Quit Victoria: Non-Hospital Based Healthcare Services for Tobacco Addiction

This report discusses Quit Victoria, a non-hospital based healthcare service that provides help to reduce tobacco addiction among the Australian population. It covers their services, ethical considerations, risk management, and quality improvement guidelines.

Healthcare System
Name of the Student:
Student Id:
Assessment 3: Report and Critical Analysis
9 October 2019

Table of Contents
Executive Summary...................................................................................................................... 3
Introduction................................................................................................................................... 4
Description................................................................................................................................... 4
Need......................................................................................................................................... 4
Activities.................................................................................................................................... 4
Resources................................................................................................................................. 5
Ethical Consideration....................................................................................................................6
Help of benefit to others............................................................................................................ 6
Do no Harm.............................................................................................................................. 6
Act Fairly................................................................................................................................... 7
Respect others.......................................................................................................................... 7
Risk Identification and Management.............................................................................................7
Patient safety............................................................................................................................ 7
Potential Medical Error..............................................................................................................8
Mandatory Federal and State Regulations................................................................................8
Quality and Safety........................................................................................................................ 8
Summary and Conclusion............................................................................................................9
References................................................................................................................................. 11
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Executive Summary
Quit Victoria is a non-hospital based healthcare services that provides help to reduce the use of
tobacco or tobacco addiction among the Australian population. The analysis of the
organizational facilities and services helped to understand that the Quit Victoria delivers a
comprehensive yet tailored service for reduction of the smoking intoxication. The service is
directed among the mass. Quit Victoria also follows the necessary risk management steps and
quality improvement guidelines stated by the Australian Commission on Safety and Quality in
Health Care under National Safety and Quality Health Servicein order to improve the overall
service quality. The non-hospital based service provided by this organization also abides by the
ethical principal of privacy, confidentially, beneficence and non-malfeasance in order to improve
the overall service quality.
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Introduction
According to the Australian Institute of Health and Welfare (AIHW) (2017), tobacco
smoking is regarded as single most preventable cause of ill-health and increased number of
mortality and morbidity in Australia. Tobacco smoke contains 7000 chemicals that increase the
vulnerability of developing cancer. Nearly 12% people, who are aged 14 years or older, smokes
cigarette daily. However, this percentage has reduced from 24% as recorded in the year 1991.
The percentage of smoking among the pregnant women has also reduced in 2017 (10%) from
the percentage recorded in 2009 (15%). The lowest age in which the individual who have
smoked cigarette have increased to 16.3 years in 2017 in comparison to the 14.2 year in the
year 2001. This improvement in the smoking statistics is attributed to the health promotion and
awareness made by the government of Australia and at the same time initiatives by the non
hospital based services by the publicly or privately funded organization. The following
assignment will focus on the role played by Quit Victoria in reducing the tobacco use in the
Australia. This will be followed by the ethical consideration, risk management and quality
improvement associated with the overall operation of that organization.
Description
Need
Quit Victoria began in the year 1985. It aims to decrease the health, social and financial
inequalities arising out of smoking. It is a non hospital based clinic that specializes in the
effective treatment of tobacco addiction. This is one of the oldest organizations in Australia that
provides support for smoking cessation. It is brimmed with a team of skilled and experienced
professionals and professionals that extend support to the individuals who are struggling to quit
smoking. The program mainly focuses on the effective yet accessible treatment that is designed
to suit the lifestyle of every individual. In this organization, confidentiality and privacy of the client
is strictly followed. This program thus helps to reduce the smoking habits among the mass by
implementing non-hospital based non-pharmacological interventions.
