NACCHO #SorryDay #NRW2017 supports @HeartAust and AHHA @AusHealthcare 18 Hospitals signed to #Lighthouse Hospital Project

 

“Aboriginal and Torres Strait Islander peoples are two-and-a-half times more likely to be admitted to hospital for heart events than non-Indigenous Australians.

For both sexes, Aboriginal and Torres Strait Islander peoples are more likely to have high blood pressure, be obese, smoke and a poor diet.”

Chief Executive Officer Heart Foundation Adjunct Professor John Kelly see Part 2 below Heart map

 ” I thought I was healthy and was quite prepared to ignore the warning signs.

I had a heart attack and survived. It could have been very different.

Having had the scare of a lifetime, Winmar made immediate changes 

At the time I had to change a lot of my dieting, the way you use salts in your food, alcohol, smoking. Those were the sacrifices you have to do as well, which don’t come easily,

“You’ve got to make that choice if you want to fulfil the rest of your life. I’m 52 this year and hopefully [for] another 10 or 15 years I’ll still be around.”

Heart and home: Nicky Winmar and his second chance at life

Nicky Winmar is famously remembered as the Indigenous player who confronted the crowd and pointed to his skin at Victoria Park in the early 1990s in a triumphant stand against racism in footy see full story Part 3 :

A chance meeting with the ACT chief executive of the Heart Foundation, Tony Stubbs, meant he simply had to endorse its message about a positive diet and lifestyle, especially with what’s at stake in Indigenous communities

” NACCHO will provide leadership and guidance to the Lighthouse team in enabling the local Aboriginal and Torres Strait Islander community and Aboriginal health workforce to be intimately involved in designing and implementing the program.

We are very supportive of this program and its contribution to National Sorry Day today, and to Reconciliation Week which starts tomorrow ’

CEO of the National Aboriginal Community Controlled Health Organisation (NACCHO) Patricia Turner pictured below

Download Press Release

Media Release_Sorry Day_Joint HF AHHA NACCHO V2 l

Part 1 : Press Release 18 hospitals sign up to close the gap in Aboriginal and Torres Strait Islander heart health

Eighteen hospitals from around Australia have signed up to the Lighthouse Hospital Project aimed at improving the hospital treatment of coronary heart disease among Indigenous Australians.

See Info HERE Phase 3

Lighthouse is operated and managed by the Heart Foundation and the Australian Healthcare and Hospitals Association (AHHA). It is funded by the Australian Government.

The 18 hospitals cover almost one-half of all cardiac admissions in Australia for Aboriginal and Torres Strait Islander peoples.

Heart Foundation National CEO Adjunct Professor John Kelly said closing the gap in cardiovascular disease between Indigenous and non-Indigenous Australians was a key Heart Foundation priority, and it was highly appropriate that today’s announcement coincided with National Sorry Day.

‘Cardiac care for Aboriginal and Torres Strait Islander peoples is serious business. Australia’s First Peoples are more likely to have heart attacks than non-Indigenous Australians, and more likely to have early heart disease onset coupled with other health problems, frequent hospital admissions and premature death[1].

‘Deaths happen at almost twice the rate for non-Indigenous Australians, yet Indigenous Australians appear to have fewer tests and treatments while in hospital, and discharge from hospital against medical advice is five times as high[2]’, Professor Kelly said.

AHHA CEO Alison Verhoeven says that Lighthouse aims to ensure Indigenous Australians receive appropriate evidence-based care in a culturally safe manner.

‘A critical component of success will be close and genuine collaboration with local Aboriginal and Torres Strait Islander leaders, communities and organisations in the design and implementation of the activities.

‘To borrow from the words of the Prime Minister, Lighthouse will encourage and support hospitals to do things ‘with’ Aboriginal people not ‘to’ them[3].

Free Blood Pressure HERE

See Previous NACCHO Heart Posts

“Many of the hospital admissions for Aboriginal and Torres Strait Islander peoples are preventable and the Heart Foundation is committed to closing the gap in health outcomes for Aboriginal and Torres Strait Islander peoples.”

