Commission on Excellence and Innovation in Health

Annual Report 2022-23: About the agency's performance

Agency con­tri­bu­tion to whole of Gov­ern­ment objectives

Back to the 2022-23 Annual Report

The agen­cy’s performance

Per­for­mance at a glance

Key high­lights for 2022 – 23 include:

  • Increased lev­el of engage­ment in Statewide Clin­i­cal Networks
  • Improved path­ways and cross-func­tion­al col­lab­o­ra­tion for direct-to-bed admis­sions in part­ner­ship with the SA Vir­tu­al Care Service
  • Estab­lished the Youth Advi­so­ry Group
  • Improved con­sumer and clin­i­cian expe­ri­ence through imple­men­ta­tion of dig­i­tal con­sent for genet­ic testing
  • Devel­oped health­care work­force well­be­ing Dis­cus­sion Paper and Organ­i­sa­tion­al Guide by syn­the­sis­ing lit­er­a­ture and stake­hold­er engage­ment across the health system
  • Com­plet­ed the pro­cure­ment of the Patient Report­ed Mea­sures soft­ware solution 
  • Com­plet­ed ear­ly explo­ration of sys­tem sim­u­la­tion ​‘dig­i­tal twin’ project
  • Com­plet­ed ear­ly diag­no­sis pre­dic­tion machine learn­ing mod­el prototypes
  • Pub­lished online resources and tools includ­ing project life­cy­cle, work­ing in part­ner­ship, data visu­al­i­sa­tion and inno­va­tion guides.

Agency spe­cif­ic objec­tives and performance

Agency objec­tivesPer­for­mance
Objec­tive: Sup­port the government’s work to address access block and ambu­lance ramp­ing
Effi­cien­cy: Bar­ri­ers to access­ing care

SA Vir­tu­al Care Ser­vice (SAVCS) Part­ner­ship – Vir­tu­al Direct Admis­sion Path­way pilot

100% Com­plet­ed

Through the exist­ing part­ner­ship between CEIH and SAVCS formed in Feb­ru­ary 2022, an oppor­tu­ni­ty was iden­ti­fied to devel­op ongo­ing path­ways of com­mu­ni­ca­tion between SAVCS and oth­er med­ical spe­cial­ists, thus enhanc­ing the val­ue and use of the vir­tu­al emer­gency care service.

The Queen Eliz­a­beth Hos­pi­tal and Lyell McEwin Hos­pi­tal com­plet­ed a pilot of a direct to bed vir­tu­al admis­sion path­way that pro­vides patients with time­ly and equi­table access to health ser­vices that allow for effi­cient use of avail­able resources.
The pilot enabled key stake­hold­ers to iden­ti­fy oppor­tu­ni­ties to embed the path­way into prac­tice and utilise key lessons to con­sid­er oth­er path­ways across LHNs.

Re-design of access for coun­try patients to urgent med­ical spe­cial­i­ties – scope and plan­ning phase

90% Com­plet­ed
Build­ing on pre­vi­ous analy­sis and stake­hold­er engage­ment, this work is scop­ing and plan­ning re-design of access for coun­try patients to urgent in med­ical spe­cial­i­ties cohorts rep­re­sent­ing rel­a­tive­ly high trans­fer vol­ume, includ­ing avoid­ance of unnec­es­sary trans­fers that impact access and ramping.

Sys­tem sim­u­la­tion – scope and engage­ment phase

100% Com­plet­ed
This is a mul­ti-year project with the ini­tial phase in 2022 – 23 being to scope and engage with experts. It involves pro­to­type devel­op­ment of a sys­tem lev­el tool that enables test­ing and eval­u­at­ing of new ini­tia­tives for impact on access to ser­vices, pri­or to sig­nif­i­cant finan­cial invest­ment. Two sim­u­la­tion mod­els are being inves­ti­gat­ed with local uni­ver­si­ties, and the CEIH is link­ing with oth­ers in the health sys­tem where sim­i­lar bod­ies of work are occur­ring. This work is expect­ed to con­tin­ue into 2023 – 24.

