curriculum...curriculum vitae amanda adrian llb (unsw), ba(une), rn, facn. january 2015 27 pony...
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CURRICULUM VITAE
AMANDA ADRIAN LLB (UNSW), BA(UNE), RN, FACN.
January 2015
27 Pony Place CARWOOLA NSW 2620
Telephone: +61 2 62991301
CORR.0056.001.0001
Mobile Telephone: +61 401 715 536 - preferred
Email: a ma nda@aad ria nassoc.com. au
CONTENTS
Amanda Adrian & Associates
Amanda Adrian Principal
[email protected] + 61 (0) 401 715536
27 Pony Place CARWOOLA NSW 2620 AUSTRALIA
oodrionossoc.com.ou
CORR.0056.001.0002
CONTENTS ..... ..... .......... .. ..... .... ........... ...... ........ .......... ....... .... ... ......... ...... 2
AMANDA ADRIAN - BRIEF RESUME ......................................................... 3
QUALIFICATIONS ......... ............................................................................. 4
BOARDS & COMMITIEES .... ..... .............. ........... ..... ...... .............. ... .. ......... 4
MEMBERSHIP OF PROFESSIONAL ORGANISATIONS .... ........ ........ .. ...... .... . 4
SUMMARY OF PROFESSIONAL and WORK EXPERIENCE ............ .. .......... .. . 5
EMPLOYMENT HISTORY .... .......... .. .... ..... ........... .. ... ........ .. .... .. .. ..... ... ........ 6
SUMMARY OF NURSING and HEALTH SERVICE EXPERIENCE< 1991 ....... 18
REFERENCES .......... ........... .......... ........... ... .............................................. 18
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AMANDA ADRIAN - BRIEF RESUME
Many years experience in the health industry in management, safety and quality improvement in health care, nursing, policy development and review, education, law and regulation, policy and ethics in health care:
• Present - Principal Amanda Adrian and Associates
• 201 O -2014 - Chief Executive Officer, Australian Nursing and Midwifery Accreditation Council where she was the inaugural CEO of th is new organisation established as the independent accreditation authority for the nursing and midwifery professions.
• 2004 - 2010- Principal in her own multi-faceted private practice where she has been undertaking many projects using her broad range of skills, knowledge, experience and contacts in health policy, law and regulation, ethics, governance, consumer rights, quality & safety in health care, dispute resolution to excellent uses.
» A board member of a range of health, aged and community care services.
)> Co-author legal casebook on the professional conduct of nurses and midwives in NSW.
• Health Care Complaints Commissioner in NSW
• Senior officer & manager in the NSW Department of Health
)> Director of the Private Health Care Branch - regu lating the private health industry in NSW, licensing and monitoring and managing complaints about standards of safety, care and quality in private nursing homes, hospitals and day procedure centres
)> Director - Centre for Clinical Policy and Practice
)> Project Manager - Stage 3 NSW Nurse Practitioner Project.
• Administration & management in the health system
)> Strong management experience as a Chief Executive Officer and senior manager of health directorates.
')> Well recognised skills in strategic planning, policy development and analysis
)> Strengths in communication, consultation with stakeholders, human resource management, workforce innovation, staff development and change management
• Involvement in projects designed to improve community capacity to participate in all levels of decision making in the health system from broad systems and service planning, policy development, allocation of resources decisions to strategies enabling individual health consumers to be active participants in all aspects of their own health
• Strong background in law and regulation, ethics and policy in health care, and how they sit with the actual delivery of health services
)> Interpreting, analysing and developing legislation and regulations
)> Strong understanding of different methods of dispute resolution
)> A competent negotiator and user of alternative dispute resolution methods
)> Training, skills and experience in the coordination and management of investigations of complaints in the health system, development of robust policy and strategies to manage these and their precursors at the frontline of services
)> Administering statutory immunity (qualified privilege) provisions for quality improvement committees under the Health Administration Act 1982
)> Current member of the Australasian Association for Bioethics and Health Law (AABHL)
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~ Invited and attended the Monash University Centre for Bioethics Intensive Bioethics Course
• In depth experience in quality improvement in health care with a strong commitment to improving the safety and quality of health
~ Facilitating development and implementation of quality improvement programs in both private and public health services.
~ Established and worked with the NSW Ministerial Advisory Committee for Quality in Health Care.
~ Past member the National Council of the Austra lasian Association for Quality in Health Care (AAQHC).
