2017/18 Planning Priorities for APs Planning Priorities Guidance for Auckland DHB Government Planning Priority Focus Expected for Auckland DHB Link to NZ Health Strategy Auckland DHB Key Response Actions to Deliver Improved Performance Measures Activity Milestones Prime Minister’s Youth Mental Health Project Commit to continue activity to deliver on the Prime Minister’s Youth Mental Health Project. Value and high performance PP25: Prime Minister’s Youth Mental Health Project Reducing Unintended Teenage Pregnancy BPS (contributory activity) Continue to build on the substantive activities identified in your 2016/17 annual plan to reduce unintended teenage pregnancy. People powered PP38: Delivery of response actions agreed in annual plan Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team
- engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing child and youth waiting times. One team PP8: Shorter waits for mental health and addiction services for 0-19 year olds Improve population mental health, especially for priority populations including vulnerable children, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. and high performance PP38: Delivery of response actions agreed in annual plan Healthy Ageing Deliver on priority actions identified in the Healthy Ageing Strategy 2016, where DHBs are in lead and supporting roles, including: - working with ACC, HQSC and the Ministry of Health to further develop and measure the progress of your integrated falls and fracture prevention services as reflected in the associated Outcome Framework and Healthy Ageing Strategy - working with the Ministry and sector to develop future models of care. Closer to home PP23: Improving Wrap Around Services – Health of Older People Living Well with Diabetes Continue to implement the actions in in line with the . Closer to home PP20: Improved management for long term conditions (CVD, acute heart health, diabetes and stroke) - Focus area 2: Diabetes services
Prime Minister’s Youth Mental Health Project Commit to continue activity to deliver on the Prime Minister’s Youth Mental Health Project. and high performance PP25: Prime Minister’s Youth Mental Health Project Reducing Unintended Teenage Pregnancy BPS (contributory activity) Continue to build on the substantive activities identified in your 2016/17 annual plan to reduce unintended teenage pregnancy. People PP38: Delivery of response actions agreed in annual plan Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Continue current activity, in accordance with national immunisation strategies and service specifications, to maintain high (target) coverage rates for all immunisation milestones. and high Immunisation Health Target PP21: Immunisation Services Shorter Stays in Emergency Departments Health Target Provide a prioritised list of the service improvement activities you will implement in 2017/18 to improve acute patient flow within your hospital(s). Value and high performance ED Health Target
Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that meets timeliness and prioritisation requirements and improves equity of access to services. Value and high performance Electives Health Target SI4: Standardised Intervention Rates OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting times for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Provide an integrated approach to delivery of ABC between primary care services. One team Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify what actions you will take to ensure that the clinical referral pathway and processes established in 2016/17 achieves the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators
Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Partner with communities, NGOs and other agencies to deliver immunisation services when and where best meets local needs, in particular those of Māori, Pacific and populations. People powered Immunisation Health Target PP21: Immunisation Services Shorter Stays in Emergency Departments Health Target Identify the quality improvement activities you will undertake in 2017/18 in response to your 2016/17 ED Quality Framework results. Value and high ED Health Target Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that meets timeliness and prioritisation requirements and improves equity of access to services. Value and high performance Electives Health Target SI4: Standardised Intervention OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators
Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Support use of IT tools in patient data management. Smart system Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify activities to sustain efforts and progress towards achieving the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national bowel screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including improving the rate of child and youth with transition plans. One team PP7: Improving mental health services transition (discharge) planning Improve population mental health, especially for priority populations including vulnerable children, youth, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. Value and high performance PP38: Delivery of response actions agreed in annual plan
Healthy Ageing Deliver on priority actions identified in the Healthy Ageing Strategy 2016, where DHBs are in lead and supporting roles, including: - working with ACC, HQSC and the Ministry of Health to further develop and measure the progress of your integrated falls and fracture prevention services as reflected in the associated Outcome Framework and Healthy Ageing Strategy - working with the Ministry and sector to develop future models of care. Closer to home PP23: Improving Wrap Around Services – Health of Older People Living Well with Diabetes Continue to implement the actions in in line with the . Closer to home PP20: Improved management for long term conditions (CVD, acute heart health, diabetes and stroke) - Focus area 2: Diabetes services Childhood Obesity Plan Closer to home PP38: Delivery of response actions agreed in annual plan Child Health Undertake planning and diagnostic work to identify barriers for accessing timely care for people and their families who are served by Oranga Tamariki. Commit to support national work under way to improve the health outcomes for children, young people and their families serviced by Oranga Tamariki, particularly young people in care. and high performance PP38: Delivery of response actions agreed in annual plan
