Clinical Initiatives

The Leading Better Value Care program is being conducted in tranches, with clinical initiatives divided into two groups.

Tranche One initiatives have been in progress from July 2017, and Tranche Two from July 2019.

Tranche 1 initiatives

• Osteoarthritis chronic care program
• Osteoporosis re-fracture prevention
• Chronic heart failure
• Chronic obstructive pulmonary disease
• Inpatient management of diabetes mellitus
• Diabetic high risk foot services
• Falls in hospital
• Renal supportive care.

Tranche 2 initiatives

• Hip fracture care
• Chronic wound management
• Bronchiolitis
• Hypofractionated radiotherapy for early stage breast cancer
• Direct access colonoscopy for positive faecal occult blood test.

Involvement of NSW Health pillar organisations

The Agency for Clinical Innovation (ACI), the Clinical Excellence Commission (CEC) and the Cancer Institute NSW (CINSW) are supporting Local Health Districts and Specialty Health Networks in implementing these clinical initiatives.

The ACI is supporting the following initiatives:

• Osteoarthritis chronic care program
• Osteoporosis re-fracture prevention
• Chronic heart failure
• Chronic obstructive pulmonary disease
• Inpatient management of diabetes mellitus
• Diabetic high risk foot services
• Renal supportive care
• Hip fracture care
• Chronic wound management
• Bronchiolitis.

The CEC is supporting falls in hospital, and the CINSW is working on the oncology-related initiatives: hypofractionated radiotherapy for early stage breast cancer and direct access colonoscopy for positive faecal occult blood test (FOBT).