• Long involvement with the nursing profession
~ Project Manager for Stage 3 (primary research, consultation and negotiation phase) of t he Nurse Practitioner Project in the NSW Department of Health
~ Fellow of The College of Nursing and Fellow of the Royal Australian Col lege of Nursing
• Ongoing commitment to education and evidence based policy and clinical decision making
~ Researched, lectured, published and presented many papers in: consumer participation in health care; governance and management; quality and safety in health care; quality improvement; ethics; and health law
• Governance experience and board membership
QUALi FICATIONS
• Bachelor of Laws Degree (LLB) - University of New South Wales
• Bachelor of Arts Degree (BA) - University of New England
• Post Basic Operating Theatre Nursing Certificate - Roya l Prince Alfred Hospital.
• General Nursing Cert ificate - Adelaide Children's Hospital.
BOARDS & COMMITTEES
o Board Member and Chair - Sisters of St Josephs Aged Care Services (NSW) - resigned
o Board Member - Health Care Australia (HCA) - resigned
o Fellow and Board Member - The College of Nursing - resigned
o Member of the Ethics Committee - NSW Cancer Council - resigned
o Member- Cancer Counci l Legal Referral Service Steering Committee - resigned
o Member Risk Management Committees - Catholic Healthcare (NSW) and Hawkesbury District Health Services - resigned
MEMBERSHIP OF PROFESSIONAL ORGANISATIONS
o Member -Australian Institute of Company Directors (AICD)
o Member - Australasian Association for Bioethics and Health Law (AABHL)
o Member - Women on Boards (WOB)
o Member - Law Graduates Association UNSW
o Fellow - Australian College of Nursing
o Member - New South Wales Nurses and Midwives Association/Australian Nursing and Midwifery Federation (ANMF)
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SUMMARY OF PROFESSIONAL and WORK EXPERIENCE
PERIOD
Present
2010 - 2014
2004 - 2010
2000 - 2003
1998 - 2000
1997 - 1998
1996-1997
1993 - 1996
1993
1991 - 1993
1986 - 1991
ORGANISATION
Amanda Adrian & Associates
Australian Nursing and Midwifery Accreditation Council
Amanda Adrian & Associates
Health Care Complaints Commission - NSW
NSW Department of Health
NSW Department of Health
NSW Department of Health
NSW Department of Health
Central Sydney Area Health Service - Balmain Hospital
Central Sydney Area Health Service and Balmain Hospital
North Gosford Private Hospital
1970 - 1986 Various nursing roles in clinical practice, senior clinical management, planning and education.
POSITION
Principal
Chief Executive Officer
Principal
Commissioner
Director, Private Health Care Branch
Director, Centre for Clinical Policy and Practice
Senior Policy Analyst, Centre for Clinical Policy and Practice and Secretariat for the Ministerial Advisory Committee on Quality in Health Care
Project Manager, Nurse Practitioner Project
Acting Director of Medical/Clinical Services
Quality Improvement and Accreditation Coordinator and Special Projects Officer -member of Executive
Accreditation, Quality Assurance and Special Projects Co-ordinator
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EMPLOYMENT HISTORY
II 2010 - 2014
Position: Chief Executive Officer, Australian Nursing and Midwifery Accreditation Council.
AN MAC is the independent accrediting authority for nursing and midwifery under Australian's National Registration and Accreditation Scheme. It plays a key role in protecting and promoting the safety of the Australian community by promoting high standards of nursing and midwifery education.
AN MAC sets standards for accreditation for nursing and midwifery programs and accredits education providers and programs of study leading to qualification in nursing and midwifery. ANMAC is also responsible for reviewing and improving accreditation standards for all professional categories under its mandate.
Developing, reviewing and providing policy advice on accreditation and skilled migration matters is also part of ANMAC's mandate.
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II 2004 - 201 o 11
Position: Principal in private project management and consultancy business with focus on: policy development and review; legislative and regulatory review; governance; st rategic planning; safety and quality in health care and health system improvement; consumer participation and rights in the health system; culture change in the health system; innovation in the health workforce; health and admin istrative law; professional development and conduct; education and bioeth ics; and nursing.
