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Western CPN Workshop report _doc_ -


									                                                               darcy associates
                                                                 consulting services
                                                                     ABN 24 249 677 670

                               Western Metropolitan Region
                                 Clinical Placement Network
                                       Day 2 Workshop Report

                                           December 2010

Darcy Associates Consulting Services
Table of Contents

1 BACKGROUND ........................................................................................... 3

2 WORKSHOP OUTCOMES ............................................................................. 4
  2.1 ROLES/FUNCTIONS OF THE CPN .......................................................................4
  2.2 MEMBERSHIP AND REPRESENTATION ISSUES .........................................................4
  2.3 STRATEGIC PRIORITIES ..................................................................................7
  2.4 GENERAL IMPRESSIONS ..................................................................................8

3 APPENDICES ............................................................................................. 9
  3.1 APPENDIX 1: WESTERN WORKSHOP PARTICIPANTS .................................................9
  3.2 APPENDIX 2: WORKSHOP PRESENTATION........................................................... 10

Darcy Associates Consulting Services                                                                         2
1 Background
In November 2008, the Council of Australian Governments (COAG) agreed to significant health
workforce reforms, including an additional $1.1 billion over four years in Commonwealth
funding for health workforce initiatives across Australia. One domain of reforms targeted the
development of new models for planning, management, allocation and resourcing of clinical
placements across all disciplines.

To advance the process in Victoria, the Victorian Department of Human Services (DHS; now
Department of Health) established a Project Steering Group and invited the Council of
Victorian Health Deans (CVHD) to lead the development of a regionally based model for
managing clinical placements in Victoria. The final report on the project was delivered in June
2009 and recommended the establishment of Regional Clinical Academies (RCA; subsequently
referred to as Clinical Placement Networks, CPN) in each of eleven Victorian regions,
representing local communities of interest across the state. In regional Victoria, the boundaries
of the proposed networks correspond to the existing DHS regional boundaries, while the three
DHS metropolitan regions were divided into six networks.

In 2010, the Department of Health commenced implementation of the new system of
governance for health professional clinical placements, based on the model developed in 2009.
The new model incorporates a stakeholder-led council to provide statewide strategic oversight
and coordination of clinical education activities – the Victorian Clinical Placements Council
(VCPC) – and eleven regional CPNs to develop and implement locally driven approaches to
planning, coordination and delivery of clinical placements.

The implementation of the new model has occurred in two phases. In the first phase, the
Loddon Mallee region served as an implementation pilot – or pathfinder region – owing to the
existence in that region of a number of partnerships, networks and arrangements that are in
line with the CPN model. The second phase, which has now commenced, will result in the
model being rolled out across the remaining ten CPNs. This process has involved the
recruitment of Project Managers to support CPN activities in each region, as well as a
Statewide Implementation Manager to oversight the process and support and coordinate the
activities of the eleven Project Managers.

To facilitate the establishment of each region’s CPN, workshops were planned for each region,
to inform the local health service and education provider stakeholders about the new model
and the process to date. The workshops were also intended as a forum for stakeholders to
provide input into the structure and function of their network. Specifically, the workshops were
expected to deliver the following outcomes:
 Agreed sectoral representation for the CPN Executive Committee, as well as an agreed
    process for finalising the membership and chair of the committee by 17 December 2010.
 Identification of priority projects for the CPN that will facilitate collaboration, cooperation
    and sustainable activities in the region, for which Department of Health strategic funding
    might be applied.

For the six metropolitan CPNs, a common Day 1 workshop open to all metropolitan CPN
stakeholders was conducted on 25 November 2010 to set the scene for the decision-making to
occur subsequently at region-specific Day 2 workshops. For the Western metropolitan CPN, the
Day 2 workshop was conducted in Ascot Vale on 13 December 2010.

Darcy Associates Consulting Services                                                                3
2 Workshop outcomes
This section presents a summary of outcomes from the Western workshop, indicating
consensus positions reached by stakeholders (see Appendix 1 for a list of participants).

The workshop was attended by 33 stakeholders, including representatives from six
universities, four VET sector institutions, tertiary and community public health services, aged
care, community health services, community services, disability services, mental health
services, private hospital and the GP sector (see Appendix 1). Ms Jay Myers, Project Manager
for the Western CPN, was in attendance, together with Ms Bernadette Hally (Statewide
Implementation Manager) and one other Department of Health officer.

