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Advanced Primary Health 2009 Power Point

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Advanced Primary Health 2009 Power Point

  1. 1. Advanced Primary Health Care MN/PG.418 2009 <br />Assignment two - Whanau Project <br />September 2009<br />by Jo Aston<br />
  2. 2. Setting the scene<br /><ul><li>Maori Health provider
  3. 3. Enrolled population of approximately 2900
  4. 4. 90% Maori / Pacific or high needs</li></li></ul><li>Goals of Whanau project<br /><ul><li>Work with a group of high needs families
  5. 5. Extension of Medical Centre to home
  6. 6. Whanau nurse to build partnership with family
  7. 7. Bring in experts in the field where needed
  8. 8. Identify barriers to healthcare
  9. 9. Look at home situation</li></li></ul><li>Current situation<br /><ul><li>Frequent presentation of high needs families with re-occuring conditions
  10. 10. Access barriers
  11. 11. Overdue immunizations
  12. 12. Recall letters not being answered
  13. 13. Maintenance of health not being met
  14. 14. Presentations to ED out of hours or once conditions deteriorate
  15. 15. Admissions to hospital </li></li></ul><li>Primary Healthcare Strategy Key Directions<br />
  16. 16. Work with local communities and enrolled populations<br />Organising services around the defined population<br />Reaching those patients who are not accessing healthcare<br />Offering some “intense” care for whanau who require management of a new condition or existing conditions with one or more family member<br />
  17. 17. Identify and remove health inequalities<br />“Disparities in health status between different population groups are found worldwide” (Robson B. 2006)<br />Identifying a target group who are not having healthcare needs met by the service<br />Being creative about the delivery of care with the intention of removing some barriers<br />
  18. 18. Develop the Primary Health Care workforce<br />Development of Mobile Primary whanau nurse<br />Upskilling of all Practice nurses<br />Integration of healthcare services within our organisation to deliver home based healthcare<br />
  19. 19. The Team<br />
  20. 20. Team<br /><ul><li>Clinical Nurse leader
  21. 21. Clinical Director/ Gp’s
  22. 22. Mobile Primary WhanauNurse/Practice nurses
  23. 23. Kaiawhina
  24. 24. Family start
  25. 25. Social worker ?</li></li></ul><li>Clinical Director /GP’s<br /><ul><li>Formulates criteria for referral
  26. 26. Identifies patients in need of referral to Mobile Primary whanau nurse
  27. 27. Support to Mobile Primary Nurse
  28. 28. Clinical director writesstanding orders
  29. 29. All referrals and notes communicated in med tech</li></li></ul><li>The Referral Criteria<br />Children with asthma and or eczema<br />Frequent Gp visits <br />Families with frequent hospital admissions<br />Ongoing skin infections<br />Overdue immunisations<br />Families needing support in the home with medical conditions and education around managing family members with medical conditions <br />
  30. 30. Mobile Primary Whanau Nurse<br />Building relationships with whanau<br />“The Broker” <br />Liasewith allied health professionals<br />Bring in experts where needed eg. Asthma nurse<br />Holistic healthcare – treating the entire family and looking at the environmental factors that impact on health<br />
  31. 31. Kaiawhina<br />Build relationships with families<br />Support for Mobile Primary WhanauNurse<br />Assist in making appointments with families<br />
  32. 32. Family Start<br />Employed within the organisation with the role of working with families to promote:<br />Health<br />Education<br />Social services<br />Referrals may be made by this team<br />They may have established relationships with the identified families<br />
  33. 33. Social Worker<br />
  34. 34. Leadership styles<br />
  35. 35. Clinical Nurse Leader / facilitator<br />Facilitation of Gp’s training and discussion of Mobile Primary Nurse role<br />Fortnightly training sessions for teaching standing orders<br />Policy written around the use of standing orders<br />
  36. 36. Facilitation of Mobile Primary Whanau Nurse<br />Core competencies<br />Identified training needs for Mobile Primary whanau nurse<br />Ensure adequate training delivered<br />Facilitate meeting between specialist nurses and Mobile primary whanu nurse<br />
  37. 37. Evaluation<br />Limitations within a high needs population to always see the gains<br />Measurements within the targeted group will be monitored and documented eg:<br />Increases in immunisations<br />Number of B4 school checks <br />Number of education sessions<br />
  38. 38. References<br />Minestry of Health - Primary Health Care Strategy 2001<br />Primary Health Care in capital and coast district health board June 2009<br />Robson B, Harris R. Hauora: Maori standards of health 1V. A study of the years 2000 – 2005.<br />Kai Tiaki nursing magazine by Ann Manchester in April 2008 Volume 14<br />
  39. 39. References<br />

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