‘EXPERIENCE AND LEARNINGS FROM IMPLEMENTING IMPROVEMENTS IN REFERRAL MANAGEMENT AND DEMAND
With
Nalani Cox,
Program Manger (Assistant Director of Nursing ADON)
Referral Strategy and ”PerformanceGold Coast Health, Queensland Health
PEOPLE IN HEALTH CARE SEGMENT
Filmed in Southport (Gold Coast) | May 2025
Nalani Cox joined Gold Coast Health in 2019 as a Nurse Manager focused on improving referral management processes within the outpatient environment through the implementation of the Clinical Prioritisation Criteria. This work became a focus point for the organisation in 2020 when Nalani led an organisational wide change project introducing Smart Referrals, Refer Your Patient website and HealthPathways which has culminated in her position as the ADON of the Referral Strategy and Performance Department.
Here she continues to improve and support the continuum of care and create improved clinical safety and transparency of referral management processes across Gold Coast Health. Nalani believes that working collaboratively with external care providers and staff across all levels of the organisation to drive change management, clinical redesign and promote shared understanding is critical in improving the patient journey through our complex health environment.
Prior to commencing this work, Nalani participated in the Australian College of Nursing (ACN) Mid-Career Nurse Leadership Program, which she describes as a catalyst for some of the most significant career achievements to date. Nalani is the deputy chair of ACN Brisbane Region Leadership team.
Source: Supplied
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Surgical Site Infection (SSI) Synopsis, including modifiable and non-modifiable risk factors
Talking to the Australian Health Journal, Professor Russo states there is a particular concern in joint operations, such as hip or knee replacements, as infections in these areas can have severe consequences, including the removal of the infected joint, prolonged treatment, and significant costs for both hospitals and patients. Despite the substantial impact of surgical site infections, Australia lacks a national surveillance program for these infections, making it challenging to obtain accurate data. However, an estimate suggests that around 45,000 surgical site infections occur annually in Australia, resulting in approximately 900 deaths.
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Entering The New Health Frontier
A new parliamentary report ‘The New Frontier: Delivering better health for all Australians’ is recommending significant reforms to the health care system to ensure Australians have better and faster access to the wave of new medicines and technologies.
The bipartisan report makes 31 recommendations to reform Australia’s system for the regulation and reimbursement with the hope that patients will receive faster access to the latest medicines and technologies.
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Pharmacist Prescribing Model gets further support from state health
A full scope pharmacist prescriber model allows pharmacists to independently prescribe medicines within their professional competence, without requiring prior doctor authorisation. It extends pharmacists’ role beyond dispensing to include assessment, diagnosis of minor and chronic conditions, initiation and modification of therapy, and ongoing patient monitoring. This model integrates pharmacists into primary care teams, aiming to improve timely access to treatment, reduce pressure on general practitioners, and enhance continuity of care. Pharmacists use their clinical knowledge, patient records, and collaborative pathways to ensure safe prescribing. The model emphasises training, regulation, and accountability to maintain high standards of patient safety.
