mnclhd research plan 2017-2021 - mid north coast … · 2017-08-29 · v1.0 mnclhd research plan...
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V1.0 MNCLHD Research Plan and Priorities 2017-2021.docx Page 1 of 12
MNCLHD RESEARCH PLAN 2017-2021
VISION
Support the population of the Mid North Coast Local Health District in achieving optimal levels of health and wellbeing through the utilisation and conduct of high quality research by a skilled workforce in collaboration with stakeholders.
BACKGROUND & CONTEXT
For the last five years, the Mid North Coast Local Health District (MNCLHD) has been on a steady trajectory of growth in research performance. This has been based on a commitment by the senior executive team and staff at all levels to ensure that services provided are based on best evidence and that staff have opportunities and resources to support them in the development of individual and collective research capability. Key initiatives during this period include:
Creation of a research office and the appointment of staff in a range of managerial, advisory and operational roles
Implementation of research skills development learning programs in conjunction with external partners/providers
Generation of data on staff perceptions of research, ongoing educational needs and current research activity
The introduction of Higher Degree Research (HDR) support grants for staff
The refinement of research governance structures and processes
Development of a research advisory forum with key university partners and other healthcare providers in the region
Introduction of a small grants scheme to support individual and team based research in the District
Significantly, MNCLHD has shown leadership in the establishment of a Rural Health Research Alliance in NSW and was invited to partner with seven other organisations in an NHMRC Centre for Innovation in Regional Health bid. Looking forward, the NSW Ministry of Health will increasingly require data from the LHDs on research activity and outputs and has already begun trialling some metrics to this end. This may be viewed as a contextual driver. There is also an increasing need to involve consumers and carers as more active participants in research design and implementation. The development of a new strategy for the District, represents a powerful opportunity for the consolidation of research activity around defined priority areas and enabling strategies.
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AREAS OF RESEARCH FOCUS 2017-2021
There are four “pillars” of research focus which closely reflect the MNCLHD Strategic Directions, namely: 1. People, Patients and Communities Advancing understandings of person-centred strategies to enhance care and promote recovery. Researching strategies that empower individuals, families and groups to have greater control over their health, wellbeing and connectedness. 2. Leadership Workforce and Culture Evaluating best practice in recruitment, retention and development of a highly skilled and engaged workforce able to demonstrate leadership within and external to MNC 3. Integrated Care Conducting multi method investigations into those innovations, mechanisms and structural reforms which support the delivery of seamlessly provided, person centred care across the care continuum 4. Safety and Quality Systematic enquiry into initiatives and processes which advance the quality of service provision and governance of safety within the LHD
Closing the Gap is a priority within each pillar
Value and Accountability concerns underpins all research
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RESEARCH PRIORITIES 2017-2021
Specific priorities for research, reflecting the strategic directions are informed by the: MNCLHD Population Health Statistics; NSW Health Research Priorities and Core Values; NSW Premier’s Priorities; National Health Priority Areas (NHPAs); and the NHMRC Identified Key Health Issues.
Strategic Pillar Research Priorities 2017-2021 Closing the Gap Priority Focus
People, Patients and Communities
Programs to
Reduce hospital admission rates through enhancing chronic disease management and improving health literacy
Enhance healthy ageing including falls prevention
Prevent and reduce childhood obesity
Increase consumer and carers in the research process
Evidence-based community-focused programs to improve chronic disease management
Leadership, Workforce and Culture
Enhance a positive workplace culture through supporting people to work at “the top of their licence”
Design and develop innovative, context linked, recruitment and retention strategies
Trial approaches to “grow your own” leadership
Explore innovative ways to support and enhance research culture
Increasing representation of Aboriginal1 people in all roles, at all levels
Integrated Care Devise and evaluate initiatives aimed at:
improving the patient journey
enhancing service planning & integration
efficiency in delivery of right care at right time in right place
Enhancing the experience of care through provision of culturally-appropriate “joined up” and home/community based services
Safety and Quality Systematic enquiry into:
Hospital acquired complications
Unwarranted clinical variations
Effectiveness of governance mechanisms for safety and quality
Ensuring cultural safety of Aboriginal people using services
1 Within NSW Health, the term ‘Aboriginal’ is generally used in preference to ‘Aboriginal and Torres Strait Islander’, in
recognition that Aboriginal people are the original inhabitants of NSW. Throughout this document, the word ‘Aboriginal’ will be used to represent Aboriginal and Torres Strait Islander people.
