Chronic kidney disease – Advanced form
A new Chronic Kidney Disease (CKD) advanced form has been implemented and can be found in Medtech32 under forms in Advanced Forms (SHIFT F3)/best practice. The Dashboard and BPAC tool are now available for activation and use at all practices. Ben McMenamin (Practice Facilitator) will be activating this new advanced form in all practices in the next four weeks.
*Don’t forget to use our nurse practitioner Albert Robertson (ph. 021 878 456, email: firstname.lastname@example.org) is available to support you in all your CKD management.
Advanced care plan – advanced form
There is a new Advanced Care Plan (ACP) advance form in Medtech32 that has been developed. This advanced form has not been implemented at practices yet but will be in the foreseeable future. There are also manual copies of the National ACP form that are still available and can be found from the WRHN front desk.
The Dementia pathway is currently under review. It has been live on Map of Medicine for the last 18 months. Changes made to the Dementia Suspected and Dementia Management pathway has been sent out for review and feedback. Feedback is also sought on the two advanced forms in Medtech32 called Dementia Suspected and Dementia Management. Please let us know if there are any improvements needed to be made on these two advanced forms. All feedback to email@example.com.
Fit for Surgery
This pathway is under development with feedback being sought from GP teams on how information is gained from patients on their lifestyle and what options are available in the community now to support individuals.
A regional Hepatitis C Pathway is completed and has been published in the central view. The Pathway will inform GP practices and other users on how to identify the at-risk groups, use targeted testing to diagnose people with chronic Hepatitis C and either refer them to the specialised service or, if they refuse, manage them in a primary care setting. It is expected that a single clinical pathway for Hepatitis C care should be implemented across all regions of New Zealand to provide consistent services which maximise the well being of all New Zealanders living with Hepatitis C. This will be reviewed locally and any local editions added.
The Cellulitis pathway has commenced in August 2016 and is currently under development. Pre-work is being undertaken to identify best practice, model of care approach and options for workforce upskilling.
The Stroke Suspected pathway has been developed and is awaiting publication and launch alongside the Stroke Rehabilitation pathway.
A project is currently underway to review existing hospital provision of community rehabilitation services including contracts. The Stroke Rehabilitation Pathway development will align with this review and will focus on how coordinated community stroke rehabilitation will be provided in the future. The community rehabilitation project has identified service provision gaps particularly in the Allied Health domain. A central triaging referral system has been established to streamline complex discharges. Alongside this access to community physiotherapy and occupational therapy are being streamlined. Referrals and responses are being monitored to identify service improvement opportunities. This has been reported in the quarterly MOH report. Further collaboration is required between secondary care services and community agencies.
The stroke discharge project is particularly streamlining stroke prognostic indicators and discharge destination planning process. The expectation is that in September the project reports will be completed for both projects which can then inform the completion of the community rehabilitation map leading to publication in October and launch in November 2016.