Poche Centre Board
The Poche Centre held its second Board meeting for the year on 6 May. The Board was pleased with the progress of the Poche centre particularly:
- Expansion of the Centre’s research program and the new post doctorate positions within dentistry, public health, health economics, health sciences and nursing /midwifery
- Proposal to establish a cardiology outreach clinic in Kempsey and Peak Hill, NSW where need for this service is great.
- Establishment of a telemedicine trial between Concord and Brewarrina Hospitals for cardiology in order to fulfil additional services needed in this community
- Implementation of a minimum data set in order to assess the performance and impact of Poche clinical services and research.
- Development of a mobile health service that will provide a service to work with local networks and services, as well as offer positive and on-going community-focused relationships with health and well-being providers ‘on-country’. The mobile service will also offer education and training for rural and remote health/legal/community workers by providing learning opportunities from programs that have proven to be successful.
After protracted negotiations with IT and Hospital networks, our telemedicine link is up and running. Professor Harry Lowe will now run Cardiology clinics monthly: One month face to face in Brewarrina and the next month via videolink. We will evaluate this service but it in the short term the benefits are obvious. This is a great outcome, well done Vita and thank you to Professor Harry Lowe and Heather Findlayson from Brewarrina District Hospital. Tan Martin joins the team
Tanya Martin is a registered nurse and midwife who will be the Poche Centre's primary contact point for our clinical services. Tan works two day per week for the Poche Centre and also works part-time Peak Hill AMS. Welcome Tan!Fluoride varnish
The Poche Centre and the Faculty of Dentistry has begun working with the Centre for Oral Health Strategy to begin planning for a fluoride varnish program for communities that do not have fluoridated water. Fluoride varnish is a gel that is applied to children’s teeth (three times each year) to protect them from decay. It is particularly useful in the absence of fluoridated water. Professor Andy Blinkhorn and our research fellow (once appointed) in dentistry/oral health will lead this work. Healthy kids
Kylie, Tan and Vita travelled to Bourke and Walgett to meet with Walgett Aboriginal Medical Service, Bourke Area Health Service and Far West Medicare Local. The visit was with the purpose of setting up agreements with WAMS and FWML for some three year agreements for Allied Health professionals in the area. They felt most welcomed by the communities and pleased to have spent the time. Research
Congratulations to Professor Sandra Eades on being awarded The MJA / MDA National Research Award for the best research article published in the MJA in 2012
"An intensive smoking intervention for pregnant Aboriginal and Torres Strait Islander women: a randomised controlled trial" by Sandra J Eades, Rob W Sanson-Fisher, Mark Wenitong, Katie Panaretto, Catherine D'Este, Conor Gilligan and Jessica Stewart
For more information on the MJA / MDA National Research Award see https://www.mja.com.au/author-centre/awards/mja-mda-national-prize-excellence-clinical-research
Dr Michael Otim, together with colleagues from University of Queensland and University of Newcastle have received a grant from Australian Financial Markets Foundation for Children, worth $158,246 to undertake a study on systemic gene expression and the economic cost of non-cystic fibrosis bronchiectasis in children: Enhancement of a NHMRC-funded randomised controlled trial. Congratulations to Michael Otim and the team.
Dr Otim and colleagues from The University of Notre Dame Australia received $5,000 seed funding to undertake a study on what ethical criteria and their relative weights guide priority setting in Aboriginal health. It is expected that the results from this study will be used in the development of a bigger grant application to be submitted next year to the ARC for funding. Michael will one of the chief investigators who aim to elicit the views, perceptions, values of Aboriginal and non-Aboriginal decision makers on issues, related to priority setting in Indigenous health in Australia. Great job and congratulations to Michael Otim. Minimum data set
Vita and Michael visited the BEACH group to get some advice on minimum data sets and software design. After a very helpful meeting, they felt clearer on what the Poche Centre is aiming to do and how to go about it. Vita has finalised the minimum data set for each of the three arms of the strategy- Health Teeth, Healthy Hearts and Healthy Kids. She has been spending time with each of the clinicians and the organisations to increase familiarity with the new sets. Once all of these sets have been approved by the various clinicians and organisations, they will be ready for roll out on 1st July 2013. This data will be important in informing us not only what we do, but how effective it is.Mobile health service
The Poche centre has been working to establish a mobile health service. The service will be a resource to provide a range of health care services to rural and remote communities in NSW. It will be fully kitted out like a small health care clinic including an on-board satellite to enable video conferencing for both the delivery of health care services and remote teaching. Importantly, it has been designed it so it can be driven using a standard drivers’ license. We expect the mobile health service to be on the road by October this year.Key Thinkers Forum
Our first Key Thinkers Forum is scheduled for 3rd July at New Law Building Foyer, 10.00am to 2.00pm. The aim of the Key Thinkers Forum is to develop a Poche Opinion around issues and challenges in Aboriginal Health. The first of the events will be the topic of “Fly in, fly out services- are they a good model of care?”. For more information about the Key Thinkers Forum visit http://sydney.edu.au/medicine/public-health/poche/poche-opinion/key-thinkers-forum.php Expanding cardiology service
After meeting with Brewarrina Hospital and discussing the needs of the area, Vita has taken steps to expand the cardiology service. In June we are sending an extra Cardiologist with the clinic, specifically for the purpose of diagnosing Rheumatic Fever in children in the area. We are currently seeking a Diabetic Educator to join the clinic. By expanding the service we hope to be able to assist with the multiple chronic conditions that exist within the community in and around Brewarrina.