Heart Foundation National Chief Executive Officer Adjunct Professor John Kelly said these maps brought together for the first time a national picture of hospital admission rates for heart-related conditions at a national, state and regional level.

Or Download report and press release

Australian Heart Maps Report 2016

What is the Lighthouse hospital project?

  • The Lighthouse hospital project is a joint initiative of the Heart Foundation and the Australian Healthcare and Hospitals Association (AHHA).
  • The aim: to improve care and health outcomes for Aboriginal and Torres Strait Islander peoples experiencing coronary heart disease, the leading cause of death among this population.

Australia is a privileged nation by world standards. Despite this, not everyone is equal when it comes to heart health and Aboriginal and Torres Strait Islander people are the most disadvantaged. The reasons are complex and not only medical in nature. Aboriginal and Torres Strait Islander people have a troubled history with institutions of all kinds, including hospitals.

The Lighthouse Hospital project aims to change this experience by providing both a medically and culturally safe hospital environment. A culturally safe approach to healthcare respects, enhances and empowers the cultural identity and wellbeing of an individual.

This project matters because the facts are sobering. Cardiovascular disease occurs earlier, progresses faster and is associated with greater co-morbidities in Aboriginal and Torres Strait Islander peoples. They are admitted to hospital and suffer premature death more frequently compared with non-Indigenous Australians[1].

Major coronary events, such as heart attacks, occur at a rate three times that of the non- Indigenous population. Fatalities because of these events are 1.5 times more likely to occur, making it a leading contributor to the life expectancy gap [2].

PART 3

http://www.theage.com.au/afl/afl-news/nicky-winmar-and-the-moment-he-got-his-second-chance-20170525-gwd8g4.html

Nicky Winmar thought he was healthy and was quite prepared to ignore the warning signs.

The former AFL champion was only 46 and initially dismissed his chest pains as indigestion. Even the next morning, as the pains continued, it took Winmar’s partner to convince him to see a doctor.

Thankfully they got to him in time. Winmar was admitted to hospital and had surgery to insert a stent in an artery. A great of the St Kilda Football Club, he’d had a heart attack and survived. It could have been very different.

That scary episode five years ago has served as Winmar’s wake-up call. His father died the same way, aged 50, on the eve of Winmar’s solitary appearance in an AFL grand final 20 years ago.

“The doctor looked at me and put me in a room with all these machines and said I was having a heart attack,” Winmar recalls.

“It knocked me for six. I’d always trained hard and kept myself well with good food. It gave me a shake-up.

“They put a stent in an artery to keep it open. Afterwards I was so weak I couldn’t get out of bed. I had to learn to walk again.”

Having had the scare of a lifetime, Winmar made immediate changes

“At the time I had to change a lot of my dieting, the way you use salts in your food, alcohol, smoking. Those were the sacrifices you have to do as well, which don’t come easily,” Winmar said.

“You’ve got to make that choice if you want to fulfil the rest of your life. I’m 52 this year and hopefully [for] another 10 or 15 years I’ll still be around.”

Winmar is famously remembered as the Indigenous player who confronted the crowd and pointed to his skin at Victoria Park in the early 1990s in a triumphant stand against racism in footy. The moment was captured by an Age photographer, Wayne Ludbey, and remains an iconic image in footy history.

Then last year Winmar publicly supported his son to highlight the importance of gay rights. Winmar had little to do with his son for nearly 20 years and the pair hadn’t spoken for a decade until, three years ago, Tynan Winmar decided it was time to reconnect and tell his father about his sexuality.

When Nicky Winmar decides to support a cause, he throws his full weight behind it. A chance meeting with the ACT chief executive of the Heart Foundation, Tony Stubbs, meant he simply had to endorse its message about a positive diet and lifestyle, especially with what’s at stake in Indigenous communities.

“When I first met him, he took a step back, thought about it and said this is my opportunity to do something about it,” Stubbs said.

The statistics around heart disease and Indigenous communities are disturbing.

“It’s the biggest single killer of Indigenous Australians,” Stubbs said.

“It’s nearly twice the rate of death of non-Indigenous. We think that gap is too big and we actually want to do something about that and bridge that.

