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National Health Board: Priorities and Directions

National Health Board: Priorities and Directions



Chai Chuah, National Director, National Health Board

Chai Chuah, National Director, National Health Board



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    National Health Board: Priorities and Directions National Health Board: Priorities and Directions Presentation Transcript

      • A more unified Health and Disability System
        • To improve the quality, safety and sustainability of health care
        • A fresh focus, approach and culture
        • Engaging clinicians and the wider health workforce
    • National Health Board SSEB NHC H&SC NHB HWNZ NHIT
    • Reporting Structure Minister of Health National Health Board Director-General National Health Board Business Unit
    • Eight priorities for 2010/11
        • 1 A unified system for service planning, funding
        • and provision (LTHSP, planning, funding and
        • accountability)
      2 National Services 3 Regional Service Plans 4 DHB planning, funding and monitoring 5 Allocation of Ministry funding activity to national, regional or local level (NDE) 6 Capacity planning and funding (IT, Workforce and Facilities) 7 Reducing bureaucracy to invest in front-line service 8 Encouraging clinical leadership and engagement
      • Priority 1
        • Unified System
          • Long Term Health Service Plan
            • High Level, Directional and Coarse
            • Options and Scenarios
            • National, Regional and District Level
          • New framework for planning, funding and accountability
            • Being discussed with DHB chairs, CEs and Executives
              • Note – also covers Priority 4 – DHB Planning, funding and monitoring
      • Priority 2
        • National Services
          • Three elements
            • Service Improvement
            • Planning
            • Planning and Funding
      • Identify national services for service improvement programmes:
            • Cardiac surgery
            • Pediatric oncology
            • Major trauma
          • Identify national services for planning and/or funding:
            • Pediatric sub specialties
            • Clinical genetics
            • Pre-implantation genetic diagnosis
            • Neurosurgery
      • Priority 3
        • Regional Service Planning
          • Work with lower North Island DHBs on a counter factional costing methodology
          • Strategic and implementation section
          • Vulnerable services
      • Priority 5
        • Allocation of Ministry NDE
          • $2.7b
          • Cabinet Report Back in October 2010 on
            • Appropriate services
            • Timeframe
            • Process
            • Criteria
      • Priority 6
        • National Health IT Board
          • Established national leadership for health IT agenda
          • Initiated a discussion with vendors around a partnership vs a proprietary approach
          • Aggressively restructuring the Ministry’s Information Directorate into a much leaner and more focused unit
        • Workforce
          • Better control over the process of tracking CTA funding and decision making processes
        • Capital Investment Committee
          • Transitional approvals process for urgent projects
          • Stock take for DHBs of all capital projects approved as well as pending
          • New CIC Board will meet in June
        • DHB Planning, Funding and Monitoring
          • Have introduced tighter financial monitoring regime
          • Improved the 10/11 DAP process
          • Providing more expert assistance – drawn from the sector - for DHBs which are under intense monitoring
          • Savings schedule linkages
      • Priority 8
        • Clinical Leadership and Engagement
          • HWNZ clinical leadership workshop in June 2010
          • Framework for clinical leadership and engagement
            • In good hands surveys
            • Linking various clinical leadership initiatives
            • (Quality, IT, Workforce, MOH restructuring)