Jay Myers briefly welcomed the workshop participants. As the Day 1 workshop had provided
the necessary background, the workshop facilitator, Donna Cohen, moved directly into the first
workshop session, providing some region-specific contextual information to guide the
discussion. The Power Point presentation used at the workshop is included at Appendix 2.

2.1 Roles/functions of the CPN
The group heard a brief summary of the outcomes from the Loddon Mallee region CPN
workshops conducted in Nov 2009 and April 2010 in relation to the roles/functions of their
network. Workshop participants were then invited to consider the list of possible roles derived
from the Loddon Mallee process, which had been ranked by the metro CPN Day 1 workshop
participants, with a view to determining the Western region-specific requirement of the CPN.
This was conducted as a breakout activity by each table of participants, followed by a plenary
discussion of the deliberations. Table 2 (overleaf) summarises the outcomes of this discussion.

2.2 Membership and representation issues
The session commenced with a brief summary of the proposed mechanism for how
representation of sectors will work on the CPN Executive Committees. This was followed by a
review of the composition of the Loddon Mallee CPN Executive Committee and a plenary
discussion on the composition of the Western CPN Executive Committee, reaching a general
consensus on the sector categories to be represented and the number of representatives in
each category. Participants were then divided into sectors for deliberation on which
organisations would represent each sector, followed by a brief plenary discussion of those
outcomes. The results are summarised in Table 1.
Table 1: Consensus from Western workshop participants on the composition of the Western
CPN Executive Committee
 Category                             No. Representative                 Nominated
                                           institution(s)                individual
 Department of Health                          1    Department of Health         Matthew Hercus
 University sector                             3    Victoria University          Michelle Towstoless
                                                    University of Melbourne      Stephen Lew
                                                    La Trobe University          Joan Deegan
 VET sector                                    1    Victoria Uni TAFE Division   Grant Dreher
 Regional Training Provider                    1    VMA                          Mark Rowe
 Public health service (tertiary)              1    Western Health               Silvio Pontonio
 Public health service (community & metro)     1    Werribee Mercy               Wendy Dunn
 Community health services                     1    ISIS Primary Care            Anne Cox
 Private health                                1    TBD
 Division of GP                                1    PivotWest                    Ross Joyce
 ACCHO                                         1    To be engaged later
 Community services                            2    MacKillop Family Services    Gavin Kempin
                                       TOTAL   14

Darcy Associates Consulting Services                                                                   4
Table 2: Consensus from Western workshop participants on possible CPN roles. Red text indicates new proposed roles; High = first 6-12
months; Medium = 1-3 years; Low = >3 years
 Possible role (from Loddon Mallee workshop report)                        Include?   Priority   Notes
      Determining capacity (current and future)
 1.   Initiation and facilitation of discussions between members on        Yes                   Needs to be support for AH students where there isn’t a
      capacity-related matters, including                                                        professional of the same discipline; this will be important
          Development of a shared – and realistic – understanding                    High       to assist some health and community services to take
           of capacity.                                                                          students. There is an assumption that groups will want to
          Innovations in clinical education and training, including                             share innovations; the issue is competitive advantage.
           new models of education, multi-disciplinary approaches to
           education and interprofessional learning programs.                         High
          Development of sustainable clinical placement capacity.
 2.   Coordination between health services to meet the demand for          Yes        High
 3.   Provide financial, academic, material and administrative             Yes        Medium     Might need more clarification about what is on offer; could
      support to health services to facilitate the hosting of students.                          be more about rationalising what is already being done,
                                                                                                 rather than setting up new arrangements.
 4.   Facilitation of vertical integration of education and training, by   No                    May be something to be done within individual
      providing a liaison point for education providers responsible for                          organisations.
      the various levels of trainees.
      Matching capacity and demand
 5.   Facilitation and mediation of negotiations between health            Yes        High       Will vary by discipline.
      services and education providers for the equitable allocation of
      clinical placement supply against demand. This includes
      assisting with the organisation of – and preparations for –
      these negotiations.
 6.   Coordination of requests for placements from education               Yes        High
      providers, including providing support for continuity of
      placement arrangements.
 7.   Maintaining (and managing) a placement database that                 Yes        High
      includes real-time data on clinical placement activity across
      the region, providing a snapshot of spare/unused capacity at
      any given time.
      Addressing demand
 8.   Support innovation in clinical education, including a review of      Yes        Medium-    Probably a state-wide task.
      current practices in relation to format, duration and                           Low
      assessment of clinical placements.
 9.   Facilitation of negotiations between education providers to          Yes        Medium-    May be a national initiative (or certainly needs to be state-