Improving Quality Demonstrate, including planned actions, how you will improve patient experience as measured by the Health Quality & Safety Commission's national patient experience surveys. You can do this by selecting one of the four categories of the inpatient survey to focus on and providing actions to improve patient experience in this area. Commit to either establish (including a date for establishment) or maintain a consumer council (or similar) to advise the DHB. Value and high performance PP38: Delivery of response actions agreed in annual plan Living Within our Means Commit to manage your finances prudently, and in line with the Minister’s expectations, and to ensure all planned financials align with previously agreed results. Value and high performance Agreed financial templates. Delivery of Regional Service Plan Identify any significant DHB actions the DHB is undertaking to deliver on the Regional Service Plan priorities of: - Cardiac Services - Stroke - Major Trauma - Hepatitis C. Note: you do not necessarily need to include an action for each priority, only there is significant activity. NA. NA. Enablers Guidance for Counties Manukau DHB and Regional Enabler Focus Expected for Counties Manukau DHB Counties Manukau DHB Key Response Actions to Deliver Improved Performance
Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Continue current activity, in accordance with national immunisation strategies and service specifications, to maintain high (target) coverage rates for all immunisation milestones. Value and high Immunisation Health Target PP21: Immunisation Services Shorter Stays in Emergency Departments Health Target Provide a prioritised list of the service improvement activities you will implement in 2017/18 to improve acute patient flow within your hospital(s). and high ED Health Target
Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that meets timeliness and prioritisation requirements and improves equity of access to services. Value and high performance Electives Health Target SI4: Standardised Intervention Rates OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting times for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Strengthening the DHB smoking cessation plan with input from primary care and smoking cessation providers. and high performance Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify activities to sustain efforts and progress towards achieving the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national bowel screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators
- ensuring appropriate access across all endoscopy services. Mental Health Improve the quality of mental health services, including improving the rate of and youth with transition plans. One team PP7: Improving mental health services using transition (discharge) planning Improve population mental health, especially for priority populations including vulnerable children, youth, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. and high performance PP38: Delivery of response actions agreed in annual plan Healthy Ageing Deliver on priority actions identified in the Healthy Ageing Strategy 2016, where DHBs are in lead and supporting roles, including: - working with ACC, HQSC and the Ministry of Health to further develop and measure the progress of your integrated falls and fracture prevention services as reflected in the associated Outcome Framework and Healthy Ageing Strategy - working with the Ministry and sector to develop future models of care. Closer to home PP23: Improving Wrap Around Services – Health of People Living Well with Diabetes Continue to implement the actions in in line with the . Closer to home PP20: Improved management for long term conditions (CVD, acute heart health, diabetes and stroke) - Focus area 2: Diabetes services Childhood Obesity Plan Closer to home PP38: Delivery of response actions agreed in annual plan Child Health Undertake planning and diagnostic work to identify barriers for accessing timely care for people and their families who are served by Oranga Tamariki. Value and high PP38: Delivery of response actions agreed in annual plan
Commit to support national work way to improve the health outcomes for children, young people and their families serviced by Oranga Tamariki, particularly young people in care. Disability Support Services Identify the mechanisms and processes you currently have in place to support people with a disability when they interact with hospital based services (such as inpatient, outpatient and emergency department attendances). could include: - communication (particularly for those with an intellectual disability or sensory impairment) - training for ward in individual specific personal care - clarification of the role of the persons support workers/caregivers during a hospital appointment or inpatient stay (both formal and informal) - issues you have addressed (informed consent, supported decision making etc). One team PP38: Delivery of response actions agreed in annual plan Primary Care Integration DHBs must describe activity to demonstrate how they are working with their district alliances to move care closer to home for people through improved integration with the broad health and disability sector (eg primary care, disability services, ambulance services). Closer to home PP22: Delivery of actions to improve system integration including SLMs Please reference your jointly developed and agreed with all appropriate stakeholders System Level Measure Improvement Plan that is attached as an Appendix. Value and high performance PP22: Delivery of actions to improve system integration including SLMs Pharmacy Action Plan Commit to implement any decisions made during 2017/18 in relation to the Community Pharmacy Services Agreement. One team PP38: Delivery of response actions agreed in annual plan
Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Continue current activity, in accordance with national immunisation strategies and service specifications, to maintain high (target) coverage for all immunisation milestones. and high Immunisation Health Target PP21: Immunisation Services Shorter Stays in Emergency Departments Health Target Provide a prioritised list of the service improvement activities you will implement in 2017/18 to improve acute patient flow within your hospital(s). Value and high ED Health Target
Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that timeliness and prioritisation requirements and improves equity of access to services. Value and high performance Electives Health Target SI4: Standardised Intervention Rates OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Support use of IT tools in patient data management. Smart system Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify what actions you will take to ensure that the clinical referral pathway and processes established in 2016/17 achieves the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Implement requirements for Tranche 1 of the national bowel screening programme, incorporating quality, equity and timeliness expectations and IT integration activity, while ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing and youth waiting times. One team PP8: Shorter waits for mental health and addiction services for 0-19 year olds
