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 Vision

Child HealthMental HealthCancer CVD/Diabetes ADHB Integrated Palliative Care Strategy WellnessQuality 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

Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager Tel: Ext Mob: Office: Level 8 Building 13 Greenlane Clinical Centre

Health of Older People Community Home Base Support Services Project Jenny Chong Project Manager

Professional Background Registered Nurse Procurement Specialist Project Manager Achievements 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 Manager 80 Bed Hospital for Community Health Hospice Specialist Nurse Palliative Care District Nurse Allied Health Homecare Services Call Centre Central Coordination Centre Independent Contractor HBSS

Project Timeframe Phase 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 2 Auckland 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 Unification Refugee Interpreter 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 ACCOUNTABILITY Actions: 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 Project Jenny Chong Tel: Ext 4002 Mob: Office: Level 8 Building 13 Greenlane Clinical Centre

Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager Tel: Ext Mob: Office: Level 8 Building 13 Greenlane Clinical Centre

Health of Older People WELCOME Your feedback and questions please