Darcy Associates Consulting Services                                                                                                                        5
      develop consistency amongst educational models, particularly         Low       wide).
      in relation to assessment tools.
 10. Facilitation of interprofessional education/interprofessional   Yes   Medium    Would require a sub-committee or working group.
     learning activities.
 11. Monitoring quality aspects of clinical placements.              Yes   High      Needs to be linked into other relevant quality systems.
 12. Maintaining an information resource for all stakeholders,       Yes   High-
     including a website with links to other networks and relevant         Medium
 13. Maintain a registry of student accommodation and other          Yes   Low       Needs to take transport and accessibility into account.
     support services.
      Policy and Advocacy
 14. Policy development across the range of issues relevant to                       Likely to be state-wide; region will contribute to these
     clinical education and training.                                                discussions; could be more about principle development.
 15. Provide information and advice to support policy decisions on   Yes   Medium-
     course enrolments, areas of workforce need, etc.                      Low
 16. Advocate on behalf of the region to obtain funding for          Yes   High
     communal goods and resources.
 17. Training clinical educators in supervision skills.

Darcy Associates Consulting Services                                                                                                            6
The group also considered the inclusion of a sector representative for residential aged care
services. While it was agreed this would be appropriate, the group indicated that, in the first
instance, this sector could be represented through Western Health and the inclusion of a
separate representative for this sector could be reconsidered at a later time.

The private health sector was not in a position to finalise the representative organisation
and/or the individual that would sit on the Executive Committee and it was agreed this
information would be provided to the Western CPN Project Manager via email. It was also
noted the Aboriginal health sector is not yet ready to engage with this process and will be kept
informed about the development of the CPN.

The group discussed the position of Executive Committee Chair and there was general
agreement that Michelle Towstoless would be an excellent appointment to that position.
Professor Towstoless indicated her willingness to take on the role. It was further agreed that
nomination and selection of the Deputy Chair would be handled via email amongst the
nominated members of the Executive Committee. Workshop attendees noted the timeline for
finalising decisions about the Executive Committee was very short, as the proposed
composition of the Executive Committee (including Chair and Deputy Chair) would need to be
presented to the Department of Health (Head Office) on the afternoon of Friday 17 December.

Workshop participants were informed about the process for ratifying and finalising the
Executive Committee membership and Chair, to wit:
 The Department of Health will consider all CPN Executive Committee arrangements on 17
 If modifications to the membership are required, or if another Chair needs to be selected
   (to ensure the VCPC is properly balanced in terms of sectoral, disciplinary and
   organisational representation), the Western CPN will be informed by 20 December, with a
   view to finalising committee membership by 23 December.

The group was also informed the Western CPN Executive Committee would be required to hold
its first meeting in early February 2011 to consider its requests for strategic project funding.
The second meeting of the Committee is expected to take place in early March 2011, to
consider Terms of Reference for the committee and the CPN communication strategy.

2.3 Strategic priorities
The group was reminded about the one-off funding (up to $350k per CPN in addition to the
salary of the Project Manager) being provided by the Department of Health to assist each CPN
to deliver on its immediate- and medium-term objectives. Each table of participants was asked
to consider the list of projects generated by the participants of the metro CPN Day 1 workshop,
to identify projects of particular interest to the Western CPN. In the plenary discussion that
followed, a consensus ranking for the listed projects was determined (see Table 3). Projects in
red text represent new project ideas that emerged from the discussions.
Table 3: Projects nominated for strategic funding by Western workshop participants
 Project                                                                         Yes/No   Statewide?
 Supervisor supports
 Provision of supervisor training, introductory and ongoing                       Yes      Possibly
 Development of train-the-trainer modules                                          No
 Teaching resources
 Development of common assessment tools                                           Yes        Yes
 Development of orientation tools for students                                     No
 Development of clinical education community
 Develop web resources for information sharing and discussion, CPN comms          Yes        Yes
 Establish special interest groups incorporating education resources, research     No
 and best practice activities

