Better Sooner More Convenient Primary Care - New Zealand Doctor

10.4 Key milestones
The table below shows the important milestones associated with the integration of primary and
community services.
Element Year 1 Year 2 Year 3
Integrating Primary
and community
services
Team based primary
care
Integrated management
and delivery of primary and
community services
through a single
management structure and
IFHC teams
Refinement of team based
primary care at Buller –
move to 1:2000 GP ratio
and 1:900 practice nurse
ratio
Cross DHB standardisation
of standing orders, use of
HML triage and service
pathways
Affordability Implementation of year 1
savings initiatives,
transitional funding of
$5.5m. Consultation on
service relocations and
reductions and decisions
taken
Facilities and colocation
Information systems Move allied health and
district nurses to
MedTech.
Allow access to primary
and hospital records to all
authorized DHB and PHO
practitioners
Implement privacy audit
arrangements.
Bedding in of new IFHC
teams. Implement new
policies and procedures
across
primary/community
Introduction of team
based care at Grey
practices
Implementation of year
1 savings initiatives –
transitional funding of
$3.5m
Co-location of services
at Buller
Full implementation of
InteRai.
Review possibilities for
integrated health
record in conjunction
with Canterbury.
Integration of mental
health services with
primary and community
health services
Refinement of team
based care at Grey
practices - move to
1:2000 GP ratio and
1:900 practice nurse
ratio
Implementation of year
1 savings initiatives –
transitional funding of
$1.5m
Co-location of services
at Greymouth
Pre- establishment milestones
Prior to 30 June 2010, the following milestones will be achieved:
agreement on organisation/governance option
agreement on project charter/alliance contract
agreement on final list of phase 1 services
agreement on revenue and expenditure to be contracted to the PHO/community provider
agreement on payment to DHB for corporate overheads/services
agreement on transition funding and abatement regime
Business case EoI V38 AC 25Feb10 Page 65