The LEAP Project
The LEAP (Leveraging Effective Ambulatory Practices) project aims to work with Aboriginal and Torres Strait Islander primary health care services to identify and implement a strengths-based framework that will support quality improvement – we seek to understand what is needed for all services to succeed.
Why is this project needed?
Primary health care services are made up of many systems, and successful change depends upon a good “match” between the realities for the service and actions for improvement. Despite increased policy attention and funding, not all primary health care services for Aboriginal and Torres Strait Islander Australians have shown improvements in quality of care despite continuous quality improvement action. We need to understand the challenges to reaching quality of care goals, what is needed to overcome these challenges and how acceptable and effective a toolkit of interventions might be to improve quality of care.
How we will do this project?
Working in partnership in Aboriginal and Torres Strait Islander health is fundamental, and this project builds on current work and existing partnerships to improve the quality of health services. Working with eight Aboriginal and Torres Strait Islander primary health care services and existing quality improvement networks, we will support services to achieve their quality improvement goals.
Specifically, we will co-create a Learning Community that centralises services, we will conduct case studies to identify implementation challenges and their interactions, and then collaborate to develop a toolkit to address the identified challenges. Services will then be supported to implement useful elements of the toolkit to address their most important quality of care needs. Throughout joint project assessments will be conducted to understand the effectiveness, impact and acceptability of the interventions.
This project will help us understand how to best support services to successfully implement changes that will overcome challenges and improve the quality of Aboriginal and Torres Strait Islander health services for better health outcomes.
Larkins, S. et al (2017). The implementation gap: what is needed to ensure the effectiveness of quality improvement interventions in Indigenous primary health care? PHC Research conference, Brisbane, August 2017
Publications and research translations
Turner, N. N., J. Taylor, S. Larkins, K. Carlisle, S. Thompson, M. Carter, M. Redman-MacLaren and R. Bailie (2019). "Conceptualizing the Association Between Community Participation and CQI in Aboriginal and Torres Strait Islander PHC Services." Qualitative Health Research: 1049732319843107.
Redman-MacLaren, M., Turner , N. N., Taylor, J., Laycock, A., Vine, K., Thompson , Q., . . . Matthews , V. (2021). Respect Is Central: A Critical Review of Implementation Frameworks for Continuous Quality Improvement in Aboriginal and Torres Strait Islander Primary Health Care Services. Frontiers in Public Health, 9(926). doi:10.3389/fpubh.2021.630611
Carlisle K, Matthews Quandamooka V, Redman-MacLaren M, et al. A qualitative exploration of priorities for quality improvement amongst Aboriginal and Torres Strait Islander primary health care services. BMC Health Serv Res. 2021;21(1):431. Published 2021 May 6. doi:10.1186/s12913-021-06383-7
NHMRC Partnership Grant Idea from LEAP (CRE-STRIDE Stream 2)
Artwork by Noela Jimarin