Better, sooner, more convenient health care in Midlands

More documents

Recommendations

Info

4 The Integrated Family Health CentreA local focus on taking control of the dayWithin 2 yearsIntegrated Family Health CentrePopulationWaitara (Taranaki) 5705Stratford 9651Tokoroa 15379Huntly 16530ImplementationChange managementPhase One: Analysis and ModellingExtensive Needs Analysis to establish staffing model according to enrolled population.Core analysis of practice to assess practice’s readiness for change and establish change plan.Current situational analysis• case conferencing mechanisms• use of evidence based treatment guidelines• employment of tracking mechanisms (tests, referrals, results)• pre-visit planning• performance reporting• workflow planning• alternatives to face to face visits• monthly reporting on financial statements• practice strategic vision• patient feedback mechanismsPhase Two: Readiness for ChangeTrain in core baseline Integrated Family Health Centre standards (CUT method, Health Literacy,Double Diamond Method).Establish communication materials around sense of identity with Integrated Family Health Centreand with enrolled population.Prepare staff for the scale of the change. Significant imagination is required because the meaning ofpatient care is going to change.LEAN thinking models established.Capacity employed to deliver increased levels of service.59
The Integrated Family Health CentreA local focus on taking control of the day4Phase Three: Go LiveRIP process (Rapid Implementation Process).Predict and Manage Risks.Account for new scheduling and access arrangements which could serve to confuse and to inhibitpatient care initially. Multiple use of new technology and information can be overwhelming.Phase Four: Support to achieve Business As Usual operationOngoing support from team to guarantee consistent BAU service in accordance with IntegratedFamily Health Centre baselines.Capacity and expectation managementOur vision is a model where we are able to improve quality of care outcomes by empoweringand motivating teams of people who specialise in primary health care. The challenge withimplementation of an Integrated Family Health Centre is to manage the patient expectations in amanner which has them embrace this change:• Promoting everyone in the patient’s health care team as having good professional knowledge.• Promoting everyone in the healthcare team as having a purpose.• Promoting the idea with the patient of “no longer feeling like a number”.• Ensuring a consistent level of service for all patients.• Communicating with patients in a way that is seen as meaningful and genuine from apatient perspective.• Managing of patient expectations (e.g. they won’t see their General Practitioner every time butthey will see someone from their “health care team”).In addition to this, the Integrated Family Health Centre must make a crucial change to the way theyoperate. Becoming more patient centred means asking questions and showing the patient that theirIntegrated Family Health Centre listened. They need to know:• What does the patient want to see?• What does the patient think?• What do they need?• What do they want to change?Patients and communities will see their community health team as an integrated team of peoplewhere the hand is aware of what the foot is doing. Patient stories will contain examples of managedand consistent care - not disaster stories. Patients will become the evangelists. When patients andcommunity stakeholders want advice on a health contact or piece of information they will:• know how to contact the team;• think to contact the team;• respect the team’s advice as expert and professional;• trust the team to deliver on their promises.60
Page 5:
MihimihiKo te amorangi ki muaKo te
Page 8:
Index cont.DiabetesHealth targetCur
Page 12: Devolution becomes aby-product of w
Page 15 and 16: 22. IntroductionA model for better,
Page 17 and 18: IntroductionA model for better, soo
Page 23 and 24: The Integrated Family Health Networ
Page 41 and 42: 44. The Integrated Family Health Ce
Page 43 and 44: The Integrated Family Health Centre
Page 59: The Integrated Family Health Centre
Page 64 and 65: 5 CommunityA focus on health litera
Page 66 and 67: 5 CommunityA focus on health litera
Page 69 and 70: 66. Our NetworkA focus on workforce
Page 71 and 72: Our NetworkA focus on workforce kno
Page 73: Our NetworkA focus on workforce kno
Page 76 and 77: 7 Delivering on health targetsPerfo
Page 78 and 79: 7 Delivering on health targetsMakin
Page 80 and 81: 7 Delivering on health targetsHealt
Page 83 and 84: Promise 1: No Midlands child will b
Page 85 and 86: Delivering on health targets7Curren
Page 87: Delivering on health targets7Active
Page 90 and 91: 7 Delivering on health targetsCardi
Page 92 and 93: 7 Delivering on health targetsWhat
Page 94 and 95: 7 Delivering on health targetsHow w
Page 96: Promise 4: Free Cardiovascular Risk
Page 99 and 100: Delivering on health targets7Needs
Page 101 and 102: Delivering on health targets7How we
Page 103 and 104: 102
Page 105 and 106: Delivering on health targets7Curren
Page 107 and 108: Delivering on health targets7Care p
Page 109 and 110: Promise 8: If you live with mental
Page 111 and 112:
Delivering on health targets7Curren
Page 113 and 114:
Delivering on health targets7Aged C
Page 115 and 116:
114
Page 117 and 118:
88. Funding requirements“If clini
Page 119 and 120:
Funding requirements (total picture
Page 121 and 122:
99. Performance measuresQualityThe
Page 123 and 124:
Performance measures9122
Page 125 and 126:
124
Page 127 and 128:
Letters of Support10126
Page 129 and 130:
Letters of Support10128
Page 131 and 132:
130
show all

Better, sooner, more convenient health care in Midlands

Create successful ePaper yourself

Delete template?

Save as template?