PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...

More documents

Recommendations

Info

Year Type Background What is it? / Evaluation2000Medical Director. Medical Director is largely used by generalpractitioners and in a few selected communities.Medical Director has a number of functions thatGP servicessupport clinical practice including:AmpilatwatjaHealth Service2003Bagot ClinicBinjariJabiruSt TheresaRenal UnitMSOAPPrimary CareInformation System(PCIS)OthersystemselectronicCare planningRecallPharmacy prescribingPathology ordering and resultsClinical patient recordsPCIS developed from CCTIS.A 2005 review of PCIS found that a large number ofurgent problems required fixing. It recommendedthat „The NTDHCS go ahead with adopting the systemas the major recall system for chronic diseases. Oneof the most important of these was to gain buy-infrom clinicians as there was widespread distrust ofthe new system. The system has the capacity toPrint population listsClinical recording of client consultationsCare planningRecall and reminder functionA prescribing modulePathology module andHealth Insurance CommissionThese are adhoc systems that have been developedto fill a gap in a corporate system being available.They include spreadsheets, specific databases etcThese systems are not supported by IT services, havelimited documentation if any, training is limited.The system is mostly used by GP‟s and where it is beingused by a team lists are generated to direct actionrather. The system is mainly used b the GP rather thanthe whole health team.PCIS is currently being used by a number of smallhealth centres. It continues to be under developmentby the NT DHCS for implementation into a larger rangeof facilities.These systems are used by individual and are notnetworked to other systems. They are dependent onthe interest and skills of individual staff members. Theyare often limited to individual staff members and arelost when the staff change.Appendices 1 to 3 – Evaluation of the NT Preventable Chronic Disease Strategy 2007 116
Year Type Background What is it? / EvaluationOther manual A range of other manual recall systems/processes are All of these strategies are dependent on staffsystemsused to flag activities due:preferences and likely to change when staff change.‣ monthly paper lists,‣ whiteboard lists and‣ diaries.‣ cards inserted into files,‣ stamps on files,Appendices 1 to 3 – Evaluation of the NT Preventable Chronic Disease Strategy 2007 117
Page 1 and 2:
Pty LtdABN 82 147 637 101AN EVALUAT
Page 3 and 4:
TABLE OF CONTENTSList of figuresLis
Page 5 and 6:
6.6 Indigenous workforce 996.7 Prev
Page 7 and 8:
List of AbbreviationsABCDACCHOsACIC
Page 9 and 10:
ACKNOWLEDGEMENTSWe would like to ac
Page 11 and 12:
However the extraordinary number of
Page 13 and 14:
the establishment of the Sunrise He
Page 15 and 16:
RECOMMENDATIONSGeneral recommendati
Page 17 and 18:
Exploration of joint funding arrang
Page 19 and 20:
CHAPTER 1. INTRODUCTION1.1 Backgrou
Page 21 and 22:
Choosing the 5 chronic conditionsTh
Page 23 and 24:
Table 1.1Key Result Areas + Best Bu
Page 25 and 26:
prior to the launch of NTPCDS, such
Page 27 and 28:
Year * Action Outcome1999 S NT Prev
Page 29 and 30:
Year * Action Outcome2005 P Aborigi
Page 31 and 32:
CHAPTER 2.EVALUATION METHODOLOGYThe
Page 33 and 34:
2.2 Evaluation StagesThe NTPCDS eva
Page 35 and 36:
chronic disease activities funded t
Page 37 and 38:
internal project team. It was very
Page 39 and 40:
Situation at Baseline1. The Guideli
Page 41 and 42:
3.1.2 Patient information and recal
Page 43 and 44:
Ferret Miwatj, Numbulwar, Marngarr,
Page 45 and 46:
Medicare information is not for pub
Page 47 and 48:
was in place in Central Australia i
Page 49 and 50:
What orientation and ongoing traini
Page 51 and 52:
programs focus on chronic disease p
Page 53 and 54:
The information collected as part o
Page 55 and 56:
Assessment against objectiveMost se
Page 57 and 58:
career development, and retention i
Page 59 and 60:
are. Indigenous employment is NTDH&
Page 61 and 62:
NTDH&CS Programs that encourage Hea
Page 63 and 64:
2002 Aboriginal and Torres Strait I
Page 65 and 66:
delivering any prevention and healt
Page 67 and 68:
The Community Services Division - A
Page 69 and 70:
1 x AHW Central Australia 2001 S100
Page 71 and 72:
One clinic stated it had no care pl
Page 73 and 74:
Identifies priority practices to in
Page 75 and 76:
There has been a significant growth
Page 77 and 78:
about 25 per cent of the hospital b
Page 79 and 80:
The level of funding provided by th
Page 81 and 82:
Central Australia and two zones cur
Page 83 and 84: The diabetes education teams at HLN
Page 85 and 86: maintenance group for people with l
Page 87 and 88: Rebates for participating or arrang
Page 89 and 90: Use of Medicine Programmes. Althoug
Page 91 and 92: CHAPTER 4. CLINICAL OUTCOMES OF THE
Page 93 and 94: improvements have been made to serv
Page 95 and 96: A recent ten-year follow-up of a co
Page 97 and 98: The NTDH&CS also collect birthweigh
Page 99 and 100: Figure 5.3 Vaccination coverage for
Page 101 and 102: It is also important to note that k
Page 103 and 104: eported that 50 per cent of the Ind
Page 105 and 106: The current action plan identifies
Page 107 and 108: The availability and cost of health
Page 109 and 110: Hoy et al in 1995-2000 (100) , and
Page 111 and 112: 5.6 Best practice management5.6.1 P
Page 113 and 114: disease care in urban areas regardi
Page 115 and 116: PCIS was developed by NTDH&CS as th
Page 117 and 118: emote staff can access training and
Page 119 and 120: In the Top End there appeared to be
Page 121 and 122: APPENDIX 1EVALUATION OF THE NT PREV
Page 123 and 124: 2.10 Generally speaking, on a scale
Page 125 and 126: 4.4 Briefly recount any anecdotes y
Page 127 and 128: 5.9 Generally speaking, on a scale
Page 129 and 130: Section 8 • Summary questions8.1
Page 131 and 132: Preventable Chronic Disease Program
Page 133: Year Type Background What is it? /
Page 137 and 138: An important background to this stu
Page 139 and 140: New beliefs do not replace the old,
Page 141 and 142: Other services are provided to the
Page 143 and 144: ecame the main priority in many peo
Page 145 and 146: to be healthy, how to get rid of di
Page 147 and 148: (Draft Version - © August 2006 Jan
Page 149 and 150: References1. Dunham, H., Ministeria
Page 151 and 152: 35. Smith, J.D., Progress report fo
Page 153 and 154: Research Centre for Aboriginal Heal
Page 155: 114. Senior, K., 'A Gudbala Laif? h
show all

PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...

Create successful ePaper yourself

Delete template?

Save as template?