Link to NZ Health Strategy Activity Milestones IT Demonstrate how the DHB is regionally aligned and it is leveraging digital hospital investments. State when ePA, Nursing Documentation and CPOE will be implemented (not all expected in 2017/18). Complete ePharmacy and Nursing documentation implementations. Smart system Quarterly reports from regional leads. Workforce Identify any particular workforce issues that need to be addressed at a local level around capability and capacity (numbers) and include key actions and milestones. One Team NA. Identify actions to regularise and improve the training of the kaiāwhina workforce in home and community support services as per Action 9a of the Healthy Ageing Strategy. One Team PP23: Improving Wrap Around Services – Health of Older People Planning Priorities Guidance for Lakes DHB Government Planning Priority Focus Expected for Lakes DHB Link to NZ Health Strategy Lakes DHB Key Response Actions to Deliver Improved Performance Measures Activity Milestones Prime Minister’s Youth Mental Health Project Commit to continue activity to deliver on the Prime Minister’s Youth Mental Health Project. Value and high performance PP25: Prime Minister’s Youth Mental Health Project Reducing Unintended Teenage Pregnancy BPS (contributory activity) Continue to on the substantive activities identified in your 2016/17 annual plan to reduce unintended teenage pregnancy. People PP38: Delivery of response actions agreed in annual plan
Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Partner with communities, NGOs and other agencies to deliver immunisation services when and where best meets local needs. People powered Immunisation Health Target PP21: Immunisation Services Shorter Stays in Emergency Departments Health Target Provide a prioritised list of the service improvement activities you will implement in 2017/18 to improve patient flow within your hospital(s). Value and high ED Health Target
Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Continue current activity, in accordance with national immunisation strategies and service specifications, to maintain high (target) coverage for all immunisation milestones. Value and high Immunisation Health Target PP21: Immunisation Services Shorter Stays in Emergency Departments Health Target Provide a prioritised list of the service improvement activities you will implement in 2017/18 to improve patient flow within your hospital(s). Value and high ED Health Target Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that meets timeliness and prioritisation requirements and improves equity of access to services. Value and high performance Electives Health Target SI4: Standardised Intervention Rates OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators
Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting times for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Support use of IT tools in patient data management. Smart system Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify activities to sustain efforts and progress towards achieving the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national bowel screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing the use of seclusion. People powered PP38: Delivery of response actions agreed in annual plan Improve population mental health, especially for priority populations including vulnerable children, youth, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. and high performance PP38: Delivery of response actions agreed in annual plan
Healthy Ageing Deliver on priority actions identified in the Healthy Ageing Strategy 2016, where DHBs are in lead and supporting roles, including: - working with ACC, HQSC and the Ministry of Health to further develop and measure the progress of your integrated falls and fracture prevention services as reflected in the associated Outcome Framework and Healthy Ageing Strategy - working with the Ministry and sector to develop future models of care. Closer to home PP23: Improving Wrap Around Services – Health of Older People Living Well with Diabetes Continue to implement the actions in in line with the . Closer to home PP20: Improved management for long term conditions (CVD, heart health, diabetes and stroke) - Focus area 2: Diabetes services Childhood Obesity Plan Closer to home PP38: Delivery of response actions agreed in annual plan Child Health Undertake planning and diagnostic work to identify barriers for accessing timely care for young people and their families who are served by Oranga Tamariki. Commit to support national work under way to improve the health outcomes for children, young people and their families serviced by Oranga Tamariki, particularly young people in care. Value and high performance PP38: Delivery of response actions agreed in annual plan
Link to NZ Health Strategy Activity Milestones IT Demonstrate how the DHB is regionally aligned and where it is leveraging digital hospital investments. State when Order Entry, ePA, Nursing Documentation and CPOE will be implemented (not all expected in 2017/18). Complete ePharmacy Implementation. Smart system Quarterly reports from regional leads. Workforce Identify any particular workforce issues that need to be addressed at a level around capability and capacity (numbers) and include key actions and milestones. One Team NA. Identify actions to regularise and improve the training of the kaiāwhina workforce in home and community support services as per Action 9a of the Healthy Ageing Strategy. One Team PP23: Improving Wrap Around Services – Health of Older People Planning Priorities Guidance for Nelson Marlborough DHB Government Planning Priority Focus Expected for Nelson Marlborough DHB Link to NZ Health Strategy Nelson Marlborough DHB Key Response Actions to Deliver Improved Performance Measures Activity Milestones Prime Minister’s Youth Mental Health Project Commit to continue activity to deliver on the Prime Minister’s Youth Mental Health Project. Value and high performance PP25: Prime Minister’s Youth Mental Health Project Reducing Unintended Teenage Pregnancy BPS (contributory activity) Continue to build on the substantive activities identified in your 2016/17 annual plan to reduce unintended teenage pregnancy. People PP38: Delivery of response actions agreed in annual plan
Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Implement the Revitalising the strategy to increase HPV immunisation rates to target levels by engaging communities and partnering between providers. One team Immunisation Health Target PP21: Immunisation Services Shorter Stays in Emergency Departments Health Target Identify the quality improvement activities you will undertake in 2017/18 in response to your 2016/17 ED Quality Framework results. Value and high ED Health Target Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that meets timeliness and prioritisation requirements and improves equity of access to services. Value and high performance Electives Health Target SI4: Standardised Intervention Rates OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators
Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting times for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Provide an integrated approach to delivery of ABC between primary care services. One team Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify activities to sustain efforts and progress towards achieving the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national bowel screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing the use of seclusion. People powered PP38: Delivery of response actions agreed in annual plan Improve population mental health, especially for priority populations including vulnerable children, youth, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. Value and high performance PP38: Delivery of response actions agreed in annual plan
Link to NZ Health Strategy Activity Milestones IT Demonstrate how the DHB is regionally aligned and where it is leveraging digital hospital investments. State when Order Entry will be implemented. the implementation of ePA and eOrders as per the regional programme. Implementation of PICS. Smart system Quarterly reports from regional leads. Workforce Identify any particular workforce issues that need to be addressed at a local level around capability and capacity (numbers) and include key actions and milestones. One Team NA. Identify actions to regularise and improve the training of the kaiāwhina workforce in home and community support services as per Action 9a of the Healthy Ageing Strategy. One Team PP23: Improving Wrap Around Services – Health of Older People Planning Priorities Guidance for Northland DHB Government Planning Priority Focus Expected for Northland DHB Link to NZ Health Strategy Northland DHB Key Response Actions to Deliver Improved Performance Measures Activity Milestones Minister’s Youth Mental Health Project Commit to continue activity to deliver on the Prime Minister’s Youth Mental Health Project. and high performance PP25: Prime Minister’s Youth Mental Health Project Reducing Unintended Teenage Pregnancy BPS (contributory activity) Continue to build on the substantive activities identified in your 2016/17 annual plan to reduce unintended teenage pregnancy. People PP38: Delivery of response actions agreed in annual plan
young people and their families serviced by Oranga Tamariki, particularly young people in care. Disability Support Services Identify the mechanisms and processes you currently have in place to support people with a disability when they interact with hospital based services (such as inpatient, outpatient and emergency department attendances). These could include: - communication tools (particularly for those with an intellectual disability or sensory impairment) - training for ward staff in individual specific personal care - clarification of the role of the persons support workers/caregivers during a hospital appointment or inpatient stay (both formal and informal) - other issues you have addressed (informed consent, supported decision making etc). One team PP38: Delivery of response actions agreed in annual plan Primary Care Integration DHBs must describe activity to demonstrate how they are working with their district alliances to move care closer to home for people through improved integration with the broad health and disability sector (eg primary care, disability services, ambulance services). Closer to home PP22: Delivery of actions to improve system integration including SLMs Please reference your jointly developed and agreed with all appropriate stakeholders System Level Measure Improvement Plan that is attached as an Appendix. Value and high performance PP22: Delivery of actions to improve system integration including SLMs Pharmacy Action Plan Commit to implement any decisions made during 2017/18 in relation to the Community Pharmacy Services Agreement. One team PP38: Delivery of response actions agreed in annual plan
Link to NZ Health Strategy Activity Milestones IT Demonstrate how the DHB is regionally aligned and where it is leveraging digital hospital investments. Leverage implementation of Entry & Nursing Documentation via healthAlliance. Start work on eOrders for Radiology and ePA rollout. Smart system Quarterly reports from regional leads. Workforce Identify any particular workforce issues that need to be addressed at a local level around capability and capacity (numbers) and include key actions and milestones. One Team NA. Identify actions to regularise and improve the training of the kaiāwhina workforce in home and community support services as per Action 9a of the Healthy Ageing Strategy. One Team PP23: Improving Wrap Around Services – Health of Older People Planning Priorities Guidance for South Canterbury DHB Government Planning Priority Expected for South Canterbury DHB Link to NZ Health Strategy South Canterbury DHB Key Response Actions to Deliver Improved Performance Measures Activity Milestones Prime Minister’s Youth Mental Health Project Commit to continue activity to deliver on the Prime Minister’s Youth Mental Health Project. Value and high performance PP25: Minister’s Youth Mental Health Project Reducing Unintended Teenage Pregnancy BPS (contributory activity) Continue to on the substantive activities identified in your 2016/17 annual plan to reduce unintended teenage pregnancy. People powered PP38: Delivery of response actions agreed in annual plan
Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting times for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Continue to support strategies that enable achievement of the health target. Value and high performance Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify activities to sustain efforts and progress towards achieving the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing the use of seclusion. People powered PP38: Delivery of response actions agreed in annual plan Improve population mental health, especially for priority populations including vulnerable children, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, Value and high performance PP38: Delivery of response actions agreed in annual plan
Improving Quality Demonstrate, including planned actions, how you will improve patient experience as measured by the Health Quality & Safety Commission's national patient experience surveys. You can do this by selecting one of the four categories of the adult inpatient survey to focus on and providing actions to improve patient experience in this area. Commit to either establish (including a date for establishment) or maintain a consumer council (or similar) to advise the DHB. Value and high performance PP38: Delivery of response actions agreed in annual plan Living Within our Means Commit to manage your finances prudently, and in line with the Minister’s expectations, and to ensure all planned financials align with previously agreed results. and high performance Agreed financial templates. Delivery of Regional Service Plan Identify any significant DHB actions the DHB is undertaking to deliver on the Regional Service Plan priorities of: - Cardiac Services - Stroke - Major Trauma - Hepatitis C. Note: you do not necessarily need to include an action for each priority, only where there is significant activity. NA. NA. Enablers Guidance for South Canterbury DHB Local and Regional Enabler Expected for South Canterbury DHB South Canterbury DHB Key Response Actions to Deliver Improved Performance
