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Peter H.T. Chan MSW MPH Chief Project Administrator

“ C elebrate their A ccomplishments; D iscover their E ffervescence and N ever-ending Z est as they A ge”. Role of CADENZA in the Development of a Primary Care Model. Peter H.T. Chan MSW MPH Chief Project Administrator. What is a Model?. A MODEL represents core aspects of a business:

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Peter H.T. Chan MSW MPH Chief Project Administrator

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  1. “Celebrate their Accomplishments; Discover their Effervescence and Never-ending Zest as they Age”. Role of CADENZA in the Development of a Primary Care Model Peter H.T. Chan MSW MPH Chief Project Administrator

  2. What is a Model? A MODEL represents core aspects of a business: • Vision, Objectives, Principles • Strategies • Process (practice & procedure) • Organization (infrastructure) (Wikipedia)

  3. CADENZA’s Objectives • Promote image of the elderly; • Plan for the needs of the “soon-to-be-old” whilst enhancing skills and service for the current old; • Devise new services in response to changing needs; • Train different levels of professionals, formal and informal caregivers; • Encourage inter-generational understanding; • Nurture academic leadership in gerontology.

  4. Stay Healthy Involves maintaining health and wellness from birth through end of life Involves remaining stable Cope with End of Life Manage Long Term Care Involves preparing for death with dignity Involves managing disability The changing health and social needs of the soon-to be old and old Manage Chronic Disease Older Persons

  5. Why Soon to be Old? 1980’s 1990’s 2000’s 60 70 80 90 Age Source: Dr. Janet McElhaney

  6. Why New Service?Why Primary Healthcare? “The current care systems cannot do the job. Trying harder will not work.”…….we cannot work any harder. “Changing care systems will.”……… we must change the system health and social care system must bring health & social sectors together. We must try primary health care. Dr. Don Berwick, Institute of Healthcare Improvement

  7. Vision & Operating Principlesof Primary Health Care To bring together health and social care system……...; so that the services will be: • Integrated • Client centred • Sustainable

  8. Role of Cadenza in the Development of a Primary Healthcare Model for the Seniors • Support the building of primary healthcare capacity. • Try a primary healthcare pilot project for the seniors. • Expand disease prevention and health promotion. • Promote evidence based primary health care practice.

  9. Support Buildingof Primary Healthcare Capacity (hub of coordination, exchange point) EHCCS DECC Home Care ER Adult Day Care Day Surgery Residential Care Primary Healthcare Centre HKJC CADENZA Hub Elderly Health Centre Eye Care Public Hospital Ear Care Private Hospitals TCM Day Hospital General Practitioners Specialty Clinics

  10. Support Buildingof Primary Healthcare Capacity (Cadenza Training Program, The Nethersole School of Nursing, CUHK) Chronic disease management & end-of-life care Dementia: preventive & supportive care Successful aging & intergenerational solidarity Aged Care 101 in Aged Care Caregivers, Different Level of Professionals Community & residential care for older people Psychosocial & spiritual care

  11. What is Primary Health Care? Primary Health Care brings • Health Promotion • Disease Prevention • Cure & • Care under one setting.

  12. CADENZA Hub -a Pilot Project on Primary Healthcare Centre for the Seniors Day Care Centre Wellness focused Primary Care Co-location Services Waiting Area

  13. Expand Health Promotion & Disease Prevention Public Awareness Programs to promote health: raising health literacy

  14. Expand Disease Prevention & Health Promotion Community projects to support individuals to take control of, and improve their health through increased client empowerment, group and community support

  15. Promote Evidence Based Primary Healthcare Practice Robust evidence-based research of both service and cost effectiveness.

  16. Research into new solutions to primary health and social care problems. Health trends Mortality trends Elderly service needs Elderly friendly environment study Managing world cities project End of life care study Health/social service disparity study Health care rationing study Promote Evidence Based Primary Healthcare Practice

  17. One Small Step for Cadenza One Giant Leap for Primary Health and Social Care for the Old and Soon to be Old in HK • Cadenza is taking a STEP wise approach; • Our work is developmental and not operational, we may make mistakes; • In the last 2 years, we have made some progress; • The gains we’ve made are still fragile – they rely on buy in from the bigger system • Everyone in this auditorium can help as you are part of the bigger system.

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