Emer­gency Depart­ment Good Work Design – scope and design phase

100% Com­plet­ed
The Build­ing Work­place Well­be­ing Guide to sup­port sus­tain­able organ­i­sa­tion­al approach­es for address­ing work­place well­be­ing and good work design in health­care, based on SA health­care con­sul­ta­tion and inter­na­tion­al evi­dence, has informed design for on the ground engage­ment sup­port­ing good work design in Emer­gency Departments.
Ado­les­cent Tran­si­tion Research ProjectPaused
Human Research Ethics Com­mit­tee approval has been delayed and is now expect­ed to be finalised in the first quar­ter 2023 – 24 finan­cial year. This research col­lab­o­ra­tion between the CEIH, Ado­les­cent Tran­si­tion SCN and Bet­ter Start, at the Uni­ver­si­ty of Ade­laide aims to bet­ter under­stand how health out­comes and hos­pi­tal util­i­sa­tion for ado­les­cents are affect­ed when tran­si­tion­ing to adult services.
Effec­tive­ness: Excel­lence in clin­i­cal practice

Opti­mised Pre-Sur­gi­cal Care (OPSC) Framework

100% Com­plet­ed
The Sur­gi­cal and Peri­operative Care SCN led the devel­op­ment of an Aus­tralian-first OPSC Frame­work, which aims to low­er elec­tive surgery pro­ce­dure risk to make it safer for patients, for the sur­geon and less expen­sive for the health sys­tem.
The OPSC Frame­work was co-designed with a broad range of stake­hold­ers, from clin­i­cians to con­sumers, across var­i­ous parts of the health sec­tor includ­ing state gov­ern­ment, pri­ma­ry health care, research and non-gov­ern­ment organ­i­sa­tions.
The co-design process iden­ti­fied sus­tain­able, equi­table, and scal­able oppor­tu­ni­ties to imple­ment the frame­work. The oppor­tu­ni­ty to inte­grate the OPSC Frame­work into the new statewide e‑Referral sys­tem is being inves­ti­gat­ed, which could allow clin­i­cians to bet­ter sup­port patients in opti­mis­ing their health pri­or to surgery.

‘HIRAID’ emer­gency nurs­ing prac­tice tool – plan and approach for sys­tem lev­el implementation 

100% Com­plet­ed
Pro­gressed the devel­op­ment of an imple­men­ta­tion and eval­u­a­tion plan for HIRAID – a val­i­dat­ed emer­gency nurs­ing assess­ment frame­work demon­strat­ed to reduce vari­a­tion in care, recog­ni­tion and esca­la­tion of clin­i­cal dete­ri­o­ra­tion, clin­i­cal han­dover and patient expe­ri­ence. Pilot sites have been iden­ti­fied and a train­ing plan is in development.

Opti­mised sys­tem of care to improve the iden­ti­fi­ca­tion and man­age­ment of Low­er Back Pain (LBP) in unplanned Emer­gency Depart­ment presentations 

100% Com­plet­ed

Devel­oped a pro­posed statewide opti­mal sys­tem of care for LBP to sup­port hos­pi­tal avoid­ance and pro­mote bet­ter com­mu­ni­ty care for man­age­ment of acute and chron­ic pain. 

The opti­mal sys­tem of care for LBP was co-designed with a range of stake­hold­ers, includ­ing clin­i­cians, con­sumers, emer­gency care spe­cial­ists, indus­try stake­hold­ers and researchers. Broad­er com­mu­ni­ty con­sul­ta­tion will occur in 2023 – 24 and oppor­tu­ni­ties to pilot var­i­ous aspects of the path­way will also be explored.