Link to NZ Health Strategy Activity Milestones IT Demonstrate how the DHB is regionally aligned and where it is leveraging digital hospital investments. State plans when Order Entry and Nursing Documentation will be implemented. Start the implementation of eOrders as per the regional programme. Smart system Quarterly reports from regional leads. Workforce Identify any particular workforce issues that need to be addressed at a local level around capability and capacity (numbers) and include key actions and milestones. One Team NA. Identify actions to regularise and improve the training of the kaiāwhina workforce in home and community support services as per Action 9a of the Healthy Ageing Strategy. One Team PP23: Improving Wrap Around Services – Health of Older People Planning Priorities Guidance for Southern DHB Government Planning Priority Focus Expected for Southern DHB Link to NZ Health Strategy Southern DHB Key Response Actions to Deliver Improved Performance Measures Activity Milestones Minister’s Youth Mental Health Project Commit to continue activity to deliver on the Prime Minister’s Youth Mental Health Project. Value and high performance PP25: Prime Minister’s Youth Mental Health Project Reducing Unintended Teenage Pregnancy BPS (contributory activity) Continue to build on the substantive activities identified in your 2016/17 annual plan to reduce unintended teenage pregnancy. People powered PP38: Delivery of response actions agreed in annual plan
Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Support use of IT tools in patient data management. system Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify activities to sustain efforts and progress towards achieving the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing the use of seclusion. People powered PP38: Delivery of response actions agreed in annual plan Improve population mental health, especially for priority populations including vulnerable children, youth, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. Value and high performance PP38: Delivery of response actions agreed in annual plan
Improving Quality Demonstrate, including planned actions, how you will improve patient experience as measured by the Health Quality & Safety Commission's national patient experience surveys. You can do this by selecting one of the four categories of the adult inpatient survey to focus on and providing actions to improve patient experience in this area. Commit to either establish (including a date for establishment) or maintain a consumer council (or similar) to advise the DHB. Value and high performance PP38: Delivery of response actions agreed in annual plan Living Within our Means Commit to manage your finances prudently, and in line with the Minister’s expectations, and to ensure all planned financials align with previously agreed results. Value and high performance Agreed financial templates. Delivery of Regional Service Plan Identify any significant DHB actions the DHB is undertaking to deliver on the Regional Service Plan priorities of: - Cardiac Services - Stroke - Major Trauma - Hepatitis C. Note: you do not necessarily need to include an action for each priority, only where there is significant activity. NA. NA. Enablers Guidance for Southern DHB Local and Regional Enabler Focus Expected for Southern DHB Southern DHB Key Response Actions to Deliver Improved Performance
Link to NZ Health Strategy Activity Milestones IT Demonstrate how the DHB is regionally aligned and where it is leveraging digital hospital investments. Continue the rollout EMRAM Stage 3 & 4 capabilities throughout the hospital. Investigate accelerating migration onto PICS. Smart system Quarterly reports from regional leads. Workforce Identify any particular workforce issues that need to be addressed at a local level around capability and capacity (numbers) and include key actions and milestones. One Team NA. Identify actions to regularise and improve the training of the kaiāwhina workforce in home and community support services as per Action 9a of the Healthy Ageing Strategy. One Team PP23: Improving Wrap Around Services – Health of Older People Planning Priorities Guidance for Tairawhiti DHB Government Planning Priority Focus Expected for Tairawhiti DHB Link to NZ Health Strategy Tairawhiti DHB Key Response Actions to Deliver Improved Performance Measures Activity Milestones Prime Minister’s Youth Mental Health Project Commit to continue activity to deliver on the Prime Minister’s Youth Mental Health Project. Value and high performance PP25: Minister’s Youth Mental Health Project Reducing Unintended Teenage Pregnancy BPS (contributory activity) Continue to build on the substantive activities identified in your 2016/17 annual plan to reduce unintended teenage pregnancy. People powered PP38: Delivery of response actions agreed in annual plan
Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that meets timeliness and prioritisation requirements and improves equity of access to services. and high performance Electives Health Target SI4: Standardised Intervention Rates OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting times for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Continue to support strategies that enable achievement of the health target. Value and high Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify activities to sustain efforts and progress towards achieving the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators
Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Strengthen relationships with other child health services, government agencies and NGOs to locate and follow-up children overdue for immunisation and improve outcomes for children not enrolled with a PHO. One team Immunisation Health Target PP21: Immunisation Services Shorter in Emergency Departments Health Target Provide a prioritised list of the service improvement activities you will implement in 2017/18 to improve acute patient flow within your hospital(s). Value and high ED Health Target Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that meets timeliness and prioritisation requirements and improves equity of access to services. Value and high performance Electives Health Target SI4: Standardised Intervention Rates OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators
Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting times for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Provide an integrated approach to delivery of ABC between primary care services. One team Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify activities to sustain efforts and progress towards achieving the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national bowel screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing the rate of under community treatment orders. People powered PP36: Reduce the rate of Māori on the mental health Act: section 29 community treatment orders relative to other ethnicities. Improve population mental health, especially for priority populations including vulnerable children, youth, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. Value and high performance PP38: Delivery of response actions agreed in annual plan