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Activities
The menu bar of the Quit Victoria has an array of the services that will assist in quitting
smoke. This mainly stars with “Looking for”. Under this sections there are sub-section include
 Reasons to quit smoking
 A plan to get ready to quit smoking
 Tips to stick to the smoking prevention tract or maintaining the determination to quit
smoking
 Advice on having another go at quitting smoking
 Success stories of ex-smokers
Apart from promoting awareness, this non hospital based setup also provides personalized
support for quitting smoke under the column of “get support”. The main options present under
these options include
 A call back request for personalised counselling or exchange of the information
 Signing up for Quitmail: a mail generated to assist individuals to quit smoking
 Signing up for Quittext: These are mobile generated text messages that are given to the
individuals who are interest in quitting tobacco
 Signing up for Quitcoach: This service provides personalised professionals in order to
assist the individuals to quit smoking
Resources
The program of led by the Cancer Council Victoria and is funded by the VicHealth and
the Victorian Department of Health and Human Services. It works in partnership with the
VicHealth, DHHS, the Heart Foundation, the Victorian Aboriginal Community-Controlled Health
Organisation (VACCHO) and other publicly funded organization
The under the resources section, Quit Victoria provides fact sheets related to ill-effects of
smoking, diet for the smoking prevention and effects of smoking and passive smoking upon the
health of the others. Sohanpalet al. (2016) stated that having a comprehensive list associated
with the smoking cessation helps to improve the mental health and stamina of the person along
with zeal to quit smoking.
Under “take action section” there is a detailed list of the
 Building plan
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 Quitting tips and the other tactics
 Distract me: an approach to stick to the smoking prevention plan by distracting from the
withdrawal symptoms of smoking
 Calculation of the overall cost of smoking
Quit Victoria also provides free tools like “cost of smoking”, “effects of smoking on your body”
and “your quit plan”. The overall smoking prevention program and services offered by Quit
Victoria identifies the need for an approachable, personalised yet continent service in Australia
and also introduces the methods and techniques to assist the tobacco addicted individuals
towards leading a normal yet healthy life. The personalized services are delivered by trained
healthcare professionals like the mental health nurses, community based nurses
psychotherapists, dieticians, physical trainer, occupational therapists and physicians. Quit
Victoria also provides information based on resources in Arabic language and thus increasing
the overall boundaries of the prospective clients.
Ethical Consideration
Quit Victoria is a centre that provides assistance in quitting smoking or the use of
tobacco. This rehabilitation centre adheres the proper ethical and the moral code of conduct and
this includes respecting privacy and confidentiality of the service users personal information.
Quit Victoria Has certain fundamental ethical guidelines and based on these guidelines they
practice their services.
Help of benefit to others
The primary aim of this non-hospital based healthcare facility is to help the individuals to
quit smoking and thereby helping to improve the overall health status of the community dwelling
people. Kovac, Khanna and Lipshultz (2015) and Enget al. (2018) stated that smoking of
cigarette since and early age increases the vulnerability of developing pulmonary complications
and even leads to the development of cancer and thus leading to the generation of various
social issues.
Do no Harm
The Quit Victoria also follows “do no Harm” policy that helps in protecting the interests of
the clients. This is in accordance to the organizational privacy policy. None of the information
related to the patient’s personal details are highlighted in the official website of the Quit Victoria.
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While making personalised quit smoking plan, the information of the service users are never
disclosed in public.
Act Fairly
The organization also aims to act fairly towards all the clients and this signifies doing
good for all (Bosdriesz2017). It also makes conscious effort for avoiding any kind of bias service
or preaching prejudices while giving care to the client. This is achieved through maintaining bias-
free professional atmosphere irrespective of the gender, cast and socio-economic background.
Jung (2016) stated that significant of incorporating the ethical problems in the file of the public
healthcare services helps in improving the overall participation of the healthcare service users.
Respect others
Quit Victoria understands this deep rooted issue prevalent within the society and aims to
act against the issue by delivering tobacco addict person with a safe life where they can
overcome their intoxication and indulge into healthy living. This is done by giving respect to
diverse group of service users. Moreover, the Quit Victoria websites has a list of ill effects of
smoking along with a personalised quit smoking plan in order to raise awareness and provide
assistance to the tobacco addict person.
