South West Area Maternity Initiative - (SWAMI Project)
Steering Group Committee
(CEO)
Chairperson: Mr J Fletcher
Minutes
Date: Thursday August 4th. 2011
Venue: Allied Health
Seminar room (map attached)
SWHC Warrnambool
√ Dr Chris Beaton (Medical Lead)
√ Ms Patrice Hickey (Midwifery Lead)
√ Ms Lauren Newman (Project Facilitator)
(A) Ms Joan O’Neill (DoH) Victoria
Time: 1500 – 1700
Reference Group: √ Ms Pauline Kearns (WDHS), (A) Ms Sharon Woods, (A) Ms Tina Pettigrew (CAH), (NA) Ms
Sarah Williams (TMHS) √ Mr Grant Holmes (SWHC - Camperdown), √ Ms Wendy Buckland (PDH),
√ Mr Peter Logan, √ Ms S Morrison (SWHC – Warrnambool) (NA) Ms Leanne McPherson (SJOG),
(A) Dr Ruth Stewart (Otway Div GPs). √ Ms Ami Hodgkinson, DoH BSWR.
Guest attendance; √ Dr Alastair Wilson (Director of Medical Services- WDHS) (A) Mr Wayne Weaire (TDHS)
Topic
Introduction to meeting
Jim Fletcher
Chairperson
1.
2.
Apologies
Adoption of minutes
9/6/11
3.
Business
Discussion Lead
Key Points
i
Workforce

Medical

Midwifery
Chris Beaton
Medical
Service
workforce
report
Service gaps
Recruitment
ii
Service capacity /
capability

Consultation &
Referral

Role delineation
capability /
capacity

DoH framework
(1-6 levels of
care).

Managing risk;
Quality & safety.
As noted Above (A)
Adopted by group √
Chris Beaton
Lauren Newman
Finalised
documents
Services
Audit / compliance
MNCN (CAH)
(on hold)
Action
SMART; Specific, Measurable, Achievable, Resourced, Time
frame
Midwifery led service must have C/S backup capability
(consultation & referral)
Midwifery workforce (fragile) backfill maternity leave etc.
Nurse / midwife practitioner role > capacity for scope of
practice.
Depletion in medical workforce SWHC Warrnambool &
WDHS – upcoming resignations August and end 2011.
Discussion at regional level as a group

Alignment to State health plan (DoH)

Shortage of GP proceduralists

View of Obstetric model
Patrice provided a brief on new model out of Sunshine,
includes regional registrar rotation, model of funding &
training money for registrars etc.
Action Patrice to gain permission to share the work as an
example for SW maternity working group (SWAMI).
Update next meeting
Action form a working party to develop a business case for
submission to DoH, benchmarked on Sunshine model
Chris, Patrice, Alastair, Lauren
Discussion re review of completed documents housed on
maternity connections web site.
All services have completed documents.
CAH document being finalised – currently in draft form.
Coroners recommendations post PDH case included
reference to document and highly recommend all rural
services implement this framework to manage clinical risk.
Action – Tina. Completed docs to be uploaded on MC site
when complete
Annual review of documents to maintain currency.
Action (all) Individual health service – maternity rep /
leader. Oversee at a regional level – Ami.
1
iii
Clinical Practice

Collaborative
care

Consistency

CPGs

MNCN
Lauren Newman
Update
Action Compliance measurable at regional annual audit –
KPI practice within level of capability / capacity.
Action; Lauren Attach the public document coroners
recommendations for reference.
MNCN forum August 29th. 30th.
IOL audit results
New (state) obesity guidelines
Action (Lauren) Report next meeting
Alastair developing WDHS policy/ process document around
stillbirth, neonatal deaths / autopsy. Welcome information
from colleagues in region.
Action .Patrice to provide any relevant documents from
Stillbirth committee, forward to Alistair. PSANZ guidelines
key reference tool.
Alastair to forward e mail address for contact.
IMPROVE workshop scheduled for end of August in Geelong,
Vacancies in workshop.
Action Lauren to forward information flyers to group, need to
register promptly.
Chris Beaton
Peter Logan
Sue Morrison
AN care / clinics /
collaborative
models
Funding
opportunity
iv
Education

