Friday 31 January 2014 - Meeting the challenges of our ageing population
David Meates
Canterbury‟s population is ageing – even more so than in other parts of New Zealand. We have the largest population of people over 75, and by 2026 one in five of us will be over 65 and the number over 85 will have doubled.
While this places huge additional pressures on the health system, we‟ve shown that by working collaboratively we can keep people well in their own homes for longer and pull back the reins on hospital admissions. Most importantly of all, we have shown we can do this while providing better care to more people. A lot of work is going on at the moment looking at how we can improve the way we plan, coordinate and provide care for frail elderly people in our community and to ensure this coordinated care is continued in our hospital services. We have looked at what the optimal standards of care are worldwide, and are working to ensure our systems and processes support people to access the right care in the right place at the right time, delivered by the right person. We have already introduced some changes to the way we provide services for frail elderly people. These include: The development of a frail elderly pathway to make our existing processes, relationships and services even better. This has focused both on frail pathway in our hospitals and supporting services in the community. Incorporated in this pathway is how we continue to support our community providers to improve the quality of their CREST, Falls Prevention and Restorative Home Support services while also identifying new areas which will allow individuals to remain in their own home for longer. For patients who are admitted, the pathway focuses on restorative approaches from admission in a multidisciplinary approach addressing the patient‟s needs. Goals have been agreed and our progress made transparent through the visibility and frequent updating of the sfn viewer (see some results overleaf). The pathway relies on whole of the system working together for our frail elderly people. CREST (Community Rehabilitative Enablement Service) helps people over 65 who were in hospital, or at risk of being admitted, to regain independence by being safely supported in their own homes. Multidisciplinary teams work together to support the various needs of a patient. Restorative community home based support provides an integrated approach to assessment and service delivery. Services are flexible, integrated and responsive to enable people to maintain their independence safely in their homes and communities. Rollout of interRAI. InterRAI is a tool that provides a comprehensive clinical assessment of needs, which is then fed into the development of tailor-made care plans. Its roll out has helped us to improve client goal setting and our planning for services like CREST and restorative home support. Medication Management Service is delivered by pharmacists to support people in their own homes who are having difficulties managing their medications. Continued overleaf...
… story continued The Acute Demand Management Service supports people who are unwell at home. Targeted services are delivered by general practice teams and acute community nurses, who can provide care to support people in the community and their own homes, arrange for rapid diagnostics or more urgent home-based supports. Gerontology Clinical Nurse Specialists can provide clinical advice and education to support staff working with the frail elderly in aged residential care. Improving the care of people with dementia, including the development of a cognitive impairment pathway and expanding the „Walking in Another‟s Shoes‟ training beyond aged residential care to community support services staff. Implementation of clinically led falls prevention strategies across the whole health system, such as a community-based falls prevention programme and vitamin D supplementation in aged residential care. Development of an integrated Fracture Liaison Service where a multidisciplinary team work to align preventative care to prevent future fractures and to develop and implement a fracture pathway that covers identification, investigation and intervention. Development of an integrated Stroke Service which will enable a community based rehabilitation team for all stroke patients. Transforming the health system is a marathon, not a sprint. While it‟s early days, it‟s heartening to see some positive signs that these new ways of working are having an impact. The number of older people being seen in the Christchurch Hospital emergency department has already fallen significantly.
There are promising signs from the recent focus on the frail elderly pathway in our hospitals with a reduction in the number of beds occupied by long stay patients. People are returning home to the community to regain their independence and are waiting less time in a hospital bed. Continued overleaf...
Friday 31 January 2014
… story continued
Working collaboratively can be an overused phase but it‟s certainly been one of the keys to success so far. By working closely with general practice teams and community providers we‟ve been able to better support patients and coordinate their care. There is still a lot to do, and I am very proud to be working with thousands of other Cantabrians to develop innovative and collaborative ways to keep our health system one of the best in the world. Take care, David.
