Wairarapa Community PHO EOI - New Zealand Doctor

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Diabetes Get Checked Diabetic Annual Review programme The South Wairarapa Kaumatua study – a major piece of work analysing healthcare access patterns in the Wairarapa with a particular focus on Māori Primary Health Care Sexual Health service Sexual Assault Assessment and Treatment (SAATs) programme To Be Heard Primary Mental Health programme Ready for work Mental Health Programme (MSD) CarePlus Enhanced CarePlus PHO Performance Indicator programme Wairarapa Long Term Conditions capability development project Long Term Conditions collaborative (partnership with WDHB) School Clinics at Kuranui and Makoura colleges Outreach Clinics at Rangimarie Marae and Cameron House B4 Schools checks (112% of contracted target as at 30/6/09) Palliative Care programme Assisted with a community fund raising project which raised $650,000 and built a new Medical centre in Martinborough Rural Initiative pilots o South Wairarapa Nurse Practitioner pilot o Interactive rural practice capability A detailed description of each service and summary of recent highlights/achievements can be found in the WCPHO 2008 Annual Report available on the Wairarapa Community PHO website. The implementation of these initiatives has been made possible by the service improvement support, skills and resources provided to WCPHO by Compass Health as its MSO. Further detail on the achievements and capability of Compass Health are set out in the Compass Health CCDHB Mid Central DHB, and the regional Compass Health EOI responses. 4.3 Relationships and partnerships WCPHO has a strong relationship with Wairarapa DHB. WCPHO and DHB Funding and Planning staff work jointly on the Primary Care Section of the DHB District Annual Plan. The PHO and its contracted providers work closely with the DHB provider arm, and have recently been closely involved in developing the Wairarapa DHB Clinical Services Action Plan (references). WCPHO has sound linkages with the local Māori community through the two Iwi representatives appointed to the PHO Board. Both the Rangitāne and Ngati Kahungunu Iwi representatives and the DHB Iwi Kainga (Māori Health Committee) are directly consulted on significant issues. Both Iwi support this EOI. All seven Medical Centres in the Wairarapa are contracted providers to WCPHO. The PHO and Compass Health have strong linkages to the Medical Centres and provide Register Management, Programme Management, some general Practice support and quality improvement services and Continuing Professional Development. WCPHO has contracts and 94
excellent relationships with the two Māori Providers in the Wairarapa, Te Hauora and Whaiora. WCPHO has an informal association with all the NGOs in the district, providing them with copies of the PHO annual report and opportunities to input into PHO planning. The PHO Services Committee which meets quarterly and oversees development of the Services for Improving Access and Health Promotion plans includes NGO representatives. 4.4 Engagement with consumers & community The WCPHO has an existing framework of representation and participation in place which ensures the that meaningful engagement of the community and consumers occurs at a number of levels within CHWT and the four partner organisations to this proposal. 4.4.1 Governance The WCPHO has established governance appointment processes in place that reflect the community groups that it represents, especially those of Māori. In addition, sub-committees of the PHO Board includes additional community representation; thereby increasing community and consumer engagement at this level of the organisation. The processes involved have been regularly reviewed and updated over time to ensure that they remain effective from the communities and Board’s perspectives (please refer supporting information for further detail from the 2008 Annual Report). All PHO Board meetings are open to the general public; meeting times are available on the WCPHO website. Annual General Meetings are also widely advertised using a variety of communication/media channels. The WCPHO Board of Trustees comprises twelve members (see section 1.3 for detail of the Board), of which eight are community representatives and 5 currently represent clinicians. The WCPHO Services Committee includes the following representatives: Community – Community PHO Board Member as the Chair General practitioners Care of the Elderly Community Mental health Practice Nursing Pharmacy Māori providers (2) Well child and youth Plunket Regional Public Health Rest Homes Disability WCPHO maintains a contact list of all relevant NGOs in the Wairarapa and has the capability of consulting with these organisations as required. An NGO hui was convened in the course of deriving this EOI response, to enable input from the NGO sector. 95
