1. Midlands DHB’s Board Development Rotorua 10th April 2017
Integrated Care
Midlands DHB’s Board Development
Rotorua
10th April 2017

2. What are our challenges?
An ageing population
Increasing complexity due to multiple comorbidities
Technological advances increasing costs
Continuing inequity of outcomes
Access is a problem
Services are frequently neither soon or convenient

4. What is Integrated Care?
World Health Organisation
Integrated care is a concept bringing together inputs, delivery, management and organisation of services related to diagnosis, treatment, care, rehabilitation and health promotion.
Integration is a means to improve services in relation to access, quality, user satisfaction and efficiency

6. Strategies to support integrated care

7. Person and whānau centred care
Organising services around our people’s needs
Including people in service design
Co-design has been shown to improve outcomes without increasing costs
Improving outcomes for our community is something all healthcare providers can agree on

8. Health Literacy
For people – empowering them to take control of their care
For providers – understanding what is available and helping navigate patients through the system

9. Access to information
Rotorua hospital specialists can now access general practice records
Community based clinicians in BOP can access all DHB health records
Whānau tahi aims to created shared care plans
Indici has a health integrated plan
Access to information supports better decision making by people and by healthcare works

10. Co-ordinated care
Clear care pathways designed by all healthcare providers and including patient input
Reducing inappropriate variation
Electronic referrals that support clinicians to do the right thing
Focus on equity

12. Creating an environment for integration
MURIAL
Contracting for outcomes
Flexibility of funding
Move from protecting our patch to serving our communities
Using technology to support integration

13. System Level Measures The Ministry’s tool to drive better integration
Only by working together will we achieve these outcomes
Uses quality improvement methodology
Districts choose their own local contributory measures
Improvement plans are developed to achieve against the contributory measures
Over seen by Alliance Leadership Teams

14. System Level Measures
Reducing hospital admissions for children aged 0-4
Reducing the number of days people spend in hospital receiving unplanned care
Reducing the number of people dying of preventable conditions before the age of 75
Improving peoples experience of care - Empowerment
Youth health
Children living in smoke free households – BOP merging with ASH 0-4

15. Health in all policies How wide should we seek to integrate? Iwi
Social Welfare
Police
Schools
Council

16. The Board’s role What will you do to support integrated care?
How will you know that we are improving?
What information do you need?
How can we communicate with our communities?

17. Simple!

18. It’s complicated but… What is more important than..
Reducing the number of children accessing specialist care
Reducing the number of people dying prematurely
Reducing the number of people having to stay in hospital as an emergency
Better supporting youth
Improving people’s experience of our services