Sup­port, enable and devel­op com­mu­ni­ties through the Statewide Clin­i­cal Net­works – Sup­port, Enable CommunitiesOngo­ing
The CEIH con­tin­ues to bring togeth­er clin­i­cians, rep­re­sen­ta­tives from health ser­vice organ­i­sa­tions, car­ers and con­sumers through SCNs to cre­ate bet­ter health­care for all South Aus­tralians.
The eight SCNs and their sub-com­mit­tees/­work­ing groups rep­re­sent sig­nif­i­cant reach across the health sec­tor in SA, with diverse mem­ber­ship, comprising:
  • 62 SA Health Med­ical Officers
  • 10 Gen­er­al Practitioners
  • 20 Con­sumer and Car­er Representatives
  • 12 rep­re­sen­ta­tives from Com­mu­ni­ty and non-gov­ern­ment organ­i­sa­tions (NGOs)
  • 15 Researchers
  • 15 Nurs­es
  • 12 Allied Health Clinicians
  • 17 Health Administrators/​Managers
  • 3 SA Ambu­lance Ser­vice (SAAS) representatives.
The CEIH con­tin­ued to sup­port the eight SCNs and oth­er col­lab­o­ra­tions and part­ner­ships, includ­ing the estab­lish­ment of the Youth Advi­so­ry Group in Feb­ru­ary 2023. The over­ar­ch­ing pur­pose of this group is to rep­re­sent the voice and lived expe­ri­ence of young peo­ple in South Aus­tralia. There are 8 mem­bers of the Youth Advi­so­ry Group age rang­ing from 14 years – 25 years.
The CEIH host­ed an online live show­case for each SCN, ​‘The SCN Con­ver­sa­tion Series’, which were attend­ed by almost 200 stake­hold­ers, with over 90% indi­cat­ing that by attend­ing they increased their knowl­edge and/​or aware­ness of an improve­ment or innovation.


Objec­tive: Imple­ment Stage 1 of the Patient Report­ed Mea­sures Program

Imple­men­ta­tion plan­ning for Stage 1 of the Patient Report­ed Mea­sures Program

100% Com­plet­ed

Iden­ti­fied in-scope health ser­vices, fol­lowed by plan­ning for ini­tial implementation.

Pro­cure a statewide dig­i­tal plat­form for col­lect­ing and report­ing patient expe­ri­ence and outcomes

Com­plet­ed the pro­cure­ment of a Patient Report­ed Mea­sures dig­i­tal solution. 

Objec­tive: Pilot a dig­i­tal record­ing of patient con­sent with the Women’s and Children’s Health Net­work includ­ing patient infor­ma­tion animation

Improv­ing informed con­sent for genet­ic testing

100% Com­plet­ed

Com­plet­ed an infor­ma­tion­al ani­mat­ed video about genet­ic test­ing and an online elec­tron­ic con­sent form based on a nation­al genet­ic test­ing con­sent form and pilot­ed in part­ner­ship with the Cen­tral Ade­laide Local Health Net­work (CAL­HN) and the Women’s and Children’s Health Net­work (WCHN).

Fol­low­ing the pilot, both CAL­HN and WCHN are con­tin­u­ing to use the online plat­form. The infor­ma­tion­al ani­mat­ed video has been trans­lat­ed into 10 com­mu­ni­ty languages.

Objec­tive: Pilot a per­son­alised med­i­cine in can­cer approach with germline testing

Per­son­alised Care in Cancer

Devel­oped a statewide, stan­dard­ised and stream­lined path­way for main­stream­ing of germline genet­ic test­ing for can­cer treat­ment. The work was led by the Can­cer SCN and designed by a mul­ti-dis­ci­pli­nary work­ing group across the health care sys­tem includ­ing consumers.

Informed by a cur­rent state analy­sis, the frame­work enables con­sis­tent and stan­dard­ised guide­lines and path­ways for can­cer patients to under­go effi­cient treat­ment focused germline genet­ic testing.

Main­stream genet­ic test­ing packs and edu­ca­tion was pro­vid­ed to over 300 clin­i­cians. Data col­lec­tion as part of project eval­u­a­tion will be com­plet­ed in 2023 – 24.

Oth­er key activ­i­ties and highlights 

Dur­ing 2022 – 23 the CEIH aligned its projects to work streams to help theme and com­mu­ni­cate our achieve­ments in line with agency objectives:

Lead­er­ship and capa­bil­i­ty:

  • Improve­ment Show­case: Brings togeth­er teams to share, con­nect and explore why improve­ments were need­ed, how the change occurred, and what impacts they had in a live online for­mat. Pre­sen­ta­tions are pub­lished through the CEIH’s dig­i­tal chan­nels to enable acces­si­bil­i­ty for a broad audi­ence. In 2022 – 23, Series 10 — Demand Man­age­ment, attract­ed close to 400 reg­is­tra­tions and over 200 atten­dees, reflect­ing the con­tin­ued grow­ing inter­est in the format.
  • Cer­ti­fied Health Infor­mati­cian Accred­i­ta­tion (CHIA): CHIA builds capa­bil­i­ty and recog­nis­es skills and knowl­edge in infor­mat­ics. In 2022 – 23, the CEIH spon­sored 50 places from across the health sec­tor towards achiev­ing their cer­ti­fi­ca­tion, with can­di­dates study­ing and under­tak­ing their exam­i­na­tion into 2023 – 24. This brings the total spon­sored places by the CEIH to 245 (across mul­ti­ple years).
  • Com­plet­ed eval­u­a­tion of the CHIA pro­gram through sur­vey­ing par­tic­i­pants, which showed pos­i­tive feed­back, con­clud­ing that CHIA is sup­port­ing capa­bil­i­ty build­ing, and ele­vat­ing con­ver­sa­tions about the use of data and systems. 
  • Released a CEIH team co-designed Project Life­cy­cle, includ­ing 19 tools and tem­plates, as a roadmap to sup­port project man­age­ment capa­bil­i­ty in SA health sys­tem. Since their pub­lic release in late Decem­ber 2022, there has been 1147 web­page views and 483 down­loads of the project life­cy­cle tools.


Resources and tools: 

To sup­port our work the CEIH researched, syn­the­sised and devel­oped resources and tools and sub­se­quent­ly made these tools avail­able via our web­site so that they can be broad­ly accessible:

  • Effec­tive part­ner­ships, tools and templates 
  • Guide to build­ing work­place wellbeing
  • Inno­va­tion cul­ture dis­cus­sion paper includ­ing an inno­va­tion model
  • Project life­cy­cle guide and tools
  • Data visu­al­i­sa­tion best prac­tice guide.

Part­nerships:

The CEIH devel­oped a Part­ner­ships Strat­e­gy with a focus on capa­bil­i­ty build­ing and col­lab­o­ra­tive part­ner­ships to deliv­er inno­v­a­tive and excep­tion­al out­comes in address­ing com­plex prob­lems faced by the health­care sec­tor. The CEIH com­mit­ted to sup­port­ing a strong and sus­tain­able health­care part­ner­ship ecosys­tem in SA by:

  • Lead­ing by exam­ple in build­ing qual­i­ty CEIH partnerships
  • Build­ing part­ner­ship capa­bil­i­ty in the health­care sector
  • Sup­port­ing sys­tem-lev­el change though ini­tial iden­ti­fi­ca­tion of enablers and bar­ri­ers to part­ner­ships in healthcare.

For­malised agency-wide part­ner­ships for health­care improve­ments have been devel­oped and main­tained with:

  • SA Vir­tu­al Care Service
  • Health Trans­la­tion SA
  • North­ern Ade­laide Well­be­ing Partnership.

In addi­tion to these for­malised part­ner­ships, there are numer­ous projects the CEIH is deliv­er­ing in col­lab­o­ra­tion to max­imise reach, impact and sus­tain­abil­i­ty, including: 

  • The health jour­ney map­ping project led by the Ado­les­cent Tran­si­tion Care SCN which aims to under­stand the bar­ri­ers and enablers to sup­port tran­si­tion of care for young peo­ple with com­plex health needs. 
  • Link­ing AND­Health and SA Gov­ern­ment agen­cies for AusMedtech con­fer­ences in Ade­laide to engage and con­nect across sec­tors on dig­i­tal health and innovation. 

Con­sumer engagement:

The CEIH demon­strates its com­mit­ment to sup­port­ing the con­sumer voice by util­is­ing a range of engage­ment strate­gies including:

  • Con­sumer Lead posi­tion to co-lead the Pal­lia­tive Care SCN with a Clin­i­cal Lead
  • Con­sumer rep­re­sen­ta­tion across the SCNs and oth­er key CEIH projects, includ­ing co-lead­ing key work­ing groups.
  • Con­sumer and Com­mu­ni­ty Lead posi­tion with­in the CEIH to pro­vide strate­gic con­sumer engage­ment advice and sup­port to con­sumer representatives
  • For­ma­tion of a new Youth Advi­so­ry Group includ­ing young peo­ple with lived expe­ri­ence of healthcare
  • For­ma­tion of the CEIH Com­mu­ni­ty of Con­sumers to cre­ate a safe envi­ron­ment to learn and share
  • Capa­bil­i­ty train­ing for con­sumer representatives
  • Train­ing for SCN Clin­i­cal Leads to max­imise con­sumer engagement
  • Sup­port­ing the LHN Con­sumer Engage­ment Pro­fes­sion­als Com­mu­ni­ty of Practice.