Clients:
• ACT Health
• Australian Commission on Safety and Quality in Health Care
• Australian Nursing and Midwifery Council (ANMC)
• Australian Nursing Federation (National Office) (ANF)
• BreastScreen Australia
• Calvary Public Hospital (ACT)
• Catholic Healthcare and Hawkesbury District Health Services
• College of Health Sciences - University of Sydney
• Department of Health and Human Services, Tasmania
• Department of Health and Ageing (DoHA)
• Enduring Solutions Pty Ltd (Fiona Tito Wheatland - Principal)
• Geriaction
• Health Services Commission (Vic)
• Sax Institute (previously the Institute for Health Research)
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• National Breast Cancer Centre (NBCC)
• National Nursing and Nursing Education Task Force (N3ED
• New South Wales Nurses' Association (NSWNA)
• North Shore and Ryde Health Service
• Nurses and Midwives Board (NSW)
• Nursing and Midwifery Board of Australia (NMBA)
• Royal College of Nursing Australia (RCNA)
• SA Health
• Sydney Breast Cancer Institute
• South Eastern Sydney and lllawarra Area Health Service
• The Australian Council on Health Care Standards
• The Cancer Council NSW
• The College of Nursing (incorporated in NSW)
• The University of Sydney - Faculty of Nursing and Midwifery
• Uniting Care - Aged Care Services
• University of Canberra
• University of New South Wales - Faculty of Community Medicine (UNSW)
• University of Technology, Sydney - Faculty of Nursing, Midwifery and Health (UTS)
• World Health Organisation (WHO)
Projects and Achievements Include (note - this is not an exclusive list):
• Preparation of Standards, Assessment Framework and Guidelines for the 'eligible midwife' for the Nursing and Midwifery Board of Australia - Nursing and Midwifery Board of Australia (2010).
• Development of guidelines for the requirements for nurses and midwives reentering practice - ANMC and Council of Nursing and Midwifery Officers in Australia and New Zealand (2008 - 2009).
• Review of the role and functions of the Fiji Nurses, Midwives and Nurse Practitioners Board under the Nurse, Midwives and Nurse Practitioners Act 7948 (2009) - commissioned by the World Health Organisation (WHO).
• Development of Guidelines for Professional Relationships and Boundaries (2008 -2009) - Australian Nursing and Midwifery Council (ANMC).
• Author of Primary Health Care in Australia: A Nursing and Midwifery Consensus View (2009) - commissioned by leading Australian nursing and midwifery organisations with a grant from DoHA.1
• Review of t he implementation of nurse pract itioner services in Sout h Aust ral ia -SA Health 2008.2
• Development of the following Codes for the Australian Nursing and Midwifery Council (ANMC):
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o Code of Professional Conduct for Nurses in Australia (2008)
o Code of Professional Conduct for Midwives in Australia (2008)
o Code of Ethics for Nurses in Australia (2008)
o Code of Ethics for Midwives in Australia (2008)
• Mapping the regulation of nurses and midwives in each Australian jurisdiction in relation to the frameworks for managing complaints and professional conduct concerning nurses and midwives - ANMC 2008
• Author - legal casebook of all Tribunal and professional conduct committee cases 1999 - 2006 held in NSW concerning nurses and midwives - Nurses and Midwives Board (NSW) (2010).3
• Development of a governance framework for the Consortium of National Nursing Organisations - (CoNNO) 2007
• Development of a strategy for the development of a charter of health consumer rights in Aust ralia - Australian Commission for Safety and Quality in Health Care (ACSQHC) 2007
• Pilot testing and conduct of the first round of t raining for BreastScreen Australia site visitors commissioned by the Department of Health And Ageing (DOHA) and sponsored by ACHS 2007 - 2008
• Researched and wrote issues paper on unlicensed healt h workers in health and aged care services internationally and Australia - ANF 2006 - 2007.4
• Organisat ion and facilitation of workshops, seminars, research symposiums and meetings for a number of health professional organisat ions, non-government organisations (NGOs), health services and statutory authorities
• ACT Health Scholarship Evaluation Project - evaluation of the effectiveness of the scholarship schemes that it has been funding for nursing and midwifery and allied health professionals - current
• Report on and Mapping of Legislation and Professional Regulation of Nursing and Midwifery in Australia - 2006 - N3ET s-6.
• Faci litation of panel discussion on leadership - 2006 - University of Canberra.
• Preparat ion of the unit Legal Studies for Health Service Managers for the Masters in Health Management - 2006 - The University of Sydney.
• Conflict and dispute resolution for a number of clients 2004 - 2009
• Faci litation of a University School's Strategic Planning Workshop and preparation of Report - 2006 - University of Canberra
• Development of the ACT Nurse Practitioner Policy Framework - 2004-2005 - ACT Health 1·10.
