Promoting Health – A pathway.The Health Promoting Practices Quality Framework

11 July 2011

Health Promoting Practices and ProCare Health’s Strategy-Nicola Young, Project SponsorHealth Promotion is a formal responsibility of the primary health care sector. Over the last five years, the Health Promotion team has developed programmes that: •Are community based •Evidence based•Reach, vulnerable and patients with long term chronic conditions.

How will HPP help practices and patients?

• Improve patients’ health through increased engagement at an individual and community level

• Increase patient enrollments for practice • Increased PPP payments through improved

screening and immunisation rates.

Benefits of HPP

• Less busy clinicians• Reduced avoidable hospitalisations• Professional development for Doctors and

Nurses recognised with MOPS and PDRP points for participation in training

• Quality improvement through Cornerstone accreditation and continual quality improvement plans.

The Health Promoting Practices Framework – Kate Bukowski, Project Manager

WHAT is Health Promoting Practices based on? – Dr Karen Parkes, GP

Overseas• Ottawa Charter (WHO, 1986)• Chronic care model Ed Wagner In New Zealand • Government directives to health & social services • Whanau Ora• Modern General Practice • Working between disciplines

Integration (not silos)

Why and How ?.... • Practices• Clinicians • Patients

• Practice Systems • Individual Relationships • Community links

WHY for the practices…

• Government direction , better sooner more convenient

• Capitation funding• Payment for performance and outcomes (PPP)• Increased programme funding (CCM, Care+,

Palliative Care, A2D)• Business models• Cornerstone

WHY for patients…

WHY for clinicians…

How to do it -community links

HOW to improve our practice systems….

HOW to improve our individual relationships

A Practice Nurse’s Perspective on Health Promoting Practice – Kathy Neilson (RN)1. It is about improving health outcome2. Recognition/awareness

3. Knowledge/use of tools4. Recognising/utilising team strengths5. Rapport/respect/privilege6. Walking the talk with the Practice7. Broader involvement.

How Health Promoting Practice has worked in Mangere - Caerlie Palmer

(RN)

Where to from here- Kate Bukowski, Project ManagerFrom October 2011:1.Practices attend workshop (half day)2.Practice do a facilitated ‘Self Assessment’3. Practices choose a health issues to work on

• Work through the health issue’s toolkit• Do Quality PDSA plans (plan-do-study-act)• Supported and coached by Health Promoters

4. Attend quarterly collaborative workshops.

5. Reassessed to see progress after 12 months.