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Board Strategic Plan 2011-2014 October 2011 Page 1 Preamble The Paramedics Australasia (PA) Strategic Plan is intended to guide the efforts of those carrying out the learned society’s business and to provide practitioners and other stakeholders with an understanding of how PA intends to fulfil its mission and vision. The plan includes goals, strategic actions and relevant outcome indicators. The 2008-2011 Strategic Plan placed a focus on organisational change and restructuring which is now largely complete. That work began many years ago when the decision was taken that our mission would be to promote the art and science of paramedic practice nationally to the benefit of the community. Embodied within that broad statement of purpose is the promotion of awareness of the ethical and professional aspects of paramedic service delivery in the interests of the public and patient-centred care. PA thus works to fulfil the professional needs of its members and the development of the profession. While it provides advice for its members who have any concerns about aspects of their profession or career it does not act in relation to direct employment matters or cater for industrial relations in the nature of a union. Recognising that workplace relations can impact best practice PA liaises within Australia with the National Council of Ambulance Unions, and will seek similar relationships in the other countries where it operates chapters. PA has committed itself to play a role in the public debate, to become a source of expertise on key paramedical services and community health issues, and to set standards for the practice of the paramedic profession. These basic principles underpin PA activities as it provides leadership on current and emerging issues and contributes towards effective strategies in the campaign for better healthcare. As an organisation that aspires to take the profession into the future, PA will pursue these objectives and establish the wider benefits of paramedic practice on behalf of practitioners as a self-actualised and empowered profession. Page 2 2011 Strategic Issues Recent times have seen an unprecedented surge in healthcare-related issues, driven by a nationalised health reform agenda (in all countries where PA operates chapters) and a focus on regulatory reform encompassing the health professions. Just as a pilot or sailor responds to the prevailing wind and weather conditions, so too has PA responded to these developing issues and devoted resources to the task. PA’s agenda thus has been driven by ongoing activities to fulfil its core commitments with adjustments to cater for the realities of the external political and economic climate. It has focused on healthcare’s regulatory and economic environment, a drive towards best practice and clinical excellence, the community needs for equitable and accessible paramedic services, professionalism and education, and the development of a viable and innovative professional organisation. Health care policy and delivery: PA will seek to bring about changes in local and national healthcare and regulatory environments that will enable paramedics to provide care that is in the best interests of the community. Issues such as paramedic registration, funding and access to paramedic services are being addressed including the options for extended practice. Community health: PA continues to support improvements that affect public health, including the potential roles of paramedic practitioners in preventive interventions and primary healthcare delivery, effective treatment of chronic conditions, the promotion of healthy lifestyles and the application of the unique paramedic skills and leadership in disaster preparedness, traditional emergency response and crisis management. Quality of care and service delivery: PA is committed to advancing clinical best practices through greater practitioner participation in research, shared data collection, evidence-based practice and clinical governance. This commitment includes issues related to health care quality improvement, patient safety, performance management to ensure the right measures are included in data collection and health information, and the appropriate adoption of information technology and extended care models designed to optimise healthcare delivery from the perspectives of both infrastructure service providers and practitioners. Patient and practitioner safety: Factors that contribute to the poor OHS standards associated with paramedic practice will continue to be addressed especially in relation to their potential impact on patient safety. Increased awareness about contributing factors, greater consistency in identifying and sharing data on interventions, procedures and/or care processes that are misused, overused or underused all form part of the quality and safety agenda. Workforce innovation and reform: PA has worked towards achieving expanded practitioner collaboration with key bodies such as Health Workforce Australia in exploring and contributing towards workforce reform and innovation and in identifying a national and international workforce strategy. Interprofessional practice: PA has supported greater practitioner participation across the diverse areas of patient safety and service delivery. PA continues to engage other health professions and relevant stakeholders in minimising the barriers that restrict interprofessional Page 3 practice and adversely impact patient outcomes by not contributing towards optimal healthcare delivery. Professionalism and education: PA continues to address issues that affect the quality of education and practitioner competency including curriculum guidance and course accreditation, clinical training and continuing professional development. Paramedics need to be provided with robust data, resources, and continuing professional development opportunities available from a variety of sources. PA will continue to support educational networks and build on the resources in undergraduate and graduate education, research and professional development including improved clinical supervision. Organisation development and sustainability: While recognising that short-term events and circumstances will affect financial performance from year to year, PA is committed to longterm viability that will build the resources needed to assist practitioners at every stage of their careers. It will continue to invest in human resources, improved infrastructure, better communications and the development of new services and products to serve its members. Above all, PA seeks to be a professional organisation of unquestioned integrity whose corporate governance and operating standards reflect international best practice. It will develop linkages at national and international levels that will foster an international practice environment and expert network that monitors and actively promotes evidence-based practice. The plan also incorporates two elements. One concerns the business of PA, things like the Journal of Emergency Primary Health Care and the quarterly Response magazine, the Paramedic Shop currently managed pro tem (by a 2008 resolution) on behalf of the combined PA chapter members by the Australian College of Ambulance Professionals (NSW) and our other endeavours such as the Annual Conference that, along with membership income, provide the resources to implement PA’s mission. The other element addresses the professional aspects - developing the capacity to provide leadership in such areas as paramedic education, safety and quality, advocacy, service delivery and ethical professionalism. These activities serve as a national resource and play a key role in advancing the goals of the strategic plan. This Strategic Plan will continue to implement policies directed toward helping paramedics help patients. Collectively, the profession can make that happen through PA. Page 4 Strategic plan components The strategic plan includes the following components: • Vision – A statement describing the desired role of