Grey & the improved Management of Clinical Aggression (MOCA) - - PowerPoint PPT Presentation

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Grey & the improved Management of Clinical Aggression (MOCA) - - PowerPoint PPT Presentation

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Journey to a Clinically Led Code Grey & the improved Management of Clinical Aggression (MOCA) DATE: 18/10/16 Presenters: Alisha Bedggood Marcus Hovey 10/10/2016 Acknowledgements Melbourne Health Vikki Dearie and Nigel Toomey

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SLIDE 1

DATE: 18/10/16 Presenters: Alisha Bedggood Marcus Hovey

Journey to a Clinically Led Code Grey & the improved Management

  • f Clinical Aggression (MOCA)

10/10/2016

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SLIDE 2

10/10/2016

Acknowledgements

  • Melbourne Health
  • Vikki Dearie and Nigel Toomey
  • Grampians Health Region
  • DHHS
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SLIDE 3

Overview

  • Partnering with Melbourne Health
  • Developing a clinically led code grey
  • Integrated MOCA training and affecting

cultural change

  • Connecting MOCA with regional health

services

  • Our successes and barriers
  • Future plans
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SLIDE 4

Why choose MOCA Training?

  • Flexibility in training delivery
  • Combination of theory and workshop
  • Evidence based and proven approach
  • Ongoing sustainability

10/10/2016

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SLIDE 5

Partnering with Melbourne Health

  • OHS network engagement
  • Initial discussion with MH MOCA Team
  • Proposal developed

10/10/2016

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SLIDE 6

Clinically Led Code Grey

  • Previously security led
  • DHHS code grey principles released 2014
  • BHS protocol updated 2015
  • MOCA training commenced 2015

10/10/2016

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SLIDE 7

Integrated Training

  • All BHS staff attend MOCA training
  • Mental Health continues with PART training
  • 5 programs in total - integrated training
  • Emergency Department staff and security

training together – Full Day

10/10/2016

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SLIDE 8

Affecting Cultural Change

  • Existing culture
  • Targeted higher risk areas first
  • Informal change agents

10/10/2016

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SLIDE 9

Affecting Cultural Change

  • Follow up workshops
  • MOCA Coordinator
  • Innovation Project link in

10/10/2016

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SLIDE 10

Change of Reporting Culture

10/10/2016

498 611 739 840 1589 200 400 600 800 1000 1200 1400 1600 1800 11/12 FY 12/13 FY 13/14 FY 14/15 FY 15/16 FY

Total V&A incidents reported

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SLIDE 11

Change of Reporting Culture

10/10/2016

498 611 739 840 1589 210 207 287 358 402 30 30 32 40 654 3 6 3 4 200 400 600 800 1000 1200 1400 1600 1800 11/12 FY 12/13 FY 13/14 FY 14/15 FY 15/16 FY

Total incidents and emergency code response

Incidents Grey Planned Black

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SLIDE 12

Code Grey Response BHS

10/10/2016

100 200 300 400 500 600 700 Planned Code Grey Code Grey Code Black

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SLIDE 13

Grampians Regional Approach

  • DHHS partnered with BHS
  • Regional Health Networks
  • Engagement with Melbourne Health
  • MOCA Coordinator role expansion

10/10/2016

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SLIDE 14

Grampians Regional Approach

  • Regional MOCA Trainers in place
  • BHS Master MOCA Trainer support
  • Current progress
  • Quarterly consultative committee

10/10/2016

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SLIDE 15

Successes

  • Clinically led code grey in place
  • MOCA training implemented
  • Fully supported code grey for our subacute site

10/10/2016

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SLIDE 16

MOCA Evaluation Data

10/10/2016

100 200 300 400 500 600 700

Excellent Very Good Good Fair Poor

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SLIDE 17

Barriers

  • Cost of sustainable program
  • Old culture still exists
  • Staff attitudes and resilience
  • Staff confidence

10/10/2016

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SLIDE 18

Future Plans

  • Developing Code Grey response offsite
  • Mental Health First Aid
  • Communication style mapping workshops
  • Simulation training for code grey
  • Formalising RPL for MOCA Training across

region

10/10/2016

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SLIDE 19

Questions?

10/10/2016

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SLIDE 20

Thank you

10/10/2016