Friday’s Fast Facts Burwood User groups are now close to completing detailed design. Site works continue at a considerable pace. Leighs Construction workers are now on site. They are currently fencing off parts of the site (look for the white wooden fences) and have put in new portacom offices at several locations. They are also creating a new entrance way for their contractors vehicles off Burwood Road. Take a look at the site webcams and new timelapse videos on the staff intranet: http://cdhbintranet/ corporate/FacilitiesDevProjectBur/SitePages/Webcam.aspx Here‟s the view from the Theatre block on Thursday 30 January, showing new car parks in the foreground, with site preparations for the ward blocks in the background.
Story continued overleaf...
Friday 31 January 2014
… story continued Planning at Burwood has moved into the “FF&E” stage. This stands for “Fixtures, Fittings & Equipment”. For example, planning has begun with the Food Services Manager on the equipment required for the Burwood kitchen – what new equipment is needed and what can be reused, for example. Please note that works will commence shortly on improving the road layout at Gate 3, the main way in to the campus. For a time, it will be necessary to access the site via Gate 2. We will let staff know about the exact timing of this as soon as it is known. Friday’s Fast Facts – Christchurch User groups have started up again following the Christmas break. The Wards group met this week to wrap up the preliminary design process as well as to update the group on the requirements for Allied Health space. Discussions around clinical support spaces and Progressive Care Unit layouts were also covered. The „Who Goes Where” group, which is a subset of the Clinical Leaders Group with some additional clinical input, are working through options of what wards go on which levels in the new building. It is anticipated that a recommendation from the group will go to the Clinical Leaders Group on 7 February. We are currently waiting for the Preliminary Design phase of the Acute Services building to be completed in March. Following that, focus on Parkside will begin regarding consultation on future redevelopment there. Visitors to Christchurch Hospital may notice that the building that previously housed the Maori Health team and was once a diabetes centre, has now been demolished by its owner.
Friday’s Fast Facts – Design Lab This week, the Peri-operative Team have had various groups reviewing some new mock-ups. Teams from Radiology have also started to review a series of mock-ups over a three week period. An executive team from Westpac had a tour of the Lab on 27 January. General An important consideration for any new public building is wayfinding. Wayfinding is more than just slapping up a few signs, however. Done properly, wayfinding helps patients to find their way from one place to another, often through a complex or new environment, in the most efficient way possible. A wayfinding consultant met the design teams at Burwood and Christchurch for a briefing in mid-January, as well as meeting with the CDHB executive team to discuss an overall DHB strategy for wayfinding. A user group for wayfinding items will soon be established to work through the details such as naming of services and sites, and location of content for signs.
Friday 31 January 2014
Make a submission to lower the blood alcohol limit for drivers People working in the Canterbury Health System are encouraged to make a submission on the Blood Alcohol Bill before the Friday 14 February deadline. The bill would lower the breath alcohol limit from 400 micrograms of alcohol per litre of breath to 250 micrograms – or from 0.08 percent to 0.05 percent. Dr Ruth Spearing Chair of the Canterbury District Health Board Alcohol Harm Minimisation Group says surveys have shown that 85 percent of New Zealanders want the legal driving level dropped to 0.05. “I really encourage my colleagues and anyone working in the health system to make a submission, because we all know and have seen the tragic outcomes alcohol can have in our communities.” Research suggests that lowering the adult limit will save between 15 and 33 lives and prevent 320 to 686 injuries every year. “This corresponds to an estimated annual social cost saving of between $111 million and $238 million.” “To give a single example, a German study showed more than 96 percent of alcohol related accidents happen with blood alcohol counts of 0.05 percent and above. It was on the basis of such studies that most of Europe and Australia reduced their BAC to 0.08” Dr Spearing says Ministry data shows that 20-29 year olds more than double their risk of having a fatal crash if their blood alcohol is 0.08 versus 0.05 and are 16 times more at risk than if they have consumed no alcohol. Danish experience suggests that one of the key strengths of a limit of BAC 0.05 is that it