Better Sooner More Convenient Primary Care - New Zealand Doctor

Risks to professional development and motivation.
Issues of patient choice and continuity of care, and how these are to be
safeguarded within a polyclinic-based system
Caution needs to be exercised in basing policy on international experience. “
His advice for successful integration was:
“Strong clinical leadership – quality focus
Team working
Cluster services & diagnostics around patient needs
Investment in change management & process redesign
Maximise benefit of new technologies and IT”
10 Risk analysis
Risk Probability Impact Contingency plan
Co-location of community
nursing and allied health
with medical centres is
achieved, but does not lead
to better integration
Re-orientation and
re-focusing of community
nursing/allied health
workforces towards
primary end leads to
overload for staff
("something added, but
nothing dropped")
Re-orientation and
re-focusing of community
nursing/allied health
workforces towards
primary care, worsens
connection with secondary
care
High High Recognise this key risk (as identified from
overseas experience/published literature).
Understand the limitations of co-location
back-up co-location with electronic
records integration
back up co-location with common
organisational/management structures
where possible
back up co-location with development and
implementation of an Integration Charter
that is linked to lease/tenancy
arrangements.
High High Identify early opportunities for improving
outcomes (rather than just responding to
service demands) for patients with high
demands on the system with view to reducing
the current level of demand/service utilization.
Target services to those most in need/most
able to benefit; refine entry/exit &
prioritisation criteria.
Medium High Recognise this key possibility and address from
the outset.
Ensure inpatient workload is fully understood
and necessary availability to the wards etc is
protected.
Business case appendices V12 AC 25Feb2010 Page 60