New on ARCHIhttp://www.archi.net.au/rss/rssnewNew and updated resources on the ARCHI websitePositive Management of RiskEncouraging the positive management of risk will address an erosion of confidence by clinicians that is leading to inappropriate admissions and increased length of stay.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/manage-riskImproved Integration with Supported RecoveryProgram to develop a collaborative relationship between Adult Community Mental Health Services and the Supported Recovery Service.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/improved-integrationAssertive Daily Clinical PlanningAssertive daily clinical planning, involves multi-disciplinary participation with meetings focused on progressing care and discharge planning.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/daily-planningImplement More Proactive Flow ManagementProgram to improve bed management for mental health services consumers.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/proactive-flowDetermining Appropriate Location for Assessment / Ongoing InterventionStandard operating procedure that assists clinicians to determine the appropriate location for assessments and / or intervention for mental health consumers.http://www.archi.net.au/resources/redesign/mh-community-redesign/determining-assessmentUpdate Emergency Department Processes and Resources to Match Expected DemandMethod to ensure Emergency Department process and resoruces meet expected demand for mental health consumers.http://www.archi.net.au/resources/redesign/mh-ed-redesign/ed-resourcesEstablishing Satellite ClinicsMethod to improve availability of mental health services through satellite clinics.http://www.archi.net.au/resources/redesign/mh-community-redesign/satellite-clinicsMultidisciplinary Care Coordination ReviewsMethod to ensure service reviews are evidence based and meet national standards.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/care-reviewsFollow up for Consumers Discharged from the Emergency DepartmentDescribes follow-up processes for consumers discharged from ED, in order to increase use of services and decrease readmissions.http://www.archi.net.au/resources/redesign/mh-ed-redesign/follow-upRegular Caseload ReviewDescribes the importance of meetings to ensure caseload is managed effectively.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/caseload-reviewSpecialist Day Treatment ProgramsMethod to increase availability of day treatment programs for mental health care.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/specialist-dayImproved Transport NetworksThe development of protocols addressing the transport of mental health consumers will address issues significantly impacting patient flow.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/transport-networksDemand Management and PlanningIncreased use of demand management planning and assertive clinical management improves flow in and out of inpatient beds.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/demand-managementClarity of Services Offered by Disciplines and Specific StaffProgram to ensure skills are recognised and shared among staff.http://www.archi.net.au/resources/redesign/mh-community-redesign/clarity-servicesEffectively Coordinate and Mainstream Service ManagementAdopting a service philosophy of ‘mainstreaming’ the treatment of mental health patients to reduce access block.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/effectively-coordinateFlow Co-ordination Between SettingsAssertive management of mental health consumer flow between care settings optimises use of resources and improves care.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/coordinationEmergency Department Process ImprovementsDescribes process improvement in the Emergency Department whic could imrpove timely access to quality care.http://www.archi.net.au/resources/redesign/mh-ed-redesign/ed-processDetermining Consumer Transport RequirementsDevelopment of tools and resources to ensure appropriate transport for consumers accessing adult community mental health services.http://www.archi.net.au/resources/redesign/mh-community-redesign/consumer-transportMulti-disciplinary Clinical Review MeetingsDescribes the importance of involving all care team in meetigns to ensure optimum care for the mental health consumer.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/clinical-reviewEngagement of Consumers and Carers in PlanningThe early involvement of consumers and carers in care planning and discharge planning offers a number of advantages.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/engage-consumersChannels of AdmissionMethod to improve access to mental health services for consumers presenting to the ED.http://www.archi.net.au/resources/redesign/mh-ed-redesign/admissionMake More Effective Use of Medical ExpertiseProgram to improve the mental health staff availability.http://www.archi.net.au/resources/redesign/mh-ed-redesign/use-expertiseMental Health Service Component Within the Emergency DepartmentPartnership between Emergency Department and Mental Health services.http://www.archi.net.au/resources/redesign/mh-ed-redesign/mh-in-edClarification of the Mental Health Model of ServiceOutline of the Mental Health Model adopted by NSW Health, which integrates care.http://www.archi.net.au/resources/redesign/mh-community-redesign/clarification-modelComplex / Long Stay Consumer Reviews and PlanningDevelopment of a separate, targeted effort to assertively manage and support complex and long stay consumers.