Paramedics Australasia. • Mission – A statement identifying Paramedics Australasia’s purpose and objectives. • Core Values – The underlying principles that guide planning and decision making • Goals – The desired outcomes being sought at any time. • Strategic Actions – Strategies that underpin current activities. • Success Indicators – Key measures used to assess and monitor progress. The PA Vision PA will be the peak professional body representing paramedic practitioners in Australasia promoting the profession and paramedic practice in the public interest. The PA mission To benefit the health of the Australasian community through research, promotion and recognition of professional excellence in paramedic practice by: Representing the professional needs of its membership base Influencing policy development in healthcare Advocating and advising on issues relevant to paramedic practice Facilitating lifelong learning through nationally coordinated and locally delivered professional development programs Providing services that support the business activities and professional development of paramedic practitioners Promoting and supporting the extended practice of the profession in the public interest. Page 5 PA core values PA is committed to upholding a professional Code of Ethics that embodies: • Professionalism • Leadership • Best practice • Integrity • Accountability Strategic directions and goals The following are primary goals (currently under review for the next planning period): 1. 2. 3. 4. PA is recognised regionally and respected as the voice of the profession. Practitioners support and participate effectively in the governance of PA. PA engages with practitioners in a manner that reflects its leadership role The organisation is structured and governed appropriately to support its role in the region 5. PA develops the necessary resources to effectively conduct its business. Page 6 Goal 1. PA is recognised regionally as the voice of the profession. Objectives 1.1 develop, maintain and enhance relationships with the health care community, government and other stakeholders whose missions align with those of PA 1.2 provide outspoken leadership for the profession 1.3 create an environment in which educational institutions recognise, promote, and support the goals and values espoused by PA 1.4 document standards on educational accreditation and continuing competency programs 1.5 provides and/or support continuing professional development programs through a variety of mechanisms 1.6 develop documented policies, procedures and service standards based on best practice 1.7 provides the portal for international cooperation and promotes an international framework for paramedic practice and education. Key performance Indicators PA participates actively in stakeholder initiatives, committees, workshops and other activities that relate to healthcare policy, funding and governance Educational institutions recognise the role of PA within the national regulatory framework for education an service delivery Academic practitioners and researchers generally are members of PA and actively promote its role Practitioners demonstrate a good understanding of the purpose, goals and values of PA PA adopts and enforces rigorous membership criteria and processes PA has established comprehensive policies and procedures for practitioner registration and fitness-to-practice / Scope of Practice / Continuing Competency / Privacy and Confidentiality / Health and Safety / Communications / Financial Operations and Audit Compliance. There is a comprehensive continuing education and competency program PA policies are current and accessible PA has a current suite of Standards of Practice / code of ethics PA has effective internal and external communications programs Page 7 Goal 2. Practitioners actively support and participate in PA activities Objectives 2.1 PA has a strategy to recruit practitioners through a broad membership promotion and engagement strategy that is implemented at a local (Chapter) level and for national / regional (professional) purposes 2.2 PA has a strategy to increase participation in the governance activities of the society locally (Chapters), nationally and regionally Key performance Indicators All component Boards, Committees and Groups are operating in accordance with constitutional and rule requirements (e.g. SIG rules) Surveys indicate an appropriately high level of sustained commitment and reporting performance Members demonstrate effective participation in the various nomination, election and SIG processes Members participating in society affairs show a full appreciation of governance policies, ethical standards, PA strategies and policy positions Participating members show a readiness to promote the profession and its activities through nomination in representational roles and advocacy Members provide positive feedback and input through communication media such as website, letters and social media Page 8 Goal 3. PA engages effectively with practitioners and policy makers Objectives 3.1 PA will establish a strategy for the recruitment of practitioners to participate in Chapters, Committees, and working groups in the delivery of services and policies and on-going professional activities e.g. research, accreditation, CPD, Registration Boards, conduct matters etc. 3.2 PA has a comprehensive and flexible internal and external communications strategy based on targeted groups and information networks 3.3 PA has a strategy to regularly explore the perceived needs of practitioners for a range of services to be provided Key performance Indicators PA regularly meets with and surveys opinions from practitioners and other stakeholders including government PA members/representatives actively participate on national and international advisory bodies and policy groups Invitations for engagement and presentations on significant issues The PA communications strategy provides practitioners with a good opportunity for interaction which is taken up by members PA is sought after as the benchmark for advice on professional practice Page 9 Goal 4. PA is structured and governed appropriately. Objectives 4.1 PA will establish a Chapter structure based on local affinity of interest that reflects the professional roles and needs of members and the optimal service delivery options 4.2 PA will provide a national / regional membership, communication, commercial and administrative structure that underpins the work of the society Key performance Indicators Surveys indicate a high level of satisfaction and commitment from members, volunteers and staff based on the outcomes being realised Surveys indicating a growth in self esteem and valuation by participants in PA activities Page 10 Goal 5. PA has the resources to realise its goals. Objectives 5.1 PA will establish a broad marketing and membership promotion strategy and framework to recruit membership from eligible practitioners that is implemented at a Chapter level 5.2 PA will establish an IT and membership administration strategy that caters for future growth and development 5.3 PA has a human resources strategy that reflects the objectives and demands placed on the society and which will attract and retain the appropriate level of professional staff 5.4 PA will develop a long range location and facilities strategy 5.5 PA will establish a variety of related members services that complement the role of paramedic practice and the objectives of membership recruitment and retention (e.g. commercial shop, insurance, travel, affinity schemes etc.) Key performance Indicators Membership and growth targets are achieved as a proportion of feasible Appropriate financial and commercial targets are achieved Recruitment and retention of staff meet the desired standards There is a facilities plan and target budget provisions There is an IT plan with contingency provisions There is a long range financial strategy that ensure viability Surveys and operating performance of service functions indicate benefits are appreciated and operations are cost effective (or viable) Page 11