PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...

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Year * Action Outcome2001 F Recruitment of Public Health Nursesto support implementation of PCDSbegan in August 2001.2002 W Development of Primary careInformation System (PCIS).2003 S CARPA standard treatmentguidelines.Their roles were specifically to focus onchronic disease.Piloted in Bagot in 2002. Implemented intoBagot, Binjari, Jabiru, Nguiu, Milikapiti,Pirlangimpi, Pine Creek and Elliot communityhealth centres.4 th Edition produced and a 2 nd volume ofevidence produced in 2004.2003 F Australian Government Continuous 1 AMSs – CAAC and Danila Dilba – receivedImprovement Program commences. funding for 2 years from OATSIH, with anextension of an additional 2 years, toimplement quality improvement strategies toimprove the systems for chronic disease care.2003 P Bansemer undertakes a Review ofNTDH&CS (22) .2New structure for NTDH&CS is implementedto improve accountability and effective servicedelivery. It recommends Services should befurther developed to address current shortfallsin managing adult chronic diseases and tocope with increasing demand for services (22) .2003 R Audit and best practice for ChronicDisease (ABCD) programcommenced.Implement audit and Plan Do Study Act(PDSA) cycles to improve CD systems in asmall number of remote clinics.2004 P Building Healthier Communities: AFramework for Health andCommunity Services 2004–2009, waslaunched in February. It provides theGovernment's vision for „Ensuringthat all Territorians enjoy long andhealthy lives and have a health andcommunity services system that isresponsive, accountable andeffective‟ (23) . It responds to theissues identified in the 2003Bansemer review.The NTDH&CS priorities for the next five yearsfocuses upon: Giving kids a good start in life Strengthening families and communities Getting serious about Aboriginal health Creating better pathways to health services Filling service gaps Tackling substance abuseIt also identifies four key areas forstrengthening and reforming our health andcommunity services system (23) .2004 F National Primary Care Collaborativeproject commenced (24) . It aims toimprove clinical health outcomes,reduce lifestyle risk factors, maintainhealth for chronic and complexconditions and improve access toAustralian general practice.Many Community Controlled Health Servicesand General Practitioners in the NT areparticipating in this program that buildscapacity to implement CD systems, evidencebased care and PDSA cycles.2004 P NT Aboriginal Health KeyPerformance Indicators endorsed.86 remote health centres identified forinvolvement in reporting system.Chapter 1: Introduction – Evaluation of the NT Preventable Chronic Disease Strategy 2007 10
Year * Action Outcome2005 P Aboriginal Health and Family: A 5-year Framework for Action – Dept ofHealth and Community Services NT.It promotes a life course approach to healthand systems integration consistent with theNTPCDS and seeks to address the services,systems and policy to improve Aboriginalhealth consistent with the PCDS objectives.2005 R Byron, Zhao and Guthridge releasetheir report (11) .Note: Measures cannot be compareddirectly to the predictions made atthe commencement of the PCDS dueto a lack of documentation of precisemethods of analysis in the originaldocuments.2005 F NT Aboriginal Health KeyPerformance Indicator Projectfunded.Excluding renal dialysis, the report estimatesabout 7 per cent of hospital resources wereused for hospitalisations directly caused byacute manifestations of chronic diseases, andincluding renal dialysis about 45 per cent ofhospital resources were due to chronicdisease related hospitalisations (11) .Phase 1 of project commences to developPerformance Indicators, definitions andvalidation of the indicators.2005 P Northern Territory Renal ServicesStrategy is released.Consistent with NTPCDS and it identifiesissues of coordination, prevention of kidneydisease and increasing Aboriginal and TorresStrait Islander participation as the top 3priorities.2006 F Funding commenced for PHCAPservices in Central Australia.Public Health Nurses and other staff employedin 5 regional services to supportcomprehensive primary Health Care servicedelivery.2006-07 S CARPA evaluation is undertaken Current. A new edition is under development.2006 Australian Government releases theNational Preventative ChronicDisease Strategy (25) .The NTPCDS is used in the development ofthe model.2006 F Renal services enhancement fundingis provided to the NTDH&CS.It is to employ 2 renal nurses in the area ofprevention.2006 F Australian Government Healthy forLife program commences (26) .10 services in the NT are funded for Stage 1of the project – some will progress to Stage 2.2007 R The Northern Territory AboriginalHealth Key Performance IndicatorInformation System (NTAHKPI)website is established (27) .NTAHKPI will facilitate data collection. Datacollection system planning to commence fromJuly 2007.2007 The ABCD Project releases the finalproject report.It reports improvements in key aspects ofsystems to support chronic illness care inalmost all 12 participating sites (7) .Chapter 1: Introduction – Evaluation of the NT Preventable Chronic Disease Strategy 2007 11
Page 1 and 2: Pty LtdABN 82 147 637 101AN EVALUAT
Page 3 and 4: TABLE OF CONTENTSList of figuresLis
