KEY AREAS DELIVERABLES Strengthening dementia pathways 1a Ensure people with dementia and their families and whānau are valued partners in an integrated health and social support system that supports wellbeing and have control over their circumstances Q2,4 1b Provide DHBs with on-going support and overview so that DHBs identify and strengthen components of dementia care pathways within the parameters of the Q2,4 1c Support interventions which seek to minimise disparities between Māori and non-Māori in relation to the timely assessment and diagnosis of dementia and subsequent care planning Q2,4 1d Support South Island DHB’s with the implementation of the South Island Dementia Model of Care Q2,4 2 Improve the quality and consistency of dementia education and support programmes in operation to support family/whanau carers (e.g., Living Well with Dementia) and people living with dementia. Q2,4 3 Continue to expand Walking in Another’s Shoes programme to foster Person Centred Dementia Care across the health continuum including different levels of staff and management Q1,4 4 Promote the concept of ‘Think delirium’ across South Island DHBs with regard to delirium prevention. Encourage the development of delirium pathways in all South Island DHBs to assist in the prevention, assessment and management of delirium across the care continuum and create consistencies in care. interRAI 5a Promote South Island health professions to use the information from comprehensive clinical assessment (interRAI) proactively in plan of care and in service planning/ development. 5b Monitor interRAI reports to identify trends including any trends or differences that may exist between Māori and non- Māori Analyse specific areas of the data from all South Islands DHBs Advance Care Planning 6 Support DHBs to develop ACP system implementation with processes to embed ACP as standard practice for those who will benefit Q2,4 7 ACP L1A and L 2 Training is available in a planned manner for staff in each DHB district in South Island (subject to resources) 4 4
8 The region maintains regular links with the National Network through the Alliance and contributes to national initiatives. CHALLENGES Island Model of Care 1 The work on developing and approving a South Island Cardiac Model of Care has taken much longer than anticipated. This has delayed progress on some of the cardiac matters which are dependent on implementing the recommendations of the model. Cardiology and Cardiothoracic Procedures: Intervention per 10,000 to 30 June 2017. Posted on MoH Quickr site September 2017 Nelson Marlborough West Coast Canterbury South Canterbury Southern Angiography National Intervention Target Rate per 10,000 34.27 34.27 34.27 34.27 34.27 Standardised Intervention Rate per 10,000 33.85 28.57 36.89 28.27 38.79 Expected discharges 656 151 1802 268 1134 Actual discharges 648 126 1940 221 1306 Variance from National target Not Significantly different Significantly below Significantly above Significantly below Significantly above Angioplasty National Intervention Target Rate per 10,000 12.89 12.89 12.89 12.89 12.89 Standardised Intervention Rate per 10,000 11.21 12.72 14.09 9.33 14.44 Expected discharges 250 58 692 102 441 Actual discharges 217 57 756 74 494 Variance from National target Not Significantly different Not Significantly different Significantly above Significantly below Significantly above Cardiac surgery National Intervention Target Rate per 10,000 5.87 5.87 5.87 5.87 5.87 Standardised Intervention Rate per 10,000 4.66 6.98 5.47 5.78 8.17 Expected discharges 110 25 302 45 194 Actual discharges 87 30 282 44 270 Variance from National target Significantly below Not Significantly different Significantly below Not Significantly different Significantly DHB ranked out of 20 Region ranked out of 7 1 is highest ranking Ranked for Angiography Ranked for Angioplasty Ranked for Cardiac Surgery Nelson Marlborough 9 17 18 West Coast 16 8 4 Canterbury 6 5 13 South Canterbury 17 19 12 Southern 4 3 1 South Island excl NM 1 1 1 South Island incl NM 2 3 2
9 Selection of a priority public health issue for Māori for a collaborative approach Q1 Environmental sustainability 10 Comprehensive current data to inform next steps, including gap analysis and identification of potential useful and cost-saving measures for DHBs to consider Q3 11 Promote awareness of the policy/position statement once South Island DHB Boards endorse. Utilise DHB Boards endorsement of sustainability to promote awareness and action in DHBs. Q3,4 Health in all Policies 12 Promote awareness of the position statements once the South Island District Health Boards have endorsed them: Water fluoridation Air Quality Warm Homes Sugar sweetened beverages Environmental Sustainability 13 Undertake new regional approaches/ initiatives to promote healthy eating and active lifestyles as identified in 20116/17. 14 Identify and undertake regional approaches/initiatives re alcohol harm reduction, including contributing a regional population health perspective to the Alcohol Harm Reduction ED Project. Rheumatic Fever 15 Ongoing monitoring and collective South Island public health response to results KEY PROGRESS IN QUARTER 1 Establishing an engaged cross-sector Public Health SLA 1