Strength­en­ing work­place wellbeing:

To achieve excel­lence and inno­va­tion in health­care, the CEIH recog­nis­es the need to invest in work­place well­be­ing cul­ture. In addi­tion to the guide men­tioned pre­vi­ous­ly, the CEIH has:

  • Estab­lished a work­force well­be­ing sub-com­mit­tee of the SA Health Chief Exec­u­tives’ Coun­cil (HCEC) focus­ing on dri­ving sys­tem-lev­el action 
  • Led devel­op­ment of the ​‘Advanc­ing health­care work­force well­be­ing across SA Health’ plan for sys­tem-lev­el col­lab­o­ra­tive action
  • Deliv­ered psy­cho­log­i­cal health and safe­ty train­ing to over 60 SA Health lead­ers, includ­ing Chief Exec­u­tive Officers.
  • Devel­oped a range of evi­dence-based resources includ­ing, ​‘Build­ing work­place well­be­ing: A guide to build­ing sus­tain­able work­place well­be­ing with­in SA health­care organ­i­sa­tions’, ​’Mea­sur­ing work­place well­be­ing Fact Sheet’; and ​’Strength­en­ing health­care work­place well­be­ing in SA Dis­cus­sion Paper’. There were approx­i­mate­ly 400 down­loads of these resources.
  • Com­plet­ed scop­ing to inform plan­ning for con­sis­tent and val­i­dat­ed indi­vid­ual well­be­ing met­rics for SA Health
  • Sup­port­ed an LHN to be the health­care lead site in an inno­v­a­tive nation­al, cross sec­tor, mul­ti-agency pilot of a well­be­ing mea­sure­ment and risk assess­ment tool.

Cor­po­rate per­for­mance summary

Invoic­es paid with­in 30 days

100%

Com­plaint with trea­sures infrastructure100%
Staff from diverse cul­tur­al backgrounds24%
Noti­fi­able work health and safe­ty incidents0
Work­place inquiry claim0
Trea­sur­er’s instruc­tion breach­es reported0
Instances of fraud detected0
LinkedIn fol­low­ers2479



Employ­ment oppor­tu­ni­ty programs

Pro­gram name

Per­for­mance

Nil

Nil


Agency per­for­mance man­age­ment and devel­op­ment systems

Per­for­mance man­age­ment and devel­op­ment sys­tem

Per­for­mance

Per­for­mance Review and Devel­op­ment (PRD) are com­plet­ed in September/​October and March/​April in line with DHW poli­cies and procedures 

Two PRD cycles were com­plet­ed with­in the finan­cial year. 67% of staff and man­agers com­plet­ed a for­mal per­for­mance devel­op­ment review.

Note the fol­low­ing had an impact on com­ple­tion of PRDs dur­ing 2022 – 23: 

  • Staff on short-term assign­ments who were not due for a PRD. 
  • Staff sec­ond­ments and move­ments through­out the year result­ing in some PRDs being com­plet­ed out­side the nor­mal PRD cycle.


Work health and safe­ty and return to work programs

Pro­gram name

Per­for­mance

SA Health Employ­ee Assis­tance Pro­gram (EAP)

The CEIH offers employ­ees and their imme­di­ate fam­i­ly mem­bers access to con­fi­den­tial and pro­fes­sion­al coun­selling ser­vices for work relat­ed and per­son­al issues through the SA Health Employ­ee Assis­tance Pro­gram which is cen­tral­ly man­aged by DHW.

There were 2 new employ­ee refer­rals for the 2022 – 23 finan­cial year.

Work­site inspec­tions

The CEIH is com­mit­ted to the health, safe­ty and well­be­ing of its employ­ees and recog­nis­es duty of care of all persons.

The CEIH under­takes work­site safe­ty inspec­tions twice per year.

Work, Health and Safe­ty Con­sul­ta­tion and Rep­re­sen­ta­tion

The CEIH has rep­re­sen­ta­tion on the Depart­ment of Health and Well­be­ing, Work Health Safe­ty Con­sul­ta­tive Committee. 

