2013 Winter Planning Waitemata District Health Board Collette Parr-Owens, Cathie Lesniak Dr Stuart Jenkins

PRIMARY CARE The Greater Auckland Integrated Health Network (GAIHN) is the three Auckland Metro DHBs’ key driver to strengthen integration between primary and secondary care and the regional capacity of primary care to reduce avoidable hospital admissions. Work Stream 1: Identify patients at high risk of acute admission to hospital, and provide enhanced primary care to prevent admission Key projects within this Work Stream include: –Development and implementation of the Predictive Risk Management (PRM) algorithm which identifies individuals at high risk (HRIs) of admission to hospital –Delivery of practice-level enhanced integrated care for identified HRIs, including children

PRIMARY CARE Work Stream 2: Improve the capacity and capability of primary care to respond better to acute events in the community including consistent and effective triage processes. Key projects within this Work Stream include: –Enhancing urgent care sector governance –Development of primary care acute response model –Developing and implementing a consumer information programme –Improving the response for Aged Residential Care residents (IV service) –St John transport project.

PRIMARY CARE Work Stream 3: Includes the key enablers that health professionals can easily use to support the delivery of effective integrated care. Key projects within this Work Stream include: –Enablers – e-tools (Shared Care, e-connect, etc), Access to Diagnostics, Advanced Care Planning, Medicines Management –Pathways – establishing and operating a pathways implementation system (to be led and coordinated by Clinical Pathways Implementation Group (CPIG)), including pathways for children.

WEST AUCKLAND URGENT CARE KEY OBJECTIVE OF THE WORKSTREAM: To provide recommendations of how to improve the delivery of urgent care to the West Auckland population The working group involved: ED clinicians General practitioners DHB representatives Community pharmacy representative St John ACC A&M providers Healthlink representative

WEST AUCKLAND URGENT CARE Next Steps: Finalisation of workstream report and framework for moving forward Endorsement of the framework by the localities governance group

The Future Summary Clinical Record GP Medical Home Advanced Care Plan Health Passport Urgent Care Centre/Alternative GP Hospital EDSt John Ambulance Governance IT Management Data management Funding Models of care