View stunning SlideShares in full-screen with the new iOS app!Introducing SlideShare for AndroidExplore all your favorite topics in the SlideShare appGet the SlideShare app to Save for Later — even offline
View stunning SlideShares in full-screen with the new Android app!View stunning SlideShares in full-screen with the new iOS app!
Upstaging Graeme Osborne Kate Moodabe HINZ Conference 3rd November
GAIHN: Greater Auckland Integrated HealthCare Networks Sounds as though it is really successful ! Yeah Right...
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
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
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.
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
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...
Major Information Initiatives Access to Diagnostics E-Shared Care Plans Regional e-referrals Information Sharing Population Health
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
E-Shared Care Plans Enabling and empowering multidisciplinary care teams Involving patients in their own care Not a comprehensive shared EHR
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
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
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