Primary Health Care Strategy

Primary Health Care Strategy: Key Directions for the Information Environment Case study report and composite success model

“ Doctors, nurses, community health workers and others in primary health care will work together to reduce health inequalities and to address the causes of poor health status. Services will be readily available at a cost people can afford. High quality care will ensure coordination over time and across the different providers needed to deal with a wide range of problems.” Annette King, PHCS February 2001 Key Directions - background

“ People will be part of local primary health care services that improve their health, keep them well and are easy to get to and coordinate their ongoing care. Primary health care services will focus on better health for a population and actively work to reduce health inequalities between different groups.” “ The Strategy in Summary” PHCS February 2001 Key Directions - background

[object Object],[object Object],[object Object],[object Object],[object Object],What is Key Directions?

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],What is Key Directions?

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Identifying & responding to population health needs

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Supporting the tailoring of care for individuals

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Enabling the coordination of care

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Improving performance & evidence based decisions

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Supporting self-care

[object Object],[object Object],[object Object],[object Object],[object Object],The case studies

[object Object],[object Object],Composite success model

Information capabilities Pinnacle Group: PHIU (Primary Health Information Unit) The Primary Health Information Unit (PHIU) provides a population-level information base to assist with service planning and decision-making. In terms of information capability, its key features are: ,[object Object],[object Object],[object Object]

Information capabilities Ngati Porou Hauora Industrial Nursing Team The Ngati Porou Hauora Industrial Nursing Team (HINT) is a Services to Improve Access (SIA) programme funded through Ngati Porou Hauora PHO in Gisborne. The service offers primary care nursing delivered through workplaces, combining personal health care with public health screening; health education; health promotion and occupational health needs. The programme’s key information capabilities are: ,[object Object],[object Object]

Information capabilities HealthWest: Population Based Risk Assessment & Mgmt ,[object Object],[object Object],[object Object],Builds a capability for primary care to apply evidenced based guidelines for diabetes and cardiovascular disease to an at risk population, with decision support and risk assessment by the GP providing a platform for subsequent care management and outcomes monitoring. The initiative includes:

Information capabilities Northland Region Primary Care Mental Health ,[object Object],[object Object],[object Object],Builds a capability to support the health and recovery needs of patients with mild to moderate mental health conditions (with a particular focus on depression), in the Northland region using a primary care based shared care and case coordination approach. Its core information capabilities are:

Information capabilities Tumai Mo Te Iwi: Community Initiatives to Improve Access ,[object Object],[object Object],[object Object],Provides an “interconnected portfolio of initiatives and services to improve access to health care and services.” The case study focuses on a primary care nursing initiative, and the information support provided through WIPA. The information capabilities include:

Information capabilities Hawkes Bay DHB: Integrated Patient-centred Information ,[object Object],[object Object],[object Object],[object Object]

Information capabilities Wairarapa PHO: Identifying Health Needs of Kaumatua ,[object Object],[object Object],[object Object],Focuses on a project to research and document the health status and health service utilisation of kaumatua in the South Wairarapa, and to identify recommendations for services across primary and secondary care in the region. The information capabilities that were utilised or developed include:

Information capabilities NZ College of Midwives: Maternity Notes & Maternity PMS ,[object Object],[object Object],[object Object],[object Object],The NZ College of Midwives, through its subsidiary, the Midwifery and Maternity Provider Organisation, operates a standardised and comprehensive maternity notes system, held by both the mother and her midwife, linked to an electronic Maternity Practice Management System. The key information capabilities are:

How it all works together Slow rate of progression, reduce incidence of avoidable complications Increase early recognition and response to individuals and populations Reduce development of contributory risk factors Strengthen community engagement Strengthen capabilities of individuals, families and whanau to make health and well - being decisions Increase coordination across providers, processes and community resources HEALTH OUTCOMES Better Health Reduced Inequalities Better Participation and Independence Trust and Security Identifying and responding to population health needs Supporting tailored care Enabling the coordination of care and integration of services Improving performance and evidence based decisions KEY DIRECTIONS CAPABILITIES Supporting self - care (individual, whanau, family, community)

Lessons for functional components of success

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Key Directions – real world examples Case Studies ,[object Object],[object Object],[object Object],[object Object]

Primary Health Care Strategy

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Primary Health Care Strategy