Document for PDF - Ministry of Health

More documents

Recommendations

Info

Contents Foreword 3 Personal Health 4 Maori Health 5 The Challenge: Improving Health for all New Zealanders 8 Localities: The Face of Personal Health 11 Auckland Locality 11 Hamilton Locality 12 Wellington Locality 14 South Island Locality Offices 15 Our Focus 17 Maori Health: Action Oriented Strategy 17 Pacific Island Health: Growing and Young Population 18 Child Health: High Levels of Activity 19 Rural Health: Continual Focus 19 Service Gaps: Being Addressed 20 Working with Providers 21 Hospitals: Purchasing Strategy and Issues 21 Primary Care: Well Advanced 21 Telephone Advice: A New Concept in New Zealand 22 Pharmacy: Needs to Adapt 22 Laboratory Contracts: Poised to Move Forward 23 Maternity: Direction Correct but Improvements Required 23 Clinical Issues and What We are Doing 27 Waiting Times: Patient Focused Care 27 Complex Medicine: Managing the Issue 29 Diabetes: Moving Forward 29 Asthma: a High Priority 30 Heart Disease: Preparing the Way 30 Oral Health: Focus on Youth 31 Immunisations: Revamp in Action 32 Hepatitis B: Screening Introduced 32 Sexual and Reproductive Services: Under the Microscope 33 Oncology: Reviewing Drugs and Radiation 33 Palliative Care: Studied for the First Time 34 Cervical Screening Investigation: Gisborne 34 Paediatric Speciality Services: Review Underway 35 Personal Health Financial Information 36 Relationships With Communities 44 Personal Health Senior Management Team 44 Personal Health - External Advisory Groups and Committees 50 Technical Working Groups within Health and Hospital Services 51 Health - What’s Driving the Future 56 Accident Insurance Reform: Significant Risks 24 Quality: Transforming the Sector 24 HFA Improving Our Health 7
The Challenge: Improving Health for all New Zealanders The challenge to the HFA’s Personal Health group has been to improve health status within a given budget. The challenge is complicated - we cannot affect all of the determinants of health, we cannot do everything at once - but it has been important to us. Accepting this challenge required a mind shift from most of the activities of a health purchaser. For instance, in the days of the RHAs it was largely acceptable to contract for services, and manage to budget, without feeling responsible for outcomes. Implicit in accepting this challenge is that, in a very New Zealand way, there needed to be a fair chance for all and a need to focus resources where they would make the most difference. The biggest challenge is improving Maori health. Maori health is significantly under par - the table below dramatically shows the additional burden of disease carried by Maori, compared to the non-Maori population. Age Standardised DALY Rates for Cause Groups by Ethnicity Non Maori Maori Musculoskeletal Infection Infant peri-natal conditions Other chronic Endocrine Neurosensory Respiratory Injury Mental Cancer Cardio Vascular Disease 0.0 10.0 20.0 30.0 40.0 50.0 60.0 rate per 1,000 Note: The Disability Adjusted Life Year (DALY) is a standardised Quality Adjusted Life Year (Qaly) type measure equal to the sum of Years Lost to Premature Mortality (YLL) and Years Lost to Disability (YLD). 8
Page 1 and 2: Improving Our Health Te Whai Ora :
Page 3 and 4: Mihi (greetings) Tiheewa! Mauri! Or
Page 5 and 6: Personal Health Almost every New Ze
Page 7: In New Zealand every day... 150 bab
Page 11 and 12: Adoption of health outcome targets
Page 13 and 14: Service projections 15 years forwar
Page 15 and 16: Wellington Locality Area served: We
Page 17 and 18: volume of community service, as mor
Page 19 and 20: Secondary Care Programmes • Ensur
Page 21 and 22: funding for Rural Directors. In the
Page 23 and 24: Privacy issues are significant. We
Page 25 and 26: Accident Insurance Reform: Signific
Page 27 and 28: medical and surgical secondary/tert
Page 29 and 30: Progress to Date Patients Waiting f
Page 31 and 32: Personal Health’s Action • Incr
Page 33 and 34: • Inviting technical advisory gro
Page 35 and 36: Palliative Care: Studied for the Fi
Page 37 and 38: Personal Health — Financial Infor
Page 39 and 40: Indicative Prices and Patient Numbe
Page 41 and 42: 67 Endoscopic procedures on female
Page 43 and 44: 38 Lower extremity and humerus proc
Page 45 and 46: Relationships With Communities Main
Page 47 and 48: Sue Keppel Senior Locality Manager,
Page 49 and 50: esult in nationally consistent pall
Page 51 and 52: Personal Health - External Advisory
Page 53 and 54: Shane Davidson, Canterbury Health R
Page 55 and 56: John Mitchell, Healthlink South Tra
Page 57 and 58: Health — What’s Driving the Fut

Document for PDF - Ministry of Health

Create successful ePaper yourself

Delete template?

Save as template?