Improving Quality Demonstrate, including planned actions, how you will improve patient experience as measured by the Health Quality & Safety Commission's national patient experience surveys. You can do this by selecting one of the four categories of the adult inpatient survey to focus on and providing actions to improve patient experience in this area. Commit to either establish (including a date for establishment) or maintain a consumer council (or similar) to advise the DHB. Value and high performance PP38: Delivery of response actions agreed in annual plan Living Within our Commit to manage your finances prudently, and in line with the Minister’s expectations, and to ensure all planned financials align with previously agreed results. and high performance Agreed financial templates. Delivery of Regional Service Plan Identify any significant DHB actions the DHB is undertaking to deliver on the Regional Service Plan priorities of: - Cardiac Services - Stroke - Major Trauma - Hepatitis C. Note: you do not necessarily need to include an action for each priority, only where there is significant activity. NA. NA. Enablers Guidance for Taranaki DHB Local and Regional Enabler Expected for Taranaki DHB Taranaki DHB Key Response Actions to Deliver Improved Performance
Link to NZ Health Strategy Activity Milestones IT Demonstrate how the DHB is regionally aligned and where it is leveraging digital hospital investments. Continue the rollout Stage 3 & 4 capabilities throughout the hospital. Complete regional Clinical Portal. system Quarterly reports from regional Workforce Identify any particular workforce issues that need to be addressed at a local level around capability and capacity (numbers) and include key actions and milestones. One Team NA. Identify actions to regularise and improve the training of the kaiāwhina workforce in home and community support services as per Action 9a of the Healthy Ageing Strategy. One Team PP23: Improving Wrap Around Services – Health of Older People Planning Priorities Guidance for Waikato DHB Government Planning Priority Focus Expected for Waikato DHB Link to NZ Health Strategy Waikato DHB Key Response Actions to Deliver Improved Performance Measures Activity Milestones Prime Minister’s Youth Mental Health Project Commit to continue activity to deliver on the Prime Minister’s Youth Mental Health Project. Value and high performance PP25: Prime Minister’s Youth Mental Health Project Reducing Unintended Teenage Pregnancy BPS (contributory activity) Continue to build on the substantive activities identified in your 2016/17 annual plan to reduce unintended teenage pregnancy. People powered PP38: Delivery of response actions agreed in annual plan
Better Help for Smokers to Quit Health Target Support use of IT tools in patient data management. Smart system Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify what actions you will take to ensure that the clinical referral pathway and processes established in 2016/17 achieves the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing the use of seclusion. People powered PP38: Delivery of response actions agreed in annual plan Improve population mental health, especially for priority populations including vulnerable children, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. Value and high performance PP38: Delivery of response actions agreed in annual plan Healthy Ageing Deliver on priority actions identified in the Healthy Ageing Strategy 2016, where DHBs are in lead and supporting roles, including: - working with ACC, HQSC and the Ministry of Health to further develop and measure the progress of your integrated falls and fracture prevention services as reflected in the Closer to home PP23: Improving Wrap Around Services – Health of Older People
associated Outcome Framework and Healthy Ageing Strategy - working with the Ministry and sector to develop future models of care. Living Well with Diabetes Continue to implement the actions in in line with the . Closer to home PP20: Improved management for long term conditions (CVD, heart health, diabetes and stroke) - Focus area 2: Diabetes services Childhood Obesity Plan Closer to home PP38: Delivery of response actions agreed in annual plan Child Health Undertake planning and diagnostic work to identify barriers for accessing timely care for young people and their families who are served by Oranga Tamariki. Commit to support national work way to improve the health outcomes for children, young people and their families serviced by Oranga Tamariki, particularly young people in care. Value and high performance PP38: Delivery of response actions agreed in annual plan
Improving Quality Demonstrate, including planned actions, how you will improve patient experience as measured by the Health Quality & Safety Commission's national patient experience surveys. You can do this by selecting one of the four categories of the inpatient survey to focus on and providing actions to improve patient experience in this area. Commit to either establish (including a date for establishment) or maintain a consumer council (or similar) to advise the DHB. Value and high performance PP38: Delivery of response actions agreed in annual plan Living Within our Means Commit to manage your finances prudently, and in line with the Minister’s expectations, and to ensure all planned financials align with previously agreed results. Value and high performance Agreed financial templates. Delivery of Regional Service Plan Identify any significant DHB actions the DHB is undertaking to deliver on the Regional Service Plan priorities of: - Cardiac Services - Stroke - Major Trauma - Hepatitis C. Note: you do not necessarily need to include an action for each priority, only where there is significant activity. NA. NA. Enablers Guidance for Waikato DHB Local and Regional Enabler Focus Expected for Waikato DHB Waikato DHB Key Response Actions to Deliver Improved Performance
Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting times for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Provide an integrated approach to delivery of ABC between primary care services. One team Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify what actions you will take to ensure that the clinical referral pathway and processes established in 2016/17 achieves the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Implement requirements for Tranche 1 of the national screening programme, incorporating quality, equity and timeliness expectations and IT integration activity, while ensuring appropriate access across all endoscopy services. and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing the rate of Māori under community treatment orders. People powered PP36: Reduce the rate of Māori on the mental health Act: section 29 community treatment orders relative to other ethnicities. Improve population mental health, especially for priority populations including vulnerable children, youth, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. Value and high performance PP38: Delivery of response actions agreed in annual plan Healthy Ageing Deliver on priority actions identified in the Healthy Ageing Strategy 2016, where DHBs are in lead and supporting roles, including: - working with ACC, HQSC and the Ministry of Health to further develop and measure the Closer to home PP23: Improving Wrap Around Services – Health of Older People
Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Take actions to increase immunisation rates at age 5 years to target levels, including partnering with early childhood centres, Well Child, B4 School Checks and other relevant agencies and child services. Closer to home Immunisation Health Target PP21: Immunisation Services Shorter in Emergency Departments Health Target Identify the quality improvement activities you will undertake in 2017/18 in response to your 2016/17 ED Quality Framework results. Value and high ED Health Target Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that meets timeliness and prioritisation requirements and improves equity of access to services. Value and high performance Electives Health Target SI4: Standardised Intervention Rates OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators
Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting times for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Continue to support strategies that enable achievement of the health target. Value and high Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify activities to sustain efforts and progress towards achieving the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Transition existing Bowel Screening Pilot in line with requirements for Tranche 1 of the national programme, incorporating quality, equity and timeliness expectations and IT integration activity, while ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing the rate of Māori under community treatment orders. People powered PP36: Reduce the rate of Māori on the mental health Act: section 29 community treatment orders relative to other ethnicities. Improve population mental health, especially for priority populations including vulnerable children, youth, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. and high performance PP38: Delivery of response actions agreed in annual plan Healthy Ageing Deliver on priority actions identified in the Healthy Ageing Strategy 2016, where DHBs are in lead and supporting roles, including: - working with ACC, HQSC and the Ministry of Health to further develop and measure the Closer to home PP23: Improving Wrap Around Services – Health of Older People
Link to NZ Health Strategy Activity Milestones IT Demonstrate how the DHB is regionally aligned and where it is leveraging digital hospital investments. Continue the rollout Stage 3 & 4 capabilities throughout the hospital. Continue the work with Ministry of Health and HIMSS Analytics on Stage six, closed looped medication. Smart system Quarterly reports from regional leads. Workforce Identify any particular workforce issues that need to be addressed at a local level around capability and capacity (numbers) and include key actions and milestones. One Team NA. Identify actions to regularise and improve the training of the kaiāwhina workforce in home and community support services as per Action 9a of the Healthy Ageing Strategy. One Team PP23: Improving Wrap Around Services – Health of Older People Planning Priorities Guidance for West Coast DHB Government Planning Priority Focus Expected for West Coast DHB Link to NZ Health Strategy West Coast DHB Key Response Actions to Deliver Improved Performance Measures Activity Milestones Prime Minister’s Youth Mental Health Project Commit to continue activity to deliver on the Prime Minister’s Youth Mental Health Project. Value and high performance PP25: Prime Minister’s Youth Mental Health Project
Reducing Unintended Teenage Pregnancy BPS (contributory activity) Continue to build on the substantive activities identified in your 2016/17 annual plan to reduce unintended teenage pregnancy. People powered PP38: Delivery of response actions agreed in annual plan Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Continue current activity, in accordance with national immunisation strategies and service specifications, to immunise all available children. and high Immunisation Health Target PP21: Immunisation Services Shorter Stays in Emergency Departments Health Target Identify the quality improvement activities you will undertake in 2017/18 in response to your 2016/17 ED Quality Framework results. Value and high performance ED Health Target
Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that meets timeliness and prioritisation requirements and improves equity of access to services. Value and high performance Electives Health Target SI4: Standardised Intervention OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Support use of IT tools in patient data management. Smart system Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify activities to sustain efforts and progress towards achieving the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national bowel screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. Value and high performance PP29: Improving waiting for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators
young people and their families serviced by Oranga Tamariki, particularly young people in care. Disability Support Services Identify the mechanisms and processes you currently have in to support people with a disability when they interact with hospital based services (such as inpatient, outpatient and emergency department attendances). could include: - communication (particularly for those with an intellectual disability or sensory impairment) - training for ward staff in individual specific personal care - clarification of the role of the persons support workers/caregivers during a hospital appointment or inpatient stay (both formal and informal) - issues you have addressed (informed consent, supported decision making etc). One team PP38: Delivery of response actions agreed in annual plan Primary Care Integration DHBs must describe activity to demonstrate how they are working with their district alliances to move care closer to home for people through improved integration with the broad health and disability sector (eg primary care, disability services, ambulance services). Closer to home PP22: Delivery of actions to improve system integration including SLMs Please reference your jointly developed and agreed with all appropriate stakeholders System Level Measure Improvement Plan that is attached as an Appendix. Value and high performance PP22: Delivery of actions to improve system integration including SLMs Pharmacy Action Plan Commit to implement any decisions made during 2017/18 in relation to the Community Pharmacy Services Agreement. One team PP38: Delivery of response actions agreed in annual plan
