Better Sooner More Convenient Primary Care - New Zealand Doctor

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11 Engagement Working group who develop this plan: Wayne Champion, Dr Jocelyn Tracey, Anthony Cooke. 12 Organisational accountabilities The Integrated Family Health Service will be responsible for working closely with the West Coast DHB to implement the IT requirements described in this section. 13 Costs Implement High Definition Videoconferencing Implement Integrated Medical Telemetry system (if practical) Migrate to shared Med Tech database (hardware and software) Year 1 Year 2 Year 3 $30,000 $20,000 $30,000 $120,000 Assumptions: Some of these costs would be borne by West Coast DHB regardless of the IFHC proposal. West Coast DHB will provide IT staff, expertise and network bandwidth at marginal cost. The cost of this contribution will be defined when each stage of the plan is investigated in detail. In the interim the above costs have been included in the Investing in Change budget, Section 11.1 in the Business Case. Business case appendices V12 AC 25Feb2010 Page 138
Appendix Fifteen: Project advisory and reference groups Principal authors of the business case Anthony Cooke, PHOcus on Heath Dr Jocelyn Tracey, PHOcus on Health Martin Hefford, LECG Also: Kim Sinclair Torfrida Wainwright Helen Reriti Wayne Champion Wayne Turp Project advisory group Dr Greville Wood, GP, Chair PHO clinical governance committee Dr Vicki Robertson, Chief Medical Officer Jane O‟Malley, PhD, DoN Nursing & Midwifery Hecta Williams, GM <strong>Primary</strong> & MH Services Wayne Champion, GM Hospital and Corporate Services Gary Coghlan, GM Māori, WCDHB Julie Kilkelly, pharmacy Kerri Miedema, pharmacy Lindy Mason, pharmacy Elinor Stratford, Manager, Disability Information Network Barbara Greer, CEO, Rata Te Awhina Trust Val Henry, Rata Te Awhina Trust Ann Donovan, Rata Te Awhina Trust Jem Pupich, Community & Public Health Maureen Frankpitt, Nurse leader community and primary care WCDHB Raewyn McKnight, Allied Health, WCDHB Janette Anderson, physiotherapy, WCDHB Karyn Kelly, Assistant DON, WCDHB Yvonne Anisy, RN, WCDHB Marie West, Greymouth Family Health Jenny Robertson, Manager Buller Health Barbara Smith, Clinical Services manager, Reefton Colin Weeks, GM Finances WCDHB Shona McLeod, Planning & Funding, WCDHB Project reference group Dr Anna Dyzel, GP, Hokitika, and Trustee WCPHO Dr JD Naidoo, GP, Greymouth Dr Martin London, GP, South Westland Dr Tim Bolter, Greymouth Medical Centre Dr Paul Cooper, GP Buller Health Business case appendices V12 AC 25Feb2010 Page 139
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Business Case Better, Sooner, More
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1 Caveats/status This business case
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Current situation By three years Wa
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staffed on a capacity model - in wh
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support from DHBs, specialist clini
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10.4 Key milestones................
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Annual government health funding pe
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Ambulatory Sensitive Hospitalisatio
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The base populations of the three d
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Māori/Pacific Not Māori/Pacific D
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4.7 West Coast region service deliv
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5 Future model of care 5.1 The desi
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support them. Help with understandi
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LEVERS VISION Better, sooner, more
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providing the majority of care). Th
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The Community Health System Deliver
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To better integrate the support pro
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5.5 Enablers A key aspect of this b
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Two rounds of meetings with front l
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While doctor-nurse substitution has
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Nick Goodwin, Kings Fund 14 , in hi
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Quality domains Each new initiative
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Preventative Acute LTC management R
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Preventative Acute LTC management R
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The core services are provided or p
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Total required FTEs for the Grey IF
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7 Governance, Ownership & Managemen
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Option D: PHO/DHB jointly owned Pri
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The IFHS will need the ability to b
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Of note, a large proportion of the
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The DHB delegates decision making o
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Limited integration of community se
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10.4 Key milestones The table below
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Expanded pharmacy roles Improving a
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Devolved community based services w
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Appendices Appendix One: Health Equ
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ongoing GP shortage creating an env
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10. What are the unintended consequ
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It is common for people with an acu
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Outcome measures Indicator Baseline
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determine ratio of nurses and GPs t
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C. Extended role for pharmacists:
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11 Engagement Working group who dev
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Appendix B: Acutely unwell adult pa
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4 Objectives to implement nur
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Review Buller after hours arrangeme
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Year three Community education camp
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13 Costs Budget considerations:
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established. This group now oversee
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Output measures Tobacco control / s
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Improving immunisation coverage - h
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Year three Continued joint plan
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extending health promotion activiti
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Immunisation Coverage Funder Provid
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The Community Health System Deliver
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Clinical care Practice self managem
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and increases in the numbers of pat
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Ambulatory Sensitive Hospitalisatio
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% CVD on lipid lowering drugs, beta
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Health navigators/ kaiawhina: chan
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Committee‟s objectives 41 of prov
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- lack of consistency of care betwe
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qualifications and skills. Where ca
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6 Deliverables / activities Impleme
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“With an aging population and an
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Differences between revenue generat
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Appendix Seven: Integration - Healt
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It is expected that HealthPathways
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Year two implement the process to
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Low uptake by primary and secondary
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Appendix Eight: Improved access to
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to easily access by telephone). Oth
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Year One - July 2010 to June 2011 T
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LECG 50 evaluated whether “the im
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Appendix Nine: Referred services 1.
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them by technical errors or lack of
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Identify patients that would benefi
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• Provision of patient specific m
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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
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Page 181 and 182: There are often vacancies for allie
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Page 185 and 186: Professional development: Provide
Page 187 and 188: Mainstream arguments are concerned
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Page 191 and 192: A key possibility is that land at t
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Page 195 and 196: 7 Westland IFHC Facilities options
Page 197 and 198: Year two Substantive-IFHC in Greymo
Page 199 and 200: 12 Costs Capital costs Greymouth IF
Page 201 and 202: utilize MedTech, but via their own
Page 203 and 204: 4 Objectives: To implement c
Page 205 and 206: Security An individual‟s health i
Page 207: 8 Effect on inequalities The increa
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