Darcy Associates Consulting Services                                                                  7
 Facilitate bi-annual meeting of CPN members to discuss issues and concerns         Yes       No
 with sectoral CPN Executive Committee representative
 Identification of communication and relationship building systems and              Yes     Possibly
 Understanding capacity and placement planning
 Work related to understanding capacity and placement planning                      Yes       No
 Development of clinical placement activity/planning database to assist in          Yes       Yes
 understanding placement capacity
 Determine days/times that are currently used for placements; forward               No
 modelling of demand
 Development of standardised clinical placement agreements                         Maybe
 Research to gather student perspectives on clinical placements                    Maybe
 Research to determine student contributions to patient care                       Maybe
 Exploration of IPE teaching models; promote uptake                                 Yes
 Support expanded settings to participate in clinical education and CPN             Yes       No
 Exploration and development of simulation resources                               Maybe
 Roll-out of pre-existing successful projects                                      Maybe
 Quality in clinical education
 Quality-related initiative – implementation of the BPCLE framework                 Yes
 Assist organisations to instil clinical education as core business; facilitate
 development of health service learning cultures, including in expanded settings

2.4 General impressions
The workshop had a reasonable cross-section of the stakeholder groups of the Western region,
particularly amongst education providers, and there was at least one representative from most
of the relevant health service sectors. Participants were generally positive about the CPN
model. The group seemed to reach consensus positions without too much difficulty and were
able to secure the nomination of the Executive Committee Chair without debate.

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3 Appendices
3.1   Appendix 1:        Western workshop participants

 Name                   Position                                                 Organisation
 Joan Cooney            Partnerships Manager                                     Annecto
 Cynthia Taplin         Head of School, Melbourne                                Careers Australia
 Tim Crowe              Course Director for the Master of Dietetics, School of   Deakin University
                        Exercise and Nutrition Science
 Jade Blakkarly         Program Advisor, Community and Women’s Health            Department of Health
 Nicole Kondidiagas     Executive Manager, Organisational Development            Doutta Galla CHS
 Jenny Williams         Director of Nursing                                      Hazeldean Nursing Home
 Anne Cox               Director, Community Heath Services                       ISIS Primary Care
 Joan Deegan            Development Manager, Central Western Region;             La Trobe University
                        Faculty of Health Sciences
 Gavin Kempin           Director of Advocacy & Service Development               Mackillop Family Services
 Di Hawthorn            Acting Area Manager                                      Mercy Mental Health
 Louise Kelly           Clinical Placement Coordinator                           Navitas Health Skills
 Howard Parker          Head of Sub Schools, Melbourne Clinical School           Notre Dame University
 Ross Joyce             Chief Executive Officer                                  Pivot West
 Ann Hindell            Director of Nursing                                      Tweddle Child & Family
                                                                                 Health Service
 Sevi Vassos            Crescent Project Facilitator                             University of Melbourne
 Stephen Lew            Clinical Dean, Western Clinical School                   University of Melbourne
 Steve Trumble          Chair, Clinical Placements Committee                     University of Melbourne
 Fay Hanns              Manager, Clinical Placement Unit                         University of South
 Kristine Martin-       Head of School of Nursing & Midwifery, Faculty of        Victoria University
 McDonald               Health, Engineering and Science
 Michelle               Executive Dean, Faculty of Health, Engineering and       Victoria University
 Towstoless             Science
 Grant Dreher           Executive Director, Faculty of Workforce                 Victoria University TAFE
                        Development                                              Division
 Danilka Jurisic        General Manager, Corporate Services                      Victorian College of Health
                                                                                 & Nursing
 Stephen Wilkinson      Senior Medical Educator                                  Victorian Medical Alliance
 Julie Hammett          Manager Education Unit                                   Werribee Mercy Hospital
 Wendy Dunn             Director of Nursing/Hospital Manager                     Werribee Mercy Hospital
 Alicia Martin          Manager, Physiotherapy                                   Western Health
 Louise McKinlay        Director, Education and Learning                         Western Health
 Silvio Pontonio        Executive Director, Continuing Care and Allied Health    Western Health
 Fiona Langtry          Nurse Educator                                           Western Private Hospital
 Jane Canaway           Manager, Chronic Complete Care                           Western Region Health
 Corrine Siebel         Chief Executive Officer                                  Westgate General Practice
 Marisa McCague         Manager, Children’s and Family Services North-West       Yooralla
 Robyn Heesh            Clinical Advisor, OT                                     Yooralla

Darcy Associates Consulting Services                                                                           9
3.2   Appendix 2:        Workshop presentation
(See overleaf)

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