Wairarapa Community PHO EOI - New Zealand Doctor

Contents
1.0 Lead Organisations details ......................................................................................... 8
1.1 Name .................................................................................................................. 8
1.2 Address ............................................................................................................... 8
1.3 Legal Structure ................................................................................................... 9
1.4 Person with authority to submit EOI: ................................................................. 9
2.0 Population Coverage.............................................................................................. 10
2.1 Size ................................................................................................................... 10
2.2 Coverage .......................................................................................................... 10
2.3 Characteristics ................................................................................................. 11
3.0 The Proposed Initiative / Package of Services ................................................. 13
3.1 Description ................................................................................................... 13
3.2 Health Targets .............................................................................................. 18
3.3 Integrated Family Health Model (IFHM)...................................................... 20
3.4 Acute Demand ............................................................................................. 28
3.5 Patients with Long Term Conditions ............................................................ 31
3.6 Whānau Ora ................................................................................................. 35
3.7 Service Improvement ................................................................................... 40
3.8 Devolution of Secondary to Primary............................................................ 52
3.9 Integrated Service Models ........................................................................... 56
3.9.1 Child Health ................................................................................................. 56
3.9.3 Pharmacy ..................................................................................................... 59
3.9.4 Older Persons Services................................................................................. 65
3.9.5 Urgent Care .................................................................................................. 71
3.9.6 Primary Mental Health Services .................................................................. 73
3.10 Access .......................................................................................................... 77
3.11 Key milestones and targets.......................................................................... 80
3.12 Vulnerable populations ............................................................................... 82
3.13 Integration of social care ............................................................................. 86
4.0 Organisational Capability and Capacity ........................................................... 90
4.1 Size of organisation or network ................................................................... 90
4.2 Delivery of major improvements ................................................................. 93
4.3 Relationships and partnerships ................................................................... 94
4.4 Engagement with consumers & community ............................................... 95
4.5 Management structure ................................................................................ 97
4.6 Business model ............................................................................................ 98
4.7 Clinical Leadership ..................................................................................... 101
4.8 Information Management (IM) ................................................................. 104
4.9 Workforce development............................................................................ 111
4.10 Change management ................................................................................. 114
4.11 Risk management ...................................................................................... 115
5.0 Funding and Contracting ............................................................................... 118
5.1 Source(s) of Funding .................................................................................. 118
5.2 Flexibility .................................................................................................... 119
5.3 DHB and MOH support .............................................................................. 120
5.4 The Contracting Model (see section 4.6) ................................................... 120
5.5 Capital Investment ..................................................................................... 120
5.6 Cost Effectiveness ...................................................................................... 121
5.7 Financial Viability ....................................................................................... 122
7.0 References ........................................................................................................ 125
Appendix 1 – Wairarapa Clinical Services Action Plan ............................................... 126
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