Chris Bollen CV Aug2014

BMP Healthcare Consulting
Dr Chris Bollen |
General Practitioner and Health
Management Consultant
Chris is a director of BMP Healthcare Consulting, and
continues to work part time as a GP in Adelaide and part
time as Director of GP Training at Queen Elizabeth Hospital
Chris’s areas of expertise include advice on systems for
chronic disease management, men’s health, care of older
people, working across the primary health
care/community/hospital interfaces, clinical information
systems, multidisciplinary health care provider education
and training, quality improvement, strategy and change
management.
Consulting Experience
BMP Consulting experience
Current and recent clients include:
• Southern Adelaide, Fleurieu and
Kangaroo Island (SAFKI)
Medicare Local requested a
review of the operational
effectiveness of a hospital
avoidance program called
REACH, which had the aim to
reduce hospital transfers of
acutely unwell residents. The
review resulted in improved
clinical governance arrangements
and a new funding model for the
program.
• Central Adelaide and Hills ML
(CAHML) engaged BMP to assist
with promoting its After Hours
program to GPs. This resulted in
the facilitation of 3 consultation
evenings across the region and
widespread engagement with
interested practices
• Northern Adelaide ML engaged
BMP to assist writing an aged
care telehealth grant application
tender. Despite the tender being
unsuccessful, NAML have taken
the concepts of the planned
program and self funded a pilot
• SAFKI ML engaged BMP to
participate in the assessment of
After Hours Pool 2 grant
applicants
• ACT ML has engaged BMP to
review the effectiveness and
efficiency of its primary health
care professional education,
training and events program.
• Aged Care providers. These
projects have included
development of business cases,
engagement with General
Practice and Medicare Locals
regarding aged care initiatives
and development of
Interprofessional Learning
opportunities
• Divisions of General Practice.
Projects have included mentoring
and support for a new CEO in a
rural division and an advisory role
for two aged care hospital
avoidance programs
• The Improvement Foundation
engaged BMP for the initial
Qualifications
MBBS University of Adelaide
Fellowship of Royal Australian
College of General Practitioners
MBA, University of Adelaide
Diploma of Practice
Management, University of New
England
Member of the Australian
Institute of Company Directors
Years in industry
25
Expertise
Chronic and Complex
Disease Management,
including Type 2 diabetes
Men’s Health
Population Health
Health care systems
Change management
Problem solving
Facilitation
Business case proposals for
health care projects
Medical Education
Clinical Governance
Clinical informatics
Collaboration

Chris Bollen | Health Management Consultant
BMP Health Care Consulting
development phase of a potential
collaboratives program
• Restructuring Services Deloitte
Touche Tohmatsu . This review
required the clinical and business
risk assessment of 19 pharmacies
and medical centres across
Australia after a company was put
in the hands of a receiver after
the parent company was no
longer able to meet its bankers
requests. BMP worked with the
receiver in each of the 19 sites to
ensure the clinical risks were
mitigated during the extended
sale period
• Health Outcomes International
engaged BMP to be part of the
evaluation team for the
Department of Health and Aging’s
Lead Clinician Group Initiative
(project is from 2012-2015)
• Review of the adequacy of
immigration detention health
facilities at Woomera and
Villawood as part of a consultancy
for DMIA
Project Experience
• GP Plus Practice Nurses
Initiative
As CEO of Adelaide North East
Division Of General Practice
(2006-2012), Chris developed the
training program for nurses new to
general practice and successfully
recruited, oriented and trained 152
nurses for 140 general practices
across Adelaide to focus on the
new advanced nurse role for
systematic chronic disease
management. The main focus was
on improving systems of care and
outcomes for Type 2 diabetes in
general practice.
• GP Plus Nurses Care
Coordination Program
After successfully renegotiating the
funding for the GP Plus program
with SA Health, Chris evolved the
earlier practice nurse workforce
project to focus on hospital
avoidance KPI
Over 2 years the coordination of
care for 450 people with chronic
complex issues resulted in 50%
hospital avoidance and referral to
more appropriate providers
• Modbury GP Plus Super Clinic
Chris was appointed to the
steering group for this $25 million
project, which was a joint State
and Commonwealth funded
initiative to build new
infrastructure at the Modbury and
Gilles Plains sites to support a
new model of care for people with
chronic and complex health
issues
Other Major Project Experience
Chris has experience in public
hospitals, general practice/primary
health care and residential aged care
facilities leading change in clinical
systems.
• Clinical Practice Improvement
Program
Chris led a small team working on
discharge summary improvement
processes at Queen Elizabeth
Hospital
Chris ‘s primary role was
facilitating clinical process change
in a chaotic work place. By
working with diverse departments
across the hospital including
clinical units, the information
technology department, clerical
groups and the Safety and Quality

