Chief Investigator, Polypharmacy Stream Lead
Dr Ian Scott is Director of the Department of Internal Medicine and Clinical Epidemiology at Princess Alexandra Hospital (PAH) in Brisbane. He practices as a consultant general physician with interest in non-interventional cardiology and conducts research and teaching in cardiology, health services evaluation, evidence-based medicine, quality improvement and clinical education.
Ian is passionate about healthcare reform and his department at PAH has been a national leader in a number of innovations including multidisciplinary electronic discharge summaries, high risk wards for patients with conditions or risk factors requiring close supervision and specialized nursing, integrated palliative care service, standardised nurse risk assessment on admission, rapid recognition of deteriorating patient protocols, criteria-led discharge, clinical service evaluation, bedside clinical handover and discharge case managers. He authored the first Australian guidelines for acute medical assessment and planning units (MAPUs) in 2006 and was clinician lead in the design and implementation of a new state-of-the-art 30-bed MAPU at PAH commissioned in April 2011. He established the first dedicated perioperative medicine service in a Queensland hospital in 2007 and authored the first Australian guidelines for evidence-based perioperative medicine in 2008.
Ian led a multi-site quality improvement collaboration involving 3 Brisbane hospitals and 4 divisions of general practice targeting the care of patients recently hospitalized with acute coronary syndromes or congestive heart failure (2000-02). These activities realized significant improvements in quality of care, better integration between hospital and primary care providers, and reduced patient mortality over a 2 year period. He also lead a collaboration of 25 Queensland public hospitals between 2001 and 2007 achieving significant advances in quality of care and providing Queensland Health (QH) with much needed data on resource utilization assisting future planning of cardiac services throughout the state. Ian’s contributions were recognized by his peers when presentations describing these and other results were awarded best paper prizes at several annual scientific meetings of QH.
Ian brings this experience and innovative zeal to the CRE-EPIC3 and will lead the implementation and evaluation a new model of care of patients with chronic heart failure (CHF) based on specialists working in collaboration with general practitioners (GPs) with advanced skills in ambulatory settings. Ian believes this ‘primary care amplification model’ of care has real potential to enhance the capacity of both specialists and GPs to manage the ever increasing numbers of patients with suspected or known CHF in beacon community-based practices which are readily accessible to patients and which provide comprehensive multidisciplinary assessments and therapies. Importantly Ian believes this model will result in improved overall patient care, lessen readmissions and mortality and enhance professional teamwork, co-ordination, skills and satisfaction. Ian is delighted to be part of this ground-breaking project working with a great team of forward-looking and committed clinicians and researchers.
As part of the CRE-EPIC3 portfolio in CHF, Ian has co-authored a training curriculum in CHF care for GP fellows wishing to acquire a Masters in General Practice – a critical component of this model of care.
Ian is an Associate Professor of Medicine at the University of Queensland, an Adjunct Associate Professor of Medicine in Epidemiology and Preventive Medicine at Monash University and a Research Associate with the Centre for Research Excellence in Patient Safety in Melbourne. He has authored over 120 papers in peer-reviewed journals, has received in excess of $2 million research funding since 2000, and is co-investigator in several projects that have received funding from Queensland Health (QH), NHMRC and other funding bodies.
Ian has served in the following capacities
- Member of Queensland Health Patient Quality and Safety Executive Committee and the Quality Expert Advisory Group (current)
- Supporting Physicians Performance Committee of the Royal Australasian College of Physicians (RACP)(current)
- President of the Internal Medicine Society of Australia and New Zealand (past) and in 2011 was awarded the John Sands Medal for outstanding services to the RACP
Ian may be contacted at email@example.com