Page 5 and 6: 6.6 Indigenous workforce 996.7 Prev
Page 7 and 8: List of AbbreviationsABCDACCHOsACIC
Page 9 and 10: ACKNOWLEDGEMENTSWe would like to ac
Page 11 and 12: However the extraordinary number of
Page 13 and 14: the establishment of the Sunrise He
Page 15 and 16: RECOMMENDATIONSGeneral recommendati
Page 17 and 18: Exploration of joint funding arrang
Page 19 and 20: CHAPTER 1. INTRODUCTION1.1 Backgrou
Page 21 and 22: Choosing the 5 chronic conditionsTh
Page 23 and 24: Table 1.1Key Result Areas + Best Bu
Page 25 and 26: prior to the launch of NTPCDS, such
Page 27: Year * Action Outcome1999 S NT Prev
Page 31 and 32: CHAPTER 2.EVALUATION METHODOLOGYThe
Page 33 and 34: 2.2 Evaluation StagesThe NTPCDS eva
Page 35 and 36: chronic disease activities funded t
Page 37 and 38: internal project team. It was very
Page 39 and 40: Situation at Baseline1. The Guideli
Page 41 and 42: 3.1.2 Patient information and recal
Page 43 and 44: Ferret Miwatj, Numbulwar, Marngarr,
Page 45 and 46: Medicare information is not for pub
Page 47 and 48: was in place in Central Australia i
Page 49 and 50: What orientation and ongoing traini
Page 51 and 52: programs focus on chronic disease p
Page 53 and 54: The information collected as part o
Page 55 and 56: Assessment against objectiveMost se
Page 57 and 58: career development, and retention i
Page 59 and 60: are. Indigenous employment is NTDH&
Page 61 and 62: NTDH&CS Programs that encourage Hea
Page 63 and 64: 2002 Aboriginal and Torres Strait I
Page 65 and 66: delivering any prevention and healt
Page 67 and 68: The Community Services Division - A
Page 69 and 70: 1 x AHW Central Australia 2001 S100
Page 71 and 72: One clinic stated it had no care pl
Page 73 and 74: Identifies priority practices to in
Page 75 and 76: There has been a significant growth
Page 77 and 78: about 25 per cent of the hospital b
Page 79 and 80:
The level of funding provided by th
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Central Australia and two zones cur
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The diabetes education teams at HLN
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maintenance group for people with l
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Rebates for participating or arrang
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Use of Medicine Programmes. Althoug
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CHAPTER 4. CLINICAL OUTCOMES OF THE
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improvements have been made to serv
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A recent ten-year follow-up of a co
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The NTDH&CS also collect birthweigh
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Figure 5.3 Vaccination coverage for
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It is also important to note that k
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eported that 50 per cent of the Ind
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The current action plan identifies
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The availability and cost of health
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Hoy et al in 1995-2000 (100) , and
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5.6 Best practice management5.6.1 P
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disease care in urban areas regardi
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PCIS was developed by NTDH&CS as th
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emote staff can access training and
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In the Top End there appeared to be
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APPENDIX 1EVALUATION OF THE NT PREV
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2.10 Generally speaking, on a scale
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4.4 Briefly recount any anecdotes y
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5.9 Generally speaking, on a scale
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Section 8 • Summary questions8.1
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Preventable Chronic Disease Program
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Year Type Background What is it? /
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Year Type Background What is it? /
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An important background to this stu
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New beliefs do not replace the old,
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Other services are provided to the
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ecame the main priority in many peo
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to be healthy, how to get rid of di
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(Draft Version - © August 2006 Jan
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References1. Dunham, H., Ministeria
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35. Smith, J.D., Progress report fo
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Research Centre for Aboriginal Heal
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114. Senior, K., 'A Gudbala Laif? h
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