June 2022 - Foresight Newsletter

JUNE 2022

EDITION 15

RELEASE OF THE 2022 NSW HEALTH SERVICES ABORIGINAL CULTURAL ENGAGEMENT SELF- ASSESSMENT AUDIT TOOL (ACESAAT)

Clinical Governance Standard

Annette.Penney@health.nsw.gov.au (District Accreditation Manager) or mob: 0450 880 429 (will lead the implementation in consultation with Peter Shine and Paul Weir) for general matters. Aishwarya.Ramesh@health.nsw.gov.au (Clinical Analytics and Information Manager) for completing the self-assessment tool within QARS Peter Shine (Director Aboriginal and Torres Strait Islander Health Service) or Paul Weir (Deputy Director Aboriginal and Torres Strait Islander Health Service) on ph: 9462 9017 for queries regarding the development of appropriate Action Plans or refer to the NSQHS Standards User Guide Aboriginal and Torres Strait Islander Health. For queries or further information please contact; NEW ONLINE ESCALATION MAPPING TEMPLATE (EMT) The Australian Commission on Safety and Quality in Health Care (ACSQHC) has produced a new and improved resource for recognising and responding to deterioration in a person’s mental state. The Escalation Mapping Template (EMT) is a quality improvement tool to assist health service organisations to assess the effectiveness of their systems for recognising and responding to deterioration in a person’s mental state. The EMT supports services to identify existing local processes, map their alignment to the systemic recognition and response model, and evaluate their effectiveness. To enhance the user experience and navigation of the EMT, the Commission has updated the previous Excel version to an online web-based application. The new online EMT provides greater user functionality, including self-generated reports, interactive step-by-step prompts, links to Commission resources, multiple user collaboration, timestamps and more.

Estimating our progress by comparing 2020 and 2022 ACESAAT results Identification of focus areas for action and development of action plans for monitoring and review of ongoing progress While the Centre for Aboriginal Health (CAH) will review the data across LHDs, we are also strongly encouraged to undertake a local analysis of the 2022 ACESAAT results. This will enable; Tier: Local Health District/Districtwide Services & Programs - jumps to Q2 Tier: Facilities (Hospitals) & Districtwide Services & Programs – jumps to Q33 Tier: Services at the Customer Interface – jumps to Q85 In the 2022 ACESAAT , jump logic has been included at a tier level and tiers have been colour coded. The tiered approach is: The audit tool (which is now available in QARS and accessible via QARS is to be completed by close of business (COB) Wednesday 20 July 2022 (NSLHD internal deadline) Action Plans, based on your ACESAAT results, are to be completed in QARS by COB Wednesday 3 August 2022 The Clinical Governance Unit, in partnership with the Aboriginal and Torres Strait Islander Health Unit, will have oversight of the completion of the audit. Action plans are to be completed where areas of improvement are identified. The annual NSW Health Service’s Aboriginal Cultural Engagement Self-Assessment Audit Tool (ACESAAT) for 2022 is now available for completion and is accessible via the Quality Audit Reporting System (QARS). In 2020, NSLHD completed the ACESAAT and this initiative greatly assisted NSLHD’s progression ‘towards a health system where cultural differences and strengths were recognised and responded to in the governance, management and delivery of health services’ . Due to the impact of COVID 19 on resources across the system, the ACESAAT was not completed in 2021. Following the Centre for Aboriginal Health revision of the ACESAAT in 2020 – 2021, the 2022 ACESAAT includes a ‘tiered’ approach to the 60 questions, clarifying which level of LHD operations would be accountable for organisational and local questions. Some questions are duplicated across tiers and all questions are mandatory. This is not dissimilar to NSLHD’s 2020 tiered approach.

The new and improved EMT is available on the Commission’s website .

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