reduces the number of drivers with very high blood alcohol levels (e.g. BAC 0.1 and above). “A blood alcohol count of 0.05 requires people to make responsible decisions, to either stop drinking before they reach the limit, or not drive. “People close to the higher blood alcohol count of 0.08 are less able to do this. We all know that once we start drinking larger amounts of alcohol our ability to say „no‟ diminishes. “This is important, since if we could reduce the number of drivers with very high blood alcohol levels, we would make a substantial impact on the number of alcohol related deaths and serious injuries.” The closing date for making a submission on the lowering of Blood Alcohol Levels is 14 February. These can be done on line or http://www.parliament.nz/en-nz/pb/sc/makesubmission/50SCTIR_SCF_00DBHOH_BILL12874_1/land-transport-amendment-bill or mail two hard copies of your submission in a stamped envelope addressed to: The Secretariat Transport and Industrial Relations Committee Land Transport Amendment Bill Select Committee Services Parliament Buildings WELLINGTON 6160
Friday 31 January 2014
Bouquets Ward 20, Christchurch Hospital I was admitted to Ward 20 via ED in early December. It is not possible to state how positively my stay in hospital is viewed. All ward staff were superb – really caring, positive and skilled. I admire and thank the surgeons who did my surgery. Hagley Outpatients, Christchurch Hospital Many thanks to June in the blood lab who was not only professional, but also very kind and compassionate. Also to Nora who was very friendly and also put me at ease. My thanks and appreciation to nurse Marion and Francis who were very helpful. I was feeling particularly unwell the day of my appointment and after seeing them I left with a big smile on my face. Marion also sat down with me and assisted me in starting the Quitline stop smoking programme. Thanks to all the above ladies. AMAU, Christchurch Hospital The nurses in this unit were fantastic. I thought I had pneumonia but it appears to be legionnella. The explanations and support made a pretty traumatic situation so much easier to deal with I was certainly feeling flat on my arrival and the comfort given as a patient, when under stress was tremendous. Thanks heaps all you wonderful people. DOSA, Christchurch Hospital The level of service and care was very professional and a very high standard and great to see our tax dollars used well, thank you. Ward 11, Christchurch Hospital The staff has been so lovely, caring and understanding has made a stressful time not so stressful. Full credit to nursing team and the food has been yummy. Ward 11, Christchurch Hospital I have been in here for a week and found the service absolutely amazing. The staff couldnâ€&#x;t have been kinder. The food was also great and made a stressful time most enjoyable. Thank you. Ward 12, Christchurch Hospital Excellent care, fantastic nurses and great food. SARA/ Ward 16 Excellent. Moved from ED to SARA to surgery quickly and fully informed. Nursing staff great, cheerful, informative and helpful. Doctors all good, as with nurses. Ward 19, Christchurch Hospital The nurses and doctors and surgeons are awesome. Ward 20, Christchurch Hospital Polite staff, good team of doctors. Thanks, keep up the good work. Ward 20 Christchurch Hospital I enjoyed my stay with all the staff being very helpful and making me feel comfortable.
Friday 31 January 2014
Child Cancer Foundation fundraiser Information Services Group (ISG) Business Systems Analyst, Mike Forrester, has volunteered to have his “youthful, full head of hair, sleek pony tail and manly facial hair” removed as a fundraiser for the Child Cancer Foundation. Mike‟s colleague, Business Systems Analyst, Graeme McQueen says he “will happily remove all the hair on Mike‟s head at work on Friday 07 March 2014. In order to make this a worthwhile fundraiser could you please sponsor him?” To make a donation please go to http://www.fundraiseonline.co.nz/MikeForrester
Mike Forrester
Select the 'Make a donation' button. It's simple, fast and totally secure. If you live in New Zealand your donation is tax deductible and a receipt will be issued. Any questions please email graeme.mcqueen@cdhb.health.nz
Happy Chinese New Year This is an important traditional Chinese holiday celebrated on the first day of the year of the Chinese calendar. In 2014 it falls on 31 January and signals the beginning of the year of the Horse. Wishing you a prosperous New Year….
Gerontology Acceleration Programme (GAP) 2014 Applications are now open for nurses interested in applying for the GAP programme. This programme runs from June 2014 to June 2015 and is for nurses working within aged care. Applications are invited from RNs working in Older Persons Health and General Medical areas. The programme consists of clinical rotations, mentorship, PDRP and postgraduate education.
