6 June 2013 (PDF 2.4MB) - Taranaki District Health Board

Taranaki District Health Board - Progress on our Annual Plan 2012-13May-1365Priority Area Objective Project Annual Plan Status Measure Measure Status Target Progress Progress CommentsEmergency Departments (ED) – UnplannedCareElective Services – Planned CareImproved access to the most appropriate urgentcare and meeting the Health TargetAcute PathwayProject WhakapaiOn TrackOn TrackA sustainable after-hours service Primary Care On TrackBetter emergency care co-ordinationRegional collaboration - Midland Regional TraumaSystemImproved access to elective services and meetingthe Health TargetEmergency Care Coordination Team/RegionalEmergency Department ServiceMidland Regional Trauma SystemElective ServicesMidland Regional Elective Services Action GroupPre Admission Project; Enhanced Recovery AfterSurgery; The Productive Operating TheatreNot StartedOn TrackOn TrackNot StartedOn TrackHealth target ED - All patients treated oradmitted within 6 hoursPolicy Priority 2 - 50% reduction in EDgrowth ☺ PrimarySystem Integration 1 - AmbulatorySensitive Hospitalisations 0-4 yrs Maori ☺ ASH 0-4yrs Other☺ ASH 45-64 yrs Maori☺ ASH 45-64 yrs Other☺ ASH 0-74 yrs Maori☺ ASH 0-74 yrs Other☺ Health Target - Improved access toelective surgery ☺ SIRs - Total Major Joints per 10,000☹ SIRs - Cataract per 10,000☺ SIRs - Cardiac per 10,000☺ SIRs - Percutaneous revascularization per10,000 ☹ SIRs - Coronary angiography per 10,000☺ ESPI 8 - The proportion of patientstreated who were prioritised usingnationally recognised processes or tools ☺ Ownership Dimension 7 - Elective andarranged day of surgery admission☺☹The acute pathway project continues to analyse, plan and implement changes for patients presenting to the ED, being admitted to the ward and then through to discharge. We continue to achievethe shorter stays target after reaching the 95% in Q3. Current work is focusing on length of stay and delay reasons, internal ED monitoring and flow co-ordinationOptions has been agreed in principle by TALT . Further investigation is underway to identify the most appropriate model of care for the Taranaki population. MDT and the CommunityReferral Hub implementation is in progress. Map of Medicine clinical pathways will be implemented in Taranaki.TDHB continues to work with the Midland Region in the delivery of the Regional Trauma Service. Locally scenario training is ongoing with positive response from all clinical depts involved.All waiting lists are being managed within 5 months, planning beginning to work towards the 4 month target for 14/15.Significant progress has been made within the Elective projects as per the project manager status report. Ongoing focus on these areas will continue to impact on performance measures.Implement the Government’s new expectations onimproving waiting times for diagnostic servicesDiagnosticsNot StartedTDHB is contributing data to the Ministry monthly regarding the new waiting times targets for Colonoscopy and Angiography. New waiting time targets have been introduced to the services andcompliance is being monitored. Fulford radiology is contributing the data for CT MRIRegional collaboration Midland Regional Elective Services Action Group Not StartedDevelopmental Measure 2 - Improvingwaiting times for diagnostic servicesBaseline SettingTDHB is working with the Midland Region on key elective projects. These include Ophthalmology, Orthopaedics and Pain. There is discussion currently regarding the introduction of General Surgeryinto this planning and latterly vascular and plastics. TDHB led a planning session for orthopaedics presenting the orthopaedic production model. Other midland DHBs will be adopting this model toplan their service delivery.Cancer ServicesImproved access to cancer services and meetingthe Health TargetCancerDiagnosticsNot StartedNot StartedHealth Targets - Shorter Waits for CancerTreatment☺TDHB is contributing data to the Ministry monthly regarding the new waiting times targets for Colonoscopy and Angiography. New waiting time targets have been introduced to the services andcompliance is being monitored. Fulford radiology is contributing the data for CT MRIPalliative Care Plan On Track SIRs Not AvailableDraft Palliative Care Plan consultation completed Feb 2013. Finalised Plan signed off by TDHB Board March 2013. Detailed implementation Plan being developed and a number of projects alreadyunderwayCancer On Track Faster Cancer Treatment project at TDHB is closely aligned to the central cancer network project.Regional collaborationFaster Cancer TreatmentOn TrackDevelopmental Measure 1 - Fastercancer treatmentBaseline SettingWorking with the Central Cancer Network to establish data collection process appropriate for TDHB service delivery models. Data collection commenced and quality of information improving. Weare identifying process changes to enhance the pathway for patients. The cancer nurse co-ordinator has commenced and is focusing on pathways for patients and referral processes to ensure thosemost in need of support are seen. this role has been utilised across a number of services.Cardiac ServicesImproved access to cardiac services and reducedwaiting timesRegional collaboration – Acute CoronarySyndrome (ACS) ProjectCardiacOn TrackDevelopmental Measure 2SIRs - Cardiac per 10,000☺SIRs - Percutaneous revascularization per10,000 ☹SIRs - Coronary angiography per 10,000☺Baseline SettingTDHB is working with the midland region on cardiology projects (ACS). A local project to look at acute and elective cardiology service delivery has-been undertaken with recommendations currentlyin draft format65