Access to Diagnostics

Access to Diagnostics
Greater Auckland Integrated Health Network
(GAIHN) Project
Rochelle Bastion (Project Manager)

Acknowledgements
Clinical Governance Group
• Jim Kriechbaum
• Barnett Bond
• Kim Bannister
• Campbell Brebner
• Kate Aitken
• Alan List
• Phil Weeks
Project Steering Group
• Ngaire Buchanan ADHB
• Debbie Holdsworth WDHB
• Brad Healey CMDHB
• Kate Aitken WDHB
• Jim Kriechbaum ADHB
• Barnett Bond ADHB
• Kim Bannister WDHB
• Paul Roseman ProCare
Health
• Lara Sedcole WDHB

Background
• Issues
– Lack of access (MR & CT)
– Long wait times
– High DNA rates
– Inappropriate requests
– Insufficient information on the request

Aims
• To improve timely access to diagnostic
radiology direct from general practice for
eligible patients
• To increase resource awareness and shared
responsibility for resource use via a virtual
allocated monthly budget

ProExtra

Implementation
• 115 Practices in ADHB
• 16 Practices in CMDHB
• 3000 Radiology Requests
– DHB (2000)
– Private Radiology Providers (1000)
• Patients who live in ADHB and CMDHB

Results
Referrals that did not meet
the triage criteria
• ProExtra 0.038%
• Non ProExtra referral 27%
Wait Times (days)
Reduction in Did Not Attend
rate

Results
600
500
400
300
200
100
0
Implementation of 100 Practices
July August Sept Oct Nov Dec Jan Feb March April May June July August
2010 2011
Referral numbers per month

Partners
• ADHB, CMDHB and WDHB
• Auckland and Counties PHOs
• Private Radiology Providers
– Auckland Radiology Group
– Mercy Radiology
– Horizon
– The Radiology Group
• Enigma
• MyPractice and MedTech
• Questions?