• Facilitation of professional debate 'What's in a Name?' - 2005 - ACT Health.
• Preparation of submissions to government committees, inquiries and review of national, state and territory public policy including:
o Introduction of national regulation of health professionals in Australia -ANMC 2008
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o Review of Privacy - 2007 - Australian Law Reform Commission
o Review of Subsidies and Services in Australian Government Funded Community Aged Care Programs - 2007 - ANF
o Minors' consent to medical treatment - 2003-2006 - NSW Law Reform Commission
o 2007 - 2008 Australian Government Pre-Budget Submission - 2006 -ANF
o Access Card Consumer and Privacy Task Force - 2006 - ANF.
o 2006 - 2007 Australian Government Pre-Budget Submission - 2005 - ANF
o Inquiry into Transparent Advertising and Notification of Pregnancy Counselling Services Bill - 2006 - ANF.
o Health Funding - House of Reps Committee - 2005 -ANF.
o Ageing Well, Ageing Productively NHMRC - 2005 - ANF.
o Australian Code on the Conduct of Research NHMRC, ARC et al - 2005 and 2006 - ANF.
o Cancer Inquiry- Senate Committee - 2005 -ANF.
o Donation of Cadaveric Organs and Tissues for Transplant- NHMRC - 2005 and 2006 - ANF
o Ethical Conduct of Research Involving Humans - NHMRC - 2005 - - The University of Sydney and ANF.
o Preventative Healthcare and Strengthening Australia's Social and Economic Fabric - NHMRC- 2005 -ANF.
o Review of Monograph - Promoting the Health of Australians- NHMRC 2004 -ANF.
o Proposed Regulatory Activities on Phthalates by the National Industrial Chemicals Notification and Assessment Scheme (NICNAS) - TGA- 2004. ANF
o Review of Future Governance Arrangements for Safety and Quality in Health Care -AHMAC - 2005 - ANF.
o Preparation of submission for the Inquiry into Complaints Handling within NSW Health - Legislative Council General Purpose Standing Committee No 2 of the Parliament of NSW - 2004 - RCNA.
• Review of organisations' management of complaints and subsequent legal action - 2004 and 2005.
• Preparation of the 1st Draft of First report on incident management in the NSW public health system 2003- 2004 - NSW Health.
• Preparation of Complaint handling in health services - An education package for health services - 2005 - 2006 - Health Services Commission (Vic).
• Preparation of an Ethics and Governance Framework for the conduct of the 45 and Up Study - 2005 - Health Research Institute (Now the Sax Institute).
• Development of organisationa l policies:
o Fundraising - 2004 - NBCC
o Sponsorship - 2004 and 2006 - NBCC and the NSW Cancer Council.
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• Preparation of clinical scenarios for the development of an educational video series on health law issues - 2004- NSWNA.
• Development of Guidelines on Whistle blowing - 2005 - NSWNA.
• Faci litation of a Health Service's Strategic Planning Workshop and preparation of Report - 2004 - Royal North Shore and Ryde Health Service.
• Review of conflict of interest issues - cancer research committee - 2005 - NSW Cancer Council.
• Preparation of submission on the Health Workforce - National Productivity Commission - 2005
• Preparation of a Governance Framework for the conduct of a multi sited cancer services institute - 2005 - Sydney Breast Cancer Institute.
• 2004 - 2008 - Educational lecture and presentations for universities, educational institutes in the health system and The College of Nursing primarily on current issues in:
o leadership
o health policy and politics, quality and safety in health care
o quality and safety in health care
o policy development
o ethics
o health law
o health regulation, and
o governance
• Teaching Australian health systems, health law, health regulation, professional conduct at the Binawan Institute for Health Sciences in Jakarta - 2005 - UTS.
2000 - 2003 NSW HEAL TH CARE COMPLAINTS COMMISSION
Position: Commissioner
Responsibilities:
• The general conduct and effective, efficient and economical management of the functions and activities of the Health Care Complaints Commission.
• Competent stewardship of an annual budget of > $4,000,000 per annum.
• Responsible for the management of up to 90 staff members.
• Ensuring the Commission performed the functions conferred on it by the Health Care Complaints Act 1993.
• Ensuring compliance with relevant legislative requirements.
• Behaving ethically, maintaining high ethical standards, ensuring ethica l work practices in the Commission and ensure that staff receive ongoing training in ethics.
