Strategy development for specialist outpatient services

Strategy development for specialist outpatient services

Illawarra Shoalhaven Local Health District

Duration: November 2015 – March 2016


The project was part of a broader initiative by the Illawarra Shoalhaven Local Health District (ISLHD) to establish a more strategic approach to the delivery of ambulatory care with the overall aim of developing a framework for governance and decision-making in ambulatory and non-admitted services. Achieving the ‘right’ mix and design of services will ensure patient care is provided in the most appropriate setting, supported by relevant resources and in accordance with the clinical profile and role of each facility. Key drivers for the project included increasing requests for the establishment of new outpatient clinics; the anticipated introduction of the National Disability Insurance Scheme in the local area in July 2017 and the growth of ambulatory models of care.

What we did

The project was limited to a review of specialist outpatient services across the ISLHD, including procedural and medical clinics. The main data sources were the various ISLHD service plans; population and health service profiles; utilisation data for medical consultations and procedures undertaken in outpatient clinics; and interviews with key stakeholders, primarily from within the ISLHD. Main activities included interviews with executive staff from the ISLHD, including clinical directors and general managers.

The outcome of the project was a report which outlined the findings of the review and included a recommended framework for ongoing specialist outpatient service development. The framework was based on principles and business rules to support decision-making for the redesign of existing services and the establishment of new services. The report also included a description of current outpatient services and the findings from interviews with key stakeholders and searching the literature regarding the principles and priorities for outpatient service delivery.


Project team: Malcolm Masso, Conrad Kobel, Cristina Thompson, Jennifer McNamee

Last reviewed: 3 August, 2018

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