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Australia


BaptistCare NSW & ACT

New South Wales and the Australian Capital Territory

Services Offered

The residential services at our aged care facilities provide the highest quality aged care within our warm and friendly communities. All our 18 homes (1790 beds) come with well trained staff that can support a broad range of care needs to suit each of our clients: from clients who are still fairly independent, to those with complex needs such as people living with dementia, right through to end of life care. We are here to be that extra support families need in ensuring their loved ones are well cared for and feel safe.

SPICT Uses

SPICT is used by Registered Nurses both the App and the tool to determine and identify deterioration. Several homes use the tool as an admission screening. We have our own Palliative and supportive approach and framework and SPICT provides an extra resource.
we have reengaged with SPICT through our ELDAC funded program.

Other information

I am adding SPICT into our formal Policy and Procedure.

End-of-Life Essentials

Australia

Services Offered

End-of-life Essentials (EOLE) education is based on the Australian Commission on Safety and Quality in Health Care’s National Consensus Statement: Essential elements for safe and high-quality end-of-life care. The aim of EOLE is to build health professional capacity in quality end of life care in acute hospitals.

The education is free to use, evidence based and has been peer reviewed by doctors, nurses and allied health professionals around Australia. This implementation Toolkit brings together tools, resources, promotional materials and evidence that can be used individually or collectively by users to help them change or sustain new practices or to encourage change within their organisation.

SPICT Uses

SPICT is used as one of the screening tools recommended

Other information

Please contact Associate Professor Kim Devery for more information

HealthPathways

Various

Services Offered

HealthPathways is an online primary care resource used by more than 17 health regions across New Zealand and Australia. The pathways provide assessment, management, and referral information specific to each region for general practice teams and other community healthcare providers.

Access to HealthPathways is restricted to health professionals responsible for referring to specialty services.

SPICT Uses

Pathways are developed by work groups consisting of general practitioners, hospital clinicians, and other health professionals. Each region has over 540 clinical pathways, as well as clinical resources and patient information, facilitating consistency in the management of common conditions across general practice and the hospital system.

The Bethanie Group

Western Australia

Platinum Partner

Services Offered

Our Aged Care Facilities offer person-centred care in a supportive and comfortable home-like environment.

We respect each person’s story and show people the dignity they deserve. We provide a wide range of services including chaplaincy and dementia care.

SPICT Uses

The Bethanie Group plans to use the SPICT as an electronic tool to evaluate care plans. The SPICT guides a more targeted approach to individualised care plan evaluation. It focusses on what it is that the customer needs to be able to live the best quality of life possible. This approach facilities an opportunity for crucial conversations about advance care planning in a sensitive and timely manner.

University of Wollongong

Wollongong

Services Offered

SPICT Uses

We are conducting research to explore how SPICT could be implemented in Australian primary care contexts.

Xiangya School of Medicine

Central South University (CSU)

Services Offered

Xiangya School of Medicine, Central South University (CSU) is one of the top medical schools in China and known for its high quality of medical education and research. Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, CSU, is the largest cancer centre with 1,500 beds in Hunan province. The Hospital serves nearly 400,000 cancer outpatients, 10,000 inpatients, and conducts nearly 20,000 operations each year. The hospital is amongst the first wave of pilot settings for palliative care in China.

SPICT Uses

We would like to first translate the SPICT into Simplified Chinese version. After that, we will test and validate the translated tool for its effectiveness and accuracy in identifying cancer patients who are at end-of-life and in need of palliative care. Our short-term aim is to integrate SPICT into the daily clinical practice in Hunan Cancer Hospital; The long-term aim is to extend routine use of this tool in clinical practice to the national level.
There will be two Principal Investigator for the proposed project: Dr Jinfeng Ding and Professor Yongyi Shen.
Dr Ding is a registered nurse and has completed his PhD degree in public health at the University of Western Australia in August 2020.
Professor Chen is vice-president of Hunan Cancer Hospital, Chair of Palliative Care Committee of the Chinese Nursing Association and the Chair of the Communications Committee of the International Society of Nurses in Cancer Care.


Advance

Services Offered

Advance is a toolkit and national training program to support nurses to work with general practitioners to initiate advance care planning and palliative care in everyday general practice.