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TRANSFORMING PRIMARY HEALTH CARE IN
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Contents 1.0 Lead Organisations det
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Executive Summary Better, Sooner an
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Background and Development Process
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1.3 Legal Structure Wairarapa Commu
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2004 Q3 2004 Q4 2005 Q1 2005 Q2 200
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3.0 The Proposed Initiative / Packa
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The Wairarapa Integrated Family Hea
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health services, as well as selecte
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Immunisation Outreach (1 FTE curren
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Local delivery of as much service a
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Whānau Ora approaches are infused
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Practice Decision Support modules (
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3.3.4 Key Performance Indicators SE
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patients transported to ED and redu
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3.5 Patients with Long Term Conditi
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visible to all providers working wi
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3.6 Whānau Ora "Whānau Ora is the
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Māori Mental Health positions, Wh
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Te Rūnanga Hauora o Wairarapa AOD
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WCPHO/CH will continue to support a
Page 43 and 44: A shared approach to service improv
Page 45 and 46: WEEK CLINICAL PATHWAY COLLABORATIVE
Page 47 and 48: Practice performance monitoring pro
Page 49 and 50: Figure 1: The Business Unit Model I
Page 51 and 52: Alongside the business and operatio
Page 53 and 54: o o Direct primary care referrals f
Page 55 and 56: 3.8.4 Key Performance Indicators SE
Page 57 and 58: Enhanced collaboration across the c
Page 59 and 60: 3.9.3 Pharmacy Our Goal: Action Com
Page 61 and 62: Medicines Management will be implem
Page 63 and 64: 3.9.3.2 Decision Support and Clinic
Page 65 and 66: 3.9.4 Older Persons Services Our Go
Page 67 and 68: The following organisations have be
Page 69 and 70: 3.9.4.2 Decision Support / Clinical
Page 71 and 72: 3.9.5 Urgent Care We are working th
Page 73 and 74: 3.9.6 Primary Mental Health Service
Page 75 and 76: The Integrated Family Health Model
Page 77 and 78: 3.10 Access Our Goal: Improve acces
Page 79 and 80: 3.10.2 Decision Support / Clinical
Page 81 and 82: o assessment for FSAs in Primary Ca
Page 83 and 84: Meaningful effective linkages betwe
Page 85 and 86: SECTION 3.12 - VULNERABLE POPULATIO
Page 87 and 88: Expanded workforce through better u
Page 89 and 90: MSD has already developed the Commu
Page 91 and 92: CHWT currently has a Board of 5 Tru
Page 93: Associated partners of WCPHO: This
Page 97 and 98: good track record of issuing media
Page 99 and 100: Funding model for new integrated se
Page 101 and 102: 4.7 Clinical Leadership Our Goal: M
Page 103 and 104: Mentoring and support for emerging
Page 105 and 106: 4.8.2 E-Referrals Compass Health ha
Page 107 and 108: The unit could establish a regional
Page 109 and 110: when dealing with Long Term Conditi
Page 111 and 112: The Practice Liaison team forms an
Page 113 and 114: meet the needs of the workforce. Th
Page 115 and 116: achieving a systematic approach to
Page 117 and 118: Secondary funding is not able to be
Page 119 and 120: Rural Funding and Kimberley 71,000
Page 121 and 122: Funding sources for capital items w
Page 123 and 124: The organisation’s financial syst
Page 125 and 126: 7.0 References 1. National Health C
Page 127 and 128: Appendix 2 - Letters of support for
Page 129 and 130: Appendix 4 - Terms of Reference of
Page 131 and 132: number of national forums and organ
Page 133 and 134: Alison Appleton Manager, Human Reso
Page 135 and 136: Appendix 6 -Compass Health Staff li
Page 137 and 138: Hancock Tui Mobile Nurse Hart Nicky
Page 139 and 140: Gartrell Stephanie Operations Manag
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Wairarapa Community PHO EOI - New Zealand Doctor

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