Unit the hospital became the
leading public hospital in SA at
sending discharge summaries in
a timely manner, which results in
better patient outcomes and
reduced readmission rates
• Improving Acute Care in
Residential Aged Care
Facilities (RACF)
Ambulance carries to hospitals
result in unnecessary
hospitalisation for frail older
people and increased costs for
the public health system
Chris developed the business
case for this project, and provided
strategic and peer advice on the
key clinical, facility and
communication issues
The project showed 25%
reduction in ambulance carries
and hospital admissions and
more appropriate care at the
RACF
• Implementation of a medical
prescribing software program in
aged care facilities
Medication errors occur at many
different stages of prescribing
medicines.
Chris was on the Medication
Advisory Committee of several
RACFs and noted many recurring
transcribing and dispensing errors
could be reduced if computer
based prescribing was introduced
Project and Change management
skills were utilised to implement
the pilot program
An evaluated pilot of the project at
one site using donated hardware
showed major reductions in errors
and convinced management to
invest in upgraded server based
distribution of the software across
multiple RACF sites
This project led to Chris being
appointed to a Commonwealth
Safety and Quality Committee for
Older People to give advice
regarding significant risk issues in
the health care of the older
person
• Introduction of secure electronic
messaging between health
providers
Healthconnect funding was
secured to implement the first
systematic rollout of secure
messaging systems between
GPs, allied health providers and
medical specialists in Adelaide
Chris developed the project plan
and worked with multiple
stakeholders to successfully
embed secure messaging into
mainstream medical practice,
resulting in reduced transaction
costs (time and money) for
providers and improved
timeliness of communications
leading to better outcomes for
patient care
• Simulation training program for
junior medical officers.
Junior medical officers at the
Queen Elizabeth Hospital
expressed concern about lack of
experience in assessing unwell,
deteriorating patients on the
wards
Chris developed and managed
clinical scenarios for use with a
simulation mannequin to evaluate
junior doctor assessment,
communication and teamwork
skills, and provides constructive
feedback counselling. This model
is now embedded into the core
training program for all interns,
and is now being used to assess
potential new recruits to the
hospital

• OACIS/Careconnect.SA results
tracking project
Missed follow up of laboratory
and radiology tests result in poor
patient outcomes and exposes a
healthcare provider and the
institution to increased clinical risk
and potential medical negligence
claims
Chris recognised the issues were
not being addressed
systematically in public hospitals
and worked with multiple
stakeholders to highlight the
safety risks and developed a
business case to trigger the
development of a results tracking
module for the SA Health
enterprise wide OACIS
(Careconnect.SA) clinical
information repository
Recognition of the clinical and
ICT issues addressed in this
project resulted in Chris being
appointed inaugural chair of the
regional health network clinical
ICT committee, as well as a
member of the SA Health OACIS
operations group, and later to the
Primary Health Care EPAS
reference group
• Domestic Violence and Elder
Abuse Education Programs
Health provider knowledge of
these abuse issues is limited and
Chris worked with multiple health
and social service disciplines to
develop a funding application and
then successfully implement a
project to educate GPs of the
issues relating to abuse of women
and older people
The programs both received
national awards and broke down
entrenched attitudes to victims of
abuse
• Governance experience
Chris is member of the Institute of
Company Directors and has been
a board member of numerous
health care organisations, taking
on the roles of chair or treasurer
of these groups. Currently he is a
board member of the Modbury
Hospital Foundation, a small not-
for-profit association, and a
member of the St Andrews
Hospital Credentialing
Committee, and a Ministerial
appointee to the SA Medical
Education Training Health
Advisory Council
Currently Chris is a member of
the SA Health Stroke Statewide
Clinical Network, and has recently
been appointed to the SA Health
Older Persons Health Clinical
Network
Other Major Experiences
! Development of an online
orientation program for junior
doctors at public hospitals
In order to effectively orient a
large number of junior doctors to
their first year of hospital
experience, Chris brought
together a wide range of people
to implement this project across
Adelaide
• Hospital avoidance programs
• Contributed to the evaluation of SA
Health funded Home Link
program designed to reduce
admissions to hospitals
• Adviser to the Acute Care in
Residential Living program run by
RDNS which significantly reduced
hospital admissions