Ergonom­ics

Indi­vid­u­als are set up ergonom­i­cal­ly at their work­sta­tions based on SA Health procedures. 

Staff are required to com­plete a Work­ing from Home Check­list to assess work health and safe­ty risks in the home. 

Influen­za Vac­ci­na­tions

A free sea­son­al influen­za (flu) vac­ci­na­tion is avail­able to all SA Health work­ers. The 2023 SA Health Influen­za (flu) Vac­ci­na­tion Pro­gram com­menced on 14 April 2023.

CEIH employ­ees are includ­ed in the DHW annu­al influen­za vac­ci­na­tion program.

At 30 June 2023, 36% of the CEIH’s employ­ees have been admin­is­tered a flu vac­ci­na­tion in 2023.

Flex­i­ble Work­ing Arrange­ments

Flex­i­ble work­ing arrange­ments are sup­port­ed and pro­vi­sions for work­ing from home con­tin­ued in 2021⁄22.

Work­place health and well­be­ing

The CEIH is com­mit­ted to devel­op­ing a cul­ture that will ensure CEIH staff feel safe and sup­port­ed in the work­place and ensur­ing the safe­ty and well­be­ing of its peo­ple. The CEIH acknowl­edges the impor­tance of an inclu­sive, pos­i­tive and proac­tive cul­ture that allows every­one to be their best, most authen­tic self. The CEIH Well­be­ing and Safe­ty Group (WSG) is well-estab­lished and con­tin­ues to lead the work on well­be­ing and safe­ty ini­tia­tives in the CEIH.

WSG mem­bers are pro­vid­ed pro­tect­ed time to sup­port the plan­ning and imple­men­ta­tion of well­be­ing ini­tia­tives through­out the year.

In 2022 – 23, the WSG imple­ment­ed a range of evi­dence-based health and well­be­ing ini­tia­tives under the key focus areas of:

  • Health pro­mo­tion
  • Psy­cho­log­i­cal health and safety
  • Social con­nect­ed­ness
  • Peer Sup­port
  • Rec­on­cil­i­a­tion
  • Diver­si­ty inclu­sion and belonging
  • Per­son­al and pro­fes­sion­al development
  • Work Health and Safety.

Work­place injury claims

2022 – 23

2021 – 22

% Change (+ / -) 

Total new work­place injury claims 

0

0

0.0%

Fatal­i­ties

0

0

0.0%

Seri­ous­ly injured workers* 

0

0

0.0%

Sig­nif­i­cant injuries (where lost time exceeds a work­ing week, expressed as fre­quen­cy rate per 1000 FTE) 

0.00

0.00

0.0%

*num­ber of claimants assessed dur­ing the report­ing peri­od as hav­ing a whole per­son impair­ment of 30% or more under the Return to Work Act 2014 (Part 2 Divi­sion 5)

Work health and safe­ty reg­u­la­tions

2022 – 23

2021 – 22

% Change (+ / -) 

Num­ber of noti­fi­able inci­dents (Work Health and Safe­ty Act 2012, Part 3) 

0

0

0.0%

Num­ber of pro­vi­sion­al improve­ment, improve­ment and pro­hi­bi­tion notices (Work Health and Safe­ty Act 2012 Sec­tions 90, 191 and 195) 

0

0

0.0%

Return to work costs**

2022 – 23

2021 – 22

% Change (+ / -) 

Total gross work­ers com­pen­sa­tion expenditure ($) 

$0

$0

0.0%

Income sup­port pay­ments – gross ($) 

$0

$0

0.0%

**before third par­ty recovery

Data for pre­vi­ous years is avail­able via: Data SA web­site.

Exec­u­tive employ­ment in the agency

Exec­u­tive clas­si­fi­ca­tion

Num­ber of exec­u­tives

EXF

1

SAES 1 Level 

2


Data for pre­vi­ous years is avail­able at: Data SA website

The Office of the Com­mis­sion­er for Pub­lic Sec­tor Employ­ment has a work­force infor­ma­tion page that pro­vides fur­ther infor­ma­tion on the break­down of exec­u­tive gen­der, salary and tenure by agency.

Read about the finan­cial per­for­mance.