Page 37 - Regional Services Plan 2016/19
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Support the five Midland DHBs and Public Health entities to empower the population in knowledge and skills to increasingly understand and manage their own health conditions
Living well with long term conditions - ensure health interventions work to reduce risk factors and strengthen protective factors.
Health quality and safety - take a governance role to ensure patient clinical pathways and access criteria exist across the continuum,
ensuring patients with a similar level of need receive comparable access to services, regardless of where they live
Ensuring patients receive seamless, coordinated care across the clinical pathway
Ischaemic Heart Disease – ensure high quality assessment, treatment and safe risk management
Heart Failure management – ensure high quality assessment, treatment and safe risk management
Supporting Data:
http://www.health.govt.nz/publication/mortality-2013-online-tables
Figure 6: Major causes of death, ranked by age-standardised mortality rates, by gender, Māori and non-Māori, 2010-12
Figure 7: Mortality rates from ischaemic heart disease, by DHB region, total population, 2012 http://www.health.govt.nz/publication/mortality-and-demographic- data-2012
http://www.health.govt.nz/publication/mortality-2013-online-tables
Measures*:
Notes:
The dashed vertical line is the national rate.
Rates per 100,000 population, age-standardised to WHO World Standard Population; 99% confidence intervals.
The regional measures for cardiovascular services are the same as the national indicators for DHBs. Work will be undertaken by the regional analytics team to attempt to receive data as below. Measures would be monitored for the Māori population comparative to the non-Māori population.
Primary Service KPIs
Monitor the % of patients identified as having CVRA risk >15% who are on recall/ follow up by GP and have management as per clinical guidelines
% of eligible population having CVRA (already being gathered)
Indicator 1: 90% of the eligible population will have had their cardiovascular risk assessed in the last five years.
Indicator 2: 90% of ‘eligible Māori men in the PHO aged 35-44 years’ who have had their cardiovascular risk assessed in the last five years.
Secondary Service SIRs
Cardiac surgery: A target intervention rate of 6.5 per 10,000 of population. DHBs with rates of 6.5 per 10,000 or above in previous years are required to maintain this rate.
Percutaneous revascularisation: 12.5 per 10,000 of population
Coronary angiography: 34.7 per 10,000 of population.
Cardiac Surgery and Cardiology Waitlists and Timeframes
Proportion of patients scored using the national cardiac surgery Clinical Priority Access (CPAC) tool, and proportion of patients treated within assigned urgency timeframe.
The waiting list for cardiac surgery remains between 5% and 7.5% of planned annual cardiac throughput, and does not exceed 10% of annual throughput.
Patients wait no longer than four months for a cardiology first specialist assessment, or for cardiac surgery.
Over 95% of patients undergoing cardiac surgery will have completion of Cardiac Surgery registry data collection within 30 days of
discharge.
Acute Coronary Syndrome
Have evidence based ACCP pathways that provide measures of ACS risk stratification and timeliness for patients to receive appropriate intervention.
REGIONAL SERVICES PLAN 2016-2019
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