GP liaison officers increase main care connections 


The Queensland Basic Follow Liaison Community is a multidisciplinary collaboration of clinicians working to enhance the affected person journey between basic follow and hospitals.

The community helps the work of Basic Follow Liaison Officers and gives professional route and recommendation regarding communication, scientific handover, and collaboration throughout main and secondary care.

Queensland has 16 Hospital and Well being Providers (HHSs) and 7 Main Well being Networks (PHNs). Most of those make use of Basic Follow Liaison Officers (GPLOs).

Queensland’s GPLOs play a novel position in figuring out and addressing service gaps, facilitating acceptable scientific pathways, and bettering switch of care processes.

This consists of offering route and recommendation on communication, scientific handover, supplier collaboration, supporting well being system enchancment, and selling related training and analysis.

The Queensland Basic Follow Liaison (QGPL) Community membership displays numerous disciplines (GPs, nurses, allied well being and administrative), geographical areas, and organisations concerned generally follow liaison providers in Queensland.

Member GPLOs are employed by completely different organisations, equivalent to HHSs or PHNs; nonetheless, the community is funded by the Healthcare Enchancment Unit, Medical Excellence Queensland, Queensland Well being and supported by PHNs.

Communication between GPLOs and basic follow groups occurs on many ranges, together with by way of particular person, follow visits, e-mail and social media, training occasions, newsletters, in addition to interorganisational governance our bodies, steering committees and/or government conferences.

Historical past

The QGPL Community was established in 2008 by Basic Follow Queensland. In 2012, Queensland Well being funded 20 GPLO positions within the largest public hospitals beneath a state election dedication.

The position and performance of the GPLO positions have been primarily based on suggestions described within the Basic Follow Queensland place paper: Enhancing integration: the Basic Follow Liaison Mannequin, 2011.

From 2013, Queensland Well being supplied funding to CheckUP Australia (previously Basic Follow Queensland) to companion and facilitate the QGPL Community.

Since Could 2019, Nation to Coast QLD (beforehand often called Central Queensland, Huge Bay, Sunshine Coast PHN) has partnered with Queensland Well being to coordinate the QGPL Community.

Goals of QGPL Community

Construct the capability and functionality of GPLOs via the sharing of studying, experiences, assets and improvements

Establish and share efficient native methods, options, and repair supply fashions to help wider implementation

Scale back duplication of effort and promote efficient and equitable use of assets and fairness of entry for sufferers

Present alternatives for community members to construct mutually supportive and collaborative relationships

Showcase achievements of the community and its members at native and state-wide ranges

Implement the QGPL Community work plan

The work of GPLOs

The work of GPLOs may be different, with some GPLOs concerned in particular initiatives or applications and others working at a broad or strategic stage.

GPLOs develop sturdy working relationships and partnerships throughout the well being system to help collaborative fashions of care that promote care in essentially the most acceptable settings, optimising useful resource use and minimising low worth care.

One other frequent denominator is the deal with switch of care and (digital) communication between main and secondary care.

GPLOs are in common contact with clinicians throughout completely different environments who present suggestions.

This helps establish gaps and assists to resolve sensible issues (eg, communication breakdowns).

By working with non-clinical hospital and PHN workers, Queensland Well being and neighborhood stakeholders (undertaking groups, managers, executives), GPLOs contribute to interconnectedness of the well being system and high quality enchancment.

GP liaison officers boost primary care connections  - Featured Image
The 4 domains of the work plan of the QGPL Community

A typical situation is that GPLOs obtain suggestions from GPs in regards to the timeliness or high quality of scientific handover from a number of hospital departments to basic follow.

This could normally be resolved on a person foundation to make sure secure continuity of care of a selected affected person, however can also lead to a top quality enchancment initiative, equivalent to inside a division or hospital.

For instance, within the Sunshine Coast, this mechanism has led to the introduction of a same-day discharge abstract coverage throughout all public hospitals.

Queensland GPLOs have been pivotal in progressing main initiatives, together with GP Sensible Referrals and different digital communication instruments, GP entry to the Well being Supplier Portal, HealthPathways and new fashions of care equivalent to hospital GPs with particular curiosity (GPSIs). GPLOs present scientific handover workshops for junior hospital docs and assist organise interprofessional training alternatives.

GPLOs are sometimes members of hospital committees tasked with high quality enchancment or (scientific) governance associated to switch of care, speaking for security or collaborative care initiatives.

