The following presents the key themes and priority actions described across the strategic briefing site.
This summary can also be downloaded as a stand alone document here.
This summary can also be downloaded as a stand alone document here.
'Start Here' List
The start here list is made of the recommendations that are catalysts for further actions and where good progress can be made in 12 months:
- Enable and support shift from Iwi Māori ‘engagement’ to Iwi Māori ‘leadership’ across the system and support successful establishment of Iwi Māori Partnership Board.
- Get moving with advice on establishing localities - Consult and confirm preferred localities/ Set up population health leadership/ Establish locality networks/ Ensure communities and consumers are engaged/ Link to digital solutions.
- Establish clinical governance forum for whole system.
- Act to develop on pro-equity systems of care.
- Start integrating DHB and PHO data.
- Develop future vision for role of rural hospitals in the south and start defining the future path for Central Lakes.
- Increase use of telehealth in outpatient care.
- Develop integrated hospital/community service plan for frail elderly.
- Develop workforce plans to take account of COVID-19 and health reforms.
- Ensure Māori leadership and consumer voice is part of future design process.
- Refocus workforce plans around building a representative workforce and addressing immediate challenges with responding to Covid-19.
- Establish implementation project office and fund recommendations in this strategic brief, support implementation of existing agreed plans.
How we need to act
There are two key themes that apply across all the elements in this strategic briefing. The first is enabling Māori leadership across the health system to improve Māori health outcomes. The second is the vital importance of change leadership, with a focus on implementation excellence.
Māori Leadership and Te Tiriti Partnerships
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Implementation Excellence
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Thriving localities
Iwi Māori leadership and partnership in localities
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Establishing localities to deliver improved population health
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Building connected primary and community care
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Leadership: Iwi Māori, with support from the Southern DHB/MHA/Health NZ
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Leadership: Iwi Māori, public health unit WellSouth, rural hospital trusts - supporting a co-design process that engages across the health/disability and community stakeholders. Enabled by Southern DHB/MHA/Health NZ.
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Leadership: Iwi Māori, WellSouth, rural hospital trusts - supporting a co-design process that engages across health/disability and social service providers and consumers. Enabled by Southern DHB/MHA/Health NZ
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Effective integration
Build integrated clinical leadership
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Pro-equity and systemic models of care
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Create data-driven health intelligence function
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Leadership: Clinical Council and clinical leadership groups from across the system and across professional groups. Enabled by Southern DHB/MHA/Health NZ
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Leadership: Build out from existing working group that informed this strategic briefing. Stewardship via Iwi Māori and extended (whole system) Clinical Council. Enabled by Southern DHB/MHA/Health NZ.
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Leadership: Southern DHB, WellSouth PHO and Iwi Māori initially. Engage others as systems in place.
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Specialist services
Connected hospital networks
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Connected with community
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Reorientate to telehealth
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Leadership: The Rural Hospital Trusts should collectively prepare a future vision for the role and scope of rural hospitals.
The Southern DHB should set in motion analysis to inform the future pathway for Central Lakes. Health NZ and the MHA will provide guidance around tertiary services. |
Leadership: The project team leading the new Dunedin Hospital future care systems should with community partners to lead this work. Build up from the analysis included in this strategic briefing.
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Leadership: Telehealth uptake should be a work programme led by the Southern DHB/ Health NZ/ MHA and WellSouth that has oversight from an extended (whole system) Clinical Council.
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Effective enablers
Community and consumer voice
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Reframe funding
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Connect digital and service design
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Leadership: Iwi Māori and the Consumer Health Council.
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Leadership: Southern DHB/ Health NZ/MHA with appropriate contributions from other major health providers.
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Leadership: Southern DHB/Health NZ/MHA, WellSouth, HealthOne, rural hospital trusts.
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Empowered workforce
Embed shared vision and values
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Secure sustainable workforce
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Realise synergies with Local training institutions
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Leadership: Leaders across the health system.
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Leadership: Southern DHB/Health NZ/ MHA working with Iwi Māori and with stakeholders across the system.
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Leadership: Southern DHB/Health NZ/ MHA and the University and Polytechnics.
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