Page 47 - Regional Services Plan 2016/19
P. 47
1: Improve Māori health outcomes
2: Systems integration across continuum of care
3: Improve quality across all regional services
Initiative
1: Improve Māori health outcomes
2: Systems integration across continuum of care
3: Improve quality across all regional services
REGIONAL SERVICES PLAN 2016-2019
47
4: To build the workforce
4: To build the workforce
5: Improve clinical information systems
Milestone/Date
5: Improve clinical information systems
6: Best value for public health systems resources
Responsibility
2. Harti Hauora programme
NZ Health Strategy strategic themes alignment: Closer to home, value and high performance, one team
CHAG will support the wider implementation of the Harti Hauora programme into other Midland DHBs. We will also support developing the tool for use in the wider sector e.g. Plunket, primary care services. This support will include redevelopment and testing of the tool to utilise in all DHBs, validation and evaluation of the tool in Midland paediatric secondary services initially and then work with the wider sector to implement it more broadly (Plunket, WCTO services, primary and community care).
The Harti Hauora programme was developed because of the inequities that exist in access, timeliness, and quality of health care between ethnic and socioeconomic groups. The Harti Hauora programme came into being in 2015 in WDHB, as a way to help improve the health and wellness of Māori and other at risk children and meet standards set by the Ministry of Health. The tool assesses the child’s risks in the following areas:
Enrolments and Entitlements – General Practitioner, Well Child/Tamariki Ora (WCTO), Oral health, B4 School check, early childhood education (ECE)
Health Protection – Immunisation status, household smoking exposure, breastfeeding, housing, safe sleep, Car Safety, Shaken Baby, Family Violence Screening
General Health – frequent hospital admissions, BMI/healthy weight, sore throat
Rationale (why does this matter?):
Children are missing out on key health milestone checks leading to chronic illness, higher hospitalisation rates and poorer long term health outcomes
Hospitalised children are more at risk of missing out on key health milestone checks
Hospitalisation and/or accessing any child health service provides a useful opportunity to
opportunistically screen, intervene and provide follow up packages of care for at risk children
Outputs (what you will see at June 2017):
The current Harti Hauora tool will be assessed and enhanced where required for successful integration in paediatric secondary services across the region.
The Harti Hauora tool will be trialled in all Midland paediatric secondary services.
Work will be underway to integrate the current Harti Hauora tool with community based
child health services and determine enhancements required of the tool.
Q2 2016/2017 Q4 2016/2017 Q4 2016/2017
Project Manager
6: Best value for public health systems resources
Initiative
Milestone/Date
Responsibility
3. Pathways of care
NZ Health Strategy strategic themes alignment: Closer to home, value and high performance, one team)
The Child Health Action Group will continue to lead and support work to identify, establish and implement agreed pathways through Map of Medicine. 2016/2017 will focus on the management of elimination disorders.
Rationale (why does this matter?):
Elimination disorders and in particular childhood constipation is a common health problem around the world affecting up to 29.6% of children. Local clinical experience supports the view that there is a high rate of constipation in children across the region. There is a need to ensure consistent and timely treatment of elimination disorders across the health sector to avoid unnecessary admissions to secondary services.
Outputs (what you will see at June 2017):
A completed map of medicine for childhood elimination disorders ready for publishing.
Q4 2016/2017
Project Manager
1: Improve Māori health outcomes
2: Systems integration across continuum of care
3: Improve quality across all regional services
4: To build the workforce
5: Improve clinical information systems
6: Best value for public health systems resources
Initiative
Milestone/Date
Responsibility
4. Paediatric outpatient coding
NZ Health Strategy strategic themes alignment: Closer to home, value and high performance, one team, smart system)
We will support a paediatric outpatient coding IT system across the remaining three DHBs- similar to the BOPDHB and WDHB systems in place. Paediatric outpatient coding and electronic growth charts are now being implemented and validated in both WDHB and BOPDHB – CHAG will explore the potential implementation across the remaining DHBs.
Project Manager
