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Health systems improvement and sustainability

Health systems improvement and sustainability

The Health Systems Improvement and Sustainability (HSIS) National System Level Initiative aimed to develop the workforce and models of care that improve the healthcare system and its sustainability by harnessing the best Australian expertise and skills. 

Three working groups were established to address different aspects of the recommendations made in the National Framework for Health Systems Improvement and Sustainability 2018.

Led by Health Translation Queensland in partnership with the Australian Centre for Health Services Innovation (AusHSI),  the HSIS Working Group 2  aimed to drive safer, higher quality patient care by supporting health professionals to recognise and reduce low-value care practices—health interventions or models of care that provide little or no benefits, may cause patient harm or yield marginal benefits at a disproportionately high cost.

The project team developed a practical toolkit to empower health professionals to make better decisions about clinical care. The toolkit has three focus areas:

  • Planning: selecting strategies to de-implement low-value care, including how to engage relevant stakeholders from the outset

  • Action: including the facilitation, leadership and monitoring of de-implementation

  • Sustaining better care: keeping up the momentum beyond the initial change and embedding new standards of higher-value care into business as usual.

With partners and investigators* across Metro North Hospital and Health System, Metro South Hospital and Health System and Children’s Health Queensland, the project team gathered input on the toolkit from various stakeholders, including clinical experts (medical, nursing, allied health practitioners), healthcare consumers, implementation scientists, health economists, healthcare leaders and managers.

It is anticipated that the final toolkit will be available for broader distribution in early 2022.

Project investigators:

  • Professor Steven McPhail

  • Dr Zephanie Tyack

  • Dr Hannah Carter

  • Dr Michelle Allen

  • Dr Sameera Senanayake

  • Ms Carla Shield

  • Professor Ian Scott

  • Professor Katrina Campbell

  • Professor Roy Kimble

  • Professor Anne Chang

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