‘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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Landmark research projects tackle critical issues in emergency healthcare
For two decades, the demand for emergency department services in Australia has outpaced population growth and wait times have increased. In 2022-2023 more than 8.8 million emergency department presentations occurred nationwide.
While demand is a contributing factor, EDs are currently being impacted by various factors across the entire health system.
The Emergency Medicine Foundation (EMF) is a non-profit organisation funding innovative Australian research that improves the way people are cared for in a medical emergency. The aim of the research is to deliver better and more effective health services to save lives and money.
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Funding roadblocks creating digital health inequity
Helen Souris, CEO and Executive Director of Cardihab and Chair of the Digital Health Advisory Group at the Medical Technology Association of Australia (MTAA), highlights the significant gap in cardiac rehabilitation access across Australia. Despite the proven benefits of cardiac rehabilitation in improving survival, quality of life, and reducing hospital admissions, around 80% of eligible patients do not receive this care, with access rates even lower in regional and rural communities.
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Child Dental Benefits Schedule needing greater awareness
Since its launch in 2014, the Child Dental Benefits Schedule has seen a gradual increase in participation year on year. The impact of COVID-19 and related shutdowns saw participation fall sharply in 2020. Though it increased 2021, the national target of 41% participation was not reached in 2021-2022, with the total (35.4%) more than three percent below 2018 participation rates.
In an opinion segment, Australian Health Journal spoke with Abano Healthcare Group Clinical Director, Dr Fred Calavassy, with over 30 years of clinical experience, about his observations of the Child Dental Benefits Scheme ways to increasing participation rates.