“Unfortunately the Indigenous smoking rate is about 43 per cent, which is about two-and-a-half times the non-Indigenous rate. And in remote areas it’s actually 60 per cent.

“One of the key messages is around quitting smoking and making that decision. Certainly Nicky has done that. And he’s found a huge amount of benefit from that.”

Winmar has a simple message for those in Indigenous communities.

“It’s the No.1 killer in Indigenous communities and towns and country areas that we come from,” he said.

“It’s important that you do go and see your local GP with symptoms that do happen. Ring triple zero and do something about it straight away.”

Winmar is a Saints great across more than 200 matches but played his final AFL season with the Western Bulldogs in 1999. He enjoyed last year’s Doggies breakthrough premiership, especially because they were coached by his friend Luke Beveridge, but the thought of St Kilda’s first flag since 1966 brings a big smile to his face.

Perhaps a smile as big as the one he had when he realised he had a second chance.

1] Austalian Institute of Health and Welfare (AIHW) 2016. Australia’s health 2016. Australia’s health series no. 15. Cat. No AUS 199. Canberra: AIHW

[2] AIHW 2014, CHD and COPD in Indigenous Australians, Cat.No IHW 126

[3] Prime Minister Malcolm Turnbull. 10 February 2016. Speech to Parliament on the 2016 Closing the Gap Report.

NACCHO Aboriginal #Heart Health @HeartAust @AusHealthcare : Lighthouse Hospital project employment opportunities

atsi-familiy-on-beach-lighthouse_800_480_85_s_c1

What is the Lighthouse hospital project?

  • The Lighthouse hospital project is a joint initiative of the Heart Foundation and the Australian Healthcare and Hospitals Association (AHHA).
  • The aim: to improve care and health outcomes for Aboriginal and Torres Strait Islander peoples experiencing coronary heart disease, the leading cause of death among this population.

Australia is a privileged nation by world standards. Despite this, not everyone is equal when it comes to heart health and Aboriginal and Torres Strait Islander people are the most disadvantaged. The reasons are complex and not only medical in nature. Aboriginal and Torres Strait Islander people have a troubled history with institutions of all kinds, including hospitals.

The Lighthouse Hospital project aims to change this experience by providing both a medically and culturally safe hospital environment. A culturally safe approach to healthcare respects, enhances and empowers the cultural identity and wellbeing of an individual.

This project matters because the facts are sobering. Cardiovascular disease occurs earlier, progresses faster and is associated with greater co-morbidities in Aboriginal and Torres Strait Islander peoples. They are admitted to hospital and suffer premature death more frequently compared with non-Indigenous Australians[1].

Major coronary events, such as heart attacks, occur at a rate three times that of the non- Indigenous population. Fatalities because of these events are 1.5 times more likely to occur, making it a leading contributor to the life expectancy gap [2].

Current employment opportunities

1.The National Project Manager – Lighthouse Hospital Project

Will manage the development, delivery and evaluation of the Lighthouse Hospital Project (Phase 3) across 18 hospital sites nationally. The role will lead project partnerships and oversee a national team of four to drive sustainable change in acute settings to improve cardiac care and outcomes for Aboriginal and Torres Strait Islander peoples. Regular interstate travel will be required.

Download job description

nat-national-project-manager-lighthouse-hospitals-project-final

2.The Lighthouse Hospital Project ( 3 ) Coordinators

Will manage the day to day support for the development, implementation and evaluation of the Lighthouse Hospital Project (Phase 3) in approximately six hospital sites each. The Coordinators will support the development of local and state-based project partnerships and work as part of a national project team of five to drive sustainable change in acute settings to improve cardiac care and outcomes for Aboriginal and Torres Strait Islander peoples. Regular interstate travel will be required.

Download job Description

nat-lighthouse-hospitals-project-coordinator-final

Contact:

Fiona Patterson, National Programs Manager,

fiona.patterson@heartfoundation.org.au, 03 9321 1591

Phase 1 (2012–2013)

Aim – To improve the care of Aboriginal and Torres Strait Islander peoples experiencing acute coronary syndrome (ACS).

We developed this project was developed in response to a 2006 report from the Australian Institute of Health and Welfare (AIHW).

