Looking forward – Taking the next stepWorking with others, working with

technology, working differently

Canterbury’s bringing to

life its vision for an

integrated and connected

health system…

… and the Coast is on a similar journey.

People centred

Single System

Integrated

Viable

Our shared vision is an integrated health system that wraps care around people to help them stay well in their own homes

Taking a Whole of System Approach

Understand and respond to the needs of populations

Use information to plan and drive service improvement

Manage the short term in the context of the long term

Focus on improving productivity by doing the right thing the right way at the right time

Get the best outcomes possible within the resources we have

Make decisions based on where services are best provided

Decisions always based on What is best for the patient?

What is best for the system?

Clinical Leadership

RegionalCooperation

Alliancing

Quality and Safety

Commission

Living within our means

Ministers Health Targets

Key Strategic Influencers

Workforce Innovation

Transforming the System

“Organisational Ambidexterity can lead to

high performance organisations”

There are 2 ley elements:

Understand and successfully operate the

existing business – Alignment

Explore new, often uncertain

opportunities – Adaptability

Some History The current models of assistant usage are primarily focused on providing inpatient services. This

further highlights the need for the issues around delegation of care, supervision requirements of

assistant staff, accountabilities between the AH professional and the assistant, and defining

appropriate competence standards for the assistant, to be clarified for the use of assistant staff to

succeed (Chadwick 2007)

The National Certificate in Health, Disability and Aged Support (Health Assistance)

(Level 3) with strands in Dietitian Assistance, Dental Assistance, Healthcare Assistance and

Rehabilitation Assistance was designed to recognise the knowledge and skills required of health

assistants working in a health, disability, or community setting. Careerforce and a Sector Panel of

allied health and nursing professionals were instrumental in the design of the qualification

approved by NZQA. (work started in 2010)

Evolving roles and qualifications

Profession specific

Service based

New Qualification

New Zealand Certificate in Health and Wellbeing (Level 3) (Health Assistance)

roll out; resources; credentialing

Calderdale framework

Delegation

Role sharing

Increased use of the allied health assistant workforce to support patient-centred care

Graduation Ceremonies

New Health Professional

Hybrid models

Discipline specific

Generalist roles

Therapy Assistants

Advanced Practitioners

Working together

Kaiwhina/Assistants/Coaches

Delegation of tasks

Team based

Continuing education

CQI

Working differently

2013 - 20165 Key Themes

• 100 Day Programme

• Faster Cancer Treatment

• Frail Older Persons Pathway

• ERAS (Enhanced Recovery after Surgery)

• Theatre Utilisation

With a focus on mental health and well being for our community and our workforce

• Transforming Primary Care

• Inpatient Reconfiguration

• Resource Optimisation

• Workforce Innovations

• Delivering Services in the Right Way

CDHB WCDHB

The transalpine approach

• Aim: One service, two sites

• Integration enablers

o Professional relationships and collegiality

o IT connectivity including videoconferencing

o Shared continuing professional education

o Clinical Governance including same standards, shared protocols, policies and procedures,

o Aligned recruitment and retention

• Generalists and specialists working together to provide services

• Workforce innovation

New Models of Care

Health promotion; prevention and self management

Mental health and wellbeing

Rehabilitation

Restorative acute environments

Integrated and enhanced primary and community care

Locality based service models

Technology enabled.

Working with technology

Page 18 • 2014 © Orion Health™ group of companies THINKING SOFTWARE FOR LIFE

INTERNET OF THINGS AND MACHINE LEARNING

• Body Mass Index

• Body Fat%

• Weight

• Room Air Quality

• Heart Rate

• Activity level

• Sleep quality

• Calories burned

• Heart rate

Wireless Thermometers

and Peak Flow meters

Wireless Blood Pressure & Oximetry monitors

Wireless Medication

Adherence Tools

Wireless activity and

sleep trackers

Wireless Body Scales

Ingestible and wearable Sensors

Sleep Apnea wireless

monitoring devices(SomnoMed)

Pills

Patches

Smart Contact

Lenses

Wireless Blood Glucose

Monitors

Open Platform for

Innovation

• Thinking software

• Machine learning

WHAT CAN YOU DO?

• Learn the wave

• Develop NEW skills

• Surf the wave

• Lead from WHERE you stand

• Break the chains of Habit….

Our Health System is focussed on keeping people well.