicks.com
Article published in the July 2018 issue of France-Amérique

subset: commoncrawl


text:
Obama: "Repower America."
In the video below, Barack Obama, seated with Joe Biden and Al Gore, states a commitment to "repower America" by using the problems associated with climate change as an opportunity to reduce foreign-oil dependence and create jobs for a new green economy. Gore introduced the "Repower America" concept in a speech earlier this year. Obama doesn't specifically commit to Gore's 10-year, 100% clean-energy goal, but it's significant that he's made energy policy and green jobs a dominant theme of his transition. Thanks to the Daily Kos.
-- Mario Aguilar


text:
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text:
Subway World is a book about graffiti on subway trains all over the world. What started in New York in the seventies has become an worldwide artform with thousands of artists. The tradition of using subway cars as canvases has been preserved and has become an integrated part of the graffiti movement. Subway World takes you through more than 75 cities and four different continents. Everywhere where there are subway trains there is graffiti. From Moscow in Russia and Tbilsi in Georgia through Hiroshima in Japan, Los Angeles in the USA, Toronto in Canada and Buenos Aires in Argentina to London, Berlin, Milan and Paris in Europe. Subway World gives you hard facts on all the subway systems aswell as short stories and trivia. Includes work by Banos, D30, Rebok, KHC, WUFC-SDK, KetOne, 7DC, EWC, THE, Rocks, RCLS, Mutants, Toy, Lujoss and many more. Cities featured are, among others: Athens, Atlanta, Berlin, Belo Horizonte, Boston, Brasilia, Bucharest, Buenos Aires, Caracas, Chicago, Copenhagen, Hamburg, Helsinki,Hiroshima, Kiev, Kobe, London, Los Angeles, Madrid, Miami, Milan, Montréal, Moscow, Nagoya, New York City, Osaka, Oslo, Paris, Philadelphia, Prague, Rome, San Francisco, Sao Paulo, Santo Domingo, Stockholm, Seoul, Tbilisi, Tokyo, Toronto, Vancouver, Vienna, Washington DC and Warsaw.
We have a little book preview for you after the jump
Torkel Sjöstrand is a photographer and editor for Underground Productions magazine. His earlier books include 1207, Gates of Graffiti and Overground.
Details:Title: Subway World - Graffiti on trainsAuthor: Torkel Sjöstrand (Dokument)Language: English Number of pages: 160 Format: 23 x 16,7 cm, 9 x 7 inches Binding: Hard cover ISBN 978-91-85639-19-9 Retail price: €24,90, US$ 29.95Release date: September 7, 2009


text: Tom Hughes has founded the fledgling Halcottsville Shakespeare Company and is looking to put on an immersive performance of Romeo & Juliet for shoppers at the Round Barn over the Summer. Hughes, a Bronx High School English teacher, has a vacation home in the village and had the idea when he was passing the Round Barn market last year. The market with its dirt floor and circular wooden barn, which although red, does remind certain patrons of what the original Globe Theatre in London would have looked like back in its medieval heyday. Shoppers will be part of the performance and will be able to catch scenes as they shop. There will be a meeting from 6-8pm at the Halcottsville Grange on Friday April 14th for all who are interested. There will be three or four players from the Bronx to join the cast of this incredibly creative idea forming in the heart of the Catskills. Wishing Tom the very utmost success.


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OILSEEDS: U.S. oilseed production for 2013/14 is estimated at 97.3 million tons, up 0.9 million tons from last month. Larger crops for soybeans, cottonseed, and peanuts are partly offset by reductions for sunflowerseed and canola. Soybean production is estimated at 3.289 billion bushels, up 31 million bushels based on increased yields and harvested area. The soybean yield is estimated at 43.3 bushels per acre, up 0.3 bushels from the previous estimate. Soybean crush is raised 10 million bushels to 1.700 billion reflecting higher projected soybean meal exports, which partly offsets a reduction for Argentina. Soybean exports are increased 20 million bushels to 1.495 billion reflecting record shipments during the first quarter of the marketing year and strong sales through December. Soybean ending stocks for 2013/14 are projected at 150 million bushels, unchanged for last month. Soybean oil balance sheet changes include increased production on a higher crush and extraction rate, reduced imports, increased projected exports, and increased ending stocks.