Advance includes a suite of specifically designed resources, training videos, online learning modules, workshops, rural scholarships and tele-mentoring. The Advance Toolkit consists of six screening and assessment tools and a guide to support their use. The Toolkit has been endorsed by the Royal Australian College of General Practitioners and the Australian Primary Health Care Nurses Association.

The training aims to increase skills, confidence and comfort levels of nurses in general practice to initiate conversations with patients and their carers about screening for supportive care needs and advance care planning. The overall objective of the program is to enable earlier consideration and uptake of advance care planning among older people and those with chronic or complex illness, more efficient use of general practitioner and nurse time in assessing palliative and supportive care needs, and more appropriate and timely referrals to specialist palliative care services if required.

Advance is funded by the Australian Government Department of Health and led by HammondCare in partnership with other healthcare organisations and universities.

SPICT Uses

SPICT is used as one of the screening tools in the Advance Toolkit and training package. The expert advisory group members for Advance include SPICT programme leads and partners: Kirsty Boyd, Scott Murray, Geoffrey Mitchell and Joel Rhee.

Website: www.caresearch.com.au/advance/

Contact:  Professor Josephine Clayton


Armadale Health Service, Department of Health, Government of Western Australia

Services Offered

The Armadale Health Service is one of Australia’s leading public hospitals delivering quality health care to the community.

The 290-bed general hospital, located 34km south-east of the Perth CBD, is equipped with a modern Emergency Department and an Intensive Care Unit (ICU). The hospital has strong links with the local community and each year treats more than 60,000 emergency patients, 29,000 inpatients and 52,000 outpatients.

 SPICT Uses

The geriatric medicine service from Armadale Health Service has been using SPICT in a clinical study to determine how many people are ‘SPICT positive’ on a rehabilitation ward, to see how this correlates with existing frailty tools and then to follow-up prospectively to determine future hospital utilisation and survival.

Website: www.ahs.health.wa.gov.au/

Contact:  Nicholas Waldron


 Central Adelaide Palliative Care

The Queen Elizabeth Hospital, Woodville Rd Woodville Adelaide South Australia

Services Offered

Interdisciplinary palliative care service servicing the central region of Adelaide. We have inpatient beds on three sites, consultation liaison teams at the two major public hospitals, and a comprehensive community care service. The service is based at QEH, one of the two major hospitals

 SPICT Uses

It is propsed to use SPICT in a number of settings

  •  As a part of a statewide tool for documenting in-hospital treatment plans addressing goals of care. SPICT will be used to trigger the consultation leading to the completion of this document, which aligns with any legally binding directives made by the patient
  •  (Possibly) as part of our mortality review committee audit looking at compliance with appropriate advance care planning. A question like “did this patient meet SPICT criteria that should have prompted a discussion regarding goalsof care and resuscitation status? If so, was there evidence it occurred?”

Contact:  Dr Alastair Bonnin

 


 anzspm decision assistDecision Assist

Decision Assist is a program funded by the Australian Government to enhance the provision of palliative care and advance care planning services to the aged nationally by providing support to GPs and aged care workers. The project is managed by a consortium of national health and aged care organisations, including Respecting Patient Choices (lead agency), Palliative Care Australia, CareSearch, the University of Queensland, Queensland University of Technology, the Australian and New Zealand Society of Palliative Medicine, Leading Age Services Australia (LASA), and Aged and Community Services Australia (ACSA).

A strong focus of the program is to enhance the skills of GPs through specialised palliative care education.

SPICT Uses

It is proposed to use SPICT during palliative care education to GPs in Australia. It will be offered as a tool that GPs can use to aid prognostication and promote about proactive management of patient’s end of life care. Education is via workshops and an online education module.

WebsiteDecision Assist

Contact:  Dr Karen Cooper


Department of Health, Government of Western Australia

WA Health is Western Australia’s public health system. It covers 2.5 million square kilometres and is the largest area in the world covered by a single health authority. WA Health employs 43,000 staff who ensure the well-being of the State’s ever-increasing population throughout metropolitan, regional and remote areas.

SPICT is used as a tool to help medical staff develop essential knowledge, skills and confidence, to be applied when initiating and engaging in patient-centred conversations, particularly about CPR decision-making.

