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Supporting General Practice with Change

This initiative aims to support general practice teams in improving diabetes care by implementing collaborative learning sessions, care planning, regular reviews, and assessment for complications. It also focuses on testing and measuring change ideas to enhance the provision of best practice diabetes care.

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Supporting General Practice with Change

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  1. Diabetes Care Supporting General Practice with Change Dr Tim Hou Diana Dowdle Valerio Malez

  2. Care Bundle Measures for Adults with Type 2 Diabetes: • Has the patient participated in an active care planning process to develop an individualised self management care plan? • Has the patient had an assessment for the risk and presence of complications of diabetes? • Has the patient had review of their treatment in the last 3 months?

  3. Building on Collaborative Learning Manaaki Hauora Create Change Package Manukau Locality Diabetes Diabetes Care Safety in Practice ARI – Care planning Feet for Life Identifying & testing change ideas & measuring the impact on providing Diabetes Care Best Practice

  4. P P P A A A D D D S S S Collaborative Structure General Practice Teams Select Topic Spread across Sector GPs community Define Current State/Baseline Expert Group LS 0 11 May 2016 LS 1 July 2016 LS 2 October 2016 LS 3 February 2017 IF Coaching/Mentoring Support LS = Learning Session

  5. Support for practice teams • Clinical Leadership • Project Team • Improvement Advisors • PHO Facilitators • Patient Experience • Learning Sessions 4x • Coaching & Mentoring • Data analysis • Resources http//improvementmethodology.govt.nz

  6. Monthly Samples • Templates: paper/ electronic • Monthly sampling of 5-10 patient records • Collect data monthly • Results charted • Create improvement plan • Test change ideas through PDSAs- learning cycles

  7. Sample example: Question 1 1. Collect data 2. Enter data in template 4. Identify and plan how to improve 3. Analyse data and identify what to improve 3rd cycle 2nd cycle 1st cycle

  8. Testing Change Ideas • Health Coaches in General Practices • Tested in ProCare & East Tamaki Health Care GPs • Health Coach training delivered for peer and clinical staff

  9. Learn, Teach & Share • Patients / whanau voice • Other practice teams • Story boards • Harvest ideas / resources • Utilise experts in collaborative • Global network • Enjoy your work

  10. Break out Session

  11. Aim Statement Manukau Locality Diabetes Aim: To improve diabetes control by > 10%, in 50% of patients with poorly controlled diabetes (HbA1c >75 mmol/mol), identified from primary healthcare practices, who are willing to participate in supported self-management activities by 1 December 2016 Proposed Diabetes Care Aim:

  12. Break out Learning questions: • Aim statement: Is it the right aim? • What support does general practice need? • How can you build on existing working relationships for this work? • Feedback to whole group

  13. Next Steps

  14. Steps to Change

  15. Next Steps

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