Page 9 - Regional Services Plan 2016/19

Midland DHBs are supporting integration across continuums of care by implementing agreed pathways using Map of Medicine and Bay Navigator. DHBs and PHOs are actively working to integrate services between primary and community care and hospital care. Regional clinical groups are reviewing systems and processes across hospitals in the region to improve the flow of information, patients and clinicians. A regional example of integration is hepatitis C.
Development of an integrated hepatitis C service across the Midland region
The Midland DHBs are tasked with implementing a single clinical pathway for hepatitis C care across the region in order to provide consistent services, which maximise the wellbeing of all New Zealanders living with hepatitis C. A second objective is to implement integrated hepatitis C assessment and treatment services across community, primary and secondary care services in the region.
Actions in 2016-17 to support the implementation of integrated hepatitis C assessment and treatment services include:
 raising community and GP awareness and education of the hepatitis C virus (HCV) and the risk factors for infection
 providing targeted testing of individuals at risk for HCV exposure
 raising patient and GP awareness of long term consequences of HCV and the benefits of
treatment, including lifestyle management and antiviral therapy
 providing community based ongoing education and support (including referral to needle exchange services, community alcohol and drug services, GP primary care services or social service agencies)
 providing long term monitoring (life-long in people with cirrhosis and until cured in people without cirrhosis)
 providing good information sharing with relevant health professionals
 working collaboratively with primary and secondary care to improve access to treatment. NB: actions relating to Fibroscanning have yet to be agreed as part of the Midland region’s
hepatitis C transition plan.
Measures
 Quarterly narrative report on progress of the key actions.
 Report six monthly broken down by quarters on the following measures:
Measures
Data and Source
• Number of people diagnosed with hepatitis C per annum (by age)
Total number of people with a positive HCV PCR test in the DHB region (data from five reference labs provided to regional DHBs)
• Number of HCV patients who have had a Fibroscan in the last year
(a) new patients
(b) follow up
(by age and ethnicity)
Total number of hepatitis C Fibroscans performed annually (data from the delivery of Fibroscans in primary and secondary care)
• Number of people receiving PHARMAC funded antiviral treatment per annum (by age and ethnicity)
Total number of people prescribed antiviral treatment who have hepatitis C (data from PHARMAC provided to regional DHBs)
REGIONAL SERVICES PLAN 2016-2019
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