SPICT Uses

As part of a teaching resource to support decision-making and effective communication about cardiopulmonary resuscitation in the hospital-based setting. The teaching resource, developed by a team of Australian clinicians with different specialties, comprises a facilitator’s guide, videos and supporting resources. The facilitator guide with videos uses the SPICT indicators to assist clinicians identify and collaborate with patients who will more likely benefit from advance CPR decision-making.

Download the online resources:  Advance CPR decision making in the hospital setting: teaching package

Websitewww.health.wa.gov.au

Contact:  Palliative Care


 Screenshot 2013-11-26 10.18.09Fiona Stanley Hospital, Perth

Fiona Stanley Hospital is Western Australia’s flagship health facility, delivering a comprehensive suite of clinical services. Our hospital will be opened progressively in a four-phased sequence that prioritises patient safety and care, beginning with the State rehabilitation service in October 2014.

SPICT Uses

Use of the SPICT for unplanned admissions to identify patients eligible for goals of care discussion and resuscitation planning on admission.

Websitewww.fsh.health.wa.gov.au/

Contact:  Susan Mylne


Great Southern Palliative Care Service, Albany, West Australia

Services Offered

Specialist Palliative Care Service, offering comprehensive palliative care consultative support.

  • Central point for referrals for palliative care in rural regions (for example, if metropolitan or regional services wish to discharge a patient from hospital to return to a rural town)
  • To make an initial assessment of the patient’s needs to assist in planning future care and to determine what ongoing services will be required for the patient
  • Provide care coordination for the patient and family and/or referral to service agencies for local care coordination and direct care if required
    Provide ongoing advice/consultancy/shared care for complex patients or patients with escalating needs exceeding the local resources
    Episodic clinical assessment including treatment and medication review
  • Build capacity in regional health professionals to provide palliative care to meet Palliative Care Australia standards
  • Provide psychosocial consultancy and support
  • Provide access to specialist palliative care medical consultation and advice
  • Identify the need for discharge back to primary carers with the option of planned re-referral.

 SPICT Uses

We are gradually introducing the SPICT tool within the GSHS to assist primary care providers and other specialty services identify patients who may benefit from specialist palliative care support. We have a small quality improvement team working on this project within Albany Health Care Campus.

The SPICT tool is very much in line with the promotion of advanced care planning within WA.

Our hope is by using this tool we may reduce hospital admissions by the introduction of our services in a more timely manner supporting carers and families.

Feedback so far has been very positive and plan to review/audit results of this trial with professional providers and consumers

ContactLesley Forrester 


Metropolitan Palliative Care Consultancy Service MPaCCS – Perth

Services Offered

Who are the members of MPaCCS?
• Palliative Care Specialists
• Senior Palliative Care Nurses
• Senior Palliative Care Social Workers

What services will MPaCCS provide for me?
The aim of the service is to assist primary health providers (GPs, Other Medical Specialists, nursing & allied health staff) to provide the best palliative care possible for their patients. Team members are available to provide the following services:
1. Clinical and psychosocial review of palliative patients who:
• have any sort of life limiting illness
• have complex palliative care needs
• exhibit difficult to control pain or symptoms
• need transitional support from hospital to facility
• have previously been seen by a palliative care team
2. Specialist advice and assistance for any doctors and nurses with these patients in their care
3. palliative care education tailored to your individual needs.

Where does MPaCCS provide these services?
The Team can visit eligible patients with life limiting illnesses and assist staff caring for these palliative patients at the any of these locations:
• Residential aged care facility
• Disability Services facility
• Corrective services facility
• Mental health hospital or facility.

Uses of SPICT

  • Highlight Palliative Care Patients in Care Facilities.
  • Educational tool for Care staff
  • Capacity build with hospital staff in regards to when & who to refer to Palliative Care Teams

Websitewww.bethesda.asn.au/MPaCCS.aspx

Contact: Ed Gaudoin 


Mirrabooka Doctors Surgery, Perth

Services Offered

General Practice

 SPICT Uses

Assessment of death risk based on clinical features such as COPD

ContactDr Catherine Bacon 


 

Northern Adelaide Local Health Network, South Australia

The Northern Adelaide Local Health Network (NAHLN) is one of three Local Health Networks in metropolitan Adelaide. NAHLN delivers public hospital services and other community-based public health services as determined by the State Government of South Australia. NALHN includes the Lyell McEwin Hospital, Modbury Hospital, GP Plus Health Care Centres and Super Clinics, sub-acute services, mental health and Aboriginal Health services.

