Transcript Slide 1

GAIHN child health: supporting system integration
Tim Jelleyman, Paediatrician, Waitemata District Health Board / GAIHN child
health clinical lead & Louise McCarthy, GAIHN Child Health Project Manager
April 2013
GAIHN
Greater Auckland Integrated Health Network
•
Partners:
– DHBs: Auckland, Waitemata, Counties Manukau
– PHOs: Auckland, East Health Trust, ProCare, Total Healthcare
•
Objective: To reduce acute/avoidable hospital admissions.
•
Aim: To improve integration between primary and secondary care, and to
strengthen the regional capacity of primary care.
•
GAIHN’s role: To lead and coordinate collaborative processes to develop
initiatives which are then implemented across the region by the partners.
•
Four Work Streams:
1.
2.
3.
4.
Identify and manage individuals at high risk of hospitalisation
Improve primary care responses to acute events
Enablers of better individual care – pathways, and e-tools (e.g. Shared Care)
Child health - aligns with Work Streams and Northern Regional Health
Plan
Overview
• GAIHN child health work stream
o alignment and areas of focus
• West Auckland Locality Child Health Plan
o draft priorities and objectives
GAIHN Child Health Work Stream
•
Aligned:
National
Regional
District
Better Public Services:
Vulnerable children, Rheumatic Fever, Maternal/Child
Northern Regional Health Plan (NRHP) Child Services Plan
DHB Annual Plans
•
Current focus (NRHP priorities):
o
Clinical pathways and decision support tools / resources: skin
infections, lower respiratory tract infections, chronic cough, eczema
o Support locality planning for child health: West Auckland
o Counties Manukau Health 20,000 Days Campaign: report on
prevention and management of skin infections / cellulitis in the
community
•
Planning for 2013-14:
o Improve enrolment, engagement and interventions for vulnerable children
and pregnant women: focus on two localities
o Support localities and GAIHN partners to implement NRHP priorities
o Prevention and management of skin infections in the community: 20,000
Days Campaign, Otara pilot
West Auckland Locality
Child Health Work Stream
•
West Auckland locality:
o
o
o
o
o
Approx. 242,000 people. 0 – 14 year olds: 23% of the population
Ethnically diverse: Maori 12%, Pacific 14%, Asian 18%, Other 57%
Approx. 65% of the population live in NZDep 2006 deciles 6-10
Three clusters of practices: New Lynn, Henderson and Massey
Top four child ASH volumes: gastroenteritis / dehydration, asthma,
cellulitis, respiratory infections
•
Development of West Auckland locality child health plan:
o Stakeholders: secondary care paediatric and maternity services, GPs, Plunket,
Whanau Ora service, DHB Funding and Planning and locality project manager,
GAIHN, PHO liaison
o Process: monthly meetings since November 2012
o Current status: draft plan with agreed priorities
Areas proposed by group
•
•
•
•
Antenatal, birth, infancy continuum
Rheumatic fever prevention
Skin infection
Asthma
West Auckland Child Health Plan
priorities and objectives
Maternal, child health, Well Child Tamariki Ora (WCTO) interface
o Children at risk: e.g. Te Aka Ora model; information-sharing, coordination
o e-Shared Care planning
o Earlier registration with LMC by 12/40; newborn enrolment; risk awareness
linked to social and health interventions
Building service around continuums of life
Rheumatic Fever
o Guideline awareness and implementation
o School-based throat swabbing in schools (high needs areas)
o Community awareness: through Rheumatic Fever programme and local
networks and providers, e.g. Plunket
Population health in the locality
Skin infections
o Clinical practice guidelines awareness and implementation
o Locality-based social services engagement
o Health literacy for whanau / families
o Specialist / paediatric care in locality hub
Increasing capability and capacity where it counts
Asthma
o Engage with asthma-related services in the area
o Consider systematic use of clinical guidelines and tools e.g. GASP, chronic
care planning templates
o Use e-Shared Care Plan for high needs children and families
o Explore establishing of a cluster-based practice nurse forum
o Household smoking cessation
Sharing goals, outcome measurements and responsibility
West Auckland child health
next steps
• Finalise the plan
o including detailed activities, roles, timeframes and measures
• Present the plan
o to the locality governance group for endorsement
• Test the plan
o Test in health system settings
o Test with decision-makers: GAIHN approval of maternal and child health
objectives and other priority areas such as skin infections
Contact details
Dr. Tim Jelleyman, Paediatrician/Head of
Department – Paediatrics and Newborn
Services, Waitemata District Health Board
DDI: 09 839 0000 Mobile: 021432744
[email protected]
Louise McCarthy, Project Manager Child
Health, GAIHN
DDI: 09 3697192 Mobile: 021576541
[email protected]
www.gaihn.health.nz