The 2013/14 U.S. season-average farm price forecast for soybeans is narrowed 25 cents on both ends of the range to $11.75 to $13.25 per bushel based on prices reported to date. The soybean oil price is forecast at 35.5 to 39.5 cents per pound, down 2.5 cents on both ends. The soybean meal price is projected at $415 to $455 per short ton, up 15 dollars on both ends of the range.
Global oilseed production for 2013/14 is projected at a record 505.9 million tons, up 3.6 million. Global soybean production is projected at 286.8 million tons, up 1.9 million on gains for the United States and Brazil. The Brazil soybean crop projection is raised 1.0 million tons to a record 89.0 million. The increase is due to higher projected area reflecting recent survey data from the Brazilian government. Global sunflowerseed production is raised 1.3 million tons to 43.7 million on record forecasts for Ukraine, Russia, and the European Union. The Ukraine crop is raised 1.0 million tons to 12.5 million on higher yields. Other changes include increased cottonseed production for China and Argentina, lower cottonseed production for Pakistan, and increased rapeseed production for Russia.
Global oilseed trade for 2013/14 is projected at 128.9 million tons, up slightly from last month. Increased soybean exports for the United States are partly offset by reduced rapeseed export prospects for Australia and Canada. Lower soybean meal exports for Argentina resulting from lower soybean crush are offset by gains for the United States, Brazil, and Russia. Increased global soybean oil trade mainly reflects a higher projection for the United States. Global oilseed ending stocks are projected at 85.1 million tons, up 2.3 million from last month on increased soybean stocks in Argentina and Brazil, increased canola stocks in Canada, and higher sunflowerseed stocks in Russia and Ukraine.
WHEAT: U.S. wheat supplies for 2013/14 are unchanged this month, but lower expected use raises projected ending stocks 33 million bushels. Feed and residual use is lowered 60 million bushels reflecting disappearance for June-November as indicated by the December 1 stocks released in the Grain Stocks report. Feed and residual use is lowered for Hard Red Winter (HRW) and Hard Red Spring, and Soft Red Winter wheat. Seed use is raised 1 million bushels based on the winter wheat planted area reported today in the Winter Wheat Seedings report. Wheat exports are projected 25 million bushels higher, with an increase for HRW, on the strong pace of sales and shipments and lower expected competition from Argentina, particularly in Brazil's milling wheat market. The 2013/14 season-average farm price is projected 10 cents lower at the midpoint with the range narrowed to $6.60 to $7.00 per bushel.
Global 2013/14 wheat supplies are raised 1.5 million tons to 888.8 million with production increases for China and the FSU-12 more than offsetting reductions for Argentina and the European Union. Production is raised 1.0 million tons for China reflecting the latest estimate by the China National Grain and Oil Information Center and indications from the National Bureau of Statistics for total 2013/14 grain production. Production is raised 0.6 million tons for Russia and 0.3 million tons for Tajikistan, both based on the latest official indications. Production is reduced 0.5 million tons for Argentina with harvested area expected lower. Production for the European Union is lowered 0.2 million tons with small downward revisions for the United Kingdom, Finland, and Denmark.
Global wheat trade for 2013/14 is raised with higher imports projected for Egypt, Japan, and Syria more than offsetting reductions for the Philippines and Tajikistan. Exports are raised for the European Union and Russia. Stronger North Africa and Middle East demand drives increases for the European Union and Russia, whereas reductions in Argentina supplies and exports indicate a shift to U.S. supplies for Brazil. Foreign wheat feeding is lower mostly reflecting a 1.0-million-ton reduction for the European Union where increased exports reduce supplies available to the domestic market. Larger barley supplies in the European Union this month support a shift to barley feeding. Global wheat ending stocks are projected 2.6 million tons higher mostly on increases for China and the United States.
