Future focus for financial year 2014/2015

Board priorities for financial year 2014/2015

Our board has endorsed to two organisational priorities which will be in place for the next three years - relieving suffering and achieving better outcomes.

Relieving suffering requires we act to:

  • Enhance patient and whānau experience when they interact with us, be it in the community, as an outpatient or as an inpatient
  • Ensure that everything we do is done to relieve physical, psychological/emotional pain in a timely way
  • Provide clear and understandable connections and smooth transitions between the various units of the DHB and its many community partners
  • Ensure we do nothing to increase suffering, such as commit errors or provide unsafe or inappropriate care

Achieving better outcomes requires we act to:

  • Measure and better manage the outcomes that patients care most about, such as the reduction of pain, return to previous level of functioning, return to work, home and independent living
  • Improve the health of the Waitemata population, with a focus on the sub-populations the Board prioritises for action, by timely access to evidence-based treatment and care
  • Enhance staff engagement and satisfaction, as this correlates to better patient outcomes

Specific quality priorities of improving our patients’ experience and the quality of care they receive are set out in the Waitemata DHB Annual Plan 2014/2015 [view Waitemata DHB Annual Plan 2014/2015]

(i) Patient Experience

What are we trying to do?

We want to relieve suffering and achieve better health outcomes for our patients and community by:

  • enhancing patient / whānau experience when they interact with us
  • ensuring everything is done to relieve physical, psychological and emotional pain
  • ensuring patient / whānau care is culturally safe and responsive
  • providing clear connections and smooth transitions between units and teams across our organisation
  • empowering our patients, whānau and community so they are engaged in healthcare helps us work together in partnership to redesign healthcare services

How will we do this?

  • Continue to develop a patient experience reporting system to include all DHB services, and an expanded set of survey questions including national patient experience measures and local measures Expand the friends and family test to all inpatient clinical services.
  • Pilot an expanded set of experience questions in Mental Health services by June 2015
  • Develop a work plan for the Patient and Family Centred Care programme by July 2014
  • Engage with Māori, Pacific, Asian and other cultural groups to improve measurement and monitoring of patient experience and engagement, cultural safety and cultural responsiveness Identify areas for improving patient experience, cultural safety and cultural responsiveness
  • Engage Māori, Pacific and Asian people in the Patient and Family Centred Steering Group
  • Continue to identify and utilise opportunities to engage patients, whānau and the community at all levels of the organisation, including governance, service planning and design and care management
  • Develop a work plan for the next phase of the values - led organisation programme, including further engagement of clinical staff with patient feedback and listening events, identifying improvement actions and building values in the enhanced care management and clinical leadership programme
  • Continue to work with Health Links and non-government organisations to identify further opportunities for enhanced community and patient engagement Continue to remove barriers for whānau, family and friends though extended visiting hours, improved patient information and signage
  • Complete a review of visitation by June 2014 and develop plan for implementing open access by June 2015
  • Complete implementation of the Quality Review recommendations by June 2015

(ii) Quality

What are we trying to do?

To provide the very best care for all our patients, we need to ensure that the care we provide is safe, clinically effective, focused on the needs of our patients, whānau and our community, and achieves quality outcomes that are among the best in the world.

How will we do this?

  • Continue to collaborate nationally and regionally on quality improvement programmes and continue to improve by meeting and exceeding the national targets for the quality and safety markers
  • Actively participate in the Health Quality and Safety Commission’s (HQSC) national patient safety campaign (Open for Better Care) to reduce harm from falls, healthcare associated infections, perioperative care and medication
  • Develop a pain management strategy and quality improvement programme by September 2014, which will include the safe prescribing and administration of opiate medication
  • Actively participate in the northern region’s ‘First Do No Harm” project to reduce falls causing major harm to a rate less than 0.07 per 1000 patient days, prevent grade 3 and 4 pressure injuries and reduce the rate of central line infections in the intensive care unit
  • Continue to implement and monitor a programme of quality improvement projects to address issues identified by complaints, incidents and patient and whānau feedback
  • Complete the implementation of the Quality Review recommendations
  • Work with services and clinical groups to develop quality plans with outcome measures
  • Continue to develop and implement the enhanced care management and clinical leadership model training
  • Continue to implement e-prescribing and e-medicine reconciliation

Quality Action Plan 2014/2015

The Quality Action Plan for FY 2014/2015 sets out how we will pursue and measure improvement in our priority areas [view Quality Action Plan FY 2014/2015].