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70% of high-risk patients will receive an angiogram within 3 days of admission. (‘Day of Admission’ being ‘Day 0’) by ethnicity.
Over 95% of patients presenting with ACS who undergo coronary angiography have completion of ANZACS QI ACS and Cath/PCI
registry data collection within 30 days.
* by ethnicity, locality and deprivation where possible
Line of Sight
DHB Annual Plans: Please see section 2.2, Delivering on Priorities and Targets; 2.5.3 Cardiac Services and Module 7 Performance Measures PP20, PP29, SI4 SIRs, OS8 for Readmissions HF; 2B.1.1.2 Actions to deliver on Annual Plan Priorities; Long Term Conditions – Prevention, Identification and Management Cardiovascular Disease, System Integration Cardiac services; 5.4 Providing Health and Disability Services of Waikato, BOP, Taranaki, Lakes and Tairāwhiti DHBs.
Māori Health: Please see Appendix 1 Objective 1: Improve Māori Health Outcomes
Workforce: Please see Appendix 1 Objective 4 : Build the Workforce Section WF10, WF11
Regional IS: Please see Appendix 1 Objective 5 : Improve Clinical Information Systems - Service Transformation
Initiative
1. Embed the virtual regionally-integrated Midland Cardiac Service as business as usual between the five Midland DHB Cardiac Services. (People powered; Closer to home; High value and performance; Smart system; One team)
Regional agreement to deliver value and high performance across the Midland DHB region working as one virtual service. This will involve responding to population demand and aligning regional strategic, annual and daily planning and operations management.
During this process opportunities for service improvements will be identified and addressed.
Output / Deliverables
1. Implement and continuously improve ACS forecasting
2. Implement and continuously improve a production planning process for the region based
3. Develop long term capacity modelling to determine what services will be required in the
future to deliver equitable OP and IP access across the region and to inform resource and
facility planning processes across the region
4. Agree on Standard Operating Procedures and Variance Response Management Plans
(SOPs, VRMs) for Cardiac Services to provide agreement on how services will be managed and what responses will be used to manage daily demand variance.
1: Improve Māori health outcomes
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INITIATIVES OF REGIONAL NETWORKS AND CLINICAL ACTION GROUPS
2: Integrate across continuums of care
3: Improve quality across all regional services
4: Build the workforce
Milestone/Date
5: Improve clinical information systems
Responsibility
Q1 2016/17 Q2 2016/17 Q3 2016/17
Q4 2017/18
Midland Regional Cardiac Planning Group, DHB Executives
6: Efficiently allocate public health system resources
Initiative
Milestone/Date
Responsibility
2. IHD
A population with increasingly well managed risk factors and timely access to appropriate intervention leading to reduced presentation, readmission rates and mortality due to IHD (Care closer to home; One team; Smart system)
1. National Expected Clinical Standards across the Midland Region – undertake a gap analysis
2. Develop a plan and proposals for addressing the gaps between the Midland DHBs individual performance and the National Expected Clinical Standards
3. Work with the Radiology Network to develop a briefing paper on a regionally integrated CTCA service
4. Secondary prevention and rehabilitation sub group to identify gaps across the region
Q1 2016/17 Q2 2016/17 Q3 2016/17 Q4 2016/17
MCCN,
Midland DHB Cardiac Services
1: Improve Māori health outcomes
2: Integrate across continuums of care
3: Improve quality across all regional services
4: Build the workforce
5: Improve clinical information systems
6: Efficiently allocate public health system resources
Initiative
Milestone/Date
Responsibility
3. Heart Failure Management – effective prevention, delay in onset and management of heart failure to improve quality of life for patients and to reduce acute presentations (Closer to home; One team; Smart system)
1. Understand the burden of HF in the Midland region
2. Efficacy of management of heart failure
3. Assess timely access to treatment
4. Implement National Expected Clinical Standards and develop regional recommendations
for future service needs
Q2 2016/17 Q3 2016/17 Q3 2016/17 Q4 2016/17
MCCN, Midland DHB Cardiac Services
1: Improve Māori health outcomes
2: Integrate across continuums of care
3: Improve quality across all regional services
4: Build the workforce
5: Improve clinical information systems
6: Efficiently allocate public health system resources
Initiative
Milestone/Date
Responsibility
4. Regional IS/IT Projects
1. Explore development of an outpatient coding system across the five DHBs - similar to the
Q4 2016/17
MCCN, Midland DHB Cardiac Services