And good health…
To be eligible to apply, nurses must be: NZ citizen/resident FTE 0.8 and above RN with at least one year experience in older persons health They must also have Nurse Manager endorsement. Applications may be made online at https:// docs.google.com/forms/ d/1s8NJ033a_Sl8WSP0AFR5NAfQo_YmmhfXwxMBzJI0GQ/viewform
Queries to Kate Gibb, Nursing Director, OPH: Kate.gibb@cdhb.health.nz Applications close on 21/2/14.
Friday 31 January 2014
Nationally recognised laboratory technologist retires
Despite not knowing anything about what the work involved, the offer of a day off school to look around a Christchurch Hospital laboratory was too good to refuse for a then teenage Graeme Paltridge. It didn‟t all go well - he fainted when he saw someone having a blood test. However that didn‟t put him off and he successfully applied for a job as a trainee medical laboratory technologist. Despite that start, he has really enjoyed microbiology. “With its ever changing developments, both technologically and biologically you never get bored with it.” Graeme began work for the North Canterbury District Health Board on 30 January 1966 and leaves his role at Canterbury Health Laboratories (CHL) today after 47 years. Microbiology Cluster Manager, Sue Carnoutsos, says Graeme will be missed at CHL and by the wider medical laboratory science community in New Zealand – for his humour, enthusiasm, knowledge and leadership. When Graeme started, the course involved on the job experience with time allowed within the working week for formal on site lectures. This combination of work and study resulted in a Certificate of Proficiency after five years – three of these giving a good grounding in all disciplines and two specialising in Microbiology. In 1971 Graeme became a staff technologist in Microbiology and made the progression through to a Grade III and second-in-charge of Microbiology in 1980. Over these early years the focus of Graeme‟s work was parasites – and this passion has been nurtured across his career and he has gained national recognition for his expertise. Graeme was appointed as Charge Technologist of Microbiology in 1986. In November 2007, Graeme decided to prepare for retirement and step down from the senior role. As a 0.5 FTE he still maintained his role in charge of the parasite diagnostic service, providing education on the intricacies of infection and diagnosis to many clinical and technical staff, students, publications and external workshops. In 2001 Graeme was awarded Fellowship of the NZIMLS for his dissertation “Dientamoeba fragilis: A review of a commonly detected yet poorly understood protozoan of man”. He worked with a New Zealand surgical team in (then) South Vietnam in 1972-73 and he has returned there several times in a laboratory development role in the city of Quy Nhon. Graeme says he will miss the collegial contact, “as there are many fine people for whom I have a lot of respect working in the laboratory and hospital service”. His post retirement plans include getting back into home beekeeping, brewing beer, getting involved in some environmental projects, reducing his tramping bucket list “before I seize-up” and doing some creative writing.
Friday 31 January 2014
Become a foster parent Hi, I‟m Jack and I‟m 13 years old. Since I was little, I have had heaps of changes and have probably seen more than most kids my age. It‟s been kind of tough I guess. As my name suggests, I am a “Jack of all trades” and I like being active by doing boxing, BMXing, judo, soccer, rugby and hip hop! My favorite radio station is 88.9 Mai FM. I can also bake some mean cupcakes and will love to help you out in the kitchen. Find out more about Jack… Hi, I‟m Ben and I am 14 years old. My life so far has been pretty tough but with the help of my current foster carers, I have learned what it means to be part of a family and I‟m now ready to fit into a nice family and have a second chance for a positive future. Well, let‟s see. I like fixing things and making things out of wood (so if you are a “doer upper”, I‟m your man). A walking and talking Encyclopedia – I love general knowledge and researching different things. Find out more about Ben... Hi, I‟m Michael and I‟m 11 years old. Over the last 3 years my life has been pretty unsettled. At the moment, I feel the happiest I have ever been and with the help of my current foster carer, I have worked really hard on myself so I can fit into a nice family. I love animals and would love to help you look after your family pets. It‟s been fun feeding the calves and sheep where I live now. I‟d much rather be outside or kicking a soccer ball (I‟d even let you win, sometimes!) than watching TV. Find out more about Michael... Hi, Shane‟s the name and music is my game! I am 12 years old. I want a positive future but need a place to live and people that can help