Page 57 - Regional Services Plan 2016/19

NZ Health Strategy strategic themes alignment: people-powered, closer to home, value and high performance, one team, smart system
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
2. Maintain clinical interface
All trauma staff exposed to current trauma best practice, and trauma staff contributing to trauma forums at regional and national level. Royal Australasian College of Surgeons Trauma Verification Programme and recommendations addressed. MTS to lead an annual trauma symposium, with all trauma staff attending and contributing to the symposium.
Outputs/Deliverables
 Adequate staff are employed to meet the clinical needs of patients
 Staff maintain a culture of regular professional consultation and information-sharing on
trauma best practice
 Clinical staff members are supplied with information to improve trauma quality, eg, clinical
matrices, guidelines, TQIP reports, etc
 Dissemination of the approved Midland Regional Clinical Guidelines and Clinical Matrices,
developed in collaboration with Midland DHBs, ambulance providers and the Major Trauma National Clinical Network to ensure national consistency of regional destination policies for major trauma patients, will be through each Midland DHB Trauma Service, supported by the MTS. The Midland Regional Clinical Guidelines will be available on the MTS website for easy accessibility and to ensure version control www.midlandtrauma.nz.
 Qlik Sense reporting available and functional in all DHBs
 DHBs support appropriate education and training to maintain clinical skills at expert level
 Opportunities for education and training are signalled to all staff
 Patient and family surveys to be conducted at each DHB
 MTS to organise an annual trauma conference.
NZ Health Strategy strategic themes alignment: people-powered; value and high performance
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
3. Maximise data use:
(a) Midland DHBs to utilise the MTRC to support local prevention activities
(b) Midland DHBs to develop action plans to reduce trauma incidence based on known patterns
of trauma in collaboration with community groups
Completion of the relational database by Waikato IS with a sustainable support plan in place. Trauma data backlog resolved as a priority enabling real time tracking and analysis that is informative, efficient and responsive to stakeholders. The Trauma Quality Improvement Program (TQIP) is fully supported by an accurate and up to date relational database. Successful integration of associated databases into the relational database. The MTRC is fully functioning to maximise the trauma registry and associated high quality data research activity supporting local prevention activities.
Outputs/Deliverables
 Complete implementation of TQual (a web-based, relational data platform) to support community focused quality improvement activities
 Ensure all quality and system controls are in place and functioning
 Develop accessible visualisation and analytic tools
 Develop processes to support the efficient and accurate collection and entry of data and
quality checking processes at point of contact
 Ensure up-to-date inputting of data at DHB of origin
 Ensure a common language based on the MTS Data Dictionary
 Provide ongoing data management training and education for regional staff
 Inform stakeholders of the full capability of the relational database
 Complete Trauma Verification Program and prioritise interventions to improve trauma patient
care
 Involve trauma patients and their families in TQIP to improve patient centred services.
NZ Health Strategy strategic themes alignment: people-powered; closer to home, value and high performance; one team; smart system
1: Improve Māori health outcomes
Key:
2: Integrate across continuums of care
3: Improve quality across all regional services
Actions are specifically aimed at achieving this objective
Actions will achieve this objective but as an indirect consequence
REGIONAL SERVICES PLAN 2016-2019
57
4: Build the workforce
Q1 2016/17 Q1 2016/17
Q1 2016/17 Q1 2016/17
Q2 2016/17 Q2 2016/17 Q3 2016/17 Q4 2016/17 Q4 2016/17
Milestone/Date
5: Improve clinical information systems
Midland DHBs
Responsibility
Q1 2016/17
Q1 2016/17 Q1 2016/17 Q1 2016/17
Q1 2016/17 Q1 2016/17 Q1 2016/17
Q1 2016/17 Q2 2016/17
Q2 2016/17
Midland DHBs
6: Efficiently allocate public health system resources