SPICT is used as a tool to help medical staff develop essential knowledge, skills and confidence, to be applied when initiating and engaging in patient-centred conversations, particularly about CPR decision-making.

SPICT Uses

As part of a teaching resource to support decision-making and effective communication about cardiopulmonary resuscitation in the hospital-based setting. The teaching resource, developed by a team of Australian clinicians with different specialties, comprises a facilitator’s guide, videos and supporting resources. The facilitator guide with videos uses the SPICT indicators to assist clinicians identify and collaborate with patients who will more likely benefit from advance CPR decision-making.

Websitewww.sahealth.sa.gov.au

Contact:  Christine Drummond


Northern Health, Victoria Australia

Northern Health is one of Victoria’s busiest public health services. The acute and sub-acute health services cover a local community of approximately 728,000 people and the emergency department treats almost 70,000 patients each year.

The northern community is located in one of Melbourne’s most significant growth corridors and the population is expected to grow by 64% or an additional 128,569 people by 2031.

SPICT is used as a tool to help medical staff develop essential knowledge, skills and confidence, to be applied when initiating and engaging in patient-centred conversations, particularly about CPR decision-making.

SPICT Uses

As part of a teaching resource to support decision-making and effective communication about cardiopulmonary resuscitation in the hospital-based setting. The teaching resource, developed by a team of Australian clinicians with different specialties, comprises a facilitator’s guide, videos and supporting resources. The facilitator guide with videos uses the SPICT indicators to assist clinicians identify and collaborate with patients who will more likely benefit from advance CPR decision-making.

Websitewww.nh.org.au

Contact:  Barbara Hayes


Palliative and Supportive Care Education Cancer Council WA

Palliative and Supportive Care Education (PaSCE) provides Palliative Care education for health professionals,

Health care workers and palliative care volunteers across Western Australia. PaSCE provides innovative and evidence-based palliative care education, as part of the Cancer Information and Support Services team at Cancer Council WA. Our programs are aimed at increasing knowledge and understanding of palliative care in all settings. As stated by the World Health Organisation, palliative care is for any person with a life-limiting illness. PaSCE education reflects this in our education.

The education is delivered by nurse educators in collaboration with palliative care specialist providers and health professionals. PaSCE is supported by the WA Cancer and Palliative Care Network ,Department of Health and Cancer Council WA.PaSCE strives to improve and develop our education to continue to meet the ever increasing demand for palliative care education.

SPICT Uses

Within our palliative care education workshops we highlight SPICT as a tool used within WA and integrate it into our teaching where appropriate.

Download the online resources:  Advance CPR decision making in the hospital setting: teaching package

Websitewww.cancerwa.asn.au

Contact:  G Buchanan


Sir Charles Gairdner Hospital

Services Offered

Sir Charles Gairdner Hospital is one of Australia’s leading teaching tertiary hospitals. Located on the Queen Elizabeth II Medical Centre site the hospital has over 600 beds and treats approximately 400,000 patients every year. The hospital provides a comprehensive range of clinical services whilst being home to the state’s comprehensive cancer centre and the principal hospital for neurosurgery and liver transplants.

SPICT Uses

The SPICT will be introduced as a tool to assist clinicians identify patients that will likely benefit from goals of care discussions and formulation of resuscitation plans.

Website: www.scgh.health.wa.gov.au

Contact:  Anil Tandon


South Australian Department for Health and Ageing

ContactChristy Pirone, Principal Consultant, Safety and Quality  


Uni of QueenslandUniversity of Queensland School of Medicine

The SPICT tool has been incorporated into a broader audit tool that is being used to assess the possibility of futile treatment. 1000 charts are being audited across 3 major Brisbane hospitals..

Website: www.som.uq.edu.au

Contact Sarah Winch , Senior Lecturer in Healthcare Ethics