Quality Use of Medicines: Ensuring Australians use medicine wisely
Primary Contacts  Dr Richard Murray 
Project Title  A Quality Use of Medicine Framework for Aboriginal Health Workers in the Kimberley Region
Abstract  Project Plan: Quality Use of Medicines Framework for AHWs The project plan for the QUM initiative are detailed below under the work-element headings. It is emphasised that the components make up a cohesive package which together provide the framework for QUM practice and a basis for ongoing development of AHW roles. The elements are: 1. Refinement and accreditation of the Medication Grade 2 Certificate as a post-basic training program which delivers clinical competencies in medication management 2. Refinement, production and distribution of a problem-based standing-order incorporating therapeutics and which relates to the Medication Certificate. 3. Development of a software solution for combined prescribing/labelling/CMI/stock management tasks in remote Aboriginal health services. Project component one: AHW medicines curriculum and learning resources The Medication Grade 2 Certificate is an industry-based training package that has been in use among WAACCHO training providers for the past decade. Currently offered by the KAMSC School of Health Studies, the Certificate is used by Aboriginal primary health care services across the north of WA to ensure Aboriginal Health Worker competence in expanded clinical practice roles involving medication for example, on-call roles in remote community outposts, or managing medications in town clinics (adherence aids, chronic medication management). The pre-requisites for this training package are currently a Certificate 4 in Aboriginal Health Work and twelve months post-graduate experience in a primary health care post. In its current form, the course comprises a two week intensive training block followed by supervised clinical placement and skills check-list. Students must pass their assessment at a 95% level to be awarded the Certificate. As part of this project, the course will be overhauled and the curriculum formally accredited with the WA Training Accreditation Council. Curriculum development will involve multidisciplinary input with an emphasis on senior AHWs and experienced clinical staff across the region. It will include general competencies with medication including medication maths, dosing and drug interactions, use of compliance aids and management and administration of immunisations. It will emphasise proficiency in the use of standing orders as well as skills in management of a clinic pharmacy store. The latter is an increasingly important skill deficiency, particularly with new mechanisms of supply of medication to remote area Aboriginal health services under Section 100 of the National Health Act 1953. Project component two: revision of Standing Orders document There are a number of standard treatment manuals in use in remote Australia. These range from comprehensive texts (eg the CARPA Manual to simple medication lists with clinical indications (eg the current WA approved standing order). The KAMSC Standing Orders manual and its previous incarnations have been in use in the Kimberley region for over 10 years. The purpose of this model of standard treatment manual is to give clear and unambiguous direction to Aboriginal Health Workers and nurses in the management of common clinical problems when working outside of direct medical supervision. As well as medical therapeutics, the document includes the elements of assessment, points at which referral is required and details of follow-up. This form of problem-management protocol makes it possible for non-medical staff to avoid unsupported diagnostic decisions. It also provides a mechanism for implementation of evidence-based best-practice and affords medico-legal cover for workers in remote settings through via a clear vicarious liability and demonstration of a duty of care. The KAMSC Standing Orders 1996 edition will be the foundation of the project work. The objective will be to expand content through the range of health problems covered and incorporate general management of long-term medication and clinic pharmacy store management protocols. In addition, there w
Report URL  http://pdfserve.pharmacy.uq.edu.au/qumdatabase/PDFs/ID938_Report_1.3MB.pdf
PDF Reports Report_1.3MB.pdf
Australian Government Owned  Unsure
QUM Pyramid Level  Not Specified
QUM Pyramid Group  Not Specified
Project Completion Stage  Completed
Project Start Date  0000-00-00
Project Completion Date  2007-08-23
Project Implications  Not Specified
Project Scale  Towns
Longitude  121.798000000000000
Latitude  -18.205800000000000
Project Funding Funding Amount($): 127202
QUM Evaluation Program (Previously PEP): Yes
PHARM Strategies Training of health professionals: Yes
Date Created  2000-07-14 17:26:00
Date Last Modified  2008-01-10 04:56:01
Status  Active
Page last modified 16th August 2011