Page 60 - Regional Services Plan 2016/19

Initiative
Milestone/Date
Responsibility
Service provision - Ensure thrombolysis services across the region aligns to the “NZ Organised Acute Stroke Service Specifications” (prepared by the National Stroke Network)
NZ Health Strategy strategic themes alignment: Value and high performance; smart system What are the identified root-causes to be resolved?
 Adequate staffing resources
 CT availability
 Training and Education  Rurality
What does success look like?
 Thrombolysis services across the region align to the “NZ Organised Acute Stroke Service Specifications
 Meet the 6% Thrombolysis rate
 Improved door to needle time to meet the 60 minute target
 Thrombolysis services provided at all facilities with a CT scanner
 Increased referrals for carotid endarterectomy (TIA)
 Māori/Pacific Stroke work force
What are the steps to achieving the objective?
1. E-referral (via BPAC) from Stroke pathways of care (Map of Medicine, BayNav) are established
2. Follow up all TIA patients in clinic within 8 weeks of discharge from hospital
3. Initiatives to improve access to stroke and TIA services for Māori and Pacific peoples are
developed.
4. Thrombolysis service. Advocate for 24 hour services where there is a CT scanner. Where
there is a CT scanner the region will actively provide clinical support to thrombolysis
clinicians to facilitate a thrombolysis service. Using the National Thrombolysis Protocol
5. Clot retrieval. Actively participate in the national thrombectomy working group
6. Monitor (and participate in a second national pilot, if possible) the progress of the national
Telestroke pilot to support DHB clinicians with small numbers of stroke presentations for
thrombolysis
7. Explore ways to increase Māori and Pacific workforce participating in Stroke services,
particularly Allied Health workforce
Q2 2016/17
Quarterly Ongoing
Q2 2016/17
Ongoing Ongoing
Ongoing
MSN
MSN/ COOs MSN
MSN/ COOs
MSN MSN
MSN/GMs HR
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
Key:
Actions are specifically aimed at achieving this objective
Actions will achieve this objective but as an indirect consequence
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INITIATIVES OF REGIONAL NETWORKS AND CLINICAL ACTION GROUPS