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Midland Region Primary Healthcare Forum 30 May 2014

Midland Region Primary Healthcare Forum 30 May 2014. Integration of Primary / Secondary Services within the Region . Coverage. Healthcare structure in NZ What/who influences health care policy and direction What is the role of the Midland DHB’s? How are DHB’s structured?

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Midland Region Primary Healthcare Forum 30 May 2014

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  1. Midland Region Primary Healthcare Forum 30 May 2014

  2. Integration of Primary / Secondary Services within the Region

  3. Coverage • Healthcare structure in NZ • What/who influences health care policy and direction • What is the role of the Midland DHB’s? • How are DHB’s structured? • What opportunities and limitations for DHB’s in the current health care structure?

  4. Strategies • Child Health Strategy • Health of Older People Strategy • He Korowai Oranga: Maori Health Strategy • NZ Disability Strategy • NZ Health Strategy • NZ Palliative Care Strategy • Pacific Health & Disability Action Plan • Sexual and Reproductive Health Strategy • Primary Health Care Strategy • Youth health: A Guide to Action • Our Health, Our Future • Inhaling Inequality • Chief Advisors • Services • Nursing • Disability Support Services • Maori Health • Mental Health • General Practice • Child and Youth Health • Oral Health • Medical Advisor • Pacific Health • Health Information Strategy & Policy • Media DIRECTORATES Corporate and Information DHB Funding and Performance Sector Policy Clinical Services Public Health Maori Health Disability Services Mental Health • Policy Frameworks • Treaty of Waitangi • Legislation • NZ Health Strategy • NZ Disability Strategy • Monitoring and Accountability

  5. MoH Expectations • Regional planning and delivery • Health Targets • HQSC – falls prevention, surgical site infections • Elective Service Performance Indicators • Stroke • Trauma • Cardiology • Oncology • Financial Performance

  6. Regional Objectives Six Regional Objectives: • To improve Maori health outcomes • Integration across continuums of care • To improve quality across all regional services • To build the workforce • To improve clinical information systems • Efficient allocation of public health system resources

  7. Regional Measures Region to monitor progress: • Life expectancy: life expectancy is a calculation of life expectancy at birth based on the mortality rates of the population in each age in a given year • Premature death: early death is the rate of deaths before the age of 75 years • Amenable mortality: are deaths that could, in theory, be averted by good healthcare • Fewer people smoking • Reduction in vaccine preventable diseases • Improving health behaviours

  8. The Midland Region • Covers 56,728km2 (21% of NZ land mass) • 5 DHB’s: Lakes, Waikato, Tairawhiti, Bay of Plenty & Taranaki • Approximately 853,725 people • Maori population: 205,590 identifying as Maori (24% total population) – proportion much higher in Midland against the national proportion

  9. Midland Region (continued) • Low proportion of the population identified as Asian or Pacific peoples • Higher number of people living in rural areas • Relatively higher proportion of people living in areas identified as high deprivation (quintile 4&5)

  10. Each Day within the Midland Region: • 541 people are admitted to a Midland hospital • 837 people have a first specialist or follow up appointment • 5,033 people have a general practice consultation, and • 17 people die

  11. Regional Vision • All residents of Midland Health Boards lead longer, healthier and more self-sufficient lives

  12. TDHB Aims • To promote healthy lifestyles & self responsibility • To have the people & infrastructure to meet changing health needs • To have people as healthy as they can be through promotion, prevention, early intervention & rehabilitation • To have services that are people centred and accessible, where the health sector lives as one

  13. TDHB Aims (continued) • To have a multi agency approach to health • To improve the health of Maori & groups with poor health status • To lead & support the health & disability sector & provide stability throughout change • To make the best use of resources available

  14. Regional Networks & Action Groups • Midland Cancer Network Programme • Cardiac services • Elective Services • Health of Older People • Mental Health & Addiction Network • Regional Trauma Service • Child Health action Group • Maternity Action Group • Radiology Group

  15. Project Maunga • Theatre Suite • Enhanced Day Stay • Endoscopy Suite • Medical Floor • Surgical Floor • Older Peoples Health Ward • Children's Ward

  16. Taranaki health targets: quarter 1 (July–September) 2013/14 results

  17. Elective Services

  18. ESPI compliance

  19. Ministry Policy: Elective Services • Original policy released March 2000 • Intended to ensure patients with highest priority are treated ahead of those with a lower priority • DHBs required to comply with the policy • Previously it was a “never ending” waiting list

  20. Aims Maximum waiting time of 5 months for a first specialist assessment (moving to 4) All patients who have been assessed clinically as having a level of need, which can be met within resources available, receive surgery / procedure within 5 months(moving to 4)

  21. Planning for next year • Live within our means • Maintain a Quality focus • Regional planning & delivery • Link with Regional Services plan • Link with Maori Health Plan • Implement more meaningful primary / secondary integration

  22. Questions?

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