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
|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
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
System simulation – scope and engagement phase
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
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 Project
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
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
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
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 Communities
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:
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
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
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.
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.
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
|Complaint with treasures infrastructure
|Staff from diverse cultural backgrounds
|Notifiable work health and safety incidents
|Workplace inquiry claim
|Treasurer’s instruction breaches reported
|Instances of fraud detected
Employment opportunity programs
Agency performance management and development systems
Performance management and development system
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:
Work health and safety and return to work programs
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.
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.
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.
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:
Workplace injury claims
2022 – 23
2021 – 22
% Change (+ / -)
Total new workplace injury claims
Seriously injured workers*
Significant injuries (where lost time exceeds a working week, expressed as frequency rate per 1000 FTE)
*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)
Number of provisional improvement, improvement and prohibition notices (Work Health and Safety Act 2012 Sections 90, 191 and 195)
Return to work costs**
2022 – 23
2021 – 22
% Change (+ / -)
Total gross workers compensation expenditure ($)
Income support payments – gross ($)
**before third party recovery
Data for previous years is available via: Data SA website.
Executive employment in the agency
Number of executives
SAES 1 Level
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.