At Counties Manukau DHB we take pride in providing excellent care every day. However increasing demand on resources across all areas is driving the need for continuing improvements in the way that we keep our community healthy.
To achieve this, Counties Manukau DHB is working with individuals and organisations across the health sector to implement a range of interventions that put improved patient care at the heart of everything we do. This will entail working together across the entire system to anticipate and prevent acute health problems, respond quickly and effectively in the community and provide timely and safe care to people admitted to hospital.
Phase 1 of the 20,000 Days Campaign, which ran from June 2011 – July 2013 was a huge success. Its aim of giving back to our community 20,000 well and healthy days by reducing demands on our Hospital was achieved by 13 collaboratives in May 2013. The next phase of the Campaign called, Beyond 20,000 Days will build further on this success with 16 Collaboratives continuing to contribute to the Campaign’s aim of “giving back to our community 20,000 Days + healthy and well days by reducing acute demands on our Hospital.
The 16 collaboratives include:
A clinical pharmacist will see all non-critical general medicine patients in emergency care, during their assessment by a doctor, to provide safer and timely management of peoples’ medications.SMART – Safer Medical Admission Review Team
To assess 100% of patients with “difficult to treat” pain referred to the Well Managed Pain (WMP) team and, together with the patient and primary care, make a multi-disciplinary pain care plan.Well Managed Pain
To provide a new community-based, specialist rehabilitation service for people with stroke in their own homes rather than in hospital. This will enhance patient experience, speed recovery and improve quality of life for our patients.Supporting Life after Stroke
To achieve a reduction in overall unplanned hospital and GP visits for individuals with long-term medical conditions, and co-existing severe mental health/addiction issues engaged in a primary care mental health programmeKia Kaha, Manage Better, Feel Strong
To identify patients with diabetes at the time of their presentation to hospital and provide an integrated care plan in a timely way. This will help the patient and their family to manage their condition and avoid a prolonged stay in hospital.Inpatient care for people with Diabetes
To improve health outcomes for patients with a history of gout by assessing their health holistically, using a gout health assessment tool, and then improving health management using health literacy tools, shared care planning and the whānau ora frameworkGout Busters
To provide acute geriatric assessment and care for people over 85 year old admitted to Middlemore Hospital using a new Acute Care for Elderly model which aims to keep them in their home and well for longer and prevent avoidable admission to rest homes and private hospitals.ACE- Acute Care for the Elderly
To reduce the need for patients to present at Middlemore Hospital by providing and supporting well integrated health care in the community.Medical Assessment
To keep the people well in the community by providing a timely and coordinated service for adult Franklin residents who are at risk of avoidable hospital admissions.Franklin Health Co-ordination Service
To provide a safe environment in Emergency Care for assessment and initial treatment of mental health service users reducing unnecessary inpatient admissions.Mental Health Short Stay
To support people with Dementia, their families and carers, to live independently as long as possible with best possible health and mental wellbeing within the bounds of their condition.Memory Team
To improve the cleaning of hospital rooms after a patient has been discharged, which will reduce the risk of the next patient acquiring a potentially hard to treat infection.Environmental Cleaning
To reduce the number of lower limb amputations for people with diabetes on dialysis. This will in turn increase their quality of life and give healthy and well days back to them and their families.Feet for Life
To increase the number of well days for people with heart failure through a community based ‘Healthy Hearts – ‘Fit to Exercise’ programme, supported by self-care and self-management strategies.Healthy Hearts – Fit to Exercise
To support families so that they are better able to prevent and manage skin infections by providing high quality and well integrated health services in the community.Healthy Skin
To reduce unplanned hospital admissions for our identified At Risk population by providing co-ordinated planned management in the community.Helping at Risk People
On 25 March 2013 20,000 Days Campaign held a very successful Dragons’ Den session where eleven proposals for Phase Two were presented before the leadership panel of Geraint Martin, Ron Pearson, Jonathon Gray, Jenni Coles, Campbell Brebner and Benedict Hefford. It was very impressive to hear so many ideas for innovation and improvement from across the sector.
Over 140 team members from 16 collaboratives attended the learning sessions. During the action packed days teams learnt about the Collaborative methodology, the Campaign structure and milestones and shared knowledge and experiences with other Collaborative teams. Click on the videos below to watch the highlights
- Learning Session Zero
- Learning Session One
- Learning Session Two - Day One
- Master Classes
- General Resources
- 1st July Celebration