Risk Identification and Management
As the main objective of the facility is to help people to recover from the smoking habits
through counselling and rehabilitation, any form of uncertainty that might affect attainment of the
said objective must be classified as risks. Munafroet al. (2018) highlighted in their study that
proper identification of the risks and the subsequent management of the same is the one of the
most vital aspect of the clinical governance.
Patient safety
The organization is the first and foremost responsible for providing safety and quality
services to the client. In case of any kind of danger, the organization will be held responsible for
that. Thus special care must be undertaken by the administrative authority of the organization in
order to make sure that there are no measures or facilities or equipment present within the
organization that might harm the service users (World Health Organization 2017). Quit Victoria
has proper security lined up in order to prevent the risks of the service users with to assist the
patients with any form of mental crisis that might arise during the process of quitting smoking.
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They monitor the patient perform mental counselling in order to gauze any form of impending
harm to the cline and take necessary actions accordingly.
Potential Medical Error
While giving care for the tobacco addicted persons significant amount of risk is involved
and the healthcare organisation are require to undertaken actions in order to reduce any
prospective harms (Corvalán et al 2017). Potential medical error is however not directly
associated with their service as they provide non-pharmacological interventions.
Mandatory Federal and State Regulations
Mandatory Federal and State Regulations of Victoria ban smoking of cigarettes in public
places. Quit Victoria provides service to the individuals in order to prevent overall smoking
tendencies of the individuals and not specific to smoking in public places.
Quality and Safety
The National Safety and Quality Health Service (NSQHS) is a standard introduced by the
Australian Government Department of Health for delivering proper governance to secure quality
and safety standards of any health care facilities or healthcare programme (Australian
Commission on Safety and Quality in Health Care2012). The standards mainly serve the primary
purpose of protecting the healthcare service users from any impending harm and at the same
time improving the overall provision of the healthcare services. Sherwood and Barnsteiner
(2017)highlighted in their articles that quality improvement is defined as an approach of
combined efforts of diverse group of the healthcare professionals, researchers, policy planners,
patients and their family members. The standards of the NSQHS represent a sort of quality
assurance mechanisms under which both the public and the private health service providers
must implement in order to get approved by the NSQHS.
The Quit Victoria services work in coherence with modern healthcare standards as evident
from their official website. However, inculcating the checks and the balances that are being set
by the NSQHS is a complex task and thus requires a collaborative healthcare effort coming from
the entire organization starting from the every staff members and other healthcare providers.
Furthermore, checking out every single parameter in the lists of the quality and safety elaborated
by the NSQHS is a strenuous yet difficult task. However, the standard led by the NSQHS helps
to serves as a parameter in order to regulate the safety and quality in a step by step manner
(Australian Commission on Safety and Quality in Health Care 2012). The use of the NSQHS
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guidebook, the overall services of the Quit Victoria will be evaluated continuously in order to
affirm the quality of the overall services and safety prevalent in the ongoing process. Proper
utilization of the NSQHS standards requires
 Taking patient safety as the prime priority under all prevalent business decision
 Reporting safety and the quality improvement reports in a time to time manner by the
governing body and reviewing the safety and the quality report accordingly in order to
bring further modifications in the healthcare plan
 Increase in the level of awareness of the individual’s safety and overall quality roles and
other responsibilities by the healthcare workforce
 A risk management followed by quality improvement approach under all aspects of the
healthcare services
 Ongoing training of the healthcare staffs while maintaining the quality of the healthcare
services
(Dixon-Woods and Martin 2016)
Though limited information is available about the health and safety initiatives taken by the
Quit Victoria from their official websites by following the NSQHS standards, the organization
claims to take proper quality and safety checks in order to uphold the best rights of the client.
The overall layout of the websites helps in understanding that Quit Victoria provides a detailed
service in order to improve the health of their service users by helping them to quit smoking.
