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

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67Taranaki 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) / DiabetesBetter 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.Tobacco Action PlanLong Term Chronic ConditionsBehind PlanOn TrackHealth Target - Better Helpfor smokers to quitSecondary ☺Health Target - Better Helpfor smokers to quit PrimaryHealth Target - More Heartand Diabetes Checks ☹Detection☹ Policy Priority 20 - DiabetesPolicy Priority 20 - DiabetesManagement☹☹The Secondary Care Tobacco Health Target monthly performance for March 2013 was 98.44% and for the second month in a row TDHB has achieved the TobaccoTarget. Midland Health Network continue to improve with target results currently delivering the measures required on the service specification however not yetachieving the target of 90%MDT on track contract under development. TALT agreed a Primary Options model will be developed that meets the needs of the Taranaki population.TDHB is working with the Midland region for renal service delivery. Progress being made with agreed regional alert system for renal patients attending ED. OngoingOrganised Stroke servicesOn TrackPolicy Priority 20 - Strokeprogress with data collection and clinical guidelinesStroke ServicesNot AvailableServicesRegional collaboration On Track TDHB continues to participate in the Midlands Regional Stroke Network comprising representation from Waikato, Lakes, Bay of Plenty and Tairawhiti.Service Integration – Primary CareDevelopment and DeliveryBetter 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 ofresourcesLong Term Chronic ConditionsPrimary CareTaranaki Immunisation StrategyGroupTobacco Action PlanWhanau OraOn TrackOn TrackOn TrackBehind PlanOn TrackHealth Target More Heartand Diabetes ChecksManagement☹☹Policy Priority 20 - DiabetesHealth Target - IncreasedImmunisation☺Health Target - Better Helpfor smokers to quit Primary☹MDT on track contract under development. TALT agreed a Primary Options model will be developed that meets the needs of the Taranaki population.The uptake for Maori children with completed immunisations at 8 months decreased for the second month while uptake for Maori at 24 months remained static. Theuptake for total population has not decreased. We continue to work with the OIS providers to look at ways of improving the statistics and looking at more detailedanalysis on where the babies are geographically located. The Taranaki Immunisation Steering Group reviewed the Strategic Action Plan and a number of initiatives arebeing followed up.The Secondary Care Tobacco Health Target monthly performance for March 2013 was 98.44% and for the second month in a row TDHB has achieved the TobaccoTarget. Midland Health Network continue to improve with target results currently delivering the measures required on the service specification however not yetachieving 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 Results Based Accountability outcomesframework. The population health outcomes have been agreed and the performance measures and population health indicators are being finalised. On track for an RBAFramework contract from 1 July 2013.Regional collaborationMDM - POACPrimary CareOn TrackOn TrackSystem 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☺ Taranaki Primary Options has been discussed at TALT and has been agreed in principle. The Waikato model of service delivery proposed by the Midlands HealthNetwork is to be reassessed and a model of care developed that meets the needs of the Taranaki population.Primary Options 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 Community Referral Hub implementation is progressing. Map of Medicine clinical pathways will be implemented in Taranaki.Whānau OraEstablish 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 Results Based Accountability outcomesframework. The population health outcomes have been agreed and the performance measures and population health indicators are being finalised. On track for an RBAFramework 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.67
68Taranaki District Health Board - Progress on our Annual Plan 2012-13May-13Priority Area Objective Project Annual Plan Status Measure Measure Status Target Progress Progress CommentsMental Health and Addiction ServicesImproved access for child and youth to mental healthservicesMH&A - Provider ArmOn TrackPolicy Priority 6 - Improvingthe health status of peoplewith severe mental illness☺TDHB Dementia Pathway has been endorsed as the standard to be implemented by the midland region.Health of Older PeopleDelivery against Implementation Action Plan – MentalHealth and Addictions Adult Continuum Project.Regional collaborationMH&A - Planning and FundingBehind PlanOn TrackPolicy Priority 8 - NonurgentMental Healthreferrals seen
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6 June 2013 (PDF 2.4MB) - Taranaki District Health Board

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