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• Providing the Minister and the Joint Parliamentary Committee on the Health Care Complaints Commission with frank advice that is relevant, impartial, accurate and timely.
• Keeping the Minister and the Joint Parliamentary Committee on the Health Care Complaints Commission informed on critical or agreed matters within the agency.
• Managing key interfaces, with major consumer groups, stakeholders and other agencies, affecting the Commission.
• The equitable management of staff of the Commission.
• Implementation of Government, Public Sector Management Office and Commission policies relating to the recruitment and management of staff including equal opportunity for people with disabilities, aboriginal and Torres Strait Islanders, people from non English speaking backgrounds and older people, staff and union consultation and occupational health and safety.
• Ensuring satisfactory introduction and operation of internal controls, reporting systems (including protected disclosures) grievance procedures, the documentation of decision-making, sound financial management including use of corporate credit cards.
• A whole of government perspective to management ie collaboration and integration between agencies to achieve outcomes which they could not achieve alone in meeting Government objectives.
• Complying with Government policies including common use contracts, energy management and waste management.
Achievements:
• The general conduct and effective, efficient, ethical management of the functions and activities of the Health Care Complaints Commission - ensuring the Commission performed the functions conferred on it by the Health Care Complaints Act 7993 (NSW) and ensuring compliance with relevant legislative requirements.
• Introducing a significant change program to change the perceptions of many health professionals that the organisation as an instrument that was bent on seeking out the 'bad apples' in the health system, humiliating them by investigating them and taking disciplinary action through a formal prosecution for professional misconduct rather than being an organisation that was taking a much more systemic view of the challenges to safety and quality in the health system. I was appointed with this as my significant brief. Ironically it was also the cause of my departure from the organization in December 2003.
• Developing strong support from the community and health.
• Developing and improving many undescribed, unmeasured and flawed internal processes and systems. The then 70 staff were professional, committed and very passionate about the work they did. However, t he systems they worked with and within inhibited the production of consistent, transparent complaint resolution, good policy development and systemic change. This posed three major chal lenges and a plethora of subsidiary issues: a hostile group of key stakeholders; inability to meet t he expectations of the primary stakeholders; and
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an organisation t hat lacked robust systems and quality measurement in a number of vital areas.
• The vehicle for the significant changes in the organisation's strategic directions and structure was The Moving Forward Project (the Project). This Project commenced in February 2001 and involved all staff and stakeholders in consultation around crucial areas such as organisational values, vision, strategic directions, structure and performance measures. The Project demanded a great deal of all staff and has challenged many 'sacred cows', but there was clear progress being made, with any areas of difference worked through, and an outcome was able to be negotiated in good faith in each case.
• With my strong background in quality improvement, understanding of dispute resolution, and commitment to ensuring that the consumer voice is a key driver of health service improvement, I worked with staff and those primary stakeholder groups to re-shape the organisation, with a guiding principle of 'evolut ion not revolution' to underpin this considerable change. The new vision was of an independent but responsive organisation that focused upon using consumer complaints and reports of gaps and barriers in the delivery of health services to broker systemic and sustainable safety and quality improvement in the health system based upon evidence based policy. While it was recognised that t here will be a continuing need for individual professionals to be managed or disciplined when their conduct, health or competence place health consumers at risk, this is but one of the tools that the Commission was to use. By using a portfolio of investigation and dispute resolution skills such as mediation, conciliation, negotiation, support and advocacy, the Commission was beginning to provide much more appropriate, timely and transparent complaint resolution for consumers while contributing to the 'learning' in the health system. It was a work in progress as there were clearly several more years of leadership and careful stewardship required to ensure the embedding and sustainability of the new order.
• The investigation into Macarthur Health Service and the Report released in December 2003 was a significant milestone in the way that the HCCC was moving towards a more systemic view of the health system, with a focus on leadership, governance and the criticality of adequate intellectual resourcing as well as financia l resourcing 11
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111998 -2000 NSW DEPARTMENT OF HEALTH
Position: Director, Private Health Care Branch
Responsibilities:
• Leadership and coordination of the teams that make up the Branch sections - the Licensing Team, the Monitoring Team and a Complaints Team.
• Licensing of all private hospitals, day procedure centres and nursing homes in NSW - the granting of new licenses, alterations to licenses, transfer of licenses and annual renewals.
• Monitoring and applying appropriate compliance strategies under:
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The Nursing Homes Act 1988, and the Nursing Homes Regulation 1996,
The Private Hospitals and Day Procedure Centres Act 1988, and the Private Hospitals Regulation 7996, and the Day Procedure Centres Regulation 7996.