Under the list of the esteemed services, it can be stated that the professionals of the Quit
Victoria working for the smoking prevention services are trained and educated enough to work
for the best interest of the client. This digital solution or remote based service by the delivery of
the personal centred care plan is one of the effective healthcare services prevalent now-a-days
(Ubhi et al. 2015). Quit Victoria mainly provides this kind of services. The high end yet digitalized
service provided by Quit Victoria provides an indication towards is arsenal of the trained
healthcare professionals.
Summary and Conclusion
The following assignment thus helped in understanding the issues and the characteristics
of Quit Victoria for the reduction of the tobacco use under non-hospital based specialised health
program. The assignment helped in understanding the goals, services and the strategies that
are being offered by Quit Victoria in order to reduce the tobacco use among the mass. The
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website presentation of was net that helped in proper understanding of the services. The
organization also follow the required ethical, risk management and quality improvement features
in order to provide quality health care services. The centre also works in coherence of the
NSQHS and also has a trained team of professionals in order to procure tailored service.
References
Australian Commission on Safety and Quality in Health Care 2012,National Safety and Quality
Health Service (NSQHS), viewed 20 September
2019,<https://www.safetyandquality.gov.au/sites/default/files/migrated/NSQHS-Standards-Sept-
2012.pdf>.
Australian Institute of Health and Welfare [AIHW](2017),Overview. viewed19 September
2019,<https://www.aihw.gov.au/reports-data/behaviours-risk-factors/smoking/overview>.
Bosdriesz, J.R., 2017. Tobacco control policies and socio-economic inequalities in smoking
cessation. Evaluating natural experiments. Amsterdam: Universiteit van Amsterdam.
Corvalán, M.B., Véjar, L.M., Bambs, C.S., Pavié, J.G., Zagolin, M.B. and Cerda, J.L., 2017.
Clinical Practice Guidelines for Smoking Cessation. Revistamedica de Chile, vol. 145, no. 11,
pp.1471-1479.
Dixon-Woods, M. and Martin, G.P., 2016. Does quality improvement improve quality?. Future
Hospital Journal, vol. 3, no. 3, pp.191-194.
Eng, L., Liu, S., Farzanfar, D., Alton, D., Smith, E., Mccartney, A., Yeung, S., Basgaran, A.,
Balaratnam, K., Mattina, K. and Harper, C., 2018. Awareness of the Harms of Continued
Smoking Among Lung Cancer (LC) Survivors. Journal of Thoracic Oncology, vol. 13, no. 10.
Jung, M., 2016. Exploring socio-contextual factors associated with male smoker’s intention to
quit smoking. BMC public health, vol. 16, no. 1, p.398.
Kovac, J.R., Khanna, A. and Lipshultz, L.I., 2015. The effects of cigarette smoking on male
fertility. Postgraduate medicine, vol. 127, no. 3, pp.338-341.
Munafro, M., Drury, M., Chambers, R. and Wakley, G., 2018. Smoking cessation matters in
primary care. CRC Press.
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Quit Victoria. (2019). Home, viewed 21st September 2019, <https://www.quit.org.au>.
Sherwood, G. and Barnsteiner, J. eds., 2017. Quality and safety in nursing: A competency
approach to improving outcomes. John Wiley & Sons.
Sohanpal, R., Rivas, C., Steed, L., MacNeill, V., Kuan, V., Edwards, E., Griffiths, C., Eldridge, S.,
Taylor, S. and Walton, R., 2016. Understanding recruitment and retention in the NHS community
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no. 7, p.e010921.
Ubhi, H.K., Michie, S., Kotz, D., Wong, W.C. and West, R., 2015. A mobile app to aid smoking
cessation: preliminary evaluation of SmokeFree28. Journal of medical Internet research, vol. 17,
no. 1, p.17.
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WHO/HIS/SDS/2017.11). World Health Organization.
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