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
time involvement of clinical editors will be funded in accordance with the package agreed with cost of technical support from Streamliners. Changes to HealthPathways that require input from WCDHB administration, clinician, management personnel will be provide from within current resources with the exception of general practitioner/nurse specialist input to workshops which will be remunerated at agreed Canterbury DHB rates. Reviewers and those who provide wider feedback are not remunerated. Given the small number of GPs and nurses on the West Coast, the burden of involvement may fall on a few individuals. The PHO will budget $5,000 each year in the workforce budget for extra payments for local primary care involvement. Business case appendices V12 AC 25Feb2010 Page 70
Appendix Eight: Improved access to diagnostics 1. Aspirational statement: The people of the West Coast will be able to access radiological diagnostic investigations in a convenient and timely manner. 2 Project overview Currently there is direct access from primary care to Grey Hospital for plain film x-ray and ultrasound (except musculoskeletal) in a timely manner. Direct access to selected CT imaging using referral guidelines will provide sooner and more convenient care for patients and will be implemented by July 2010. Direct access to musculoskeletal ultrasound will require capacity issues to be addressed; planning will commence in July 2010, with access using referral guidelines possible by January 2011 if current barriers can be overcome. 3 Problem definition A full range of plain x-ray, CT scans and ultrasounds is available at Grey Base Hospital. The digital PACS system is used and images sent digitally to Christchurch for reporting by Christchurch Radiology Group radiologists. Buller Hospital has plain x-ray. There is no private radiology service on the West Coast; to access private services patients travel to Christchurch or Nelson. Plain film radiology Currently there is open access from primary care to plain film radiology in Greymouth and Westport during office hours. For urgent x-rays in Greymouth the practice rings for an appointment and then faxes in the request form or sends it in with the patient; either same day, or within 24 hour access is available. For less urgent requests the form is posted and waiting times are a maximum of one week. This service is highly regarded by general practitioners. Business case appendices V12 AC 25Feb2010 Page 71
- Page 89 and 90: 4 Objectives to implement nur
- 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
- Page 127 and 128: 6 Deliverables / activities Impleme
- 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 and 136: It is expected that HealthPathways
- Page 137 and 138: Year two implement the process to
- Page 139: Low uptake by primary and secondary
- 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
- Page 187 and 188: Mainstream arguments are concerned
- Page 189 and 190: Appendix Thirteen: IFHCs - Faciliti
time involvement of clinical editors will be funded in accordance with the package agreed<br />
with<br />
cost of technical support from Streamliners.<br />
Changes to HealthPathways that require input from WCDHB administration, clinician,<br />
management personnel will be provide from within current resources with the exception of<br />
general practitioner/nurse specialist input to workshops which will be remunerated at agreed<br />
Canterbury DHB rates. Reviewers and those who provide wider feedback are not remunerated.<br />
Given the small number of GPs and nurses on the West Coast, the burden of involvement may fall<br />
on a few individuals. The PHO will budget $5,000 each year in the workforce budget for extra<br />
payments for local primary care involvement.<br />
Business case appendices V12 AC 25Feb2010 Page 70
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