Collaborating for the Nation's Health
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Nigel Millar Health Management System Collaborative
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Collaborating for the Nation's Health
- 1. THE H EALTH M ANAGEMENT S YSTEM C OLLABORATIVE Collaborating for the Nation’s Health
- 4. Why I would rather assemble a Boeing 737 than be a General Surgeon?
- 11. Taking out the harm
- 14. 4 copies = 6 reconciliation events GP After Hours Pharmacy Hospitals
- 15. 5 copies = 10 reconciliations GP Pharmacy Hospitals Rest Home After Hours
- 16. One list to rule them all “ One List” Patient Pharmacy After Hours Hospitals GP
- 18. Health Management System Collaborative Vision is to establish individual-centric health information by “ wrapping the Health Management System around the individual” ...... rather than the provider
- 19. HMSC - Procurement Time Frame Driver 2007/08 NMDHB & SCDHB - wider patient-centric vision RFI 2008 Central Region DHBs* Group – issued same RFI 2008 NDHB commences planning and achieving wider vision for Northland. Dec 2008 HMSC formed (including Canterbury DHB), creating scale needed to attract new solutions / vendor thinking.
- 20. RFI Process: Evaluation & Education Stage 1 Business Case Sep - 2009 Strategic Stage Analysis submitted Jul - 2009 Time Frame Activity Jan – Feb 2009 Initial emphasis - Evaluating responses to meet aggressive timeline Mar- Jul 2009 RFI review Goal RFP March 2010
- 25. Instead of being challenged, we should seize an opportunity - for New Zealand, for the sector, for the vendors …but most of all for the people we serve
- 27. “ Well, to me, it seemed like the best thing to do. I took him to the hospital emergency room.” “ Before you know it they got me about naked except for some nightgown that don't even have any buttons in the back. “ Then he started in with questions, and with some questions that were none of his business.” “ They acted like I couldn’t have been alive without having seen a doctor there before. More and more doctors and nurses kept coming in to meet me.” “ They checked my heart and my ears and my knees and everything. And they gave me some pills to take.” “ I threw the pills out and just got better.”
Notes de l'éditeur
- Chronic conditions – especially multiple co-morbidities Emphasise we are talking patients
- Records errors, medication errors, missed tests - eg National Sentinel Events Release highlights a very high proportion of isues attributable to patient journey omissions errors - key to improving patient journey and quality activities Number of people >65 in Nelson Marlborough will double by 2025, with greatest growth in >75…. Based on pre recession funding increases this will mean 70% of DHB revenue hospital based on current models, vs < 50%This will increase “ In New Zealand in 2000, there were 18 people aged 65 years and over for every 100 people aged 15 to 64 years. This was below the OECD average of 21. By 2050, New Zealand is projected to have 38 people aged 65 years and over per 100 people aged 15 to 64 years, compared with an OECD average of 47. Although this is a marked increase, New Zealand’s elderly dependency ratio will remain well below those of countries such as Japan and Spain, where there are projected to be around 70 older people for every 100 working-age people by 2050.” Average age of a nurse in NZ is 47 Health is privileged - but not immune - in the current financial climate – we are getting an FFT increase next year – not many sectors assured of that – but significantly slower rate of increase than previous years, and cost pressures increasing e.g. one supplier up 40% Ongoing pressures on pharmaceuticals, locum staff, volatility in exchange rate etc etc
- Ongoing interest and pressure