Path for transformational change laid out in latest Australian Health Review

Friday, April 15, 2016

A blueprint for implementing transformational change in healthcare is outlined in the latest edition of the Australian Healthcare and Hospital Association’s (AHHA) peer-reviewed academic journal Australian Health Review (AHR), which examines a diverse range of health policy issues.

 A featured article, Transformational change in healthcare: an examination of four case studies, examined cases of achieved transformational change in the US, UK and Australia. Authors Kate Charlesworth, Maggie Jamieson, Rachel Davey and Colin D Butler found that despite there being differences between case studies, enough commonalities were found to provide a potential blueprint on implementing transformational change. The research showed common factors included exceptional engagement and consultation with patients and staff, performance management, a commitment to radical redesign, the use of sophisticated data management, and modern leadership focused on networking and influence.

“It became clear throughout the course of this review that transformation is a process of continual evolution. High-performing organisations were those that created continuous learning organisations with iterative changes being sustained and spread across the system.” the article concluded.

Another featured article, Two heads are better than one: Australian tobacco control experts’ and mental health change champions’ consensus on addressing the problem of high smoking rates among people with mental illness, by Della Rowley, Sharon Lawn and John Coveney, explored the issues behind the high rates of smoking among people with mental illness.

The article Who is less likely to die in association with improved National Emergency Access Target (NEAT) compliance for emergency admissions in a tertiary referral hospital?, by Clair Sullivan, Andrew Staib, Rob Eley, Bronwyn Griffin, Rohan Cattell, Judy Flores and Ian Scott, sought to identify patient and non-patient factors associated with reduced mortality among patients admitted from the emergency department to in-patient wards in a major tertiary hospital that had previously reported a near halving in mortality in association with a doubling in NEAT compliance from 2012 to 2014.

In State of origin: Australian states use widely different resources for hospital management of hip fracture, but achieve similar outcomes, authors Anthony Ireland, Patrick Kelly and Robert Cumming compare the association between hospital utilisation and costs and patient outcomes for hip fracture management in the six Australian states.

Another featured article, On the right path? Exploring the experiences and opinions of clinicians involved in developing and implementing HealthPathways Barwon by Sarah Mansfield, Frances Quirk, Kathryn von Treuer and Gerard Gill presents the findings of a process evaluation exploring the experiences and opinions of clinicians who have been involved in the HealthPathways Barwon clinical workgroups. The authors discuss implications for further development of the program, as well as regional health service initiatives more broadly.

To access AHR 40(2), click here.

Media enquiries:
Alison Verhoeven
Chief Executive, The Australian Healthcare and Hospitals Association
0403 282 501