Project SPLICE - Taranaki District Health Board

Project SPLICE FINAL - February 2010
Table of Contents
Executive summary ....................................................................................................................................................... 3
1.0 Project outline .............................................................................................................................................. 7
1.1 Context.................................................................................................................................. 7
1.2 Methodology......................................................................................................................... 9
1.3 Project objectives................................................................................................................ 10
2.0 Key drivers and enablers for change.................................................................................................12
2.1 Introduction ........................................................................................................................ 12
2.2 Key Enablers........................................................................................................................ 12
2.3 Key Drivers .......................................................................................................................... 14
3.0 A description of the model of care .....................................................................................................17
3.1 Introduction ........................................................................................................................ 17
3.2 Assessment systems ........................................................................................................... 20
3.3 Care Referral & Coordination.............................................................................................. 21
3.4 Care Clusters ....................................................................................................................... 24
3.5 The District Support and Development (DSD) unit............................................................. 29
3.6 Case studies ........................................................................................................................ 31
4.0 Implementation .........................................................................................................................................32
4.1 Key implementation steps .................................................................................................. 32
4.2 Transition management...................................................................................................... 32
4.3 Financial Implications.......................................................................................................... 34
4.4 Risks .................................................................................................................................... 37
5.0 Summary.......................................................................................................................................................39
6.0 Recommendations ....................................................................................................................................40
Appendix I: Disability Support Service Utilisation...................................................................................42
Appendix II: Health Needs Analysis.................................................................................................................49
Appendix III: Individuals and organisations interviewed and consulted during review.........69
Appendix IV Provisional Financials .................................................................................................................70
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