About the Clinical Initiatives

Healthcare is adapting to suit the changing needs and expectations of communities, patients and carers. NSW must meet the challenges of planning, funding, delivery and evaluation of services that are posed by an increased demand, an ageing population and the increased prevalence of chronic disease. Therefore, it is essential to identify initiatives that create better value healthcare, optimising the use of health resources while maintaining the safety and quality of patient care.

Leading Better Value Care

The Leading Better Value Care Program seeks to identify and implement opportunities for delivering better value care to the people of NSW within the context of the Institute for Healthcare Improvement’s Triple Aim (health of a population, experience of care and the cost per capita).

Program opportunities are grouped into three categories: Better Value Healthcare, Commissioning and Contestability, and Workforce Capability. As immediate priorities, 13 projects have been selected which align to existing work efforts that have been “road tested” to varying degrees across many LHDs. The implementation of the eight Leading Better Value Care Clinical Initiatives are the focus of this website.

Leading Better Value Care Clinical Initiatives

Clinical initiatives including new or improved Models of Care (MoC) for:

1. Management of Osteoarthritis (ACI)
2. Osteoporotic Refracture Prevention (ACI)
   1. Local musculoskeletal service (ACI)
3. Diabetes High Risk Foot Services (ACI)
4. Inpatient Management of Diabetes Mellitus (ACI)
5. Management of Chronic Heart Failure (ACI)
6. Management of Chronic Obstructive Pulmonary Disease (ACI)
7. Renal Supportive Care (End Stage Kidney Disease (ACI)
8. Adverse Events: Falls in Hospitals (CEC)

ACI / CEC Support Framework

Lea Kirkwood, Program Manager, Centre for Healthcare Redesign, ACI, explains how the ACI and the CEC can support the implementation of the Leading Better Value Care Clinical Initiatives.