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Page 1: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Health of Older People Community Home Base Support

Services Project

Lisa Gestro

Planning and Funding Manager

Page 2: 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

Page 3: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

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

Page 4: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

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

Page 5: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

The Overall VisionLONG-TERM OUTCOME SOUGHT FOR THE PEOPLE OF ADHB

The well being, health and function of people are maximised so they can be as independent and participate in society to their

fullest ability

Clients’ goals and needs are assessed and both drive the

service and support plans

Informal carerand social

supports for the client are

supported and if possible enhanced

Services are solution

focussed, responsive and

flexible

Services are integrated and co-ordinated

DELIVERED THROUGH A workforce that is capable, stable and sufficient

Services that are cost-effective

Services are focused on

assisting client independence

and participation through

restoring and / or maximising health and function

THROUGH THE PROVISION OFA responsive restorative / recovery model of integrated continuum of care and support that provides people and their family/whanau with the right health and

support services in the right place at the right time

WHICH IS ACHIEVED BY ENSURING THE FOLLOWING CAPABILITIES ARE IN PLACE:

Page 6: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Child Health Mental Health Cancer CVD/Diabetes

ADHB Integrated Palliative Care Strategy

Wellness Quality

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

Page 7: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Project Components

1. Streamlined Access

2. Restorative Home Care

3. Packages of Care

4. InterRAI

Page 8: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

1. Streamlined Access

The vision:

Streamlined access and improved integration of community, primary and specialist services through centralized care planning, assessment, and coordination

Page 9: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

2. Restorative Home Care

The vision:

Active case management model based on goal setting with client, reassessment and shorter

intervention

Page 10: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

3. Packages of Care

The vision:

Flexible packages of funding based on identified goals and agreed outcomes

Page 11: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

4. InterRAI

The vision:

Standardised single assessment incorporating all aspects of required

service delivery. Baseline data to identify trends for service planning and

budgeting

Page 12: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

The Care Continuum

Page 13: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

A Path for Implementing a Strategy

Describe the VisionWhat do we want to achieve?

Describe the outcomes wanted and the capabilities

required to achieve themSTEP 1

Review AchievementEvaluate the worth of

the serviceSTEP 6

Tell the Story of the ServiceDecide the strategic objectives

Action areas required to achieve the vision

STEP 2

Pay Attention to Assumptions that might

prevent SuccessMonitor outcomes so changes to strategic objectives are made as

needed

STEP 5

Develop an Implementation PlanDetail who has to do what when, and

how success will be measuredSTEP 3

ImplementationMonitor that what it was agreed

would be done is being doneSTEP 4

STEP 4

WHY?WHY?WHY?

WHAT?WHAT?WHAT?

HOW?HOW?HOW?

Page 14: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Health of Older People Community Home Base Support Services

ProjectLisa Gestro

Planning and Funding [email protected]

Tel: 6309943 Ext 26097Mob: 021895104

Office: Level 8 Building 13Greenlane Clinical Centre

Page 15: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.
Page 16: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Health of Older People Community Home Base Support

Services Project

Jenny Chong

Project Manager

Page 17: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Professional Background

Registered Nurse

Procurement Specialist

Project ManagerAchievements

Needless IV System (ADHB)

Operating Theatre Supply Management (CMDHB & ADHB)

Super Clinic (CMDHB)

Community Based Service Models (National)

Meningococcal Vaccination Programme Roll Out (ADHB)

Page 18: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Professional Background

Operational Manager

General Manager80 Bed Hospital for Community Health

Hospice

Specialist Nurse

Palliative Care

District Nurse

Allied Health

Homecare Services

Call Centre

Central Coordination Centre

Independent ContractorHBSS

Page 19: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Project TimeframePhase 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

Page 20: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Project Timeframe

Phase 2Auckland 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

Page 21: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

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)

Page 22: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Auckland is Unique…….

Page 23: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Auckland’s Unique

New Migrants / Family UnificationRefugeeInterpreter Services

Metropolitan

Workforce issues

High cost of urban living

Unmet needs

High Asian Community

Page 24: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Are we providing optimum support to consumers to be safe in their homes and have maximum functionality in their communities?

Page 25: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Are our services responsive to the needs of Maori?

Do we address the health requirements of Pacific, Asian

and other ethnic minority groups?

Page 26: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

THE VISION•National Strategies

•ADHB’s Healthy Aging 2020 Plan

THE ACCOUNTABILITYActions:

•Ageing in place•Independence•Meeting Needs

THE CONSUMER•Consumer expectations

•Consumer needs

Page 27: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

In partnership with you..

Questions and Comments

please

Page 28: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.
Page 29: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Health of Older People Community Home Base Support Services

ProjectJenny Chong

[email protected]: 6309943 Ext 4002

Mob: 0212427886Office: Level 8 Building 13Greenlane Clinical Centre

Page 30: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Health of Older People Community Home Base Support Services

ProjectLisa Gestro

Planning and Funding [email protected]

Tel: 6309943 Ext 26097Mob: 021895104

Office: Level 8 Building 13Greenlane Clinical Centre

Page 31: Health of Older People Community Home Base Support Services Project Lisa Gestro Planning and Funding Manager.

Health of Older People

WELCOME

Your feedback and questions please


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