Zero Suicides in Healthcare Awesome. moving to scale Sydney - - PowerPoint PPT Presentation

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Zero Suicides in Healthcare moving to scale

Sydney February 2017

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The Aim

Roll out a Zero Suicide pilot program at selected sites across Australia.

The Purpose

– Target a 50% reduction in suicide within five years; – Adapt and calibrate Zero Suicide to the Australian healthcare system; – Build momentum towards the cultural shift that suicide is preventable; and – Strive towards the BHAG by evaluating, revising and continuously improving the Zero Suicide roll out methodology and operating framework.

The Pilot

Hospital network across 3 sites (hospitals with emergency departments); 15,000 staff; locality covering 1,000,000 people Require $11.5 million in funding over a 5 year period, or the equivalent of $3.8 million per hospital. Accounting for the economic impact of suicide, this pilot is projected to save an estimated 12 lives annually by 2025, and is expected to achieve a benefit cost ratio (‘BCR’) of 13

The Benefit nationally

A national roll out of Zero Suicide has the potential to save approximately 520 lives per year by 2025 and reduce the national economic impact of suicide by an estimated $2.7 billion a year

The business case

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Each step in the healthcare pathway provides an opportunity for better identification or treatment of those at risk of suicide

Opportunities for prevention

Emergency department and triage Medical treatment Full psychiatric assessment Admission to inpatient care Discharge plan Community based care

4 in 10 to ED in previous 12 months Individuals with MI at higher risk Transitions most likely place to fall through gaps Estimated 1 in 1000 suicide within 28 days

• f discharge

Follow-up post

discharge shown to reduce suicide rates

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Zero Suicide Operating Model (1 of 2)

The operating model for Zero Suicide has been developed across four function groups each with a different span of operational control

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• 1-2 X FTEs (managed by SPA)
• Additional resources as required
• Collaboration, consultation and

engagement with lived experience

• 1 x PMO to lead the rollout program
• 1 x (optional) regional program lead

within a region with numerous sites (during rollout phase);

• 1 x clinician to lead and oversee the

program across the full lifecycle

• Ideally will be seconded from normal

roles during program rollout

• Training for all relevant staff
• Additional clinician hours for

screening, treatment, discharge planning and follow-up care

• Third party evaluation across

program sites and at a national level

Zero Suicide Operating Model (2 of 2) The constituent elements of the four function groups each play a role within continuous improvement framework underpinning operating model

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Zero Suicide site rollout

Plan Do Learn

Zero Suicide national rollout

Zero Suicide Pilot Rollout A five year timeline is recommended for the pilot program to provide sufficient time for calibration & a statistically significant evaluation of efficiency

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Operating Model Resourcing Structure

Zero Suicide Pilot Illustrative Example – Monash Health The resourcing structure accounts for each of the three hospitals with emergency departments in the Monash Health network

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Historic suicide deaths and projected suicide deaths under Zero Suicide national roll out

Illustrative National Roll Out A national roll out has the potential to save 520 lives per year by 2025 with an estimated economic impact of $2.7billion

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www.suicidepreventionaust.org