me achieve that. What makes me really happy is playing my guitar, listening to music and dancing (especially Hip Hop) – you never know, you could be the parents of the next “Lorde”. I know a lot of children don‟t like rules, but I feel safe when I know what the rules and boundaries are – I know, go figure! Find out more about Shane... These children need a stable, loving home with people who will stick with them and help them reach their potential. Being a foster parent can change lives – including yours. It is easy to make a difference! Do you wonder if your home could be Jack, Ben, Michael or Shane’s new home or do you know someone who might? Please call me: Adele Sherry on 03) 961 5612 or toll free on 0508 FAMILY (0508 326 459) or e-mail: ADELE.SHERRY003@CYF.GOVT.NZ
Friday 31 January 2014
Staff Wellbeing Programme Have you seen the new Staff Wellbeing Programme intranet page? This page is your one stop shop for information on the wide range of staff wellbeing initiatives that have been set up over the past year. You can also do a personal wellbeing quiz, download some simple stretches to do while at your desk, or visit other pages with links to websites and articles focusing on wellbeing. There is also a link from this page to the Employee Benefits (Something for You) page which lists a large number of discounted products and services that are available to CDHB staff. The Staff Wellbeing page has links to documents with all you need to know about wellbeing initiatives such as: Physical activity classes: 30 minutes walk „n workout Yoga Zumba Pilates Other opportunities/information to focus on your physical, financial and emotional wellbeing: Mindfulness sessions Finance/retirement/house buying seminars Walking routes Weight Watches at Work programme Sleep hygiene and shift work Smoking cessation Support for Earthquake related issues: Earthquake support coordination service Support for other issues involving relationships, anxiety, depression, family, grief, health EAP Services Workplace Support Bellow the Staff Wellbeing link is a Wellbeing Calendar link which allows you to quickly check what‟s on at different times. In 2013 the CDHB Staff Wellbeing Programme won the NZ Workplace Wellbeing Award (best new programme). Help us to continue to grow the programme by getting along to some of the classes and seminars listed above. If you have any feedback about the intranet page, or the staff wellbeing programme in general, please contact Andy Hearn andy.hearn@cdhb.health.nz or x66394. Access the Staff Wellbeing Programme intranet page here or by going to the CDHB intranet home page and clicking on „Health & Safety‟ (under Quick Links on the left side menu) and then clicking on „Staff Wellbeing‟.
Friday 31 January 2014
Metro Bus timetable changes Metro have listened to bus user feedback and adjusted some timetables to provide better connections between feeder services and the Blue Line. They are also changing the 7 Halswell / Queenspark route to better reflect current use. It‟s only the timetables that are changing, no routes have been altered. To view the new timetables click on the route name below.
Blue Line
Halswell – Queenspark
Waikuku & Pegasus
Styx Mill – Northlands
Casebrook – Northlands
Westmorland – Sydenham
Cashmere – Barrington
Murray Aynsley – Sydenham119
Bishopdale – Northlands You can pick up new pocket timetables from the central station kiosk, Metro staff on platforms at the Northlands superstop and central station or by calling 366 8855. More information is also available at http://www.metroinfo.co.nz/
PDRP Workshop Are you interested in putting together a Professional Development and Recognition Programme (PDRP) portfolio? If you are, then come to the next PDRP workshop on Wednesday 19 March. This is a day intended for staff who have familiarised themselves with the PDRP documents. Staff attending will be given a greater understanding of the evidence requirements for the Proficient and Expert/Accomplished levels and speak with a panel of applicants and assessors at the end of the day. If you are interested in attending this PDRP Workshop, please contact the PDRP office on (ext 68835) or email Jackie.nepia@cdhb.health.nz
Friday 31 January 2014
