A range of One21seventy clinical audit tools and other tools, eLearning modules and resources for continuous quality improvement (CQI) is available for you to access directly from this site.

Background:

Menzies operated One21seventy as a non-profit entity from 2010 to 2016 to provide evidence-based practical tools and processes to help primary health care providers with continuous quality improvement (CQI). 

One21seventy aimed to increase the life expectancy for Indigenous people beyond one in infancy, beyond 21 in children and young adults and beyond seventy in older adults through a focus on CQI.

CQI can improve health outcomes by assisting health services to improve their health delivery systems to provide best practice care. Until October 2016, One21seventy supported the use of CQI in Indigenous primary health care through a range of CQI related tools, and a web-based reporting system, and through training and clinical audit support for services. An action-based approach was used in working with health care staff to identify strengths and weaknesses in their systems, set goals for improvement, develop strategies to achieve these goals, and assess the effectiveness of these strategies in improving care for chronic conditions.

You may access One21seventy clinical audit tools and other tools, e-learning modules and resources from this site.

Access to customised One21seventy training, support for the clinical audit and other tools, and comparisons with pooled data from other health centres ceased with the closure of One21seventy on 1 October 2016. Thank you to the services and partners who have been involved in CQI through One21seventy.

Partners and Collaborators:

Menzies collaborated with a number of additional partners on One21seventy including:

Overview:

Menzies established One21seventy in 2010 following the completion of two NHMRC funded research projects, the ABCD and ABCD Extension Projects (2002 – 2009). These projects aimed to improve health outcomes by assisting Indigenous health services to improve their systems for delivery of best practice care. The ABCD program used an action-research approach to work with health centre staff to identify strengths and weaknesses in their systems, set goals for improvement, develop strategies to achieve these goals, and assess the effectiveness of these strategies in improving chronic illness care. The ABCD program started with primary health services in the Top End of the Northern Territory, and by 2009, 140 health centres were using ABCD tools and processes in most Australian states and territories.

The ABCD program demonstrated that a CQI model could be both attractive to, and effective in, supporting Indigenous primary health care centres to use evidence-based best practice in chronic illness care. Analysis of data on health centre performance over time shows that the majority of health centres in the project improved their performance in relation to most indicators. The ABCD program influenced national, state and territory policy and programs in relation to Indigenous primary health care.

Alongside One 21seventy, the CQI support service, the NHMRC funded ABCD National Research Partnership conducted research from 2010 to 2015 with respect to understanding variation in the quality of care and strategies for improvement.

Welcome to One21seventy eLearning Modules

This education package provides an opportunity to learn about best-practice approaches in continuous quality improvement in Aboriginal and Torres Strait Islander primary health care.

eLearning modules

Six open-access e-learning education modules were developed by One21seventy. The modules will assist you in learning about best-practice approaches to CQI in Indigenous primary health care.

The modules are designed to be a self-paced learning tool. If you are using the same computer/iPad, the system will remember where you left off. You will be advised of the time commitment required before starting each module.

Modules 1 - 3 introduce population health approaches, continuous quality improvement in Aboriginal and Torres Strait Islander primary health care, and the One21seventy CQI model, tools and processes.

Modules 4 - 6 take you through processes of interpreting audit report data, identifying improvement priorities, setting goals and planning strategies for implementation. Please note, these modules are not currently available. 

  • Module 04: Use of the One21seventy Vascular and Metabolic clinical audit tool
  • Module 05: Setting goals, planning and monitoring CQI
  • Module 06: Implementing CQI

The modules are recommended for all healthcare workers involved in CQI and were current at September 2016. 

 

Acknowledgements:
One21seventy would like to acknowledge and thank the people who contributed to the development of the One21seventy eLearning Modules. Click here to view the list of contributors.

  1. Cunningham, F.C., Ferguson-Hill, S., Matthews, V. & Bailie, R. (2016) Leveraging quality improvement through use of the systems assessment tool in Indigenous primary health care services: a mixed methods study. BMC Health Services Research, 16, 583.
  2. Laycock, A., Bailie, J., Matthews, V. & Bailie, R. (2016) Interactive dissemination: engaging stakeholders in the use of aggregated quality improvement data for system-wide change in Australian Indigenous primary health care. Frontiers in Public Health, 4, 84.
  3. Larkins, S., Woods, C.E., Matthews, V., Thompson, S.C., Schierhout, G., Mitropoulos, M., et al. (2016). Responses of Aboriginal and Torres Strait Islander primary health-care services to continuous quality improvement initiatives. Frontiers in Public Health, 3, 288.
  4. Matthews, V., Schierhout, G., McBroom, J., Connors, C., Kennedy, C., Kwedza, R., et al. (2014). Duration of participation in continuous quality improvement: a key factor explaining improved delivery of Type 2 diabetes services. BMC Health Services Research, 14, 578.
  5. Bailie, R., Matthews, V., Brands, J. & Schierhout, G. (2013). A systems-based partnership learning model for strengthening primary healthcare. Implementation Science, 8, 143.
  6. Bailie, R., Si, D., Shannon, C., Semmens, J., Rowley, K., Scrimgeour, D.J., et al. (2010). Study protocol: national research partnership to improve primary health care performance and outcomes for Indigenous peoples. BMC Health Services Research,10, 129.
  7. Menzies School of Health Research & the Lowitja Institute. (2010). Audit and Best Practice for Chronic Disease Extension Project, 2005–2009: Final Report. Melbourne: the Lowitja Institute.
  8. Bailie, R., Sibthorpe, B., Gardner, K., & Si, D. (2008). Quality improvement in Indigenous primary health care: history, current initiatives and future directions. Australian Journal of Primary Health,14(2), 53-57.
  9. Si, D., Bailie, R., Cunningham, J., Robinson, G., Dowden, M., Stewart, A., et al. (2008). Describing and analysing primary health care system support for chronic illness care in Indigenous communities in Australia's Northern Territory - use of the Chronic Care Model. BMC Health Services Research, 8, 112.
  10. Bailie, R., Si, D., O'Donoghue, L. & Dowden, M. (2007). Indigenous health: effective and sustainable health services through continuous quality improvement. MJA, 186(10), 525-527.
Contact:

Dr Frances Cunningham
Senior Research Fellow
Menzies School of Health Research
Phone: 07 3169 4219
Email