For instance, there may be in depth illustration from GPLOs on the statewide GP Sensible Referrals and HealthPathways committees. In some areas GPLOs are managing the hospital GPSI program.

GPLO deal with connecting care

Optimising the interface between basic follow and hospital care is significant to enhance affected person expertise, with enhancements specializing in:

·       Switch of care
·       Medical handover and hospital discharge processes
·       Native methods to combine care and enhance fashions of care
·       Collaborative fashions of care growth

Interprofessional training and engagement about integration mechanisms and related fashions of care

Under are some current examples of initiatives Queensland GPLOs have been engaged on. For extra info see the Queensland Basic Follow Liaison Community 2020–2022 Biennial report.

Shared COVID-19 response

Through the coronavirus illness 2019 (COVID-19) pandemic, GPLOs, the QGPL Community and the Queensland HealthPathways Coordinators developed a set of evidence-based scientific instruments and communication mechanisms to help GPs, HHS and PHNs.

A shared response with all stakeholders enabled the supply of coordinated, well timed COVID-19 care in Queensland.

Digital GP training

The COVID-19 pandemic has not solely created challenges in well being care supply however has additionally disrupted in-person medical training occasions.

Supported by GPLOs, Kids’s Well being Queensland (CHQ) initiated the digital data sharing mannequin Undertaking ECHO, consolidated a relationship with the Royal Australian School of Basic Practitioners (RACGP), and constructed on the success of the annual Paediatric Masterclass for Basic Follow by delivering the RACGP’s webinar sequence.

GPLOs have been concerned within the organisation and coordination in addition to presentation of the occasions.

GP Recommendation Program

The GP Recommendation Program goals to ship strengthened relationships between specialists and GPs by offering GPs entry to specialist recommendation to help affected person care locally and decreasing low worth face-to-face hospital care in addition to ready occasions.

This system was the results of suggestions from GPs to GPLOs. GPLOs supplied enter within the design, workflow, key efficiency indicators and technical options.

With funding from the Division of Well being, a proof-of-concept operational mannequin was profitable in delivering advantages for sufferers, GPs, specialists, and the well being service.

The mannequin will probably be carried out throughout different HHSs in Queensland.

Growing well being assessments for youngsters in out-of-home care

Throughout Queensland, there are over 12 000 youngsters presently beneath a Little one Safety Order.

Kids’s Well being Queensland report that many youngsters in out-of-home care have undiagnosed disabilities and psychological well being issues, are at increased threat of publicity to trauma, neglect and abuse and have poorer well being than their friends.

GPLOs, GPs and Kids’s Well being Queensland collectively developed and carried out standardised well being evaluation templates for this group.

The templates may be uploaded into basic follow software program.

GPs with particular curiosity

Lead by GPLOs, the GPSI program has been efficiently carried out within the Sunshine Coast Hospital and Well being Service and different areas of Queensland since 2018, and continues to increase with help from Medical Excellence Queensland.

One of many major advantages is elevated collaboration and understanding between GPs and hospital specialty groups.

This system is effectively acquired by GPs, hospital clinicians and sufferers.

The hospital GPSI mannequin as an built-in workforce resolution gives effectivity advantages for the well being system throughout main and secondary/tertiary care and excessive satisfaction ranges for sufferers and clinicians.

Many of those advantages can solely be achieved as a result of hospital GPSIs proceed their work as neighborhood GPs.

Conclusion

The work GPLOs do is person-centric and improves particular person affected person care and surrounding programs.

Because of the excessive diploma of complexity of Australian well being care, GPLOs succeed finest the place there are collaborative partnerships between basic follow, HHSs and PHNs.

The help from Queensland Well being, particularly the Healthcare Enchancment Unit, in addition to PHNs, means the QGPL Community can proceed to facilitate initiatives and develop the work GPLOs do to higher join our well being care system.

Dr Edwin Kruys is a GP and Basic Follow Liaison Officer (GPLO) within the Sunshine Coast and Co-Chair of the Queensland Basic Follow Liaison (QGPL) Community.

Dr Toni Weller is a GP and GPLO in Townsville and Co-Chair of the QGPL Community.

Joanne Sweetser is a Principal Undertaking Officer from the Healthcare Enchancment Unit, Medical Excellence Queensland, and a registered Occupational Therapist.

Karen Mansley is the Coordinator of the QGPL Community, Nation to Coast QLD.

The statements or opinions expressed on this article replicate the views of the authors and don’t essentially symbolize the official coverage of the AMA, the MJA or InSight+ except so said. 

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