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The National Trauma Network ran a national collaborative focused on improving rehabilitation for major trauma patients. Eleven projects were selected for the collaborative which began on 30 March 2021 and ended in June 2022.
The final evaluation report is available here: Evaluation report: Major trauma rehabilitation collaborative | He pūrongo arotake: Whakaoranga tahi i te pāmamae nui.
During the course of the collaborative, regional teams attended three in-person learning sessions over the course of the year. The focus was on learning from each other and recognised experts in the topic area and learning quality improvement tools and techniques. The teams took the learning ‘home’ and worked on their projects between each learning session – known as the action period.
Support during the action period was provided by the Commission’s national project team and peers through Zoom meetings, online forums and onsite mentoring visits.
The end product is written summaries of the projects that others can learn from and replicate to resolve similar issues. These are available below and will be added to as the project teams finalise their reports.
Information about the chosen projects and their final reports is available below.
The collaborative is part of the major trauma quality improvement programme, a partnership between the National Trauma Network (the Network), the Accident Compensation Corporation (ACC) and the Health Quality & Safety Commission (the Commission).
Projects
Consumers with traumatic brain injury are seeing improved wait times for rehabilitation in the community, thanks to a recently completed quality improvement project.
Read the news item about this project: Project improves access to community rehabilitation after traumatic brain injury
Read the case study: ABI and Active+ case study: Improving access to community rehabilitation after traumatic brain injury
A revamped discharge summary that includes important information about rehabilitation needs is improving outcomes for patients discharged from Auckland City Hospital.
Read the news item about this project: More patients getting the rehabilitation they need after changes to discharge summaries
Read the case study: Te Whatu Ora Te Toka Tumai Auckland case study: Improving the discharge pathway for people hospitalised with traumatic brain injury
Te Whatu Ora Counties Manukau has long had a process in place to screen for post-traumatic amnesia (PTA) following suspected traumatic brain injury (TBI). However, there were inaccuracies in the way the assessments were performed, increasing the risk of missing diagnoses of concussion or more serious TBIs. As a result, some people experienced suboptimal hospital care and some referrals to community support services could potentially be overlooked.
Read the news item: Consistent traumatic brain injury screening improves outcomes for patients in Counties Manukau
Read the case study: Te Whatu Ora Counties Manukau case study: Improving the accuracy of post-traumatic amnesia assessments
Patients admitted to Palmerston North Hospital following major trauma are receiving support sooner and have greater involvement in the decision-making around their care.
This is thanks to a project at Te Pae Hauora o Ruahine o Tararua MidCentral that has improved care processes within their medical, nursing and allied health teams.
Read the news item about this project: Major trauma patients in MidCentral receive quicker and more co-ordinated care thanks to new processes.
Read the case study: Implementing a major trauma pathway for coordinated care and timely access to allied health input.
Client and whānau-centred coordination from in-patient to community-based health services.
Consumers are receiving the support they need after leaving hospital following major trauma, thanks to a quality improvement project at Te Whatu Ora Te Tai Tokerau. The project has improved consumer satisfaction after discharge, by assigning an ACC case manager to be involved in planning their rehabilitation needs before they leave hospital.
Read the news item about this project: Early access to a case manager improves access to rehabilitation services in Te Tai Tokerau
Read the case study: Case study: Introduction of the ACC early cover process to allocated an ACC case manager prior to discharge
Te ara marama – improving transitions to the community for Māori trauma patients.
A new information booklet for people discharged from hospital after experiencing a traumatic brain injury (TBI) is giving consumers and whānau clearer information and advice about their injury, their care after discharge and their rehabilitation and recovery.
Read the news item about this project: New patient information booklet results in better outcomes for people with traumatic brain injury
Read the case study: Te Whatu Ora Taranaki case study: Improving discharge processes after traumatic brain injury
This project aimed to understand allied health input into the care of major trauma patients and investigate opportunities to improve trauma rehabilitation and enhance patient experiences at Wellington Regional Hospital.
Read the news item about this project: Wellington Regional Hospital project improves trauma care
Read the case study: Te Whatu Ora Capital, Coast and Hutt Valley case study: Improving inpatient rehabilitation services for patients following major trauma
ABI Rehabilitation and Active+ (Improving access to community rehabilitation after traumatic brain injury)
Consumers with traumatic brain injury are seeing improved wait times for rehabilitation in the community, thanks to a recently completed quality improvement project.
