What do we know about high performing systems for people with LTCs?

1. Universal coverage2. Cost not a deterrent at point of use3. Prevention emphasised, not just

treatment4. Emphasis on patient self-management5. Priority to primary health care,

especially multi-disciplinary, nurse-led teamwork

What do we know about high performing systems for people with LTCs?

6. Support is commensurate with clinical risk7. Primary care teams can access specialist

advice easily, day-to-day8. IT is used to enable diverse staff to work

together and to support people at home9. Care is coordinated across health & care for

people with multiple conditions who are at greater risk of hospital admission

What do we know about high performing systems for people with

LTCs?

10.Coherent strategy for 1-9 based on clinical leadership, measuring outcomes, aligned payment incentives and community support

acting at all levels, not necessarily requiring organisational integration

Your Taxpayer’s DollarDistrict Health Board’s are funded by the

Government to provide health and disability services to the people of their district.

Each year the Government allocates money to District Health Boards according to a formula based on population characteristics, for example the number of people who live in rural areas, have low income, or are from disadvantaged groups.

Planning and Funding RoleAssess the population’s health needDetermine the best mix and range of

services to be purchased with the funding available

Fund the majority of health services provided

Ensure services are responsive, coordinated, and focused on what is best for the patient and the system

Planning is influenced by:Health needs of the local populationHealth strategic priorities:

Local: Provider and community input and involvement

Regional: South Island Health Services Plan developed

through South Island Alliance (five SI DHBs)

National: Policy and strategies Health Targets

Changing approachAlliance agreements

Partnership (through close collaboration) approach setting outcome expectations and parameters Allows decisions about how a service can best be provided or where the type of service

SI GM’s Planning & Funding Network

The South Island Planning and Funding Network (SIP&FN) supports regional alliance issues and collaborates on non-alliance issues, including:

strategic planning meeting of government prioritiesstatutory requirementswhole of population funding advice.

In developing and agreeing its advice, the SIP&FN uses a South Island wide perspective and approach, reaching recommendations and where appropriate decisions on a consensus basis that reflect the collective good for the population and for the Alliance.

South Island Alliance

South Island Alliance Programme Office

Strategic Planning and Integration Team

South Island General Manager’s Planning and Funding

South Island Alliance Leadership Team

South Island Alliance Board

South Island Population

Asset Planning

Support Services

Information Services

Quality & Safety

SI Regional Training Hub

Public Health

Health of Older People

Cancer

Child Health

Mental Health Neurosurgery

Stroke

Cardiac

Elective Services

Our Values

South Island Alliance guiding principles

Taking a whole of system approach to make health and social services integrated and sustainable;Focusing on people, their families and communities, keeping them at the centre of everything we do;Enabling clinically-led service development; whileLiving within our means.

Four

4People experience optimalfunctional independence and Quality of Life

Focusing on how people want to live, what they desire and their wishes through better end-of-life care including

better access to Palliative Care and

Advance Care Planning

NGO & Communi

tyCare

Primary Care

Specialist Care

Shared & Coordinated Carethat is Patient-centred