PARTNERSHIPS IN A RESOURCE CONSTRAINT ENVIRONMMENT

Metro District Health Services

PPHF _15Feb2017

PARTNERSHIPS

IN A RESOURCE CONSTRAINT ENVIRONMMENT

© Western Cape Government 2012 |

Current Reality

2 2030 Presentation (Draft 2): a re-imagined future

1. Competing demands:

a. Community has a legitimate expectation of access to good quality care.

b. The burden of disease is increasing in size and complexity and the consequent patient demands on the service are escalating.

c. Department has to operate within an environment of competing needs for limited resources

2. Healthcare 2030 has formally been adopted as the medium to long term Strategic vision of the department. Person centered quality care is central to this vision

3. Although the department is amongst the best performing departments in the country on many counts , challenges remain

4. The department has dedicated and committed staff members doing an excellent job under challenging circumstances


Public Value 1. Patient Satisfaction;

2. Engaged Staff;

3. Improved Health Outcomes

System Resilience towards Healthcare 2030

Organizational

Culture change

Service needs drive Organizational priorities

Good

Governance:

Internal and

External

Leadership

development

VALUES

Strategic Goals

Promote Health and Wellness;

Embed good governance and value driven leadership


Healthcare 2030 focus

4 2030 Presentation (Draft 2): a re-imagined future

The reality and the commitment to implement Healthcare 2030, requires the department to :

1. Put more emphasis on PHC strengthening without compromising gains made at curative hospital levels.

2. Search for new innovative ways of doing business differently that would make us more efficient and effective .

3. Build a resilient organization that can not only withstand the risks and challenges but emerge stronger.

4. Prioritize the most cost effective interventions that will improve health outcomes and the patient experience.

5. Optimally align our efforts, structures and processes to a common purpose to obtain the best impact with limited resources.

6. Constantly reflect, review, critically think and learn to improve as individuals, teams and as an organization.


Quadruple burden of disease – non communicable,

HIV/AIDS, communicable and injuries and violence.


Service Priorities

6 PG MTEC 1 Engagement

“The desired outcomes: The five

WHATS

1. Patient-centred care

2. Service Pressure mitigation

3. HIV & TB outcomes [90-90-90 strategy]

4. Maternal, Neonatal and Child

outcomes [1st 1000 days strategy]

5. Non-communicable disease

outcomes [Integrated Chronic

Condition Management]

Key systems levers to achieve

the desired outcomes: The “3

Hows”

1. Population-based approach

Geographic, population based

approach

PHC approach

2. Service Design

Streamline patient flow

Integrated Care

3. Enabling & Responsive critical

support services


Geographic Population based approach

7

MPH

PHC

CBS

Metro East

Rural

Metro West

Tertiary

TBH

HH KBH ERH KH

PHC PHC PHC

CBS CBS CBS

PHC

CBS

SH LH

EMS/HN

GH Paarl WH

DHx7 DHx8 DHx8

PHC PHC PHC

CBS CBS CBS

EMS/HN

EMS/HN

EMS/HN

GSH/ RCWM

CH

VHW

NSH

GFJ

MMH

FBH WFH

PHC PHC PHC

CBS CBS CBS

VH

LH

AH

EMS/HN

EMS/HN


Strengthening the Primary Health Care platform

8 Healthcare 2030: The Road to Wellness

Comprehensive Service Plan: HC 2010 Strategic Plan

90% - PHC level

• Nurse Driven and Dr supported service predominantly

• Current significant investment into the Community Based Services Platform (HCBC &

ICFs) and now we will commence a process of embarking on Community Oriented

Primary Care (CoPC) as a model for Service Delivery.

8% - 2nd level

2% - Tertiary level

The Commitment remains to:

1. Strengthen the DHS as vehicle to deliver primary health care (PHC)

2. DHS and PHC largest quantum of patient/client contacts; largest impact on population-

level disease prevention.

3. A PHC rapid appraisal identified 5 key leverages to strengthen the PHC platform: (i)

population orientation, (ii) service design, (iii) people capability development, (iv)

information, and (v) governance.

4. A Whole system response is needed to strengthen PHC.


Thank you

Documents

PARTNERSHIPS IN A RESOURCE CONSTRAINT ENVIRONMMENT