Page 40 - Regional Services Plan 2016/19

2.3 Elective services (Regional Elective Services Network)
Lead Chief Executive: Ron Dunham COO Lead: Dale Oliff
Clinical Lead: Chief Medical Officer - Dr Martin Thomas Project Manager: Jocelyn Carr
Key Objectives:
 Reduce inequalities and improve quality using evidence-based best practice models of care
 Recommend regional solutions to meet service care needs in the primary, community, secondary and tertiary sectors and implement
solutions which maximize current capacity and/or better utilize resources.
 Promote organized systems of care
 Develop clinical leadership
 Support continuing work on technological developments which support services
Measures*:
Measures to show success annually:
 Increased number of procedures and ‘first specialist assessments’ (FSA) without compromising quality of care
 Reduced waiting times and maintenance of elective service performance indicator (ESPI) compliance
 Variation in Clinical Priority Access Criteria (CPAC) scoring thresholds are reducing once on nationally approved tools
 Increased number of consistent clinical pathways across work streams and increased use of those pathways
 Improved management of elective volumes within regional capacity (Increased numbers of patients being transferred between DHBs
for non-tertiary care)
Measures to show success over the next three years:
 Clinicians and management agree that data quality has improved
 Regional clinical networks can influence how funding is spent within their specialty areas
 Regional policies are stored at a location accessible at all DHB sites
 Additional regional policies have been developed and agreed
 Additional regional staff positions have been created when appropriate and natural progression into these roles has been defined
 Data relating to patients being treated by regional services is better understood as are regional pathways that are available
 Regional clinical networks have sub-groups available for allied health and other clinicians to also share their own learning’s with their
fellow colleagues.
* by ethnicity, locality, age and deprivation where possible
Line of Sight
 Waikato DHB DAP – Improved Access to Elective Surgery (p78 & 79)
 Taranaki DHB DAP – Improved Access to Elective Surgery (p112 & 113)
 Bay of Plenty DHB DAP – Improved Access to Elective Surgery (p75)
 Lakes DHB DAP – Improved Access to Elective Surgery (p131)
 Hauora Tairāwhiti DAP – Improved Access to Elective Surgery (p109)
Initiative
Milestone/Date
Responsibility
1. Advance regional ENT
 Regional electives tools are created to monitor aspects required of the regional ENT work program
 Clinical procedures done for ENT regionally are understood and regional variation has been discussed and agreed as clinically acceptable or a process has been put in place to improve regional consistency
 Develop consistent ENT Map of Medicine and clinical pathways, access criteria, and clinical protocols
 Regional ENT workforce is understood and support structures in place to reduce risks of short staffing in smaller regional DHBs
 Regional variation in CPAC scoring (using national scoring tools) has been reduced
NZ Health Strategy strategic themes alignment: Care closer to home; One team; High value and performance; Smart system
Q1 2016/17 Q3 2016/17
Q4 2016/17 Q4 2016/17 Q4 2016/17
Project Manager
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
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INITIATIVES OF REGIONAL NETWORKS AND CLINICAL ACTION GROUPS