• Coordination and management of the investigation of complaints care, comfort and safety of people being provided with services in these facilities.
• Facilitating strategic planning and business processes for the Branch.
• Coordinating the consultation with stakeholders, the development, implementation and evaluation of the policy that underpins the work of the Branch.
• Management of the Branch's human and financial resources.
• A key advisory role on the current regulatory framework being used in NSW in relation to the private health sector.
• The oversight of the management of the clinical quality portfolio for the Department through the Public Health Division until the Quality Unit was established in late 1999;
• The ongoing administration of the provisions relating to the grant of qualified privilege to quality improvement committees under the Health Administration Act 7982 (NSW).
Achievements:
• Integrating the role of the Branch with the broader roles of the Department of Health by extensive liaison and active input into number of key Departmental, industry and external working parties and committees.
• Improving the Branch's accountability by introduction of initiatives directed at achieving transparency and consistency in all levels of regulatory activity. Initiatives include the introduction of a comprehensive system for data collection, management and analysis upon which to build an evidence based, risk management based compliance strategy.
• Promoting a consumer focussed, quality improvement, outcomes based, public interest philosophy to underpin the way that the Branch conducts its business.
• Brokering better partnerships for the effective management of complaints from people about the private health system, in conjunction with the Health Care Complaints Commission the Commonwealth Department of Health and Aged Care;
• The integration of the activities of the Ministerial Advisory Committee on Quality in Health Care into the business of the Department of Health;
• The commissioning of A Framework for Managing the Quality of Health Services in NSW Health to provide a robust policy framework for improving the safety and quality of services and care in the NSW health system 12.
• Development of a strong working relationship with the HCCC in the management of complaints across the private sector of the health industry.
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II 1997 - 1998 NSW DEPARTMENT OF HEALTH
Position: Acting Director, Centre for Clinical Policy and Practice
The role included the management of the Centre for Clinical Policy and Practice within the Public Health Division. Provid ing leadership for all Centre Branches and staff. Contributing to the coordination of the provision of advice on matters of clinical policy and practice, health safety and quality to the Minister, the Executive, other Branches, professional groups and the community;
Responsibilities:
• Providing leadership and support for project teams facilitating the development and implementation of evidence-based clinical practice in areas identified as national priority areas and others such as asthma;
• Commencing the groundwork for a system of performance review and development with staff;
• Managing the budget for the Clinical Effectiveness Branch and overseeing the management of the budgets for Pharmaceutical Services Branch, Private Health Care Branch and ACCORD;
• Working closely with Private Health Care Monitoring Branch Manager and staff as they re-aligned their activities to fi t the new profile and responsibilities of the Branch, including: working with them in the development of data collection tools, and developing stronger functional relationships with key agencies, organisations and other Branches with in the Department that are aligned to their core business, such as the HCCC, Legal Branch, and the peak bodies for nursing homes, private hospitals and day procedure centres;
• Participating in Departmental strategic policy and planning ventures;
• Representing the interests of the Centre, its staff and philosophy of evidencebased clinical policy and practice on internal, external and integrated Committees, working parties and reference groups;
• Working cooperatively with the managers of other Branches, units and sections within the Department on projects that required joint endeavours;
• Interviewing and selection of key staff in the Centre and allied areas;
• Faci litation of the development, piloting, evaluation, refinement and advocacy of evidence based methods for understanding and altering factors which contribute to health and disease in the NSW population.
Achievements:
• Enabling an effective interface between bureaucratic, political and clinical processes in relation to specific health issues during a change of Government and significant reorganisation within the Department of Health.
• Continuing to promote the importance of safety and quality in health care through the work of the Division and the Ministerial Advisory Committee, while working towards the development of a considered State wide framework.
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• Development and promulgation of an issues paper on Qualified Privi lege in NSW that received Ministerial endorsement for the review of the legislative provision and their application.
111996-1997 NSW DEPARTMENT OF HEALTH
Position: Senior Policy Analyst, Centre for Clinical Policy and Practice
Key role in policy analysis, development, advice in the area of safety and quality improvement in the clinical practice of health professionals.
Responsibilities:
• Administration of the qualified privilege provisions for quality assurance/improvement committees under the Health Administration Act 1982.
• Implementation of strategies designed to lead to the development of a robust state-wide policy framework and supporting initiatives that will improve the
quality and safety of care provided in the health system in NSW.