A minute with… Josh South, WAVE Facilitator/Health Promoter What does your job involve? I am a WAVE Facilitator, which stands for Wellbeing and Vitality in Education, working for Community and Public Health (C&PH), a division of CDHB, based in Timaru. WAVE is a partnership between education settings and health organisations. We work together to improve health and learning outcomes for children and young people. Each education setting (from ECE through to Tertiary) in South Canterbury has a WAVE Facilitator who works with them to set and achieve health goals and to provide information, advice, resources and staff training. For example, I am currently working with a primary school in Timaru which is setting up a mini skatepark/ well being area in the school which will have native trees, seats and a couple of mini jumps. It will be a place where students can go to relax and chill out with their friends, which helps with physical activity and mental wellbeing. At another school I am working alongside our Māori Health Promoter to assist the school to develop their Māori Programme. We cover a wide range of areas, which include: Active Transport, Alcohol and other drugs, Māori Wellbeing, Mental Health, Nutrition, Oral Health, Physical Activity, Sexual Health, Smokefree and Sunsmart. Why did you choose to work in this field? I come from a youth work background and have always had a passion for working with and helping young people. They are our future, so we need to help them develop as many skills as they can to prepare for the wider world. They are our future leaders and if we can make a difference for even one person then we have achieved a goal, of course we are hoping to make a difference for a lot more than that. What do you love about it? The variety of the role, the people I meet, working in a wide range of schools from low decile to high decile, working with student health teams, watching students develop into positive leaders. What are the challenging bits? It won‟t happen over night, but it does happen………. I have also learnt that school principals are very busy people. Who do you most admire in a professional capacity at work and why? I admire a lot of people, I admire what people have achieved in their lives, where they have come from, hurdles they have had to jump, everyone has a story to tell, no one‟s story is the same, so I don‟t just admire one person, I admire a lot of people. Everyone has had their own particular challenges, challenges are great, as it shows the true character of a person when they over come them. Life is a journey, sometimes we have to jump on for a ride and see where it takes us. The last book I read was… Piri: Straight up, Cups, downs and keeping calm. (The Piri Weepu story), sorry to all the Andy Ellis fans (since this is Crusader country. Andy is a world class player but…), but I do have to say that Piri Weepu is one of the best half backs the All Blacks have had, his ability around the field and his vision of the game is truly outstanding. Piri is also the best at leading the Haka, sends shivers up the spine. If I could be anywhere in the world right now it would be… Anywhere on holiday, as long I was with my wife and kids, it wouldn‟t worry me where we were. My ultimate Sunday would involve… Relaxing with the family, heading out for lunch somewhere, then topped off with a bit of TV and a nice hot cup of tea that the kids have made. Then later on in the afternoon, get in the car with the family and head out to Pleasant Point (Rural town in South Canterbury) for a nice family Sunday drive. One food I really dislike is… I love all fruit, but not too keen on when the fruit is dried, weird I know, so I stay away from dried fruit. My favourite music is… I like anything from Kenny Rogers to Metallica, I have an eclectic musical taste. If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz.
Friday 31 January 2014
Friday 31 January 2014
116670 116945 117371 116848 116576
Systems Administrator/Analyst Clinical Nurse Specialist – Infection Prevention & Control Transfer of Care Nurse – Registered Nurse Roster Co-ordinator User Support/Application Trainer
Click here to see more opportunities on the careers website
Calling Gold Band Taxis from your cellphone? Some CDHB staff are still using the old public number to contact Gold Band Taxis from a CDHB cellphone or an external phone. Here‟s the correct way:
Gold Band Taxis From CDHB cellphone or other phone for CDHB related travel – Dial 03 377 0111 From internal CDHB phone – extension 795 For personal taxi travel – Dial 03 3795 795
Friday 31 January 2014
Friday 31 January 2014
Friday 31 January 2014
Friday 31 January 2014
Friday 31 January 2014
Good Night Film Festival – 7-9 February in support of The Emergency Care Foundation Lane Neave is the major sponsor of the Emergency Care Foundation. The Emergency Care Foundation provides vital funding for research and equipment to increase knowledge and to improve accuracy of decision-making in the emergency care at Christchurch Hospital. The treatment a patient receives in these initial minutes often determines whether they live or die. The research undertaken covers a wide range of topics related to emergency medicine, and findings are released both within New Zealand and internationally. Trustees of the Trust include Stephen Jeffery, a lawyer at Lane Neave, Dr Martin Than, Prof Michael Ardagh and Dr Paul Gee and Accountant, Matthew Yates.
Friday 31 January 2014
Friday 31 January 2014