The Collaborative

The Advancing Kidney Care 2026 Collaborative—the collaborative—was established in September 2018 to drive improvements in kidney health and the provision of public sector kidney health services in Queensland.

Its focus in 2018–19 is to establish the foundations of a consistent statewide approach for the delivery of high-value specialist kidney health services.

The collaborative will help to:

  • make information and education resources more readily available for consumers and health professionals.
  • reduce the risk of developing chronic kidney disease.
  • slow, where possible, the progression of chronic kidney disease.
  • support the integration of clinical research and practice.

Workstreams will progress initiatives that draw on the expertise and experience of stakeholders—this includes consumers and clinical staff in public renal services.

By 30 June 2019, the collaborative will make recommendations about its ongoing membership, role and functions.

More detail is available in the collaborative's terms of reference (400KB, PDF).

The collaborative includes consumers, clinicians, service partners and administrators committed to improving kidney care services in Queensland’s public health system.

It is chaired by Lisa Davies-Jones, Chief Executive, North West Hospital and Health Service.

Chair

Lisa has had a broad ranging healthcare career within nursing, service improvement, healthcare management and clinical governance. She has worked in a number of senior leadership roles within healthcare organisations in the United Kingdom and, more recently, in Queensland.

Lisa has spent the first years of her tenure with the North West Hospital and Health Service building partnerships with Western Queensland Primary Health Network and Gidgee Healing to establish the foundations of their shared approach to developing comprehensive primary health care through integrated services. Her strong commitments to improving health outcomes have led to a determination to see health services integrated across the North West Hospital and Health Service for the seamless delivery of primary health care.

Lisa is passionate about creating an environment where staff at all levels of the organisation can flourish in their work, and generate new learning and continuous improvements in health care. Lisa has qualifications in registered and specialist nursing, and post graduate management and leadership. She is a graduate of the Australian Institute of Company Directors and holds the position of Adjunct Associate Professor, James Cook University, Mount Isa Centre for Rural and Remote Health.

Collaborative workstreams

The Clinical Workstream is led by Professor Keshwar Baboolal, Metro North Hospital and Health Service. Professor Baboolal is also Co-Chair of the Statewide Renal Clinical Network.

The Clinical Workstream is coordinating the development of patient pathways, resources profiles, quality statements and quality measures. These will describe the level of care that all adult kidney patients in Queensland should receive.

When developing these resources, the working groups will ensure the needs of Aboriginal and Torres Strait Islander people and people in rural and remote areas are considered.

Documents

Patient pathways

Standardised patient pathways will describe the usual steps that patients should follow when receiving a particular type of care (e.g. for peritoneal dialysis, transplant etc.). The patient pathways are a framework on which to build resource profiles, quality statements and measures. In addition, the proposed alternative funding model for kidney services in Queensland will be linked to patients on different care pathways.

Resource profiles

The resource profiles will describe what type of care should be provided at each step on the patient pathway, in what care setting and by what staff. They will include alternative care settings and staffing resources where clinically appropriate. In addition, the proposed alternative funding model for kidney services in Queensland needs the resource inputs for the tasks on the care pathways to be clearly described.

Quality statements

These are statements outlining the level and quality of healthcare which patients should expect. They will be linked to quality measures.

Quality measures

The quality measures will enable objective measurement of the quality statements. The Information Systems Workstream of the AKC2026 Collaborative will look at options for how Queensland Health can most accurately collect and report standardised information on kidney patients, and the provision of kidney services across the state to measure quality outcomes.

It is expected that a draft of these documents will be provided for broad stakeholder feedback on 21 May 2019. Feedback will be due by 11 June 2019.

The documents are expected to be finalised by 30 June 2019. After this, the AKC2026 Collaborative will consider what is needed next to support implementation of the care described in them.

These documents may also be used by a broader audience. They may be used by clinicians, renal departments, Hospital and Health Services and the Department of Health to plan and deliver consistent, high quality kidney care.

The documents relate to adult kidney patients. Once finalised, the AKC2026 Collaborative will work with Children’s Health Queensland to develop similar resources for children who are kidney patients.

The clinical working groups

Members of the clinical working groups include kidney specialists, nurses, consumers, general practitioners, allied health professionals and Aboriginal and Torres Strait Islander health workers from across Queensland. Each working group is led by a senior Queensland Health kidney specialist. An expression of interest process was undertaken in December 2018 to create these working groups. Over 175 applications were received in response.

The seven working groups are:

Acute kidney injury

Lead: Dr Sree Krishna Venuthurupalli, Darling Downs Hospital and Health Service

Chronic Kidney Disease

Lead: Dr Krishan Madhan, Wide Bay Hospital and Health Service

Haemodialysis Vascular Access

Lead: Dr Murty Mantha, Cairns and Hinterland Hospital and Health Service

Haemodialysis

Lead: Associate Professor Nicholas Gray, Sunshine Coast Hospital and Health Service

Peritoneal Dialysis

Lead: Dr Yeoungjee Cho, Metro South Hospital and Health Service

Transplant

Lead: Dr Scott Campbell, Metro South Hospital and Health Service

Kidney Supportive Care

Lead: Associate Professor Helen Healy, Metro North Hospital and Health Service

An alternative funding model for public kidney services in Queensland is being developed. It will link funding to outcomes for patients and service effectiveness. It will also include a focus on Aboriginal and Torres Strait Islander and rural and remote needs.

The funding model will be developed using inputs including:

  • the pathways, resource profiles, quality statements and measures being produced by the seven clinical working groups
  • data on current kidney service provision and costs
  • forecasting data for the incidence and prevalence of dialysis and transplant patients across the state
  • adjustments which already exist in the activity based funding (ABF) model to account for acuity, patient residential and hospital location, Indigenous status, multidisciplinary care, etc.

Key aspects of the alternative funding model will be:

  • ring-fenced or quarantined kidney funding pool
  • funding designed to deliver, and measure against, improved outcomes
  • a supporting governance structure for implementation of the funding model.

Once developed, the funding model will be trialled, tested and refined during 2019-2020. After this, a decision will be made on implementation.

Work is being done to look at how Queensland Health can most accurately collect and report standardised information on kidney patients, and the provision of kidney services across the state.

This will be to:

  • measure patient outcomes
  • measure service effectiveness
  • measure which services are used and how
  • support service planning
  • inform funding decisions.

The information solution will include capture of data from information systems including the integrated Electronic Medical Record (iEMR) and other existing clinical information systems, data storage and reporting functionality. It is expected that creation of the information solution will commence in 2019.

Collaborative communiques

Last updated: 14 February 2020