Child Health Asthma Improvement Project (CHAIP)
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Transcript of Child Health Asthma Improvement Project (CHAIP)
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Child Health Asthma Improvement Project (CHAIP)How did this project come about?The Central Primary Health Organisation (Central PHO) in collaboration with MidCentral District Health Board (MDHB) secondary services commenced work to establish Collaborative Clinical Pathways in 2011. The system uses the UK based ‘Map of Medicine’ (MoM) as a platform to support evidence based best practice guidelines.
Radius Medical the Palms has agreed to be a pilot site to improve the utilisation of asthma pathways on Map of Medicine. Asthma in children pathways were chosen because:• Ambulatory Sensitive Hospitalisations (ASH) for children during 2006-2010 in MidCentral were
most frequently caused by gastroenteritis, asthma and acute respiratory tract infections;• Reducing Ambulatory Sensitive Hospitalisation in the 0-4 year old age group was identified as a
priority for action by the Ministry of Health in 2007;• ASH is used as a measure of the effectiveness of Primary Care health care delivery;• We want to reduce the impact of possible overutilization of free services for under 6 year olds in
general practice; and• Child Health is a priority in the Primary Health 2013/14 Annual Plan.
Who can I contact about this project?For questions from Radius Medical the Palms, talk to:•Carolyn Russell, Jo Saxe or Dr Wayne Hayter (CHAIP Primary Care Clinical Lead)
For questions about the Child Health pathways on Map of Medicine, contact:Dr Jeff Brown, Clinical Director/Paediatrician Child Health [email protected] or Sandra Lanceley CNS, MDHB CHCT [email protected]
For questions about the CHAIP contact:•Jane Cullen, Service Improvement Leader, Central Primary Health Organisation: [email protected]
For questions about the Collaborative Clinical Pathways project or Map of Medicine in general contact: Shirley-Anne Gardiner, Collaborative Clinical Pathways Project Manager or email [email protected].
For more information about the project including documents and latest updates, visit: http://www.centralpho.org.nz/home/collaborative_clinical_pathways/
A collaborative effort in MidCentral involving primary and secondary health team members based at Radius Medical, The Palms
Who is on the CHAIP Working Group?The membership of the CHAIP Collaborative Working Group is multi-disciplinary and is made up of the following members:•Carolyn Russell, Radius Medical – Nurse Manager•Jane Cullen, Service Improvement Leader, Central Primary Health Organisation•Dr Jeff Brown, Clinical Director/Paediatrician Child Health•Joanne Saxe, Practice Manager Radius Medical.•Julie Wells, Pharmacist•Nicola Lean CNS Lead, MDHB Child Health Community Team (CHCT)•Sandra Lanceley CNS, MDHB CHCT•Shirley-Anne Gardiner, Project Director, Collaborative Clinical Pathways (CCP) (Chair)•Dr Wayne Hayter , Radius Medical - Clinical Director
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General Practice Team engagement & satisfaction
Primary – Secondary collaboration and communication
Patient improved outcomes & satisfaction
Improve
Documented evidence of evidence-based practice
Accurate referrals
GP Team satisfaction with CCP
Patient satisfaction & improved outcomes
Decrease
ASH & ED presentations
Observable benefits staff
Ease of use
Primary – Secondary collaboration in development, implementation & maintenance of pathways
Evidence based practice
Education and information
Consistent evidence based care
Improving Utilisation of Asthma Collaborative Clinical Pathways in Primary Care
Unreliable or no data
Current Challenges Primary Drivers Secondary Drivers
Desired Outcomes
Training & education
Communication and feedback
Network Groups
Referral systems
Improved patient outcomes
Patient feedback mechanisms
Aim
To improve the utilisation by primary care teams of the child health (1 – 15
years) asthma collaborative clinical pathways on the Map of Medicine system to ensure that evidence-
based interventions are used consistently by March 1st, 2014.