The project first focused on providing culturally safe and positive consumer experiences, which were reviewed by 10 organisations known for providing exemplary care in the treatment of Aboriginal and Torres Strait Islander patients with acute coronary syndromes (ACS).

The project identified key elements that make a difference to ACS care:

  • expanding roles for Aboriginal Liaison Officers, Health Workers, Patient Pathway Officers and equivalent roles
  • better identification of Aboriginal and Torres Strait Islander patients
  • building strong partnerships and communication channels with local Aboriginal and Torres Strait Islander communities and other relevant organisations
  • fostering and supporting clinical champions
  • building capacity for patient-focused care
  • use of technology
  • use of an industry-based quality matrix.

Phase 2 (2013–2016)

Aim – To drive systemic change in acute care hospital settings to improve care for and the experience of Aboriginal and Torres Strait Islander peoples experiencing ACS.

In Phase two, the scope was to improve activities in eight public hospitals across Australia to improve clinical and cultural care for Aboriginal and Torres Strait Islander patients with ACS.

The toolkit

We developed a quality improvement toolkit, ‘Improving health outcomes for Aboriginal and Torres Strait Islander peoples with acute coronary syndrome’, to provide a framework to address health disparities.

The toolkit aimed to:

  • ensure care providers met minimum standards of care, cultural safety
  • identify practices and actions that can and/or should be improved
  • foster engagement
  • improve healthcare services for Aboriginal and Torres Strait Islander peoples with ACS.

The toolkit outlined four areas that were critical in providing holistic care for Aboriginal and Torres Strait Islander peoples and their families as they journeyed through the hospital system and return to their communities.

The four domains were:

  • governance
  • cultural competence
  • workforce
  • care pathways.

The pilot

Eight pilot hospitals participated in testing the toolkit:

  • Bairnsdale Regional Health Service, Victoria
  • Coffs Harbour Health Campus, New South Wales
  • Flinders Medical Centre, South Australia
  • Liverpool Hospital, New South Wales
  • Princess Alexandra Hospital, Queensland
  • Royal Perth Hospital, Western Australia
  • St Vincent’s Hospital, Victoria
  • Tamworth Rural Referral Hospital, New South Wales.

Each hospital developed an action plan that outlined the areas they would address and the quality improvement activities they would undertake during the pilot. The project outcomes were dependent on community engagement, capacity to embed change, project support and the governance structures at each site.

Key Phase 2 achievements

  • Improved relationships with Aboriginal and Torres Strait Islander patients
  • Strengthening relationships with the Aboriginal and Torres Strait Islander community and medical services
  • Creating culturally safe environments for Aboriginal and Torres Strait Islander patients
  • Increased self-identification among Aboriginal and Torres Strait Islander patients
  • Streamlining processes related to culturally appropriate clinical care of Aboriginal and Torres Strait Islander patients
  • Enhanced staff capacity to respond to the needs of Aboriginal and Torres Strait Islander patients

Phase 3

We are awaiting funding for Phase three of the Lighthouse Project.

This will aim to increase the reach and the critical mass of Aboriginal and Torres Strait Islander peoples experiencing an acute coronary syndrome who receive evidence based care in a culturally safe manner.

Within this phase there will be a focus on integration of health services and care coordination by enhancing the relationships between local community groups, hospitals, local Aboriginal Community Controlled Organisations and Primary Health Networks.

The implementation of this phase would enable hospitals to address the actions in the revised Australian Commission on Safety and Quality in Healthcare National Safety and Quality Health Service.

The Lighthouse hospital project is a joint initiative of the Heart Foundation and the Australian Healthcare and Hospitals Association and is funded by the Australian Government Department of Health.

Download the poster.

References

  1. Australian Health Ministers Advisory Council (AHMAC). Aboriginal and Torres Strait Islander Health Performance Framework 2012 Report. Canberra: AHMAC, 2012.
  2.  Mathur S, Moon L, Leigh S. Aboriginal and Torres Strait Islander people with coronary heart disease: further perspectives on health status and treatment. Cardovascular disease series no. 25. Canberra: Australian Institute of Health and Welfare, 2006.