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
Year one: HML triage: review use and acceptability – Dec. Community education: agree on processes to be used by ED to redirect patients who would be better seen by general practice (triage 5) – by August implement processes, along with voucher system for those in financial hardship – by September repeat community education campaign in April. Nurse education: providing funding for more nurses to do PG Cert papers and PRIME. Standing orders: provide 5 more day long training sessions in Greymouth and Westport review and update content of standing orders - May review use in each practice and adapt standard processes as required – October. Co-ordination with ED: create link into other MedTech practices enable hospital pharmacy to link into MedTech. Review after hours arrangements in South Westland: include St John – enhancing conditions for volunteers, including ability to sleep over. Telemedicine: implement proof of concept plan for telemedicine links from IFHCs. Year two Community education campaign: repeat in April. Nurse education: providing funding for more nurses to do post graduate certificate papers and PRIME. Standing orders: provide 4 more day long training sessions in each of Greymouth and Westport review and update content of standing orders - May review use in each practice and adapt standard processes as required – October. Evaluate and update after hours plan and develop other initiatives as required. Business case appendices V12 AC 25Feb2010 Page 22
Year three Community education campaign repeat in April. Nurse education providing funding for more nurses to do PG Cert papers and PRIME. Standing orders provide 4 more day long training sessions in each of Greymouth and Westport review and update content of standing orders - May review use in each practice and adapt standard processes as required – October. 7 Capability and capacity This project is about increasing capacity by using HML to triage all after hours phone calls, with an expected drop in GP/nurse call outs of 50%. It also builds on the models of care developments in that it promotes an increased role for nurses, and so provides extra postgraduate training and training in standing orders to increase nurse capability. The plan also provides extra capability through use of new technology, ie. Cisco in Buller. 8 Effect on inequalities It is well documented that the inequalities in health exist between Māori and non Māori on the West Coast. The after hours primary health care services proposed in this plan will ensure that all West Coast residents, and particularly those with the greatest need, will have access to free and consistent telephone triage services, through the diversion of phone calls from general practice to HML triage. For those who have no phone and go directly to an emergency department there will be vouchers available if they are referred to afterhours services and cannot pay the fee. Business case appendices V12 AC 25Feb2010 Page 23
- Page 41 and 42: Nick Goodwin, Kings Fund 14 , in hi
- Page 43 and 44: Quality domains Each new initiative
- Page 45 and 46: Preventative Acute LTC management R
- Page 47 and 48: Preventative Acute LTC management R
- Page 49 and 50: The core services are provided or p
- Page 51 and 52: Total required FTEs for the Grey IF
- Page 53 and 54: 7 Governance, Ownership & Managemen
- Page 55 and 56: Option D: PHO/DHB jointly owned Pri
- Page 57 and 58: The IFHS will need the ability to b
- Page 59 and 60: Of note, a large proportion of the
- Page 61 and 62: The DHB delegates decision making o
- Page 63 and 64: Limited integration of community se
- Page 65 and 66: 10.4 Key milestones The table below
- Page 67 and 68: Expanded pharmacy roles Improving a
- Page 69 and 70: Devolved community based services w
- Page 71 and 72: Appendices Appendix One: Health Equ
- Page 73 and 74: ongoing GP shortage creating an env
- Page 75 and 76: 10. What are the unintended consequ
- Page 77 and 78: It is common for people with an acu
- Page 79 and 80: Outcome measures Indicator Baseline
- Page 81 and 82: determine ratio of nurses and GPs t
- Page 83 and 84: C. Extended role for pharmacists:
- Page 85 and 86: 11 Engagement Working group who dev
- Page 87 and 88: Appendix B: Acutely unwell adult pa
- Page 89 and 90: 4 Objectives to implement nur
- Page 91: Review Buller after hours arrangeme
- 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 and 140: Low uptake by primary and secondary
- Page 141 and 142: Appendix Eight: Improved access to
Year one:<br />
HML triage:<br />
review use and acceptability – Dec.<br />
Community education:<br />
agree on processes to be used by ED to redirect patients who would be better seen by<br />
general practice (triage 5) – by August<br />
implement processes, along with voucher system for those in financial hardship – by<br />
September<br />
repeat community education campaign in April.<br />
Nurse education:<br />
providing funding for more nurses to do PG Cert papers and PRIME.<br />
Standing orders:<br />
provide 5 more day long training sessions in Greymouth and Westport<br />
review and update content of standing orders - May<br />
review use in each practice and adapt standard processes as required – October.<br />
Co-ordination with ED:<br />
create link into other MedTech practices<br />
enable hospital pharmacy to link into MedTech.<br />
Review after hours arrangements in South Westland:<br />
include St John – enhancing conditions for volunteers, including ability to sleep over.<br />
Telemedicine:<br />
implement proof of concept plan for telemedicine links from IFHCs.<br />
Year two<br />
Community education campaign:<br />
repeat in April.<br />
Nurse education:<br />
providing funding for more nurses to do post graduate certificate papers and PRIME.<br />
Standing orders:<br />
provide 4 more day long training sessions in each of Greymouth and Westport<br />
review and update content of standing orders - May<br />
review use in each practice and adapt standard processes as required – October.<br />
Evaluate and update after hours plan and develop other initiatives as required.<br />
Business case appendices V12 AC 25Feb2010 Page 22
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