COARSE GRAINS: U.S. feed grain supplies for 2013/14 are projected lower with reduced production estimated for corn and sorghum. Harvested area for corn is raised 436,000 acres, but the estimated yield is lowered 1.6 bushels per acre to 158.8, reducing production 64 million bushels to 13.9 billion. Sorghum harvested area is lowered 148,000 acres and the yield is lowered 2.6 bushels per acre, reducing production 27 million bushels.
Projected corn use for 2013/14 is raised with feed and residual use projected up 100 million bushels based on September-November disappearance as indicated by the December 1 stocks estimate. Corn used to produce ethanol is raised 50 million bushels reflecting continued strong weekly ethanol production, a reduction in expected sorghum use for ethanol, and higher forecast 2014 gasoline consumption in the latest projections from the Energy Information Administration. A 50-million-bushel reduction in other food, seed, and industrial use offsets the increase in use for ethanol. Corn ending stocks for 2013/14 are projected 161 million bushels lower at 1.6 billion. The projected 2013/14 season-average farm price for corn is unchanged at the midpoint with the range narrowed to $4.10 to $4.70 per bushel.
Other 2013/14 feed grain changes include increases in projected feed and residual disappearance for sorghum and oats, but a reduction for barley as indicated by December 1 stocks. Sorghum exports are projected 20 million bushels lower as higher indicated September-November disappearance limits exportable supplies. Sorghum food, seed, and industrial use is also lowered 20 million bushels.
Global coarse grain supplies for 2013/14 are projected 1.2 million tons higher despite this month's reduction in U.S. production and a 1.9-million-ton decrease in global beginning stocks. Higher 2012/13 corn exports for Brazil reduce beginning stocks for 2013/14. Global barley production for 2013/14 is raised 1.6 million tons with increases for the European Union, Argentina, and Russia. Foreign corn production is raised 4.3 million tons with higher China production. China corn production is raised 6.0 million tons reflecting the latest upward revision by the China National Grain and Oil Information Center, indications from the National Bureau of Statistics for total 2013/14 grain production, and review of growing-season weather. Favorable weather suggests year-to-year yield increases in most of China's major corn producing areas. In the northeastern region, above normal rainfall and favorable temperatures were experienced in nearly all of the corn areas. Harvested area is also raised for China.
Partly offsetting the China corn increase are reductions in 2013/14 corn output for Argentina, Russia, and the European Union. Production is lowered 1.0 million tons for Argentina with lower expected area and reduced prospects for yields following December heat and dryness. Production is lowered 0.5 million tons for Russia based on the latest government data. European Union production is lowered 0.3 million tons with a reduction for France.
Global 2013/14 coarse grain consumption is raised 4.2 million tons with the higher corn use in the United States and higher barley feeding in the European Union and Russia. World corn trade for 2013/14 is lowered with a 2.0-million-ton reduction in imports expected for China. Recent rejections of U.S. corn shipments by China and larger domestic corn supplies in China are expected to limit imports during the 2013/14 marketing year. China sorghum imports, however, are raised 0.5 million tons. Corresponding reductions in Mexico sorghum imports and feeding raise corn import needs for Mexico. Corn imports are raised for Mexico and the Philippines, up 0.5 million tons and 0.3 million tons, respectively. Corn exports for Argentina are lowered 1.0 million tons also supporting this month's unchanged U.S. corn export projection. Global corn ending stocks are projected 2.2 million tons lower with an increase for China more than offset by reductions for the United States and Brazil.
SUGAR: Projected U.S. sugar supply for fiscal year 2013/14 is decreased 94,000 short tons, raw value, from last month, mainly due to lower production in Louisiana. Total use is unchanged.
