SEIPS-Guided Implementation of a Public Mohs Service
Tracks
Room 1
| Monday, November 30, 2026 |
| 3:10 PM - 3:30 PM |
| Plenary Room - Grand Central |
Overview
Kate Bennett
Speaker
Kate Bennett
Sunshine Coast Health
SEIPS-Guided Implementation of a Public Mohs Service
Abstract
Context
Queensland has the world’s highest skin cancer incidence, and periocular lesions require precise treatment to reduce recurrence, preserve function, and minimise disfigurement. Sunshine Coast Health established Queensland’s first public Mohs surgery service at Caloundra Health Service in February 2026 to improve access to tissue-sparing care previously limited to private patients.
Aim
This project aimed to implement a public Mohs service for periocular skin cancer using a SEIPS-informed model of care redesign. The goal was to align people, tasks, tools, environment, and organisational processes to support safe, timely, and coordinated care, while also assessing early patient-reported experience and outcome signals.
Approach
A multidisciplinary stakeholder group utilised SEIPS to guide implementation by examining how the work system needed to function for the new model of care. Before launch, low-fidelity simulation and in-situ simulation were used to test the pathway, identify gaps, and refine roles, processes, equipment needs, and team coordination. These simulations improved readiness for safe and efficient same-day care.
Results
Early patient-reported data suggest positive experience and outcome signals. Among three PREM respondents, all rated their overall experience as good or very good, and two-thirds reported that pain was well managed and discharge information was helpful. In the second survey, all four PROM respondents reported no or mild appearance-related concerns after treatment, indicating early benefit in functional and psychosocial recovery. There have been no reported safety incidents to date, supporting early safety performance.
Implications
This project demonstrates how SEIPS can actively shape implementation of a new model of care rather than simply describe it. By combining systems thinking with simulation-based testing, the team identified and addressed implementation gaps before launch, supporting a scalable public Mohs pathway with promising early outcomes and no reported safety incidents.
Queensland has the world’s highest skin cancer incidence, and periocular lesions require precise treatment to reduce recurrence, preserve function, and minimise disfigurement. Sunshine Coast Health established Queensland’s first public Mohs surgery service at Caloundra Health Service in February 2026 to improve access to tissue-sparing care previously limited to private patients.
Aim
This project aimed to implement a public Mohs service for periocular skin cancer using a SEIPS-informed model of care redesign. The goal was to align people, tasks, tools, environment, and organisational processes to support safe, timely, and coordinated care, while also assessing early patient-reported experience and outcome signals.
Approach
A multidisciplinary stakeholder group utilised SEIPS to guide implementation by examining how the work system needed to function for the new model of care. Before launch, low-fidelity simulation and in-situ simulation were used to test the pathway, identify gaps, and refine roles, processes, equipment needs, and team coordination. These simulations improved readiness for safe and efficient same-day care.
Results
Early patient-reported data suggest positive experience and outcome signals. Among three PREM respondents, all rated their overall experience as good or very good, and two-thirds reported that pain was well managed and discharge information was helpful. In the second survey, all four PROM respondents reported no or mild appearance-related concerns after treatment, indicating early benefit in functional and psychosocial recovery. There have been no reported safety incidents to date, supporting early safety performance.
Implications
This project demonstrates how SEIPS can actively shape implementation of a new model of care rather than simply describe it. By combining systems thinking with simulation-based testing, the team identified and addressed implementation gaps before launch, supporting a scalable public Mohs pathway with promising early outcomes and no reported safety incidents.
Biography
Kate Bennett is a healthcare improvement leader and clinician undertaking a PhD with the Australian Institute of Health Innovation at Macquarie University, with extensive experience driving system-level change across Queensland’s public health sector.
With qualifications in pharmacy and business, plus advanced study in healthcare innovation, she brings a rare blend of clinical insight, operational capability, and strategic thinking to complex health service challenges. She combines this with a strong focus on evidence-informed improvement, collaborative governance, and sustainable change.
Currently serving as Clinical Improvement and Implementation Project Lead at Sunshine Coast Health, Kate focuses on improving care delivery, strengthening governance, and delivering sustainable outcomes through collaboration, innovation, and data-driven practice. Her work spans patient flow improvement, model-of-care redesign, service integration, procurement reform, and technology implementation, all aimed at improving value, efficiency, and patient-centred care.
