1 / 26

Outline

Outline. Update on localities establishment System Integration Clinical Framework Global Budget Setting Whanau Ora Networks Next Steps Questions?. Locality General Manager’s. Kathy de Luc Franklin (2 nd Dec). Geoff Smith Franklin (30 th Dec). Lynda Irvine Manukau. Linda Bryant

sondra
Download Presentation

Outline

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Outline • Update on localities establishment • System Integration Clinical Framework • Global Budget Setting • Whanau Ora Networks • Next Steps • Questions?

  2. Locality General Manager’s Kathy de Luc Franklin (2nd Dec) Geoff Smith Franklin (30th Dec) Lynda Irvine Manukau Linda Bryant East Sarah Marshall Mangere/Otara

  3. More Detail about the Work Programmes

  4. 1. AT RISK INDIVIDUALS PROGRAMME The At Risk Individuals Programme is about more planned, proactive care

  5. AT RISK INDIVIDUALS PROGRAME 1. Lots of programmes into one A number of programmes will be merged into the new ARI programme, including: • CarePlus • High Risk Individuals • Chronic Care Management • CCM Depression • Self Management Education • Refugee Services • Diabetes Care Improvement Package

  6. AT RISK INDIVIDUALS PROGRAME 1. AT RISK INDIVIDUALS PROGRAMME

  7. 2. SERVICE REDESIGN 2. SERVICE REDESIGN

  8. 3. QUALITY IMPROVEMENT IN LCPs Evaluation Framework Confirm and begin implementation of an evaluation framework for Counties Manukau Health System Integration Programme Performance Metrics Develop a dashboard for system integration that will collate key quality and performance data by LCP. Learning System Clinical Audit LCPs undertake regular clinical audit programme to monitor improvementsin patient outcomes Quality • Quality improvement systems are established and developed in each LCP • Develop quality indicators for LCPs • Support LCPs to collect and analyse indicator data

  9. The Global Budget

  10. Objectives • Sharing accountability for whole of system outcomes • Enhance and incentivise integrated clinical decision-making • Better align service delivery with desired population health outcomes • Enable improvement in capacity and capability

  11. The Global Budget Health Services Programme Budget Operational Budget Locality Primary and Community Health Services Shared Accountability Services (SAS)

  12. Shared Accountability Services • From July 2013, we will share accountability for reducing utilisation of: • Acute Medical inpatient bed days • Acute non-medical inpatient bed days • Emergency Department non-admitted events • Medical Outpatient events • … what about ARC?

  13. SAS - Method • What are our baseline utilisation rates for each service? • What is the average cost of providing that service? • How will demographic change affect demand for hospital services? • What will be the cost of providing these services? • What is a realistic target?

  14. Locality X - Population

  15. Locality X – Utilisation Rates per 1,000 enrolled population

  16. Locality X – Targets • Population growth is applied to baseline figure to estimate future volumes • Utilisation rates are reduced by 20% across five years, to derive ‘planned’ volume targets

  17. Locality X – FY2018

  18. Locality X - Wash-Up • ED Attendances (not admitted) FY2018 planned = $2,102,765 Actual ‘spend’ = $1,960,750 Total conserved resource = $142,015

  19. So how are we tracking? After Q1 3 out of 4 Localities would owe us ! 4th locality (favourable): 50% to LCP Leadership Group = $810,911 40% to CMDHB = $648,728 10% to PHO partners = $ 162,182 PHO A (80%) = $129,745 PHO B (20%) = $32,437

  20. Region-Wide Governance Group DHB Clinical and Management/PHO Clinical Management/Iwi Locality Governance (Active Clinical Network x 2, Whaanau Ora Network x2, Community, x2 PCN?, Iwi) Locality Network (Virtual – No Entity or discrete funding) Local Service Change Local Performance Maintaining collegial relationships Active Clinical Network (Providing Local Clinical Governance Whaanau Locality Network (Providing Local Whaanau Ora Governance) Providing Services & Funding PCN Providers Services & Funding Whaanau Ora Services & Funding DHB Services & Funding Service Integration

  21. Key Roles in Whaanau Ora in Localities Funded by Lead Agency with a m/ment fee Funded by CMDHB As Lead Agency • Leading case management systems & tools • • Integrating WO and primary care service delivery • • Training & developing the workforce • • Monitoring performance • & CQI processes • • Developing network Lead contracting and performance processes WO Network Lead • WO Practitioner providers; • Integrated WO service • providers • NGOs & other social services as part of networks • Contracted to WO Network Lead • Developing networks of NGO and social service providers; • Linking WO practitioners and Whaanau to useful services; • Developing solutions to service gaps in localities; • Monitor locality performance and improve services WO Providers WO Lead Agency

  22. The NHC • Implementing a Lead Agency that delivers; • Collaborates with four localities and the lead PHOs; • (Mangere, Manukau & Otara) • Builds Whānau Ora Networks in each Locality; • Implements a transparent accountability and performance model; • Ensures a high standard of WO service delivery and practise; • Training & development of WO Practitioners; • Standardised assessment & case management tools; • Attracts other funders and agencies to support Whānau Ora service delivery; • Operates a CQI process and collaborates with PHOs and DHBs to build more integrated and effective services to address social determinants based on evidence.

  23. Locality Partnerships • CMDHB to fund the NHC Lead Agency in line with Lead PHOs in Localities • NHC to establish Whaanau Ora system in priority localities • An open system • Giving effect to the CMDHB agreement and building the system for: • Measuring impact & benefit consistently • Sharing the gain and incentivising services that work within and across localities How investment decisions are made? WO Lead Agency WO Service Investment Host PHOs Locality Service Investment How investment is shared?

More Related