• Membership of a number of other Departmental, State health and national Committees, including: the Clinical Information Systems Reference Group; The Clinical Indicator Steering Group; the Ambulatory Care Committee; the National Reliability, Validity and Risk Adjustment of a Pilot Set of Hospital Wide Quality of Care Clinical Indicators Steering Committee.
• Involvement in other policy analysis as well as policy development, implementation and evaluation initiatives in the Department in conjunction with the Legal Branch and other Branches.
Achievements:
• Commissioning t he Ministerial Health Care Quality Advisory Committee, management of the initial meetings and creation of Working Parties and participation as a member of the Department of Health Reference Group working with the Committee.
• Introduction of processes for briefing and liaising with quality committees about the rights and responsibilities that attach to the grant of privilege under the legislation.
• Driving the early stages of a formal review of the legislation;
• Developing a more straightforward information kit for interested persons.
• Working towards integrating clinical quality improvement initiatives within the Department of Health by participating in cross-divisional dialogue, committees and initiatives at every opportunity.
• Actively participating as a member of each of the Reference Groups and Consortia set up to develop Better Practice Guidelines for: Frontline Complaints Management; Elective Surgery; and Patient Management, set up under the auspices of the state-wide health Continuous Quality Improvement Steering Committee.
• Developing stronger links across agencies and with the Commonwealth on quality related initiatives.
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111993-1996 NSW DEPARTMENT OF HEALTH
Position: Project Manager, Nurse Practitioner Project
Primarily a Project Management role for Stage 3 of this jointly funded (NSW and Commonwealth) initiative. The Project has involved extensive consultation and negotiation with key stakeholders (consumers, nursing and medical clinicians, professional and industrial organisat ions, policy makers and administrators). Stage 3 continued that process but wit h the additional responsibility of conducting a major research initiative involving 1 O pilot projects. The research was commissioned to examine the services of nurses working in an advanced practice model as nurse practitioners both in the defacto situation, as well as examining new and innovative models of service provision and partnerships for populations that have not been well served by present health services.
Responsibilities:
• Working with the independent consultant Chairperson of the Steering Committee on all matters related to the Project and facilitation of the Steering Committee process
• Participating as a member of the multidisciplinary Nurse Practitioner Project Steering Committee and liaising with each of the members throughout the duration of the Project and providing the Committee with progress reports for each of the Project pilot site projects.
• Advising on the establishment of pilot projects eg the study methodology, project team, data set, budget matters and maintaining close liaison with each of the pilot project managers, provid ing them with advice t hroughout the duration of the stud ies, visiting the sites at critical points during the period of their studies
• Supervising the collection and analysis of data from each of the pilot sites in conjunction with research officer and developing the central data base and coordinating the cross-project research in conjunction with the research officer
• Writing up the research for inclusion in the Report, also was the primary author of the Report
• Collaboration with the independent consu ltant in the production of the final Report for the Project
• Managing the Project budget.
• Providing the Department and interested professional groups and the public with briefings and information on the progress of the Project.
• Involved in policy analysis as well as policy development, implementation and evaluation initiatives in the Department in other domains in conjunction with the Legal Branch and other Branches.
Achievements:
• The successfu l completion of the Project on time, on budget and with a negotiated position that would enable the Department to move forward on this issue as it has done in the 3 1/2 years since the completion of the Project.
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• Robust and ground breaking research that will be used by the nursing profession for many years to come.
• A well presented research project report 13.
The successfu l completion of this stage of the Project provided a natural end point to explore other career opportunities, especially in the area of clinical quality improvement.
1991 - 1993 CENTRAL SYDNEY AREA HEALTH SERVICE - BALMAIN HOSPITAL II Acting position: Director of Medical and Clinical Services
Position: Quality Improvement and Accreditation Coordinator/ Special Projects Officer
The Act ing position, as with the substantive position was a senior executive position, involved the coordination and operational management of the medical services and allied health services at Balmain Hospital in cooperation with the nursing services management team. This role included the period where a number of acute services were decommissioned at the hospital and several new models of service delivery in rehabilitation care and primary care were developed and commissioned.
Responsibilities:
• Strategic planning
• Negotiations with off site diagnostic and clinical support services
• The development of service agreements;
• Human resource management during a period where staff were facing personal and professional choices in a stressful environment, such as voluntary redundancy and redeployment;
• Ensuring that the clinical and care needs of an almost "fu ll house" of patients were met during the role change.
