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Clinical Leadership & Engagement

Clinical Leadership & Engagement. Western BOP PHO PHO Performance Programme. What is Clinical Leadership & Engagement?.

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Clinical Leadership & Engagement

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  1. Clinical Leadership & Engagement Western BOP PHO PHO Performance Programme

  2. What is Clinical Leadership & Engagement? • Having the necessary clinical expertise, capability and networksto support and deliver services, including service development activities such as agreeing service standards and referral protocols, and ensuring that the ‘PHO’ Contracted Providers comply with those standards and protocols; and having the explicit support of clinical leadership across a range of disciplines and have the ability to build and maintain effective collaborative relationships both locally and nationally. PHO Contracted Provider Agreement 2013

  3. Clinical leadership & engagementAn art or a given?

  4. PHO Performance Programme • Measures PHO performance over a 6 month period • Measures both Total population and High Need populations • Aims to reduce disparities between High Need and Non-high need populations • 12 indicators split between HN & Non-HN.

  5. Starting point • Baseline performance report to all general practices • Staff training – Indicators, coding, eligible popns • 6 monthly progress reports to practices • Practice visits • Clinical guidelines

  6. Western BOP Performance 2009

  7. Where to from here?

  8. PHO Clinical/Governance Committee 8 members • 2 GP’s, • 2 Iwi representatives • 2 nurses, • 1 PHO Board representative • 1 Hauora representative

  9. PHO Clinical Committee(PPP Sub committee) Established 2009 • To identify areas of poor performance • analyse and specify the areas and reasons for poor performance • Undertake interventions • Make recommendations (when there are financial implications attached to recommendations)

  10. Clinical Leadership • Positioning PPP as core business for PHO/general practice • Workforce development to support the expansion of the nurses role with provision of nurse led clinics and expansion of healthcare assistants to support general practice to achieve targets • Installation of Best Practice electronic decision support system • PHO/vendor support to fix any PMS software bugs • Installation of DrInfo – software audit tool • Bay Navigator (Map of Medicine) referral protocols

  11. Workforce wide ramifications • New services introduced may be a distraction. • Ease of task as well as the ease of remuneration may also be more favourable • General practice may make a sustained effort to improve their performance but may not be assured of a positive outcome • Much of the work can be carried out by nursing staff however nurses are not incentivised. Also the case with salaried GP’s (numbers increasing)

  12. Work undertaken • Practice staff meetings (GP’s, nurses, admin) • General practice champion (doctor or nurse) • On site practice visits – identify high need popn, recalls and achievement of targets • Laminated tables of PPP indicators & eligible population • Aligning GP Focus groups with the performance programme so there is a greater focus on indicators and achieving targets • Priority given to practices that failed to achieve 3+ indicators

  13. Acknowledging & rewarding excellent performance PHO Award Evening

  14. Practice Reports General practice can access reports from PHO website to monitor their progress. Can also view progress of other general practices to compare their progress against a practice of similar size/demographics.

  15. CVD PHO Eligible Popn Total – 45,561 High Need – 8,858 Results December 2012: Range – 46% - 97%

  16. 2013 • Improving performance and making it part of general business • Lead, influence and manage change by ‘not doing the work for them!’ • Providing clarity around clinical standards, referral protocols, clinical guidelines • Providing clinical support – self management group education, Outreach teams, sub-contracted specialised services • Installation of Best Practice Intelligence • Staff turnover (include PPP as part of staff induction)

  17. So how are we tracking? 2009

  18. PHO Performance Outcomes • Leadership is theartof motivating a group of people to act towards achieving a common goal. • Given the right information, adequate resources required, training needs met– something is certain to happen You choose

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