NCHIP Learnings and Collaborations
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Transcript of NCHIP Learnings and Collaborations
NCHIP Learnings and Collaborations
21 October 2015
No Child Left Behind?In the Waikato• 20% of six week immunisations not achieved on time• 37% of children under 6 not enrolled with Oral health
• 30% of children not enrolled with GP at 3 months
• Nationally, 50,000 immunisations not given in 2014
Birth event
Nominate GP and WCTO
provider, for
enrolment
Newborn Check
Well Child assessmen
t
Metabolic screenin
g
Hearing screenin
g
Transfer of care (to GP & WCTO)
Well Child assessment
sImms Oral Health
assessments
Early Childhoo
d educatio
n enrolmen
t
B4School check
Multiple, provider-centric view of milestones
LMC Maternity systems
WCTO
GP, NIR
Oral Health
B4SCHearing team
Service view/capture of data
What is NCHIP and CHCS?
- Ensure children are enrolled with providers - Ensure children are receiving health checks/milestones- Support providers to find ‘missing children’- Support families to connect with providers
- Register newborns and children- Collate milestone data from provider systems- Create shared view of children, and their
• Chosen providers• Health milestone status
- Generate ‘red flag’ prompts for follow-up
Birth event
Nominate GP and
WCTO
provider, for
enrolment
Newborn
Check
Well Child assessme
nt
Metabolic screening
Hearing
screening
Transfer of care (to
GP & WCT
O)
Well Child assessments
Imms
Oral Healt
h assessments
Early Childhood education enrolment
B4School chec
k
Collects data from multiple sources Displays data in one place
Single, integrated child-centric view of milestones
NCHIP view of data
Midwife’s checks
Metabolic Screening Results
Newborn screening results
Transfer of care to WCP and GP
ImmunisationsOral health checks
Milestone Status Tracked
LMCs
GPsWell Child/Tamariki Ora
Oral HealthShared view…
No Child Left Behind - new capability introduced
• Providers can identify and check with other providers• Providers able to check child’s track record and milestone status• Ability to assess risk & calibrate response
• missed one milestone with one provider - low risk• missed several milestones across different providers - different story
• Support to find missing children (incl. access to MSD and MoE)
Ensuring provider connections:• 4,000+ newborns plus 27,000 under 6 year olds
• Connected 300+ newborns with GPs (10-12 per week)• Connecting newborns with a well child provider • Identified 60+ newborns without metabolic screening results• Identified 70+ newborns missing from Newborn hearing screening• Identified 6,000+ children missing from Oral health service
Getting to grips with reporting
Milestones by PHO
Imms – tracking by PHO
Children who missed 6 week imm – by LMC
Timing
Children who missed6 week imms – did they receive 4-6 week wellchild provider check?
YESNO
Tracking upstream/downstream influence
LMC 4-6 week Well Child Referrals (Transfer of Care) to GP, WCTO
• 20% of referrals not completed
• Referral completed 77% achieved 6w immunisation• No referral 65% achieved 6w immunisation
= 12 percentage point difference
Moving forward
• Improve/extend diagnostics and reporting
• Promote/foster utilisation by practices and outreach imms– monitor other providers/recent checks– CHCS support for ‘missing’ children
• Interface with planned maternity (MCIS) and oral health (Titanium) systems
• Aligning CHCS, NIR, Outreach Imms, B4School service
NCHIP Roll out
WaikatoNovember
2014
Tairawhiti November
2015
Taranaki January
2016
Lakes March 2016
Questions?