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
61% of residents identifying as overweight or obese. Of particular concern are the high levels of obesity among West Coast Māori (32%) 30 . Furthermore, over half of West Coasters do not consume at least two pieces of fruit per day. 4 Objectives To enhance the health and well being of West Coasters and reducing the burden of chronic disease through a reduction in smoking initiation and increase in cessation; increasing immunisation coverage; increased physical activity, improved nutrition and reduced rates of obesity throughout the district. To improve immunisation coverage for West Coast residents, particularly relating to childhood immunisations, HPV vaccination and seasonal influenza vaccine. To improve the health and wellbeing of West Coast residents through the creation of environments that support physical activity, healthy eating (including breastfeeding) and weight reduction. To reduce harm caused by tobacco with the overall objective of reducing the number of West Coasters who smoke on a regular basis to be no greater than the national average. To create and maintain social and physical environments that support smokefree. To empower West Coast communities to take action around „keeping people healthy‟. Establish a virtual single entity where the WCPHO, WCDHB and CPH plan and implement the health promotion strategy collaborative to „keep West Coasters healthy‟. To maximize resources (funding and personal) available to the West Coast by ensuring that projects are provided efficiently and are designed to meet the needs of the community and are evidence based. 5 Benefits and gains Increased immunisation: 85 percent of two year olds will be fully immunised by July 2010; 90 percent by July 2011; and 95 percent by July 2012. Better help for smokers to quit: 80 percent of hospitalised smokers will be provided with advice and help to quit by July 2010; 90 percent by July 2011; and 95 percent by July 2012. The measures for primary care that will be introduced from July 2010, through the PHO Performance Programme are the percentage of the enrolled population for whom smoking status has been recorded and the percentage of the enrolled population who are current smokers. 30 Ministry of Health. (2004). A portrait of health: Key results of the 2002/03 New Zealand Health Survey. Wellington: Ministry of Health Business case appendices V12 AC 25Feb2010 Page 28
Output measures Tobacco control / smokefree Indicator Baseline Target – Yr 1 Year 2 Year 3 % total population who have ever had a smoking status recorded – Total (PPP) % total population who have ever had a smoking status recorded – High needs (PPP) % of current smokers who been given brief advice in the last 12 months July 2011. (PPP) % of current smokers who been given or referred to cessation support services in the last 12 months July 2011. (PPP) % of hospitalised smokers will be provided with advice and help to quit by July 2010 Total West Coast-wide population accessing smoking cessation services (AKP, Coast Quit, Quitline, WCDHB) 33% 36% 40% 44% 35% 38% 42% 46% TBC TBC TBC TBC TBC TBC TBC TBC 19% 80% 90% 95% 969 979 989 1000 Outcome measures Tobacco control / smokefree Indicator Baseline Target – Yr 1 Year 2 Year 3 Year 10 students who smoke on a 3.2% 3% 2.8% 2.6% daily basis (ASH) Year 10 students living in a smokefree home (ASH) 55% 60% 65% 70% Immunisation Indicator Baseline Target – Yr 1 Year 2 Year 3 % Childhood Immunisation Coverage at 24 months – Māori (NIR*) 70% 75% 80% 85% % Childhood Immunisation Coverage at 24 months – Total (NIR*) % seasonal influenza coverage – Total (PPP) % seasonal influenza coverage – High needs (PPP) 80% 83% 86% 89% 55% 56% 57% 58% 60% 61% 62% 63% Business case appendices V12 AC 25Feb2010 Page 29
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Output measures<br />
Tobacco control / smokefree<br />
Indicator Baseline Target – Yr 1 Year 2 Year 3<br />
% total population who have ever<br />
had a smoking status recorded –<br />
Total (PPP)<br />
% total population who have ever<br />
had a smoking status recorded –<br />
High needs (PPP)<br />
% of current smokers who been<br />
given brief advice in the last 12<br />
months July 2011. (PPP)<br />
% of current smokers who been<br />
given or referred to cessation<br />
support services in the last 12<br />
months July 2011. (PPP)<br />
% of hospitalised smokers will be<br />
provided with advice and help to<br />
quit by July 2010<br />
Total West Coast-wide population<br />
accessing smoking cessation<br />
services (AKP, Coast Quit, Quitline,<br />
WCDHB)<br />
33% 36% 40% 44%<br />
35% 38% 42% 46%<br />
TBC TBC TBC TBC<br />
TBC TBC TBC TBC<br />
19% 80% 90% 95%<br />
969 979 989 1000<br />
Outcome measures<br />
Tobacco control / smokefree<br />
Indicator Baseline Target – Yr 1 Year 2 Year 3<br />
Year 10 students who smoke on a 3.2% 3% 2.8% 2.6%<br />
daily basis (ASH)<br />
Year 10 students living in a<br />
smokefree home (ASH)<br />
55% 60% 65% 70%<br />
Immunisation<br />
Indicator Baseline Target – Yr 1 Year 2 Year 3<br />
% Childhood Immunisation<br />
Coverage at 24 months – Māori<br />
(NIR*)<br />
70% 75% 80% 85%<br />
% Childhood Immunisation<br />
Coverage at 24 months – Total<br />
(NIR*)<br />
% seasonal influenza coverage –<br />
Total (PPP)<br />
% seasonal influenza coverage –<br />
High needs (PPP)<br />
80% 83% 86% 89%<br />
55% 56% 57% 58%<br />
60% 61% 62% 63%<br />
Business case appendices V12 AC 25Feb2010 Page 29