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GAIHN: Greater Auckland Integrated HealthCare Networks

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Kate Moodabe …

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

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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.


  • 1. Upstaging Graeme Osborne
    Kate Moodabe
    HINZ Conference 3rd November
  • 2. GAIHN:
    Sounds as though it is really
    successful !
  • 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. DAP and CATs have got NITs
    (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
    (Clinical Alliance Teams)
    Acute Demand
    Long Term Conditions Reconfiguration
    Reducing Inequalities
  • 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. Basic Tenets.....
    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. 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. Major Information Initiatives
    Access to Diagnostics
    E-Shared Care Plans
    Regional e-referrals
    Information Sharing
    Population Health
  • 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.
  • 11.
  • 12.
  • 13. E-Shared Care Plans
    Enabling and empowering multidisciplinary care teams
    Involving patients in their own care
    Not a comprehensive shared EHR
  • 14. 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
  • 15. 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
  • 16. 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