Shared
Opportunities /
resources

Stakeholder
group

Morbidity &
Mortality
meeting
Chris Beaton
GP education
Credentialing
Workshop
feedback
Lauren Newman
Regional M&M
meeting
Thursday 10th Nov
@ SW TAFE
W’bool
Ami Hodgkinson
Rural Mid Support
Program
(report
Neoresus Program
(NETS)
SWHC on site AN care, September / Oct. (Private / public
blended Model) as per the Greenwell Clinic, - located on the
current mid floor when mid moves to new unit. ? GP referral
for women attending clinic. Still finalising operational details.
No updates on CAH model this meeting.
MNCN lead – Improving maternity services for aboriginal
women. SWAMI has completed a proposal for mapping
continuity of maternity care includes KMS (Koori Maternity
Service), health service (intrapartum care) on going care
Action Lauren Update from MNCN leadership group re
funding allocation by next meeting
Pauline reported KMS to present at WDHS in next few weeks
Ami reported state funded review of KMS service has
commenced.
Pregnancy care workshop held in Warrnambool highly
successful ‘sell out’. Great effort and thanks to specialist
presenters & Chris for chairing the day.
Action (Lauren) evaluations / pre and post tests currently
being finalised. Report next meeting
Documents completed for regional M&M meeting; (accepted
at meeting) confidentiality / KPI template aligned to Mat
indicators.
Date to host meeting Wednesday 9th November 1600hrs –
2100hrs @ SW TAFE W’bool, cost $22.00 pp. date to be
confirmed during that week.
Emphasis on the importance on practioners to attend this
forum to maintain credentialing to provide pregnancy care.
1. Action Chris FIO requirements for Meeting
2. Action; Lauren to inquire about video link, and speak to
Vicky Hunt Otway div GPs re attracting PD points for GPs. By
next meeting.
Position vacancy 0.6 EFT. Lauren has accepted the position of
DON at TDHS commencing September 5th. Position advertised
Saturday August 6th. Warrnambool, Portland, Hamilton
Action Sue SWHC – Regional centre holding funding for
program
Lauren & Kirsty Mitchell (SWHC) have completed facilitator
training for program. Program will be recognised as national
neonatal resus education program. Adult learning package &
quiz pre attending the education training. Scenario based
practical (3 hrs). Facilitated by NETS team. Cost is $50 per
2
service to link with the pre reading and quiz. Contact nets ed
for further information (Rose Boland)
W: www.neoresus.org.au
T: 03 9344 2419
Regional maternity
education
v
ICT




e system
data collection
integrated
seamless care
Interprofessiona
l handover
(transfer &
discharge)
SWHC
Peter Logan
Shared interface
Shared pnt
information
STATS / data
collection
Lauren Newman
Maternity
Connections web
site SW Vic.
(update)
vi
SWAMI continuation
Lauren
Ami
Sustainability of
key initiatives
Timelines
Ite
m
Topic
Discussion Lead
Key Points
6.
Service Communication /
collaboration
All
Continued
strengthened
partnerships post
SWAMI
7.
Open Forum
Further comments.
Open
Draft completed for additional funding to operate a regional
education program. Includes brief on professional links
rotations with Barwon Health / larger maternity hospitals.
MSOP - Funding Opportunity – education topics 1. Pregnancy
care / obstetric emergencies (MSEP), NeoResus ‘first
response training (NETS), CTG Surveillance (RANZCOG),
breastfeeding Ed (e learning package).
Action; next step to discuss opportunities with Barwon Health
(Therese Cotter)
Actions: Lauren will forward draft and questionnaire for
review & service feedback.
All Please include number of midwives who would be
rotating form your service on professional links.
Peter reported work is slowly progressing. SWARH’S priority
focused on major changes with implementing TRACK system.
Eventually TRACK program will be the depository for
maternity episodes of care / admission, accessible to outlier
services. Timelines 3 – 4 months.
Actions Peter to provide an update report next meeting
Slowly progressing, some challenges with the timelines. Site
can be viewed at
http://www.swarh2.com.au/swami/
Action (All) forward relevant documents and Maternity news
items for uploading. Lauren to provide update next meeting.
Open discussion attended ongoing group meetings following
completion of SWAMI project Dec 2011. All in agreement to
continue regional maternity meetings next year.
Various roles defined – continues the relationship
Jim not in chair next year

Department of health

OBGYN Chris

Patrice

Service reps
Action
SMART; Specific, Measurable, Achievable, Resourced, Time
frame
Action (all) Discussion – ongoing post December

Group structure (group decision)

Group elects a chair / secretary (named timeframe)

Department of health role (regional level)

New recruit (SWAMI / RMSP) Lauren? consultant role,
Ami / Chris / Sue Morrison determine structure

Funds held at SWHC Warrnambool

Develop a questionaries ‘think tank’ for circulation to
members (Lauren)
Jim thanked Lauren for the SWAMI project management
time, document work and outcomes achieved over the past
18months.
Meeting Closed @ 1630
Next meeting: WDHS Hamilton
Thursday October 13th. 1500 – 1700
Boardroom
Minutes recorded and typed by Lauren Newman SWAMI Project Facilitator (August 2011)
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