Relational Coordination Gold Coast Health This power point pack supports an in-person presentation at the 7th Annual RCRC Roundtable in Copenhagen 19th -20th October, 2017 and is not for wider distribution without permission from Gold Coast Health

Idea – to run an RC proof of concept program …to improve relationships and outcomes in four clinical teams

What we did – participating teams Focal Work Process General Medicine Discharge process Acute Young Adults Care of inpatient consumer in Acute Young Adults Women’s Health Management of women and baby of normal risk Cancer Care Coordination Time from referral to first treatment

What we did - method Step-by-step implementation RC survey - Baseline Feedback & Intervention Plan Intervention period RC survey - Post intervention Feedback and Evaluation Dec 2015 Early 2016 Mid to late 2016 (6 months) Dec 2016 Early 2017

What we did - interventions Survey feedback Standardised rounding Huddles Conversations of interdependence Information team gatherings Shared education sessions Reflective meetings Process mapping Standardising work practices … and others Relational mapping Leadership training Sharing morning tea

Our outcomes – survey and feedback RC Survey Invited Completed Resp rate T1 658 370 56% T2 636 366 58% Feedback Sessions Groups Attended T1 53 36 313 T2 39 26 208

Our outcomes - RC trends T1 to T2 Positive change No change Negative change

Our outcomes – leaders’ evaluation

What we learned Leadership alignment is helpful Dedicated program management key to our success Over invested in ongoing communication with teams Interventions work best with local leadership “Being the change’ models positive team behaviours

Comments and questions