Health of Older People

1. Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager

2. Background • Extensive Consultation Undertaken in the development of ‘Healthy Ageing 2020’ • Key themes identified through consultation translated into work plan as per Strategy • Difficulty Accessing Information • Lack of support for Carers • Problems with Home Based Support • Quality concerns with Residential Care • Boundary Issues • Discharge Planning from Acute care • Confusion around PHO’s • Not responsive to minority groups • Managed Bed Policy

3. National Activity • Home Based Support experimenting with different models • Ministry of Health undertook evaluation • InterRAI piloted around the country • Trials of different funding models began • Capital and Coast DHB lead the way in terms of complete new model • Ministry of Health began policy work to catch up with change • Reporting requirements changed to monitor progress

4. ADHB’S Response • View key themes from consultation in line with national direction • Develop vision • Get vision signed off by Board • Engage dedicated resource to implement vision • Look wider at models, best practice, international literature • Clearly understand the ADHB range of services and how they inter-relate • Provide options to Board on how ADHB can achieve vision

5. The Overall Vision

6. Our Health 2020 Health of Older People Healthy Ageing 2020 Community and Home Base Support Streamlined Access Restorative Home Care Packages of Care InterRAI Child Health Mental Health Cancer CVD/Diabetes ADHB Integrated Palliative Care Strategy Wellness Quality Residential Care Managed Bed Policy Health Promotion Complaints Education HEHA TLA Clinical Support MoW IDF’s Audit Performance Management

7. Project Components • Streamlined Access • Restorative Home Care • Packages of Care • InterRAI

8. 1. Streamlined Access The vision: Streamlined access and improved integration of community, primary and specialist services through centralized care planning, assessment, and coordination

9. 2. Restorative Home Care The vision: Active case management model based on goal setting with client, reassessment and shorter intervention

10. 3. Packages of Care The vision: Flexible packages of funding based on identified goals and agreed outcomes

11. 4. InterRAI The vision: Standardised single assessment incorporating all aspects of required service delivery. Baseline data to identify trends for service planning and budgeting

12. The Care Continuum

14. Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager lgestro@adhb.govt.nz Tel: 6309943 Ext 26097 Mob: 021895104 Office: Level 8 Building 13 Greenlane Clinical Centre

16. Health of Older People Community Home Base Support Services Project Jenny Chong Project Manager

17. Professional Background Registered Nurse Procurement Specialist Project Manager Achievements Needless IV System (ADHB) Operating Theatre Supply Management (CMDHB & ADHB) Super Clinic (CMDHB) Community Based Service Models (National) Meningococcal Vaccination Programme Roll Out (ADHB)

18. Professional Background Operational Manager General Manager 80 Bed Hospital for Community Health Hospice Specialist Nurse Palliative Care District Nurse Allied Health Homecare Services Call Centre Central Coordination Centre Independent Contractor HBSS

19. Project Timeframe Phase 1 National and International Models (Completed May 2007) Themes: Improvements in Service Coordination Community Services Improvements Meeting cultural needs Improvements in service integration Service Liaison Health and Social Services Care Packages Workforce Planning Flexible Funding

20. Project Timeframe Phase 2 Auckland DHB Community Services (June – Aug 2007) Your input and feedback is important Jenny’s Orientation to Services Website Questionnaire Working Party Forum and Listening Clinics

21. Project Timeframe Phase 3 Consideration of options and suggested models (Aug – Oct 07) Phase 4 Consultation on options (Nov – Dec 07) Phase 5 Agreement and Sign-off (Jan 08) Phase 6 Implementation Process ( Early 2008)

22. Auckland is Unique…….

23. Auckland’s Unique New Migrants / Family Unification Refugee Interpreter Services Metropolitan Workforce issues High cost of urban living Unmet needs High Asian Community

24. Are we providing optimum support to consumers to be safe in their homes and have maximum functionality in their communities?

25. Are our services responsive to the needs of Maori?Do we address the health requirements of Pacific, Asian and other ethnic minority groups?

26. THE VISION • National Strategies • ADHB’s Healthy Aging 2020 Plan • THE ACCOUNTABILITY • Actions: • Ageing in place • Independence • Meeting Needs • THE CONSUMER • Consumer expectations • Consumer needs

27. In partnership with you.. Questions and Comments please

29. Health of Older People Community Home Base Support Services Project Jenny Chong jchong@adhb.govt.nz Tel: 6309943 Ext 4002 Mob: 0212427886 Office: Level 8 Building 13 Greenlane Clinical Centre

30. Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager lgestro@adhb.govt.nz Tel: 6309943 Ext 26097 Mob: 021895104 Office: Level 8 Building 13 Greenlane Clinical Centre

31. Health of Older People WELCOME Your feedback and questions please