Service Development

Policy, Quality Improvement, Audit, Clinical Processes

Service improvement work focused on clinical processes, policy development, and quality improvement in palliative care across the Illawarra Shoalhaven region.

2025

All Outstanding Policies Updated
Comprehensive review and update of all palliative care policies, October 2025.
Policy
Community Formulary
Created and disseminated district-wide formulary for community palliative care.
Clinical
Consult Service Policy Update
Updated consultation service policy for ISLHD Palliative Care.
Policy
Direct Admission Policy Update
Updated direct admission to PCU policy.
Policy
End of Life Medication Plan Policy Update
Updated PALL CLIN PROC 01.
Policy

2023

PCU Relocation - Port Kembla to Bulli
Major service transition. Mammoth project completed August 2023.
Service Planning
End of Life Medication Plan Policy
PALL CLIN PROC 01. Written and finalised October 2023.
Policy
Palliative Care Crisis Packs
PALL CLIN PROC 18. Helped develop with team, finalised November 2023.
Clinical
Nurse-Initiated IDC Policy
PALL CLIN PROC 17. Finalised April 2023.
Policy

2022

Symptom Control in Palliative Care (6th Edition)
Co-authored major reference text for ISLHD Palliative Care Service.
Publication
Admission to PCU Policy
Written and finalised with department signoff.
Policy
Consult Service Policy
Written and finalised with department signoff.
Policy
Decision Assist Triage System
New triage and risk stratification practice for community palliative care patients.
QI
SafeScript Opioid Prescribing Audit
Safe prescribing audit using SafeScript NSW data matching.
Audit

2021

Handover Process TWH-COMM
Identified gaps, devised proforma, implemented. Process now utilized.
QI
Did Not See Audit
Audit of patients Jan-June 2021. Gaps identified and resolved.
Audit
End of Life Medication Cost Audit
Health equity project - pilot on subsuming medication costs for EOL care.
AuditQI

2020

PKH PCU Bedflow Analysis
Analyzed bedflow to determine impact of admission source on length of stay.
Audit
PCOC Forms Adaptation
Adapted PCOC forms for better patient outcome assessments aligned with ISLHD templates.
Clinical