The key functions of the substantive role were to develop strategies to allow staff and other service providers to develop the planning, communication and evaluation tools to enable them to provide better services for people wh ile, working in conjunction with management rather than under the control of management.
Achievements:
• Facilitat ing t he review and development of quality systems in the organisation to support the hospital's mission.
• Strategic planning and development of innovative models of service delivery and management for the successfu l positioning of the health service, to meet needs of the community it served into t he future.
• Develop in conjunction wit h consumers, staff and management, a more integrated approach to: consumer focussed service provision; communications; human resource issues; process and outcome monitoring and quality improvement with appropriate quality and performance indicators.
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• Actively guiding the organisation in its aim to successfully achieve ACHS
Accreditation.
• The creation of an effective system for the management of incidents, accidents and complaints which has proved to be a sensitive and illuminating organisat ional indicator for management and service providers alike.
• Negotiated change management strategies that enabled t he community and t he staff of the organisation to maintain their dignity and key services without
compromising the safety and quality of services being offered during this time of tumultuous change.
SUMMARY OF NURSING and HEALTH SERVICE EXPERIENCE < 1991
1986 -1991 - NORTH GOSFORD PRIVATE HOSPITAL - Specia l Projects and Quality Assurance Co-ordinator
1985 -1986 - NORTH GOSFORD PRIVATE HOSPITAL - Nurse Clinician in the operating theatres.
1978 - 1982 - GOSFORD DISTRICT HOSPITAL - Senior Clinica l Nurse Manager (Assistant Director of Nursing) - Operating Theatres, Procedure
Rooms and Recovery Services; commissioning project management for major peri-operative surgical services development
1975 -1978 - ROYAL PRINCE ALFRED HOSPITAL - Registered Nurse - clinician and
educator
1974 - 1975 - PORT LINCOLN DISTRICT HOSPITAL - Registered Nurse - clinician
1970-1974 - ADELAIDE CHILDRENS HOSPITAL - Student Nurse - General Nurse
Training including six months secondment to the Royal Adelaide Hospital.
REFERENCES
1. A Adrian, Primary Health Care in Australia: A Nursing and Midwifery Consensus View. 2009: Melbourne.
2. South Australia Health, A Adrian, and M Chiarella, Nurse Practitioners in South Australia: Report of the Review of processes for the implementation of the role (unpublished at this time). 2009, Government of South Australia: Adelaide.
3. A Adrian and M Chiarella, Professional Conduct: A Case Book of Disciplinary Decisions Relating to Professional Conduct Matters, 2nd Edition (2010) Nurses
and Midwives Board of New South Wales, Sydney.
4. Australian Nursing Federation and A Adrian, Balancing risk and safety in out community: Unlicensed health workers in the health and aged care systems. 2009, Australian Nursing Federat ion: Melbourne.
5. National Nursing and Nursing Education Taskforce and A Adrian, An Atlas of the Legislation & Professional Regulation of Nursing & Midwifery in Australia 2006h.
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6. National Nursing and Nursing Education Taskforce and A Adrian, Towards Consistent Regulation of Nursing and Midwifery in Australia: A select analysis of
the Legislation and professional regulation of nursing and midwifery in Australia - Final Report 2006g.
7. ACT Health, Nurse Practitioners in the Australian Capital Territory: The Framework - Appendices. 2005.
8. ACT Health, Nurse Practitioners in the Australian Capital Territory: The Framework - Part 7 Health in the ACT: Nurse Practitioners as part of the Health
Team. 2005.
9. ACT Health, Nurse Practitioners in the Australian Capital Territory: The Framework - Part 2 Guidelines for Communities and Health Services Wishing to Establish Nurse Practitioner Positions. 2005.
10. ACT Health, Nurse Practitioners in the Australian Capital Territory: The Framework - Part 3 Information for Nurses and Nurse Practitioners Seeking a Position as a Nurse Practitioner. 2005.
11. Health Care Complaints Commission, Investigation Report: Campbelltown and Camden Hospitals, Macarthur Health Service. 2003.
12. NSW Department of Health, A Framework for Managing the Quality of Health Services in New South Wales, Q. Unit, Editor. 1999: Sydney.
13. NSW Department of Health, Nurse Practitioner Project Stage 3: Final Report of
the Steering Committee. 1995.
NOTE: A more extensive list of professional publications and conference papers is available - please do not hesitate to contact me should it be required.
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