Learnings From the Front Line: Early Implementation Experiences of the Central Queensland Foot Hub Virtual Multidisciplinary Team Model-of-Care

Abstract

Background

The ‘Central Foot Hub’ was operationalised in mid-February 2024 to provide multidisciplinary team (MDT) support from the Royal Brisbane and Women's Hospital (RBWH) to three hospital and health services (HHS) across Central Queensland. This model aimed to enhance diabetes-related foot disease (DFD) care by integrating virtual and local MDTs.

Aim

This study presents early implementation learnings from frontline clinicians involved in the co-design, implementation and refinement of this innovative model-of-care (MOC).

Methods

A preparatory phase involved stakeholder engagement, service mapping and funding allocation to RBWH for recruitment. Site preparedness varied, influencing referral rates. A mixed-methods approach was used to evaluate challenges and successes, with input from local end-users.

Discussion

Key enablers included local champions, collective leadership and integration with existing providers. At Rockhampton Base Hospital, the MDT expanded subsequently improving care coordination. However, challenges such as funding constraints, hybrid health information systems, and technological barriers affected implementation. Discipline-specific insights highlighted the need for structured communication, local workforce expansion and ongoing refinement of MOC.

Conclusion

The Central Foot Hub enhanced access to specialist care and optimised local service delivery for people living with DFD in Central Queensland. Sustainable scale-up will require additional funding, streamlined health information systems and continued collaboration between healthcare providers across HHS.