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Working together

A quick introduction to the Canterbury health system
by

Carolyn Gullery

on 4 October 2013

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Transcript of Working together

In 2007 Canterbury's health system was
growing admissions
growing waiting times
If we kept this up, we'd need
by 2020
Isolated General Practice
We'd need
more GPs by 2020
Growing demand for aged residential care
If we kept this up, we'd need

aged care beds by 2020
A

& workforce
But together, we
transformed
our health system.
Agreed pathways
Shared information
Working together
fragmented.
A system
Centred around
That aims not to waste their time
strategic goals
And a way of working
Partnership
Empowerment
Leadership
2007 2008 2009 2010
Improving the Patient Journey
Seeing 2020
Canterbury Initiative
Canterbury Clinical Network
Xcelr8
Health Services
Planning
ERMS
Showcase 2009
Particip8
Genr8
We started with a
vision.
We launched a series of
initiatives.
Supported by key
enablers:
And
now...
The Canterbury health system is
connected.
Age standandardised acute medical admission ratio
fewer people are admitted to hospital acutely:
shorter waiting times
Less time spent
waiting
More than one place to get care
More people getting the
right
treatment
sooner
e.g. skin lesion removal
e.g. gynaecology
Clients commencing in ARC for rest home care
And to deliver elective services:
And when they do go to hospital, they
and they're :
Acute Readmission Rate vs. Acute Medical Average Length of Stay
Canterbury
No. of additional wards Canterbury would need if we were like...
This saves us from needing as many wards as other DHBs:
% of hospital activity that is elective (for the major DHBs)
A quick introduction to the Canterbury Health System
HealthPathways
& HealthInfo
Electronic Referral Management System
(Colourful points represent other major DHBs)
Other DHBs
Canterbury
Connected pathways across the system are leading to
Before
After
Before
After
And older people are supported to stay healthy and independent in their own homes, so
fewer people go into rest homes
These services are supporting people to stay well, so
don't stay as long
less likely to be readmitted
frees up capacity
"We need the to be working
for the to work."
whole system
whole system
Christchurch Hospital
another
20%
2,000 more
scarce
ageing
connected
people
Three
collaborative
More urgent care is available
Referrals to community Acute Demand Management Services
in the community
And older people are supported to regain and maintain their independence
Referrals to CREST
(Community Rehabiltiation Enablement & Support Team)
at home
Full transcript