Strengthening Clinical Care and Pathways for Aboriginal and Torres Strait Islander people at Ballarat Health Services
Partnership agreement Ballarat Health Services and Ballarat and District Aboriginal Co-operative have developed a fourteen year partnership.
The journey:
The Project: • Identify barriers to accessing hospital services. • Develop referral pathways that link the patient with the right services for their care needs. • Collaborate with regional partners improve attendance and address identified issues. • To provide client centered services. • Aboriginal data used to inform and direct service change.
Initial Challenges: Making ATSI Support, and Improve staff health engagement understanding everyone’s from BHS board and education. business . and executive Engaging ATSI Merging Identifying key community to holistic components of be consumer healthcare into healthcare liaisons . BHS practice
Strengths: Providing a Improved Email alerts of culturally safe communication ATSI inpatient and supportive pathways. presentations environment Promote client Approximately Staff engaging informed decision 75% of BHS staff AHT in the care making and have received of ATSI patients choice. Cultural Training
Aboriginal and Torres Strait Islander Inpatient Separations Increase 281% 1200 1000 1063 800 698 600 704 635 555 549 486 479 400 388 378 200 0 2008/2009 2009/2010 2010/2011 2011/2012 2012/2013 2013/2014 2014/2015 2015/2016 2016/2017 2017/2018
Outpatient Aboriginal and Torres Strait Islander Attendances. 3000 Increase 469% 2500 2619 2219 2000 2064 2021 1729 1500 1302 1238 1000 933 797 558 500 0 2008/2009 2009/2010 2010/2011 2011/2012 2012/2013 2013/2014 2014/2015 2015/2016 2016/2017 2017/2018
Aboriginal and Torres Strait Islander ED Attendances 1800 Increase 4.69% 1673 1600 1539 1600 1400 1442 1200 1172 1239 1319 1318 1000 945 989 800 600 400 200 0 2008/2009 2009/2010 2010/2011 2011/2012 2012/2013 2013/2014 2014/2015 2015/2016 2016/2017 2017/2018
Case Study Patient: 53 year old male, dialysis patient with end of stage renal failure and co-morbities.
Case Study Medical: Psychosocial situation: • Type 2 Diabetes • Stolen generation survivor • Renal Failure • Lives alone with a pet • Hypertension • Strained family relationships • Hyperlipidaemia • No drivers license • Diabetic Retinopathy • Insomnia • Asthma
Future work Develop a Increase Increase wellbeing employment ATSI cultural center for opportunities activities at patients and for ATSI BHS family community Involved ATSI Develop BHS community in as a discussions to culturally improve safe service environment delivery
QUESTIONS:
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