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Primary options in the Waikato

Primary options in the Waikato. Midland PHO. Principles. Currently in: Northland, Auckland, BoP , Hawkes Bay, Christchurch Managing patients in the community 24-hour access Using existing services (with extra funding and FTE) Free (if meet criteria) to the patient

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Primary options in the Waikato

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  1. Primary options in the Waikato Midland PHO

  2. Principles • Currently in: • Northland, Auckland, BoP, Hawkes Bay, Christchurch • Managing patients in the community • 24-hour access • Using existing services (with extra funding and FTE) • Free (if meet criteria) to the patient • “reducing GP referrals to ED”

  3. Eligibility • Usually referred to ED • GP/A&M able to deal with the problem • Patient may be charged if declined by PO • Cost not to exceed $300 Exclusions • Other funding – ACC… or maternity

  4. PO services • Entry via GP, A&M, ambulance, ED? • Includes • Diagnostics – lab & rad • Home care & visits • Observation • Transport • Respite care • Anglesea A&M – including overnight

  5. Diversion from ED • Condition does not require admission • Patient is stable & condition not time-critical • Transport – includes taxi/ambulance

  6. Conditions • DVT • Cellulitis • Headache • D&V • Abdo pain (no F or V) • Sore throat • Mild-mod ‘flu-like illness • UTI • Urinary retention • Chronic pain

  7. Numbers  Oct12Nov12Dec12Jan13Feb13Mar13Total Q2 YTD Referrals to PO 167 168 179137209343 6891203 Percentage of clients without admission and referred to ED   87% 88%  86%87% 84%82% 84% 85.6%

  8. And stories • COPD patient given O2 & IV abs • Cellulitis patient looking after terminally ill wife • Premature twins needing CXR • Home visits and home care package to elderly patients • Frequent (ED) attender managed at home by practice nurse • Acute abdo pain needing USS

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