Te Whanau a Apanui Community Health
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- Kathryn Bennett
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1 Te Whanau a Apanui Community Health Our slice of Paradise, despite the noxious weeds! March 2014 Phillipa Callaghan Emily Gill Kiritahanga Savage... on behalf of the A Team
2 Setting the Scene Our Paradise Our Weeds Discussion Points
3 Travel Times by (windy) Roads Te Kaha Opotiki: 1hr Te Kaha Whakatane ED: 2 hours Te Kaha Tauranga: 3 hours Te Kaha Hamilton: 4.5 hours
4 Mai Te Taumata o Apanui ki Potaka: Base clinic Te Kaha, Outreach clinics: Maraenui Marae, Omaio, Waihau Bay
5 Status of a special Area = no fees Only Primary Health Care facility in the rohe/area. Predominantly Maori population, 13 hapu/marae Five schools within Practice boundaries Cornerstone Accreditation 100 points on Rural Ranking
6 Registered Patient No s: ~1500 This figure can double over the summer holiday period Staff: 1.5 FTE GP (2) 2.4 FTE Nurses (3) 2.0 FTE Admin staff (2)
7 Services include: GP/Nurse services Public Health Nursing District Nursing Palliative care Phlebotomy Wound dressing Minor surgery Immunisations/Smears/DAR s/cvr Visiting Specialist/Nurse educator clinics - Cardiologist (annual), Monthly /Bi-monthly: Continence, Renal Nurses, Dietician, Respiratory, COPD, Plunket/Tamariki Ora, Midwives, Paediatrician, Physiotherapy, Drug and Alcohol Councillors, Community Mental Health Case workers, Mobile Breastscreening unit, Mobile Dental Treatment unit (school age). Weekly Outreach clinics at Maraenui Marae, Omaio and Waihau Bay. 24 Hr PRIME Contract services After hours on-call nurse cover with GP support if needed. Patient Transport assistance through Runanga Social Services and clinic staff/vehicles when necessary
8 Facilities: Base Clinic Purpose built Services for Mobile Units Phone/water/power/data Helipad Opotiki Lions Generator: powers the entire clinic during electricity failures (quite common) Outreach clinics: Maraenui Omaio Waihau Bay
9 Garden of Paradise vs Weeds of purgatory Best Kapa Haka! Multi-role d team Community connection Organisational Structure, including funding Fruitful Climate Logistics communication Specialty cares Courier services (medication) DHB Firewalls & IT Locum/Relief availability Emergency Services Social Determinants of Health
10 Oh yes a n d..kapa Haka Champions Video, explanation of the World!
11 Staff team: RNs top of scope Proactive Admin Workforce planning Strengths Community connection Organisational Structure, including funding
12 Community Connection Combined staff knowledge of complex situations Identify key person in whanau dynamics Discuss needs of a patient and who can support, without disclosing cause of needs (eg confidentiality)
13 Cultural Context Support for Non-Maori minority 2 x Non-Maori staff Pakeha language Maori Kaupapa is norm
14 IT Systems Portable Patient Data Communication btwn IT providers Access to DHB network Telehealth (Generator back-up)
15 MPSO/Standing Orders Weekly pharmacist review of cupboard MPSO as provider within MedTech Reference to guidelines within standing orders Orientation Locum GP Regular note review
16
17 Challenges Logistics Locum/Relief availability Emergency Services Social Determinants of health
18 Social Determinants of Health risk factors found in one's living and working conditions (such as the distribution of income, wealth, influence, and power), rather than individual factors (such as behavioural risk factors or genetics) that influence the risk for a disease Wikipedia
19 Health Literacy The ability to obtain, process, and understand basic health information and services in order to make informed and appropriate health decisions. [ref- health.govt.nz] Analysis and decision making in order to navigate the health system, access and understand health information [ref- healthliteracy.org.nz]
20 Health Literacy Health Patient System
21 Social Determinants of Health Health Patient System
22 Discussion Points Logistics of how we do things : Community connection MPSO IT Suggestions for Challenges: Social determinants of health
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