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Better Sooner More Convenient Primary Care - New Zealand Doctor

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Enable the optimisation of health by evaluating and addressing where possible, the<br />

medication management needs of local populations and individual patients.<br />

Enable the development of medication management services that enhance patient<br />

choice, access and convenience and provide a positive experience for patients and<br />

other providers of healthcare.<br />

Enable the provision of a range of clinically effective and cost-effective medication<br />

management services that build on the strengths of community pharmacy teams and<br />

that are provided within a multidisciplinary environment.<br />

Enable the development of an integrated approach to planning and commissioning of<br />

innovative medication management services that contribute to the development of<br />

primary health care and the optimisation of health outcomes regionally and<br />

nationally.<br />

10 Risk analysis<br />

Risk Probability Impact Contingency plan<br />

Inability to “realise” savings<br />

made through more efficient<br />

and effective practice<br />

medium high Effective and ongoing monitoring and<br />

review to identify and attribute<br />

changes in volumes of referred<br />

services.<br />

Growth in patient need<br />

outstripping effectiveness<br />

and efficiency measures<br />

medium high See above.<br />

Linkages with other monitoring<br />

processes to determine improvement in<br />

wider health outcomes, (eg. avoidable<br />

hospital admissions).<br />

Increasing emphasis on long<br />

term condition management<br />

could lead to an increase in<br />

diagnostic testing and<br />

prescribing<br />

medium<br />

Close monitoring and evaluation of<br />

diagnostic testing and prescribing to<br />

determine the „desirability‟ of any<br />

specific increases or decreases in<br />

volumes.<br />

11 Engagement<br />

Working group who developed this plan:<br />

Dr. Tim Bolter (GP), Dr. Jocelyn Tracey (GP, <strong>Primary</strong>/Secondary Liaison), Phil Clark (Laboratory<br />

Manager), Nick Leach (Hospital Pharmacist), Wayne Champion (Corporate Services Manager,<br />

Acting Secondary Service Manager), Peter McIntosh (Senior Planning and Funding Analyst),<br />

Kerri Miedema, July Kilkelly and Lindy Mason (Community Pharmacists), Wayne Turp (GM<br />

Planning and Funding).<br />

Business case appendices V12 AC 25Feb2010 Page 86

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