LIVESTOCK, POULTRY, AND DAIRY: The forecasts for total red meat and poultry production for both 2013 and 2014 are lowered from December. For 2013, beef production is raised, but pork, broiler, and turkey production are reduced. The forecast for 2014 is reduced as lower pork and turkey production more than offset an increased beef production forecast. The Quarterly Hogs and Pigs report, released on December 27, indicated that the September-November pig crop was fractionally below a year earlier which will constrain supplies of slaughter hogs in early 2014. Although producers intend to farrow more sows in the first half of 2014, the impacts of the Porcine Epidemic Diarrhea virus (PEDv) will likely slow growth in pigs per litter and keep supplies of market hogs relatively tight during 2014. Beef production is raised for 2014 as higher-than-expected placements in the later part of 2013 and expected availability of winter pasture support increased cattle marketings and slaughter during the year. No change is made to 2014 broiler production. Egg production is reduced slightly for 2013 and 2014.
Beef imports are unchanged for 2013, but are raised slightly for 2014. Beef exports are raised for both 2013 and 2014 as the pace of exports over the past several months has been strong. Pork imports and exports for both 2013 and 2014 are unchanged from last month. The 2013 broiler export forecast is raised slightly based on exports to date, but the forecast for 2014 is unchanged. Turkey exports for 2013 and 2014 are unchanged from last month.
Animal product prices for 2013 are adjusted based on December data. For 2014, the cattle price forecast is raised from last month as demand for fed cattle remains strong. Hog prices are raised as the production forecast is lowered. Broiler and turkey price forecasts are raised from last month. Demand for broiler meat is firm, supported by tight supplies of beef. Turkey prices are expected to be supported by lower forecast production in early 2014. Egg prices are forecast higher, reflecting current price strength.
The 2013 milk production estimate is reduced from last month, based on recent milk production data. The forecast for 2014 is raised as improving returns are expected to support a more rapid increase in output per cow. Fat basis imports are reduced for 2013 and 2014 on lower expected imports of butterfat. On a skim-solids basis, imports are reduced slightly for 2013 but are unchanged for 2014. Fat basis exports are raised for both 2013 and 2014 on relatively strong demand for cheese and other products. Skim-solids exports are reduced slightly for 2013 as NDM exports lagged in November. However, exports are expected to strengthen in 2014 and the skim-solids export forecast is raised.
Dairy product and milk prices for 2013 are adjusted to reflect December data. For 2014, cheese, butter, and nonfat dry milk (NDM) prices are raised as export and domestic demand are expected to strengthen, but the forecast for dry whey is unchanged. The Class III price is raised due to the higher cheese prices and the Class IV price forecast reflects higher butter and NDM prices. The all milk price is forecast at $20.60 to $21.40 per cwt for 2014.
COTTON: The U.S. cotton estimates for 2013/14 are revised slightly to reflect higher production. Production is raised 118,000 bales from last month, due mainly to an increase for Texas. Domestic mill use is unchanged, but exports are raised to 10.5 million, leaving ending stocks unchanged at 3.0 million bales. The marketing-year average price is projected in a narrower range of 72-77 cents per pound, with the midpoint of 74.5 cents raised marginally from last month.
The 2013/14 world cotton supply and demand estimates include higher production and marginally lower consumption, resulting in an increase of 1.2 million bales in ending stocks. Production is raised mainly for China, where government classing data indicates that Xinjiang production, which accounts for about 60 percent of the total, may exceed 2012/13. Production also is raised for Argentina, but is reduced for Pakistan, and Pakistan's consumption also is reduced. World stocks are now projected at 97.6 million bales, with China accounting for 60 percent of the total.
RICE: The U.S. 2013/14 rice crop is estimated at 189.9 million cwt, up 1.2 million from the previous estimate. Average yield is estimated at a record 7,694 pounds per acre, up 34 pounds per acre. Harvested area is estimated at 2.468 million acres, up 4,000 acres from the previous estimate. Long-grain rice production is estimated at 131.9 million cwt, up 2.9 million from last month, and combined medium- and short-grain production is lowered 1.7 million to 58.0 million. Rice imports for 2013/14 are unchanged from last month.
