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

66Taranaki District Health Board - Progress on our Annual Plan 2012-13May-13Priority Area Objective Project Annual Plan Status Measure Measure Status Target Progress Progress CommentsTobacco ControlLong Term Chronic Conditions -Cardiovascular Disease (CVD) / DiabetesService Integration – Primary CareDevelopment and DeliveryWhānau OraBetter Support for Smokers to Quit in Secondary CareBetter Support to Quit in Primary Care (PHOs) GeneralPracticeRegional collaboration – implement the 2012-13actions in the Midland Smokefree 2025 Five YearProgramme of Action 2010-15Meeting the Health TargetUse of Integrated Care model to effectively manage theinterface between primary and secondary care.Organised Stroke servicesRegional collaborationOn TrackOn TrackHealth Target - Better Helpfor smokers to quitSecondary ☺Health Target - More Heartand Diabetes Checks ☹Detection☹ Policy Priority 20 - DiabetesPolicy Priority 20 - DiabetesManagement☹TDHB is working with the midland region for renal service delivery. Progress being made with agreed regional alert system for renalpatients attending ED. Ongoing progress with data collection and clinical guidlinesTDHB continues to participate in the Midlands Regional Stroke Network comprising representation from Waikato, Lakes, Bay of Plentyand Tarawhiti.Better after hours care for children under 6 Primary Care Complete GP Free After-Hours service for under sixes has been implemented in TaranakiImproved access to Primary Care, better integrationbetween Primary and Secondary Care and better use ofresourcesRegional collaborationTobacco Action PlanLong Term Chronic ConditionsStroke ServicesLong Term Chronic ConditionsPrimary CareTaranaki Immunisation StrategyGroupTobacco Action PlanWhanau OraMDM - POACPrimary CareBehind PlanOn TrackOn TrackOn TrackOn TrackBehind PlanOn TrackOn TrackOn TrackHealth Target - Better Helpfor smokers to quit PrimaryPolicy Priority 20 - StrokeServicesHealth Target More Heartand Diabetes ChecksManagement☹☹Policy Priority 20 - DiabetesHealth Target - IncreasedImmunisation☺Health Target - Better Helpfor smokers to quit Primary☹Not Available☹System Integration 1 -Ambulatory SensitiveHospitalisations 0-4 yrs ☺ MaoriASH 0-4yrs Other☺ ASH 45-64 yrs Maori☺ ASH 45-64 yrs Other☺ ASH 0-74 yrs Maori☺ ASH 0-74 yrs Other☺ The Secondary Care Tobacco Health Target monthly performance for March 2013 was 98.44% and for the second month in a rowTDHB has achieved the Tobacco Target. Midland Health Network continue to improve with target results currently delivering themeasures required on the service specification however not yet acheiving the target of 90%MDT on track contract under development. TALT agreed a Primary Options model will be developed that meets the needs of theTaranaki population.MDT on track contract under development. TALT agreed a Primary Options model will be developed that meets the needs of theTaranaki population.The uptake for Maori children with completed immunisations at 8 months decreased for the second month while uptake for Maori at24 months remained static. The uptake for total population is has not decreased. We continue to work with the OIS providers to lookat ways of improving the statistics and looking at more detailed analysis on where the babies are geographically located. The TaranakiImmunsiation Steering Group reviewed the Strategic Action Plan and a number of initiatives are being followed up.The Secondary Care Tobacco Health Target monthly performance for March 2013 was 98.44% and for the second month in a rowTDHB has achieved the Tobacco Target. Midland Health Network continue to improve with target results currently delivering themeasures required on the service specification however not yet acheiving the target of 90%Te Kawau Maro is on track. Tui Ora Ltd consolidation of providers is complete. TDHB is working with TKM to develop the ResultsBased Accountability outcomes framework. The population health outcomes have been agreed and the performace measures andpopulation health indicators are being finalised. On track for an RBA Framework contract from 1 July 2013.Taranaki Primary Options has been discussed at TALT and has been agreed in principle. The Waikato model of service deliveryproposed by the Midlands Health Network is to be reassessed and a model of care develped that meets the needs of the Taranakipopulation.Primary Options has been agreed in principle by TALT . Further investigation is underway to identify the most appropriate model ofcare for the Taranaki population. MDT and the Community Referral Hub implementation is is progress. Map of Medicine clinicalpathways will be implemented in Taranaki.Establish Whānau Ora ProgrammeWhanau OraOn TrackTe Kawau Maro is on track. Tui Ora Ltd consolidation of providers is complete. TDHB is working with TKM to develop the ResultsBased Accountability outcomes framework. The population health outcomes have been agreed and the performace measures andpopulation health indicators are being finalised. On track for an RBA Framework contract from 1 July 2013.Introduce a sustainable service delivery model - using awhole of system view to determine the most efficientservice delivery models for whānauImplementation of theResults BasedAccountability FrameworkNot AvailableWhanau Ora On Track TDHB continues to support the collective through capacity building of Tui Ora and Te Kawau Maro alliance.66