Health of Older People Community Home Base Support
Services Project
Lisa Gestro
Planning and Funding Manager
Background• Extensive Consultation Undertaken in the
development of ‘Healthy Ageing 2020’• Key themes identified through consultation
translated into work plan as per Strategy– Difficulty Accessing Information– Lack of support for Carers– Problems with Home Based Support– Quality concerns with Residential Care– Boundary Issues – Discharge Planning from Acute care– Confusion around PHO’s– Not responsive to minority groups– Managed Bed Policy
National Activity• Home Based Support experimenting with
different models• Ministry of Health undertook evaluation• InterRAI piloted around the country• Trials of different funding models began• Capital and Coast DHB lead the way in
terms of complete new model• Ministry of Health began policy work to
catch up with change• Reporting requirements changed to
monitor progress
ADHB’S Response• View key themes from consultation in line
with national direction• Develop vision• Get vision signed off by Board• Engage dedicated resource to implement
vision– Look wider at models, best practice,
international literature– Clearly understand the ADHB range of
services and how they inter-relate– Provide options to Board on how ADHB can
achieve vision
The Overall VisionLONG-TERM OUTCOME SOUGHT FOR THE PEOPLE OF ADHB
The well being, health and function of people are maximised so they can be as independent and participate in society to their
fullest ability
Clients’ goals and needs are assessed and both drive the
service and support plans
Informal carerand social
supports for the client are
supported and if possible enhanced
Services are solution
focussed, responsive and
flexible
Services are integrated and co-ordinated
DELIVERED THROUGH A workforce that is capable, stable and sufficient
Services that are cost-effective
Services are focused on
assisting client independence
and participation through
restoring and / or maximising health and function
THROUGH THE PROVISION OFA responsive restorative / recovery model of integrated continuum of care and support that provides people and their family/whanau with the right health and
support services in the right place at the right time
WHICH IS ACHIEVED BY ENSURING THE FOLLOWING CAPABILITIES ARE IN PLACE:
Child Health Mental Health Cancer CVD/Diabetes
ADHB Integrated Palliative Care Strategy
Wellness Quality
Health Promotion
Our Health 2020
Health of Older People
Healthy Ageing 2020
Community and Home Base Support
Streamlined Access
Restorative Home Care
Packages of Care
InterRAI
Managed Bed Policy
Residential Care
Complaints
TLA
IDF’s
Education
Clinical Support
Audit
Performance Management
HEHA
MoW
Project Components
1. Streamlined Access
2. Restorative Home Care
3. Packages of Care
4. InterRAI
1. Streamlined Access
The vision:
Streamlined access and improved integration of community, primary and specialist services through centralized care planning, assessment, and coordination
2. Restorative Home Care
The vision:
Active case management model based on goal setting with client, reassessment and shorter
intervention
3. Packages of Care
The vision:
Flexible packages of funding based on identified goals and agreed outcomes
4. InterRAI
The vision:
Standardised single assessment incorporating all aspects of required
service delivery. Baseline data to identify trends for service planning and
budgeting
The Care Continuum
A Path for Implementing a Strategy
Describe the VisionWhat do we want to achieve?
Describe the outcomes wanted and the capabilities
required to achieve themSTEP 1
Review AchievementEvaluate the worth of
the serviceSTEP 6
Tell the Story of the ServiceDecide the strategic objectives
Action areas required to achieve the vision
STEP 2
Pay Attention to Assumptions that might
prevent SuccessMonitor outcomes so changes to strategic objectives are made as
needed
STEP 5
Develop an Implementation PlanDetail who has to do what when, and
how success will be measuredSTEP 3
ImplementationMonitor that what it was agreed
would be done is being doneSTEP 4
STEP 4
WHY?WHY?WHY?
WHAT?WHAT?WHAT?
HOW?HOW?HOW?
Health of Older People Community Home Base Support Services
ProjectLisa Gestro
Planning and Funding [email protected]
Tel: 6309943 Ext 26097Mob: 021895104
Office: Level 8 Building 13Greenlane Clinical Centre
Health of Older People Community Home Base Support
Services Project
Jenny Chong
Project Manager
Professional Background
Registered Nurse
Procurement Specialist
Project ManagerAchievements
Needless IV System (ADHB)
Operating Theatre Supply Management (CMDHB & ADHB)
Super Clinic (CMDHB)
Community Based Service Models (National)
Meningococcal Vaccination Programme Roll Out (ADHB)
Professional Background
Operational Manager
General Manager80 Bed Hospital for Community Health
Hospice
Specialist Nurse
Palliative Care
District Nurse
Allied Health
Homecare Services
Call Centre
Central Coordination Centre
Independent ContractorHBSS
Project TimeframePhase 1
National and International Models
(Completed May 2007)
Themes:
Improvements in Service Coordination
Community Services Improvements
Meeting cultural needs
Improvements in service integration
Service Liaison
Health and Social Services
Care Packages
Workforce Planning
Flexible Funding
Project Timeframe
Phase 2Auckland DHB Community Services
(June – Aug 2007)
Your input and feedback is important
Jenny’s Orientation to Services
Website
Questionnaire
Working Party
Forum and Listening Clinics
Project Timeframe
Phase 3
Consideration of options and suggested models
(Aug – Oct 07)
Phase 4
Consultation on options
(Nov – Dec 07)
Phase 5
Agreement and Sign-off
(Jan 08)
Phase 6
Implementation Process
( Early 2008)
Auckland is Unique…….
Auckland’s Unique
New Migrants / Family UnificationRefugeeInterpreter Services
Metropolitan
Workforce issues
High cost of urban living
Unmet needs
High Asian Community
Are we providing optimum support to consumers to be safe in their homes and have maximum functionality in their communities?
Are our services responsive to the needs of Maori?
Do we address the health requirements of Pacific, Asian
and other ethnic minority groups?
THE VISION•National Strategies
•ADHB’s Healthy Aging 2020 Plan
THE ACCOUNTABILITYActions:
•Ageing in place•Independence•Meeting Needs
THE CONSUMER•Consumer expectations
•Consumer needs
In partnership with you..
Questions and Comments
please
Health of Older People Community Home Base Support Services
ProjectJenny Chong
[email protected]: 6309943 Ext 4002
Mob: 0212427886Office: Level 8 Building 13Greenlane Clinical Centre
Health of Older People Community Home Base Support Services
ProjectLisa Gestro
Planning and Funding [email protected]
Tel: 6309943 Ext 26097Mob: 021895104
Office: Level 8 Building 13Greenlane Clinical Centre
Health of Older People
WELCOME
Your feedback and questions please