All rice and the long-grain rice 2013/14 domestic and residual use projections are raised 4.0 million cwt from a month ago as indicated by the December 1 stocks with all rice at 120.0 million cwt and long-grain at 88.0 million. Combined medium- and short-grain domestic and residual use is projected at 32.0 million, unchanged from last month. The all rice export projection is lowered 1.0 million cwt to 99.0 million—all in the long-grain class. The pace of exports and sales of long-grain rice have been slow to markets in Sub-Saharan Africa and Central America. The 2013/14 rough rice export projection is unchanged at 35.0 million cwt. Exports of milled and brown rice are lowered 1.0 million cwt to 64.0 million (rough-equivalent basis). All rice ending stocks for 2013/14 are projected at 28.3 million cwt, down 1.8 million from last month, and a decrease of 22 percent from a year ago. Long-grain rice ending stocks are forecast at 17.3 million cwt, down slightly from last month, and a decrease of 21 percent from 2012/13. Combined medium- and short-grain rice ending stocks are projected at 8.7 million cwt, down 1.7 million from last month, and a decline of 29 percent from last year.
The Rice Stocks reported total rough rice stocks at 132.8 million cwt as of December 1 and total milled stocks at 6.6 million (9.4 million cwt on a rough-equivalent basis). Total rice stocks on a rough-equivalent basis are 142.2 million, down 10 percent from a year earlier. Long-grain stocks as of December 1 are estimated at 89.1 million (rough-equivalent basis) and combined medium- and short-grain stocks at 50.3 million.
The 2013/14 long-grain season-average farm price range is projected at $14.80 to $15.80 per cwt, unchanged from last month. The combined medium- and short-grain farm price range is projected at $16.30 to $17.30 per cwt, down 50 cents per cwt on each end of the range. The all rice season-average farm price is forecast at $15.30 to $16.30 per cwt, down 10 cents per cwt on both ends of the range.
Global total supplies of rice for 2013/14 are raised more than the increase in total use resulting in an increase in world ending stocks. Global rice production is projected at 471.2 million tons, still a record, and up 0.5 million from last month due primarily to increased forecasts for Brazil, Pakistan, and the United States. Brazil's crop is raised 0.1 million tons because of an increase in area. Pakistan's rice crop is raised 0.4 million tons because of an increase in average yield. The U.S. rice crop is up on both an increase in area and yield. Beginning stocks for 2013/14 are increased 0.6 million tons from last month due mostly to increases for Pakistan and Thailand. Global consumption for 2013/14 is forecast at a record 473.1 million tons due mostly to increases for Brazil and the United States. Export projections are raised for Argentina and Pakistan, and lowered slightly for the United States. Imports are raised for the Philippines—up 0.2 million tons to 1.4 million. Global rice ending stocks for 2013/14 are projected at 105.2 million tons, up 0.9 million from last month, but a decrease of 1.9 million from the prior year. Ending stocks projections are raised for Pakistan, the Philippines, and Thailand.
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Foodies love to travel, and travelers love to eat. As a food-oriented travel writer, I have the best of both worlds, wandering the globe armed with a fork and a pen. Whether searching for taro-wrapped laulau on the Big Island, quaffing craft brews in Krakow or seeking offbeat artichoke dishes along California's coastal Highway 1, I'm always ready to eat and ready to write about it.
While food and travel make up the bulk of my work, I also write and edit a wide variety of material for businesses, artists and nonprofit organizations.
Whatever the project — from writing dynamic web copy to untangling dense academic prose or composing colorful zoo animal signage — it's all about crafting a compelling story that makes you want to read to the very end. I pride myself on writing with flair and passion and respect for deadlines and word counts. But, don't get me started on the world's best BBQ …beef or pork, sauced or rubbed, Memphis, Kansas City, Texas, the Carolinas …That's a heated debate best had in person over a pitcher of pale ale with a plate piled high, a big stack of napkins and plenty of time. Sure I can capture it in 100 words but who would want to?!
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Ten Must-Have Travel Items to Keep Permanently Packed in Your Suitcase
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