Supporting Vulnerable Children BPS Target DHBs must commit to continue activity to contribute to the reduction in assaults on children. One team PP27: Supporting Vulnerable Children One team One team Increased Immunisation Health Target Continue current activity, in accordance with national immunisation strategies and service specifications, to maintain high (target) coverage rates for all immunisation milestones. Value and high Immunisation Health Target PP21: Immunisation Services Shorter Stays in Emergency Departments Health Target Provide a prioritised list of the service improvement activities you will implement in 2017/18 to improve patient flow within your hospital(s). and high ED Health Target Improved Access to Elective Surgery Health Target Deliver agreed service volumes in a way that meets timeliness and prioritisation requirements and improves equity of access to services. Value and high performance Electives Health Target SI4: Standardised Intervention Rates OS3: Inpatient Length of Stay (Electives) Electives and Ambulatory Initiative Bariatric Initiative Additional Orthopaedic and General Surgery Initiative Elective Services Patient Flow Indicators
Faster Cancer Treatment Health Target Identify the sustainable service improvement activities you will implement to improve access, timeliness and quality of cancer services. One team Cancer Health Target PP30: Faster Cancer Treatment (31 day indicator) PP29: Improving waiting times for diagnostic services - CT & MRI Better Help for Smokers to Quit Health Target Provide an integrated approach to delivery of ABC between primary care services. One team Tobacco Health Target PP31: Better Help for Smokers to Quit in Public Hospitals Raising Healthy Kids Health Target Identify what actions you will take to ensure that the clinical referral pathway and processes established in 2016/17 achieves the Raising Healthy Kids target by December 2017. Closer to home Healthy Kids Health Target Bowel Screening Contribute to development activities for the national bowel screening programme, including: - engagement with the Ministry on operational readiness and IT integration - implementation of actions in line with agreed timeframes, incorporating quality, equity and timeliness expectations and IT integration activity - ensuring appropriate access across all endoscopy services. and high performance PP29: Improving waiting times for diagnostic services – Colonoscopy National Bowel Screening quality, equity and performance indicators Mental Health Improve the quality of mental health services, including reducing the use of seclusion. People powered PP38: Delivery of response actions agreed in annual plan Improve population mental health, especially for priority populations including vulnerable children, youth, Māori and Pacifica, by increasing uptake of treatment and support earlier in the course of mental illness, further integrating mental and physical health care, and co-ordinating mental health care with wider social services. Value and high performance PP38: Delivery of response actions agreed in annual plan
Disability Support Services Identify the mechanisms and processes you currently have in place to support people with a disability when they interact with hospital based services (such as inpatient, outpatient and emergency department attendances). These could include: - communication tools (particularly for those with an intellectual disability or sensory impairment) - training for ward in individual specific personal care - clarification of the role of the persons support workers/caregivers during a hospital appointment or inpatient stay (both formal and informal) - other issues you have addressed (informed consent, supported decision making etc). One team PP38: Delivery of response actions agreed in annual plan Primary Care Integration DHBs must describe activity to demonstrate how they are working with their district alliances to move care closer to home for people through improved integration with the broad health and disability sector (eg primary care, disability services, ambulance services). Closer to home PP22: Delivery of actions to improve system integration including SLMs Please reference your jointly developed and agreed with all appropriate stakeholders System Level Measure Improvement Plan that is attached as an Appendix. and high performance PP22: Delivery of actions to improve system integration including SLMs Pharmacy Action Plan Commit to implement any decisions made during 2017/18 in relation to the Community Pharmacy Services Agreement. One team PP38: Delivery of response actions agreed in annual plan
Improving Quality Demonstrate, including planned actions, how you will improve patient experience as measured by the Health Quality & Safety Commission's national patient experience surveys. You can do this by selecting one of the four categories of the adult inpatient survey to focus on and providing actions to improve patient experience in this area. Commit to either establish (including a date for establishment) or maintain a consumer council (or similar) to advise the DHB. Value and high performance PP38: Delivery of response actions agreed in annual plan Living Within our Means Commit to manage your finances prudently, and in line with the Minister’s expectations, and to ensure all planned financials align with previously agreed results. and high performance Agreed financial templates. Delivery of Regional Service Plan Identify any significant DHB actions the DHB is undertaking to deliver on the Regional Service Plan priorities of: - Cardiac Services - Stroke - Major Trauma - Hepatitis C. Note: you do not necessarily need to include an action for each priority, only where there is significant activity. NA. NA. Enablers Guidance for Whanganui DHB Local and Regional Enabler Focus Expected for Whanganui DHB Whanganui DHB Key Response Actions to Deliver Improved Performance
Link to NZ Health Strategy Activity Milestones IT Demonstrate how the DHB is regionally aligned and where it is leveraging digital hospital investments. State when Order Entry, ePA, and CPOE will be implemented (not all expected in 2017/18). Complete ePharmacy implementation. Smart system Quarterly reports from regional leads. Workforce Identify any particular workforce issues that need to be addressed at a local level around capability and capacity (numbers) and include key actions and milestones. One Team NA. Identify actions to regularise and improve the training of the kaiāwhina workforce in home and community support services as per Action 9a of the Healthy Ageing Strategy. One Team PP23: Improving Wrap Around Services – Health of People