The Inner North West Diabetes Service Review Collaborative Project — ASN Events
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The Inner North West Diabetes Service Review Collaborative Project (#362)

Natalie Pollard 1 , Emily Hooke 2 , Marie Gill 3 , Alan McGubbin 4 , Jessica Holman 5 , G Cass 6 , Kathleen Steele 1 , Joanne Bowden 4 , Sharon Malcolm 7 , Vickie Sathasivam 8 , Katrina Walsh 9 , Annalara Guerrieri 9 , Mary Spierings 10 , Evelyn Boyce 10
  1. St Vincent's Hospital, Fitzroy, Vic, Australia
  2. Inner North West Primary Care Partnership, Melbourne, Australia
  3. Wilcox Consulting, Melbourne, Australia
  4. Royal Melbourne Hospital, Melbourne, Australia
  5. Melbourne General Practice Network, Melbourne, Australia
  6. Impetus Progressive Primary Health, Melbourne, Australia
  7. North Yarra Community Health, Melbourne, Australia
  8. Doutta Galla Community Health, Melbourne, Australia
  9. Inner East Community Health, Melbourne, Australia
  10. Merri Community Health Service, Melbourne, Australia

Introduction/Background
Increasing prevalence of diabetes combined with growing service demands, were the impetus for Inner North West Primary Care Partnership (INW PCP) member agencies to develop a more coordinated service delivery approach.

Aim
To provide improved service coordination for people with type 2 diabetes

Objectives
1. Identify agencies providing diabetes care within our catchment.
2. Provide people with Type 2 diabetes the right service, at the right time in the right setting.

Method
A planning workshop, involving eleven local agencies, identified current practice issues and barriers to improving diabetes care in the catchment. Five key improvement strategies were identified. The INW PCP coordinated an eight month program of action orientated workshops. Strategies were agreed upon and trialled within each organisation. Data collected was reviewed at subsequent workshops and recommendations implemented.

Results
 Built a shared understanding of local system and practice changes required to improve service coordination and care for clients with type 2 diabetes
 Identified agencies providing diabetes care and formed partnerships, with an agreed consistent approach to diabetes service improvement
 Two public hospitals in the catchment have agreed on common referral criteria for outpatient diabetes clinics, and referral pathways for those people who do not meet the criteria

Anticipated results at completion:
 Local GPs will receive an agreed simple local referral pathway for people with type 2 diabetes
 Local diabetes services will have a clear action plan for ongoing collaborative improvement work

Conclusion
Building partnerships with local agencies is crucial to system change. The opportunity to collectively examine issues, identify and trial improvement strategies within agencies and discuss implications, has supported the development of an agreed local pathway for people with type 2 diabetes providing the right service, at the right time in the right setting and provides common ground for future service improvements.