En­liven team wins top health award

Hastings Leader - - News -

En­liven In­ten­sive Home Sup­port, a ser­vice of Pres­by­te­rian Sup­port East Coast has re­ceived two awards at the Hawke’s Bay Health Awards on Fri­day, along with other Hawke’s Bay health pro­fes­sion­als.

En­liven won the Com­mit­ment to Qual­ity Im­prove­ment and Pa­tient Safety Award, spon­sored by BAND, as well as the Roys­ton Hos­pi­tal Supreme Award for Im­prov­ing Med­i­ca­tion Safety with Key Sup­port Work­ers.

The awards show­case out­stand­ing work within the Hawke’s Bay’s health sys­tem with some of this year’s en­tries lead­ing the coun­try for in­no­va­tion and clin­i­cal prac­tice.

The Supreme Award is the high­est ac­co­lade of the pres­ti­gious an­nual event and En­liven Older Peo­ple Ser­vices man­ager, Deb­bie Bakkerus, says it is a tes­ta­ment to team work and a ded­i­ca­tion to clients.

Deb­bie’s team wanted to im­prove the way they sup­port and man­age com­plex older pa­tients in their homes, so they tri­alled a new pa­tient man­age­ment sys­tem fo­cus­ing on med­i­ca­tion safety and re­duc­ing med­i­ca­tion-re­lated in­ci­dents.

“The more com­plex the client, the greater like­li­hood of med­i­ca­tion in­ci­dents oc­cur­ring, so we needed to find new ways to not only bet­ter man­age com­plex pa­tients but pro­vide bet­ter sup­port sys­tems for our Key Sup­port Work­ers — a large work­force in our com­mu­nity who are del­e­gated med­i­ca­tion tasks from reg­is­tered nurses,” Deb­bie says.

A lit­er­a­ture re­view pro­vided no cre­ative ideas for tack­ling med­i­ca­tion safety man­age­ment for older peo­ple at home.

The En­liven team’s so­lu­tion was to es­tab­lish an area-based ‘med­i­ca­tion run’ to be de­liv­ered by its most ex­pe­ri­enced Se­nior Key Sup­port Work­ers (SKSW).

The idea was to al­low Key Sup­port Work­ers to fo­cus solely on med­i­ca­tion only for the client which sig­nif­i­cantly re­duced dis­trac­tions in the process.

Un­der the di­rec­tion of the En­liven clin­i­cal man­ager, Kath John­son, the med­i­ca­tion trial re­duced the num­ber of in­ci­dents in all med­i­ca­tion cat­e­gories — med­i­ca­tion ad­min­is­tra­tion, med­i­ca­tion over­sight, lock box man­age­ment, med­i­ca­tion — client and med­i­ca­tion­phar­macy.

It be­came stan­dard En­liven prac­tice in Oc­to­ber 2017.

Feed­back from staff, as well as clients and their wha¯ nau, was ex­tremely pos­i­tive.

Other pos­i­tive flow-on ef­fects in­cluded a re­duc­tion in En­liven call cen­tre de­mands.

Health and Dis­abil­ity Au­dit­ing New Zealand (HDNZ) also com­mended the process as an in­no­va­tive qual­ity im­prove­ment ini­tia­tive to im­prove pa­tient safety that should be show­cased in na­tional qual­ity fo­rums.

“Ev­ery­one was in­volved in the change and this is be­cause the safety and well­be­ing of our clients is im­por­tant to all of us,” Deb­bie says.

“An award of this cal­i­bre is an ab­so­lute hon­our.”

Pres­by­te­rian Sup­port East Coast chief ex­ec­u­tive Sanja Ma­js­torovic says she is proud of the En­liven team which will con­tinue to look at in­no­va­tive ways to sup­port staff to en­sure the older com­mu­nity can live the lives they choose to at home. “Our sup­port work­ers are com­mit­ted to high stan­dards and im­prove­ment in ser­vice de­liv­ery.

“The award en­cour­ages us to con­tinue to lis­ten to clients and wha¯ nau, try new ideas and mea­sure the pos­i­tive dif­fer­ence,” she says.

“Our grow­ing age­ing pop­u­la­tion re­quires us to use our work­force in dif­fer­ent ways,” Pres­by­te­rian Sup­port East Coast So­cial Ser­vices gen­eral man­ager Mary Wills said.

“Our sup­port work­ers are look­ing for­ward to work­ing in new ways with our clients and wha¯ nau, GPs, nurses and al­lied heath staff to sup­port older peo­ple to re­main in their own homes.”

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