Emma Sutich. SPINZ Symposium, Christchurch, 2005. http://www.spinz.org.nz

1. N Z GG’s Self-harm and
Suicide P revention
C ollaborative
S e tting targ e ts to
im p ro ve syste m s
o f care

2. Outline
• Background to the project
• What we want to achieve
• How we will do this
• How we will know if we are getting it right
• Turning evidence into practice
• Setting the targets

3. Aims of the Project
• Improved consumer experience when using
emergency departments, Maori and mental
health services
• Giving clinicians valuable experience and
skills that they can transfer to other quality
improvement initiatives
• All stakeholders working together to achieve
the outcomes.
• Improved service co-ordination and
collaboration

4. Benefits for consumers
• Improved responsiveness
• Better referral and co-ordination between
emergency and mental health services
• Improved access to services
• Improved follow up
• Culturally appropriate services
• Family/whanau and friends in the picture

5. Client Pathway Process
Community ED, Mental & Mäori Discharge
Care Health Services Destination
Presentation Assessment Management
• What is a typical problem at each point of the process?
• Are there examples of best practice?
• What can we measure?
• What are the guiding principles for change that can be tested?
National Institute of Clinical Studies © 2005

6. Turning Evidence Into Practice
• Analysis of Gaps
 Access/ delivery
 Assessment of risk and mental health issues
 Discharge and follow up
 Training/ supervision
 Service co-ordination
• Evidence of Best Practice
• Priorities for Change
• Setting the Targets

7. Workshop Exercises
• Task 1: Identifying the gaps against key
recommendations from the guidelines
• Task 2: Priorities for intervention

8. Task 2: Priorities for intervention
• Points to consider:
• Maximum impact for maximum people
• Quality measures for change
– Timeliness
– Appropriateness
– Effectiveness
– Safety
– Satisfaction

9. Next Steps
• Setting targets
– Specific
– Measurable
– Achievable
– Realistic
– Time bound
• Testing the targets
• How you can contribute further

10. For more information please go to:
www.nzgg.org.nz Next Steps
or contact:
Antonia Stewart, astewart@nzgg.org.nz.