Concurrent Sessions

E2-b “To Be” or “Not to Be” – “To In-Reach” or “Not to In-Reach” That is the Question

Theme 2. Optimizing access to interprofessional teams

Presentation Details

  • Date: 10/18/2016
  • Concurrent Session E
  • Time: 10:45am – 11:30am
  • Room: Harbour A
  • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
  • Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff, Representatives of stakeholder/partner organizations

Learning Objectives

  1. Gain insight of New Zealand’s approach to providing care closer to home – how to decide what to integrate, how to collaborate, how to utilise specialists effectively to support primary health care to make a real difference to the community you serve
  2. Gain an understanding of how Dr Ross Baker’s 10 key themes underlying high-performing health care systems have made influenced system design to improve health outcomes (The Roles of Leaders in High-Performing Health Care Systems, 2011 Kings Fund)

Summary/Abstract

Diabetes specialists working as “in-reach” service in six general practices:

  1. 55% reduction hospital admissions
  2. 53% reduction is average hospital length of stay
  3. MDT outpatient specialist input reduced by 27%

Nurse Practitioners (NP) working as part of general practice team servicing aged care facilities:

  1. ED visits decreased by 28% post NP intervention compared to a 21% increase for facilities without a NP
  2. Acute hospital admissions were decreased by 22% post NP intervention compared to a 21% increase for facilities without a NP
  3. Avoidable Sensitive Hospital admissions decreased by 26% post NP intervention compared to an 18% increase in facilities without NP

Presenters

  • Dr Bruce Stewart, GP – Chair Central Primary Health Organisation, Primary Health Care Medical Director – MidCentral District Health Board, Central Primary Health Organisation and MidCentral District Health Board
  • Chiquita Hansen, CEO Central Primary Health Organisation, Director of Nursing MidCentral District Health Board, Central Primary Health Organisation & MidCentral District Health Board