Better Sooner More Convenient Primary Care - New Zealand Doctor

Quality domains
Each new initiative will be assessed to ensure that the following domains of quality have been
addressed 16 :
evidence based
patient centered
organisational and staff competency and capacity
outcomes and Continuous Quality Improvement approach
financial viability.
Safety
The following safety initiatives are part of this plan:
Significant event auditing (a required aspect of Cornerstone Accreditation).
Safe clinical care: all primary and community providers caring for the same patients use
the same electronic clinical notes.
Safe prescribing: hospital discharge medications copied to pharmacies and adopting
electronic prescribing when available.
Safe feedback: The development of active feedback loops so that any concerns about
the quality of patient care will be fed back to the health providers concerned in a
constructive, educational environment.
Monitoring and evaluation
The PHO has a strong track record in evaluating programmes regularly (either internally or
externally) particularly any new or resource intensive initiative.
The work plans in the appendices all have associated output and outcome measures (with
baselines and targets) that can be used for both quality improvement and evaluation purposes.
Regular monitoring and reporting against these measures will become part of the regular PHO
quarterly report.
In addition every six months a half day 'review of progress' workshop will identify any early
risks to the successful implementation of the plan, and address any issues that have arisen.
We have supported the application to the Health Research Council by Dr Jeff Foote and
colleagues at the Institute of Environmental Science and Research (ESR) Ltd to carry out a
systems analysis on the effectiveness of this business case.
16 Adapted from the RACGP Quality framework http://www.racgp.org.au/qualityframework
Business case EoI V38 AC 25Feb10 Page 43