Better, sooner, more convenient health care in Midlands
Better, sooner, more convenient health care in Midlands Better, sooner, more convenient health care in Midlands
4 The Integrated Family Health CentreA local focus on taking control of the dayMinimum capability to be classed anIntegrated Family Health CentreWithin the Integrated Family Health Network there are geographical groupings of both virtual andphysically co-located providers who will form the basis for Integrated Family Health Centres. Usingadvanced commissioning tools, the Midlands Network will establish and build Integrated FamilyHealth Centres drawing together local services in packages required to meet the local health careneeds of a population.ProcessesIntegrated Family Health Centre Learning Plan in placeRIP Process (Rapid Implementation Process)Business ModelHarm Reduction RegisterPLPs and Integrated Family Health Centre LPsUse of the commissioning tool to analyse population and predict both work flow and plan work forceStaffingIn-situ Health Care Team (General Practitioner, Nurse Team, Pharmacists)Community Health Care Team (Mobile Nurse Team, Health Coach, Kaiawhina, Patient Liaison)Flow Team (Patient Advocate, Medical PA, Flow Team)Formalised relationship with LMC/Midwifery ServicesPharmacy as part of core health team (contractual relationship to purchase time)Online Capacity and FunctionalityOnline Patient ScreeningSecure emailMedtech EvolutionTXT to remind functionalityOnline webhealth touch screen for interactive pre and post screening and careEvery staff member has their own email address, internet access and Microsoft OfficeStandardised IT proficiency requirements for every Integrated Family Health Centre staff memberServiceWellness model of careUse of Double Diamond consultation method for all practitionersCommitment to Health Literacy standards and Health Literacy ScreeningCUT Method used by all staffPharmacy Clinics (managing a list of activities consistent with Integrated Family Health Centre accreditation)Integrated Family Health Centre AccreditedPopulation Focus - establishing some baselinesKey in moving towards a patient centred model of health care is an understanding of the consumer’sneeds, where they are located and how best to deliver the services to them. At the highest level,we can use the concepts of population health to provide a view of the overall health burden apopulation places upon a health system in any particular area.The health burden is simply the sum of all the users of the health system weighted by their relativedemand for services within it i.e. older people have a higher health burden than well people etc.45
The Integrated Family Health CentreA local focus on taking control of the day4It provides a useful overview of health system demand for high level resource allocation. Whenpopulation growth projections are applied it can be used to indicate future changes in demandpatterns, and provides graphical confirmation that without change the demand on the health systemwill become unsustainable.Midlands Network: Total Health Burden nowHigh Health BurdenMedium Health BurdenLow Health BurdenMidlands Network: Total Health Burden 20 years46
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4 The Integrated Family Health CentreA local focus on tak<strong>in</strong>g control of the dayM<strong>in</strong>imum capability to be classed anIntegrated Family Health CentreWith<strong>in</strong> the Integrated Family Health Network there are geographical group<strong>in</strong>gs of both virtual andphysically co-located providers who will form the basis for Integrated Family Health Centres. Us<strong>in</strong>gadvanced commission<strong>in</strong>g tools, the <strong>Midlands</strong> Network will establish and build Integrated FamilyHealth Centres draw<strong>in</strong>g together local services <strong>in</strong> packages required to meet the local <strong>health</strong> <strong>care</strong>needs of a population.ProcessesIntegrated Family Health Centre Learn<strong>in</strong>g Plan <strong>in</strong> placeRIP Process (Rapid Implementation Process)Bus<strong>in</strong>ess ModelHarm Reduction RegisterPLPs and Integrated Family Health Centre LPsUse of the commission<strong>in</strong>g tool to analyse population and predict both work flow and plan work forceStaff<strong>in</strong>gIn-situ Health Care Team (General Practitioner, Nurse Team, Pharmacists)Community Health Care Team (Mobile Nurse Team, Health Coach, Kaiawh<strong>in</strong>a, Patient Liaison)Flow Team (Patient Advocate, Medical PA, Flow Team)Formalised relationship with LMC/Midwifery ServicesPharmacy as part of core <strong>health</strong> team (contractual relationship to purchase time)Onl<strong>in</strong>e Capacity and FunctionalityOnl<strong>in</strong>e Patient Screen<strong>in</strong>gSecure emailMedtech EvolutionTXT to rem<strong>in</strong>d functionalityOnl<strong>in</strong>e web<strong>health</strong> touch screen for <strong>in</strong>teractive pre and post screen<strong>in</strong>g and <strong>care</strong>Every staff member has their own email address, <strong>in</strong>ternet access and Microsoft OfficeStandardised IT proficiency requirements for every Integrated Family Health Centre staff memberServiceWellness model of <strong>care</strong>Use of Double Diamond consultation method for all practitionersCommitment to Health Literacy standards and Health Literacy Screen<strong>in</strong>gCUT Method used by all staffPharmacy Cl<strong>in</strong>ics (manag<strong>in</strong>g a list of activities consistent with Integrated Family Health Centre accreditation)Integrated Family Health Centre AccreditedPopulation Focus - establish<strong>in</strong>g some basel<strong>in</strong>esKey <strong>in</strong> mov<strong>in</strong>g towards a patient centred model of <strong>health</strong> <strong>care</strong> is an understand<strong>in</strong>g of the consumer’sneeds, where they are located and how best to deliver the services to them. At the highest level,we can use the concepts of population <strong>health</strong> to provide a view of the overall <strong>health</strong> burden apopulation places upon a <strong>health</strong> system <strong>in</strong> any particular area.The <strong>health</strong> burden is simply the sum of all the users of the <strong>health</strong> system weighted by their relativedemand for services with<strong>in</strong> it i.e. older people have a higher <strong>health</strong> burden than well people etc.45