• Diabetes Clinics in General
Practice and Quality
Improvement
- Chris set up a multidisciplinary
diabetes clinic in his General
Practice at Ingle Farm in
1996
- Currently Ingle Farm Family
Practice has 730 active
patients with diabetes
- Diabetes clinical data
outcomes are reviewed at the
practice meeting every 4
weeks
- Chris led change in the
practice through the
Australian Primary Care
Collaboratives program from
2009-2011
Other Quality Initiatives
• During his time as CEO
Adelaide North East
General Practice
(ANEDGP), Chris
supported 3 staff to be
trained in the
Collaboratives
methodology in order to
drive quality improvement
in the 48 member general
practices of ANEDGP
• set up a Quality Practice
subcommittee of ANEDGP
Board
• worked as surveyor for
General Practice
accreditation company
AGPAL (2001-2006)
• completed “Lean Thinking
and Process Redesign in
health care Course” 2012
with project focus on
improving assessment and
management of
osteoporosis and falls risks
in RACF populations, in
order to prevent ED
attendance with frailty
fractures
• Appointed to South
Australia Cancer Services
Reform Committee April
2014
Conference presentations
Chris
has
presented
papers
at
the

following
conferences
in
Australasia:

1. Australian
Practice
Nurse

Conference
May
2012

2. Australian
Chronic
Disease

Management
Association

Annual
Conference
August
2012

3. Australian
College
Health
Service

Management-‐
SA
Branch

Annual
Conference
July
2012

4. Annual
Grand
Rounds
at
Modbury

Hospital,
Queen
Elizabeth

Hospital
and
Lyell
McEwin

Hospital
over
past
10
years

5. Royal
Australian
College
of

General
Practitioners
(RACGP)

Annual
Conference
October

2012

6. Quality
in
Practice
(QIP)
national

conference-‐multiple
years

7. National
Prevocational
Junior

Doctor
Conference
Adelaide

2013,
Perth
2012,
Auckland

2011

8. Aged
Care
Congress
2010

“Residential
aged
care
and
the

crisis
of
acute
care
for
the

residents”

9. Primary
Health
Care
Research
and

Information
Services
(PHCRIS)

National
Conference
2014

Canberra,
“Has
Accreditation

improved
the
Quality
of
GP

referral
letters?”

Published papers
• Introduction of electronic
prescribing in an aged care
facility.
Chris Bollen, Jim Warren, Gwen
Whenan
Ingle Farm, South Australia.
Australian family physician 05/2005;
34(4):283-7.
• A focus on health promotion
and prevention through the
development of the
national men's health
policy.
James A Smith, Chris Bollen
University of the Sunshine Coast,
Maroochydore.
Health promotion journal of Australia:
official journal of Australian
Association of Health Promotion
Professionals 09/2009; 20(2):98-101.
• Improving communication
between health-care
professionals and patients
with limited English
proficiency in the general
practice setting.
Attard M, McArthur A, Riitano D,
Aromataris E, Bollen C, Pearson A.
Aust J Prim Health. 2013 Nov 12.
• Building chronic disease
management capacity in
General Practice: The
South Australian GP Plus
Practice Nurse Initiative.
Fuller, J.D., Koehne, K., Verrall, C.,
Szabo, N., Bollen, C. and Parker, S.
Collegian 2014,
Referees
1. Dr Oliver Frank
Ex-chair Adelaide North East Division
Of General Practice
General Practitioner, Oakden Medical
centre
0407181683
2. Daniel Cox
Manager - Health Service
Commissioning and
Performance Central Adelaide and
Hills Medicare Local
0428864537
(referee for the GP Plus Nurses
projects 2008-2012
3. Maria Darby
Director of Governance
Central Adelaide Local Health
Network
08 82220805
maria.darby@health.sa.gov.au
(referee for Clinical Practice
Improvement project for improving
discharge summary rates 2008-10)

Chris Bollen CV Aug2014

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