We are also working with Peak Hill and Durri AMS to establish cardiology services.Web-based Holter facility
For the first time Brewarrina Aboriginal Medical Service now has a web-based Holter (continuous 24 hourr ECG recording) facility that can be used to analyse remotely via Concord's analysis system. The previous process was to send the memory chips with the information stored back and forward in the mail. With the new web-based system 24 hour ECG recording is now available in Brewarrina, downloaded at the Brewarrina Aboriginal Medical Service and read remotely in Sydney on the same day. Well done Poche Cardiologist Professor Harry Lowe and Brewarrina Health Services and Brewarrina Clinic for getting this organised. MIRAGE presentation
Vita travelled out to Westmead on the 7th July to present to Dental, Medical and Allied Health Students about the work of the Poche Centre. The evening was an interesting combination of opportunities for short and long term student placements and the ‘real’ experience post-graduation. Hopefully the students left feeling that there was a lot on offer both during study and after. If you would like a copy of Vita's presentation, please email firstname.lastname@example.org AMA junior doctors
Kylie and Vita attended a Junior Doctors meeting at the AMA to discuss opportunities for collaboration. There was great interest and lively discussion. Further information to follow. Bourke dental
We met with the Bourke Aboriginal Medical Service CEO-Judy Johnson, Grace Wilson and the Poche Centre Dental team in May to discuss data collection and consent forms for the minimum data set. We are confident we will get great stats from Bourke – thank you. We also got to see Dr Selvaraja with students Jess and Mohammed deliver high quality much needed dental care to the community. Dr Steve Naoum and Kylie presented a paper about the Bourke service to the Centre for Oral Health Strategy meeting last week – if you would like a copy of this presentation please email email@example.com Allied health conference
A date has been set for the Poche Centre Healthy Kids Allied Health Conference for the 26th and 27th August 2013. Key representatives from the far west of New South Wales will be in attendance to foster stronger working partnerships for allied health service delivery to the Western NSW communities. The conference will include discussion about:
- Effective models of service delivery to rural and remote Aboriginal people and communities
- Developing key performance indicators
- Partnerships and working effectively across great distances
- Developing an outcomes framework.
Contact Edie is you would like further information about the conference – firstname.lastname@example.org Poche Centre Network Meeting
Kim Szerdahelyi has started planning the annual Poche Centre Network meeting which will be held at the University of Sydney 4-5 July. This will provide an opportunity for the Adelaide, Alice Springs and Sydney Centers to come together and share ideas, discuss research opportunities, as well listen to key talks provided by those associated to all three Centres which includes the Poche Scholars and Fellow. There will also be two sessions open to a wider audience and invitations will be issued next week.Global corporate challenge
The University of Sydney has very kindly sponsored the Poche Pacers
to participate in the Global Corporate Challenge (GCC) which encourages teams of seven from companies all over the world to take on a 16 week challenge by increasing their daily exercise.
Each member of the team (Kylie, Vita, Kim, Michael, Edie, Justin and Jared) has received a GCC accelerometer which records the number of steps taken every day; and each member has been weighed and measure (within an inch of their life) to see if after the 16 weeks (of fun and harmless competition) there is an improvement in their overall daily activity.
Kim was nominated as team captain and is attempting to keep each team member motivated to achieve their daily requirement of 10,000 steps (which is no mean feat in itself). Along with all the other teams, the Poche Pacers have started the challenge in Rio de Janeiro and will be walking (albeit virtually) around the world. Stay tuned for monthly updates.