Better Sooner More Convenient Primary Care - New Zealand Doctor
Better Sooner More Convenient Primary Care - New Zealand Doctor Better Sooner More Convenient Primary Care - New Zealand Doctor
6 Deliverables / activities Implementation plan: to June 30 Trial a process for adapting the HealthPathways: Decide on the first two areas – areas where HealthPathways have already been developed in Canterbury, where there are keen local clinicians, and where there are no major barriers to progress. Identify local hospital specialists, GPs, hospital and community based nurses who are willing to participate. Set up two workshops with local clinicians, plus experienced clinicians and IT support from Canterbury for the first two pathways. At the workshops begin with copies of the Canterbury pathways and work through each, identifying what changes need to be made and where there are access or resource issues that will need to be solved outside the workshops. Write up the results of the workshops and circulate back to members. Work with management to resolve access and resource issues as possible. Meet in person (or e-mail) to finalise the West Coast adaptation. Hold professional development meetings with primary and secondary care to educate regarding the HealthPathways. Evaluation: Review how well the above process went, adapt and refine. Develop a process to adapt future pathways locally without requiring facilitation from Canterbury. Select next areas for developing the West Coast adaptation. Referral quality audit: develop audit tool use to gather baseline data. Year one: implement the process to adapt another 8 groups of Health Pathways groupings refine processes provide further educational sessions review results of develop referral quality audit and work on addition of Health Pathways (will depend on cost and available resources). Business case appendices V12 AC 25Feb2010 Page 66
Year two implement the process to adapt another 6 groups of Health Pathways groupings refine processes provide further educational sessions evaluate usage and progress, adapt plan as required. Year three implement the process to adapt another 6 groups of Health Pathways groupings refine processes provide further educational sessions. 7 Capability and capacity Capability: This project is an adaptation of the successful Canterbury Initiative project and will be supported by Canterbury and hence benefit from their expertise. The project is supported by key West Coast clinicians (Chief Medical Officer, Director of Nursing and Midwifery, Primary Secondary GP Liaison) and the Patient Journey Improvement Co-ordinator. They will manage the implementation of the project. The project depends on the involvement of other local clinicians in working groups. Given the demands on local clinicians the project has been adapted so as to use their time as efficiently as possible. 8 Effect on inequalities It is important that the patient journeys take into account a whanau ora approach and provide a holistic approach to care. Māori will be included in developmental working groups. 9 Evidence for this initiative The following evidence from the Canterbury initiative suggests that this programme is likely to be successful: Proven implementation team from Canterbury to work with WCDHB. Proven track record in Canterbury - over 180 pathways in just over a year many adaptable for the West Coast. Business case appendices V12 AC 25Feb2010 Page 67
- Page 85 and 86: 11 Engagement Working group who dev
- Page 87 and 88: Appendix B: Acutely unwell adult pa
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- Page 91 and 92: Review Buller after hours arrangeme
- Page 93 and 94: Year three Community education camp
- Page 95 and 96: 13 Costs Budget considerations:
- Page 97 and 98: established. This group now oversee
- Page 99 and 100: Output measures Tobacco control / s
- Page 101 and 102: Improving immunisation coverage - h
- Page 103 and 104: Year three Continued joint plan
- Page 105 and 106: extending health promotion activiti
- Page 107 and 108: Immunisation Coverage Funder Provid
- Page 109 and 110: The Community Health System Deliver
- Page 111 and 112: Clinical care Practice self managem
- Page 113 and 114: and increases in the numbers of pat
- Page 115 and 116: Ambulatory Sensitive Hospitalisatio
- Page 117 and 118: % CVD on lipid lowering drugs, beta
- Page 119 and 120: Health navigators/ kaiawhina: chan
- Page 121 and 122: Committee‟s objectives 41 of prov
- Page 123 and 124: - lack of consistency of care betwe
- Page 125 and 126: qualifications and skills. Where ca
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- Page 129 and 130: “With an aging population and an
- Page 131 and 132: Differences between revenue generat
- Page 133 and 134: Appendix Seven: Integration - Healt
- Page 135: It is expected that HealthPathways
- Page 139 and 140: Low uptake by primary and secondary
- Page 141 and 142: Appendix Eight: Improved access to
- Page 143 and 144: to easily access by telephone). Oth
- Page 145 and 146: Year One - July 2010 to June 2011 T
- Page 147 and 148: LECG 50 evaluated whether “the im
- Page 149 and 150: Appendix Nine: Referred services 1.
- Page 151 and 152: them by technical errors or lack of
- Page 153 and 154: Identify patients that would benefi
- Page 155 and 156: • Provision of patient specific m
- Page 157 and 158: 12 Organisational accountabilities
- Page 159 and 160: emain under the care and management
- Page 161 and 162: Service user pathways in an optimal
- Page 163 and 164: Model for shared care pathways deve
- Page 165 and 166: Implementation plan: to June 30 Dev
- Page 167 and 168: Year two Review progress, outcome m
- Page 169 and 170: 10 Risk analysis Risk Probability I
- Page 171 and 172: Appendix Eleven: Frail older people
- Page 173 and 174: ehab and treatment programmes that
- Page 175 and 176: Year one: Maintain and continue the
- Page 177 and 178: Māori have a higher incidence of m
- Page 179 and 180: 11 Organisational accountabilities
- Page 181 and 182: There are often vacancies for allie
- Page 183 and 184: 6 Deliverables / activities Program
- Page 185 and 186: Professional development: Provide
6 Deliverables / activities<br />
Implementation plan: to June 30<br />
Trial a process for adapting the HealthPathways:<br />
Decide on the first two areas – areas where HealthPathways have already been<br />
developed in Canterbury, where there are keen local clinicians, and where there are no<br />
major barriers to progress.<br />
Identify local hospital specialists, GPs, hospital and community based nurses who are<br />
willing to participate.<br />
Set up two workshops with local clinicians, plus experienced clinicians and IT support<br />
from Canterbury for the first two pathways.<br />
At the workshops begin with copies of the Canterbury pathways and work through each,<br />
identifying what changes need to be made and where there are access or resource<br />
issues that will need to be solved outside the workshops.<br />
Write up the results of the workshops and circulate back to members.<br />
Work with management to resolve access and resource issues as possible.<br />
Meet in person (or e-mail) to finalise the West Coast adaptation.<br />
Hold professional development meetings with primary and secondary care to educate<br />
regarding the HealthPathways.<br />
Evaluation:<br />
Review how well the above process went, adapt and refine.<br />
Develop a process to adapt future pathways locally without requiring facilitation from<br />
Canterbury.<br />
Select next areas for developing the West Coast adaptation.<br />
Referral quality audit:<br />
develop audit tool<br />
use to gather baseline data.<br />
Year one:<br />
implement the process to adapt another 8 groups of Health Pathways groupings<br />
refine processes<br />
provide further educational sessions<br />
review results of<br />
develop referral quality audit and work on addition of Health Pathways (will depend on<br />
cost and available resources).<br />
Business case appendices V12 AC 25Feb2010 Page 66