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RESEACH STRATEGIC ENABLERS
Culture – development of a vibrant culture in which staff understand the importance of research and in which research questions and developments are part of everyday practice-related conversations Capability/Capacity – provision of resources and supports which contribute to knowledge and skills development of staff to move along a continuum (see below) from research informed to research productive, undertaking research and scholarly enquiry through a range of approaches and methodologies guided by the research question and population Collaboration – working with consumers and carers and key stakeholders to create strategic research alliances with universities and other clinical/government/NGO and LHD partners to achieve the plan’s vision Resources & Infrastructure – over time, ensure adequate fiscal and other resources, facilities and equipment are available to support the research priorities identified in the plan Fig 1: Research Continuum
Research Informed
•Research Informed - uses research and evidence to inform everyday practice and to guide decision making. Target: 100% of staff
Research Engaged
•Research Engaged - engages with research processes but not as an investigator, eg. participates in skills based workshops, provides input on salient research questions, assists with proposal development. Target: 40% of staff
Research Active
•Research Active - is a chief or associate investigator in an approved study. Target: 15% of staff
Research Productive
•Research Productive - is actively disseminating publishing results/findings of research, mentoring or supervising new researchers. Target: 15% of staff
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RESEARCH ENABLING FRAMEWORK 2017-2021
1. Culture
Develop a vibrant research culture in which research is valued and utilised and in which research achievements are celebrated/showcased
Objective Initiative(s) Responsibility Indicator of Success Timeframe
Profile research role models in the LHD
Showcase engaged/research active staff each month in the Pulse and on website
Research Operations & Media Units in liaison with Departments
Monthly research submissions in the Pulse
Comprehensive listing of published authors on the website
Staff can identify peer researchers
2017-18
Enhance levels of research focussed discussion / dialogue
Initiate “evidence forums” in disciplinary and service areas
Heads of Department / team leaders
Research included as a standing item on meeting agendas
Conduct of discipline and service-focused “evidence forums”
Stimulate exposure to new research approaches & methodologies
Access to university / research organisations and NSW Health seminars
Research Operations Unit Staff attendance at seminars, workshops and conferences with research-focused content
Support creation of research focused communities of practice
Transform research interest groups into local / LHD-wide Communities of Practice
Research Operations Unit in collaboration with professional & service groups
LHD-wide collaborations developing practice-focused research initiatives
2018-19
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Objective Initiative(s) Responsibility Indicator of Success Timeframe
Celebrate achievements of staff in innovation and research
Showcase local research Integrated Multi Media Unit in liaison with CGU and Research Operations Unit
Annual Innovation and Research Conference
Staff completing HDRs
2017-18
Support managers to encourage their staff to participate in research activities
Investigate, develop and implement programs to support management
Senior Executive Team and Research Operations Unit
An increase in research projects from each Directorate
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2. Capacity Enhance knowledge and develop skills of staff at all stages of the research continuum – from research informed to research productive - guided by local, national and international research priorities
Objective Initiative(s) Responsibility Indicator of Success Timeframe
Enhanced access to research-focused continuing professional development opportunities
Communities of Practice initiative
Research Seminar Series
Research Mentoring program
Research skills based workshops e.g. writing-for-publication, study protocol development, grant application writing, participatory research methods etc
Research Operations Unit / Heads of Department
Research Operations Unit
Development, implementation and evaluation of initiatives
Number of skills- based programs delivered, attendees and feedback
Enhance research knowledge and skills at post graduate level
Higher Degree by Research (HDR) Support program
Research Operations Unit HDR Support grants provided
Staff commencing Higher Degrees by Research (HDR)
2017-18
Enhance opportunities to participate in research processes
Research-based placement with research centres of excellence (up to 6 staff)
Participation in LHD based clinical trials and other research
Research Support Grants Program
