Child Health Asthma Improvement Project (CHAIP)

1. Child Health Asthma Improvement Project (CHAIP) A collaborative effort in MidCentral involving primary and secondary health team members based at Radius Medical, The Palms How did this project come about? The Central Primary Health Organisation (Central PHO) in collaboration with MidCentral District Health Board (MDHB) secondary services commenced work to establish Collaborative Clinical Pathways in 2011. The system uses the UK based ‘Map of Medicine’ (MoM) as a platform to support evidence based best practice guidelines. Radius Medical the Palms has agreed to be a pilot site to improve the utilisation of asthma pathways on Map of Medicine. Asthma in children pathways were chosen because: • Ambulatory Sensitive Hospitalisations (ASH) for children during 2006-2010 in MidCentral were most frequently caused by gastroenteritis, asthma and acute respiratory tract infections; • Reducing Ambulatory Sensitive Hospitalisation in the 0-4 year old age group was identified as a priority for action by the Ministry of Health in 2007; • ASH is used as a measure of the effectiveness of Primary Care health care delivery; • We want to reduce the impact of possible overutilization of free services for under 6 year olds in general practice; and • Child Health is a priority in the Primary Health 2013/14 Annual Plan. Who is on the CHAIP Working Group? The membership of the CHAIP Collaborative Working Group is multi-disciplinary and is made up of the following members: • Carolyn Russell, Radius Medical – Nurse Manager • Jane Cullen, Service Improvement Leader, Central Primary Health Organisation • Dr Jeff Brown, Clinical Director/Paediatrician Child Health • Joanne Saxe, Practice Manager Radius Medical. • Julie Wells, Pharmacist • Nicola Lean CNS Lead, MDHB Child Health Community Team (CHCT) • Sandra Lanceley CNS, MDHB CHCT • Shirley-Anne Gardiner, Project Director, Collaborative Clinical Pathways (CCP) (Chair) • Dr Wayne Hayter , Radius Medical - Clinical Director Who can I contact about this project? For questions from Radius Medical the Palms, talk to: • Carolyn Russell, JoSaxe or Dr Wayne Hayter (CHAIP Primary Care Clinical Lead) For questions about the Child Health pathways on Map of Medicine, contact: • Dr Jeff Brown, Clinical Director/Paediatrician Child Health jeff.brown@midcentraldhb.govt.nzor Sandra Lanceley CNS, MDHB CHCT sandra.lanceley@midcentraldhb.govt.nz • For questions about the CHAIP contact: • Jane Cullen, Service Improvement Leader, Central Primary Health Organisation: jane.cullen@centralpho.org.nz For questions about the Collaborative Clinical Pathways project or Map of Medicine in general contact:Shirley-Anne Gardiner, Collaborative Clinical Pathways Project Manager or emailclinicalpathways@midcentraldhb.govt.nz. For more information about the project including documents and latest updates, visit: http://www.centralpho.org.nz/home/collaborative_clinical_pathways/

2. Improving Utilisation of Asthma Collaborative Clinical Pathways in Primary Care Secondary Drivers Current Challenges Primary Drivers Unreliable or no data Ease of use General Practice Team engagement & satisfaction Observable benefits staff Aim Improved patient outcomes To improve the utilisation by primary care teams of the child health (1 – 15 years) asthma collaborative clinical pathways on the Map of Medicine system to ensure that evidence-based interventions are used consistently by March 1st, 2014. Training & education Communication and feedback Primary – Secondary collaboration in development, implementation & maintenance of pathways Primary – Secondary collaboration and communication Evidence based practice Desired Outcomes Improve Documented evidence of evidence-based practice Accurate referrals GP Team satisfaction with CCP Patient satisfaction & improved outcomes Decrease ASH & ED presentations Network Groups Referral systems Patient improved outcomes & satisfaction Education and information Consistent evidence based care Patient feedback mechanisms