GAIHN: Greater Auckland Integrated HealthCare Networks


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Kate Moodabe
ProCare Health Ltd
(3/11/10, Illott, 9.45)

Published in: Health & Medicine, Business
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  • GAIHN is not about solving all the problems of the world, it is about working on the areas we all share in common – perhaps surprisingly they are in fact more numerous than the areas in which we differ.
  • Sharing starts with the ‘people’ we share in common. If we are to have a truly ‘patient’ or person centered health system then all of us involved in the care of a person need to learn to cooperate and share and trust more.

    Health is not all about medicine, the social, educational and other determinants of health are equally or more important. In a patient centred world there is a real prioritisation that goes on between health issues and other issues such as caring for others, earning money, and the normal stresses of ‘living’. Perhaps a patient centred system is more conscious of this and understands how health and medicine supports people to achieve the goals they have for themselves.

    In building systems we need to be conscious that health is not just about health.

    Technology is largely irrelevant
  • Looking for a different procurement model for e-shared care plans and e-prescribing
  • This is a regional project, GAIHN is right behind this as a vital piece of infrastructure to assist with regionalisation and consistency of care experienced by the people of Auckland. Both the initial phase and particularly the future phases offer real opportunities for new models of care, shifting services and understanding and being accountable for quality of care.
    This is because of the integration of clinical pathways into the referral process, with the pathways being cooperatively developed by clinicians across the region. The e-referral system will capture more data in a more structured way to support evaluation, research and quality improvement. The real time sharing of knowledge through decision support has the potential for specialist knowledge to be transferred at point of care to primary care practitioners.
  • Safe sharing of information is not about getting access to DHB or National data collections, it is about ensuring that people in positions to influence the nature or quantum of care provided to a person or a population have timely access to as complete as possible a set of information that reflects the current state of care.
  • GAIHN: Greater Auckland Integrated HealthCare Networks

    1. 1. Upstaging Graeme Osborne Kate Moodabe HINZ Conference 3rd November
    2. 2. GAIHN: Greater Auckland Integrated HealthCare Networks Sounds as though it is really successful !
    3. 3. GAIHN Better Health Outcomes, Better Use of Money, Better Patient Experience – 3 DHBs – 10 PHOs – Over 300 general practices – 1.25 million enrolled patients – Clinically Led
    4. 4. DAP and CATs have got NITs • DAP (District Annual Plan): • Access to Diagnostics Project • Optimising Prescribing Project • Clinical Pathways (6 in train currently) • Regional After Hours solution • POAC (Primary Options for Acute Care) • Minor surgery • CAT (Clinical Alliance Teams) • Acute Demand • Long Term Conditions Reconfiguration • Reducing Inequalities
    5. 5. Links • National Health IT Plan • RIS 10 20 • Focus on what we have in common rather than what is different – GAIHN supports or leads projects that all / most partners see as important issues.
    6. 6. Basic Tenets..... Sharing • Sharing - is critical to sustainability of the health system • Starts with the ‘people’ we share in common • And a ‘no surprises’ approach. Chilean miner faces wife and mistress
    7. 7. Trust...... • Trust and confidence in each other must be built for sharing to work • Effective sharing can build trust and confidence • Alliance contracting – Vendors welcome...
    8. 8. Major Information Initiatives • Access to Diagnostics • E-Shared Care Plans • Regional e-referrals • Information Sharing • Population Health
    9. 9. Access to Diagnostics • Shared responsibility for resources – movement of budget awareness and management into primary care • Transfer of knowledge through electronic triage criteria • Patient experience advantages • Spread to other investigations
    10. 10. E-Shared Care Plans • Enabling and empowering multidisciplinary care teams • Involving patients in their own care • Not a comprehensive shared EHR
    11. 11. Regional e-Referrals • Consistent access criteria for referrals • Transfer of knowledge from specialties to primary care • Integration with Care Pathways • Structured data capture = evaluation, research, quality improvement • Real time sharing of specialist knowledge
    12. 12. Safe Sharing of Information • Examples of putting information together – Why is acute demand growing? – Who are the patients most at risk of medicine related admissions – Sharing methods to achieve National Health Targets Leading to population health repositories
    13. 13. Summary • Initiatives discussed are not unique to GAIHN • Shamelessly pursuing national shared care planning strategies • Breathing life into National IT plan and RIS • Aim to move towards alliance contracting and strategic relationships with vendors to achieve objectives • Sharing and Trust is vital for a sustainable health system