What do we know about high performing systems for people with LTCs?

7. What do we know about high performing systems for people with LTCs? • Universal coverage • Cost not a deterrent at point of use • Prevention emphasised, not just treatment • Emphasis on patient self-management • Priority to primary health care, especially multi-disciplinary, nurse-led teamwork

8. What do we know about high performing systems for people with LTCs? • Support is commensurate with clinical risk • Primary care teams can access specialist advice easily, day-to-day • IT is used to enable diverse staff to work together and to support people at home • Care is coordinated across health & care for people with multiple conditions who are at greater risk of hospital admission

9. What do we know about high performing systems for people with LTCs? • Coherent strategy for 1-9 based on clinical leadership, measuring outcomes, aligned payment incentives and community support • acting at all levels, not necessarily requiring organisational integration

12. Your Taxpayer’s Dollar • District Health Board’s are funded by the Government to provide health and disability services to the people of their district. • Each year the Government allocates money to District Health Boards according to a formula based on population characteristics, for example the number of people who live in rural areas, have low income, or are from disadvantaged groups.

20. Planning and Funding Role • Assess the population’s health need • Determine the best mix and range of services to be purchased with the funding available • Fund the majority of health services provided • Ensure services are responsive, coordinated, and focused on what is best for the patient and the system

21. Planning is influenced by: • Health needs of the local population • Health strategic priorities: • Local: • Provider and community input and involvement • Regional: • South Island Health Services Plan developed through South Island Alliance (five SI DHBs) • National: • Policy and strategies • Health Targets

22. Changing approach • Alliance agreements • Partnership (through close collaboration) approach setting outcome expectations and parameters • Allows decisions about how a service can best be provided or where the type of service

23. SI GM’s Planning & Funding Network • The South Island Planning and Funding Network (SIP&FN) supports regional alliance issues and collaborates on non-alliance issues, including: • strategic planning • meeting of government priorities • statutory requirements • whole of population funding advice. • In developing and agreeing its advice, the SIP&FN uses a South Island wide perspective and approach, reaching recommendations and where appropriate decisions on a consensus basis that reflect the collective good for the population and for the Alliance.

24. South Island Alliance

25. Our Values

27. South Island Alliance guiding principles • Taking a whole of system approach to make health and social services integrated and sustainable; • Focusing on people, their families and communities, keeping them at the centre of everything we do; • Enabling clinically-led service development; while • Living within our means.

28. Four

32. 4 People experience optimal functional independence andQuality of Life Focusing on how people want to live, what they desire and their wishes through better end-of-life care including better access to Palliative Care and Advance Care Planning

50. Shared & Coordinated Carethat is Patient-centred