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/long-stayIntegration with Primary Care SectorProgram to improve integration of mental health services with the primary care sector.http://www.archi.net.au/resources/redesign/mh-community-redesign/integration-primaryCollaborative Planning and Transition into and from the Inpatient SettingAn effective care planning and transition process between inpatient units and community AMH Servicesfacilitates timely interventions, appropriate assessment and treatment plans and assertive community care.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/collaborative-planningImproved Discharge Planning from the Inpatient SettingImplement a standardised discharge planning process which facilitates the seamless transition of the consumer from the Inpatient Unit into the Adult Community Mental Health Services.http://www.archi.net.au/resources/redesign/mh-community-redesign/discharge-planningSupported Accommodation for ConsumersMethod to ensure appropriate housing and support for mental health patients.http://www.archi.net.au/resources/redesign/mh-community-redesign/accommodationEvidence Based Clinical PracticeThe development and use of defined clinical pathways for inpatient mental health consumers.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/evidence-basedIncrease and Measure Patient FlowEnsuring regular transition of patients in downstream facilities where ED patients are routinely sent by measuring and improving length of stay.http://www.archi.net.au/resources/redesign/mh-ed-redesign/increase-flowInformation Technology Requirements for Adult Community Mental Health ServicesProgram to ensure skills are recognised and shared among staff.http://www.archi.net.au/resources/redesign/mh-community-redesign/it-requirementsOrganisational Data and Key Performance IndicatorsDescribes the importance of capturing and measuring to improve performance in mental health services.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/data-kpisImproved Inpatient Treatment ProgramsThe early involvement of consumers and carers in care planning and discharge planning offers a number of advantages.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/improved-inpatientImproved Cross-skilling of Emergency Department and Mental Health StaffProgram to improve the mental health skills of ED staff and the physical care skills of mental health staff.http://www.archi.net.au/resources/redesign/mh-ed-redesign/cross-skillingClinical LeadershipDescribes the importance and roles of Clinical Leaders.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/clinical-leadStandardised Intake ProcessDescribes standardising the intake process to improve the timeliness and access to care and consistent service delivery outcomes for inpatient mental health consumers, carers and service providers.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/intakeAlignment of Staffing Configuration with Service DemandMethod to ensure appropriate staff for demand on mental health services.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/staff-configurationEligibility for Adult Mental Health ServicesDetailed eligibility criteria guide decision making and clarify which consumers are the primary focus for treatment by the Mental Health Services.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/mh-eligibilityStreamlined Intake Process and Decision Making CriteriaStandardising intake process and tools for mental health services in the community.http://www.archi.net.au/resources/redesign/mh-community-redesign/streamlined-intake24 Hour Triage for Mental Health ConsumersMethod to ensure 24 hour triage is available for mental health consumers and is performed by staff with appropriate training and education.http://www.archi.net.au/resources/redesign/mh-ed-redesign/24hr-triageMulti-disciplinary Intake and Allocation MeetingsDescribes the importance of meetings to ensure everyone involved in a consumer's care is informed.http://www.archi.net.au/resources/redesign/mh-inpatient-redesign/intake-allocationManaging the Patient, not the AdmissionThe Community & Outpatient Nutrition Extended Care Team (CONECT) was established following critical evaluation of current acute hospital based dietetic practice and identification of factors contributing to poor patient compliance with nutritional therapy post discharge.http://www.archi.net.au/resources/delivery/allied/managing-patientFast Track Pain Management in Primary CareOne of the first outcomes of a project between Hunter Integrated Pain Service and the local GPAccess has been the development of a short educational video "Understanding pain and what to do about it in less than five minutes."http://www.archi.net.au/resources/primary/partners/fast-track-painw4w-videohttp://www.archi.net.au/resources/performance/flow/pfs/portal/3/w4w-videoProcess ToolsTools to implement improvements to patient flow systems.http://www.archi.net.au/resources/performance/flow/pfs/resources/processPatient Flow Systems Framework7 key elements have been developed to enable a system wide approach to identify and resolve delays within the current patient flow system in NSW.http://www.archi.net.au/resources/performance/flow/pfs/pfspPatient Flow PortalThe Patient Flow Portal (PFP) supports NSW Health workers to adopt the Patient Flow Systems (PFS) framework through providing accessible, user-friendly tools.http://www.archi.net.au/resources/performance/flow/pfs/portalResourcesResources to support the Patient Flow Systems Framework.http://www.archi.net.au/resources/performance/flow/pfs/resourcesPatient Flow ProgramPatient flow systems management program including bed board, WAND and implementation supporthttp://www.archi.net.au/resources/performance/flow/pfs