Research Operations Unit in collaboration with Heads of Department
Suitable placements identified
Funding sources identified
Placements completed
Research support grants awarded
2017-18
Integrate research into individual and work group planning
Annual reporting by clinical staff and managers on research related initiatives
Heads of Departments / Research Governance Officer
% increase in the number of research authorisations through the Research Governance Office
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Objective Initiative(s) Responsibility Indicator of Success Timeframe
Develop research leadership within the LHD
Establish Conjoint Chairs with University Partners
LHD Research Committee established
Heads of Department and Research Operations Unit
Establishment of conjoint chairs
Committee established
2018-19 2018-19
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3. Collaboration Develop strategic collaborations with university and other clinical, service delivery, NGO, national/international, community and LHD partners to develop research capacity of staff and undertake research in identified priority areas
Objective Initiative(s) Responsibility Indicator of Success Timeframe
Develop staff research capacity, activity and productivity through collaborative action
Garvan, NeuroScience and Black Dog collaborations Rural Research Capacity Building Program (HETI)
Strengthen collaborations between service providers and university-based researchers in priority areas Establish Asia/Pacific innovation and research collaborations (eg. Ko Awatea)
Research Operations Unit / Strategic Advisor
Research Operations Unit
Suitable placements identified, funding sources identified
Placements commenced & completed Collaborative research teams working across priority areas Collaborative MOU signed
2018-19 Ongoing 2019-20 2018-19
Generate and disseminate new knowledge through collaborations
Support local research initiatives through Research Support Program
Research brokerage assistance
Support Translational Research Grants Scheme applications
Support staff to present at local, national, international conferences
Research Operations Unit
Research Operations Unit
Heads of Department
Support grants provided
Linkages initiated
TRGS applications
Ongoing
Build LHD stakeholder awareness of, and
Research consultative forums
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Objective Initiative(s) Responsibility Indicator of Success Timeframe
engagement in, collaborative research where appropriate
Employment of participatory methodologies as appropriate to research topic
Work with partners to form research alliances
Centre for Innovation in Regional Health
Rural Research Alliance
HNECCMNC Research Hub
MNC Health Research Collaborative
CE / Research Operations Unit
CIRH established
RRA established
Hub-related activities
Bi-annual meetings of Collaborative
2018-19
2018-19
Ongoing
Ongoing
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4. Resources & infrastructure Optimise internal and external resource availability to support research activity
Objective Initiative(s) Responsibility Indicator of Success Timeframe
Provide financial and other support for staff undertaking Research Higher Degrees / research placements / CPD activities
HDR Support grants
Leave provisions
Backfill provisions
Research Operations Unit
Heads of Department
Grants offered
Placements undertaken
Ongoing
2018-19
Support staff to conduct research in line with position descriptions
Investigate barriers and enablers for engagement in research by staff specialists, Nurse Practitioners, Clinical Nurse Consultants and other professional groups
Workforce Support Unit / Research Operations Unit
Executive Director Nursing, Midwifery and Workforce
Opportunities identified to support research in defined roles
2018-19
Enhance access to online journals and databases
Library liaison program
CIAP training
Research Operations Unit / Librarians
Training sessions conducted 2017-18
Enhance research software access
Support access to reference management software
Conduct Needs Assessment
Research Operations Unit Endnote licences
Needs assessment conducted
2017-18
2018-19
Increase research funding sources
Internal funding support – competitive grants
External grants
Grow clinical trial income
Governing Board
Research Operations Unit / Heads of Department
Heads of Department
X% increase in research funding across the LHD
Y% increase in clinical trial income
Annual
Annual
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Objective Initiative(s) Responsibility Indicator of Success Timeframe
Increase research support staff Pilot statistical advisor program
Pilot Writer-in-residence initiative
Research Operations Unit Funding secured
Positions established
Pilots completed and evaluated
2018-19
2018-19
2019-20
Provide the infrastructure to support multidisciplinary clinical trials
Multi-disciplinary Trials Unit (MDCTU) established
Research Operations Unit Clinical trials initiated through the MDCTU – HMN
MDCTU – CCN established
2017-18 and annually 2019-20