Read the news item about this project: Project improves access to community rehabilitation after traumatic brain injury
Read the case study: ABI and Active+ case study: Improving access to community rehabilitation after traumatic brain injury
Te Whatu Ora – Health New Zealand Te Toka Tumai Auckland (Improving the discharge pathway for people hospitalised with traumatic brain injury)
A revamped discharge summary that includes important information about rehabilitation needs is improving outcomes for patients discharged from Auckland City Hospital.
Read the news item about this project: More patients getting the rehabilitation they need after changes to discharge summaries
Read the case study: Te Whatu Ora Te Toka Tumai Auckland case study: Improving the discharge pathway for people hospitalised with traumatic brain injury
Te Whatu Ora – Health New Zealand Counties Manukau (Providing consistency in screening for post-traumatic amnesia following traumatic injury)
Te Whatu Ora Counties Manukau has long had a process in place to screen for post-traumatic amnesia (PTA) following suspected traumatic brain injury (TBI). However, there were inaccuracies in the way the assessments were performed, increasing the risk of missing diagnoses of concussion or more serious TBIs. As a result, some people experienced suboptimal hospital care and some referrals to community support services could potentially be overlooked.
Read the news item: Consistent traumatic brain injury screening improves outcomes for patients in Counties Manukau
Read the case study: Te Whatu Ora Counties Manukau case study: Improving the accuracy of post-traumatic amnesia assessments
Te Whatu Ora – Health New Zealand Te Pae Hauora o Ruahine o Tararua MidCentral (Examining allied health assessment and care of major trauma patients from admission to discharge)
Patients admitted to Palmerston North Hospital following major trauma are receiving support sooner and have greater involvement in the decision-making around their care.
This is thanks to a project at Te Pae Hauora o Ruahine o Tararua MidCentral that has improved care processes within their medical, nursing and allied health teams.
Read the news item about this project: Major trauma patients in MidCentral receive quicker and more co-ordinated care thanks to new processes.
Read the case study: Implementing a major trauma pathway for coordinated care and timely access to allied health input.
Te Whatu Ora – Health New Zealand Nelson Marlborough (Client and whānau-centred coordination from in-patient to community-based health services)
Client and whānau-centred coordination from in-patient to community-based health services.
Te Whatu Ora – Health New Zealand Te Tai Tokerau (Introduction of the ACC early cover process to enable ACC to allocate a case manager earlier)
Consumers are receiving the support they need after leaving hospital following major trauma, thanks to a quality improvement project at Te Whatu Ora Te Tai Tokerau. The project has improved consumer satisfaction after discharge, by assigning an ACC case manager to be involved in planning their rehabilitation needs before they leave hospital.
Read the news item about this project: Early access to a case manager improves access to rehabilitation services in Te Tai Tokerau
Read the case study: Case study: Introduction of the ACC early cover process to allocated an ACC case manager prior to discharge
Te Whatu Ora – Health New Zealand Southern (Te ara marama – improving transitions to the community for Māori trauma patients)
Te ara marama – improving transitions to the community for Māori trauma patients.
Te Whatu Ora – Health New Zealand Taranaki (Allied health management of head injuries improvement project)
A new information booklet for people discharged from hospital after experiencing a traumatic brain injury (TBI) is giving consumers and whānau clearer information and advice about their injury, their care after discharge and their rehabilitation and recovery.
Read the news item about this project: New patient information booklet results in better outcomes for people with traumatic brain injury
Read the case study: Te Whatu Ora Taranaki case study: Improving discharge processes after traumatic brain injury
Te Whatu Ora – Health New Zealand Capital, Coast and Hutt Valley (Improving inpatient rehabilitation services for patients following major trauma)
This project aimed to understand allied health input into the care of major trauma patients and investigate opportunities to improve trauma rehabilitation and enhance patient experiences at Wellington Regional Hospital.
Read the news item about this project: Wellington Regional Hospital project improves trauma care
Read the case study: Te Whatu Ora Capital, Coast and Hutt Valley case study: Improving inpatient rehabilitation services for patients following major trauma
For any questions about the projects or the Commission’s trauma rehabilitation workstream please email help@majortrauma.nz.
Last updated: 2nd December, 2021
