Canterbury DHB CEO Update 18 May 2015

CEO Update Monday 18 May 2015

Back to basics – our three strategic goals The Canterbury Health System has three strategic goals which underpin our collaborative work across the system. Wherever you sit in our picture of health, these goals are designed to guide decision-making.

Choosing to work in health means working in a field that’s busy, interesting, rewarding, frequently challenging and always changing. That’s why it’s important that from time to time we take a moment to stop and remind ourselves what we’re working towards, and how what you do today contributes towards achieving our wider health system goals.

Putting people at the centre underpins everything we do. Our aim is to reduce the time people waste waiting for care and support. Providing the right care, in the right place at the right time delivered by the right person is the way our system is designed to work. This means more care in peoples’ homes, communities and primary care, to free up hospital-

based resources allowing better patient flow.

3. People receive timely and appropriate complex care

Our three strategic goals:

The freeing-up of hospital based specialist resources to be responsive to episodic events and the provision of complex care and support and specialist advice to primary care.

1. People take greater responsibility for their own health The development of services that support people/whānau to stay well and take increased responsibility for their own health and wellbeing.

2. People stay well in their own homes and communities The development of primary care and community services to support

people/whānau in a community-based setting and provide a point of ongoing continuity, which for most people will be general practice.

This image can be seen around our facilities and in various publications. It was designed to help everyone in the system see where they fit it in, and help bring our goals to life. If you would like a copy of this image to put up in your work area or to use in a presentation please email communications@cdhb.health.nz and they will be able to assist.

Reminder to immunise your selfies Congratulations to the early birds who have already immunised their selfies against influenza.

For those that haven’t, roll up your sleeves and get to a clinic.

Remember it takes up to two weeks to provide maximum protection, so the sooner you have it, the sooner you, your patients and family are protected.

David Meates

CEO Canterbury District Health Board

In this issue »» Lucky to be alive...Rachel Tullet...page 4.

»» Collabor8 project identifies time and cost savings...page 9.

»» Function focused care...page 6.

»» Canterbury DHB staff immunising their selfies...page 8.

»» Hangi encourages wellbeing...page 7.

»» What is Mindfulness?...page 10.

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CEO Update

Monday’s Facilities Fast Facts Burwood This week our photos take you inside the new buildings at Burwood. Spaghetti-like wiring now hangs from the ceilings, and the door casing for a retail area is in place.

The outdoor view shows the floorplan of part of the Psychiatric Services for the Elderly (PSE) wing actually taking shape on the ground; an open courtyard is visible in the centre of the photo.

Part two of our video series on the workforce planning underway at Burwood and The Princess Margaret Hospital is now available to view on the intranet. In the new video Janice Lavelle, Service Manager of the Community Service teams, talks to Dan Coward, General Manager Older Persons’ Health, about the new ways of working under review for the teams.

Christchurch A milestone was reached this week for our Park & Ride scheme, as we shuttled the 100,000th passenger from the Metro/ Brewery car park on Antigua/St Asaph Street. This is the equivalent of around 200,000 passengers per year – or just over 4% of the population of New Zealand! For more on the Park & Ride scheme, visit the CDHB website.

Staff please note that the doors in the site fence, which lead into Hagley Park opposite the old Riverside entrance, are fire exit doors only. They are not to be used as an exit or entrance at any other

time. This area is an active construction site.

User group news: The first of two detailed design workshops was completed last Wednesday, providing users with a clear process to achieving detailed design sign-off, as well as another look at building-wide items such as receptions/staff bases, medical services panels and patient bedroom storage, aiming for consistency in appearance and function. The next fortnight will be dedicated to resolving these items ahead of a second

workshop, followed by the final issue of plans and room data sheets for users to review and give their feedback on.

A note on quake repairs At the Labs building, repair works to Stair 2 are ongoing, which means that the pedestrian corridor between the blue car-park building and the Labs building will be closed over several weekends to allow a crane on site. The weekends are: 16-17 May, 23-24 May, 6-7 June, 13-14 June. Signs will direct people around the building using the public footpath at this time. cdhb.health.nz 2

CEO Update

Bouquets Cardiology, Christchurch Hospital We just arrived for a three week holiday and my husband had a heart attack.

He has received absolutely the best treatment which hopefully will keep him well. The service and friendliness of all the staff at the hospital has been first class and a great comfort, thank you Christchurch Hospital.

Emergency Department, Christchurch Hospital Thank you so much for your kind, loving assistance Dr Akhilesh Swaminathan and Emergency Department consultant Dr Gee. The nurse was very helpful and kind explaining it was unlikely that I had contracted shingles from my elderly relative I have been helping to feed and comfort. Thank you so very much for your kindness.

Hagley Outpatients, Christchurch Hospital While I sat in the waiting area I witnessed the two women on reception care for several patients - three in particular - one in a wheel chair, and one older lady who was blind and had a walker, and an older lady who had her husband in a wheelchair. The help they gave these patients went above and beyond their expected duties I’m sure. They helped with compassion and empathy and didn’t mutter a word of complaint. In a role that I am sure deals with many frustrated patients I wanted to give feedback because I really appreciated both of the receptionists and their kindness and human decency and feel it should be recognised.

Intensive Care Unit (ICU), Christchurch Hospital My son spent nine days in ICU in March.

I cannot praise the unit with enough superlatives. Their care for him during his severe, life-threatening illness was

meticulous, with a caring manner. They supported his family with great empathy, and always supplied full details of what was happening regularly. They turned a ‘dire’ situation around, and he is now home. I cannot thank them enough. We are lucky to have such a unit.

ICU, Christchurch Hospital Please pass on to doctors, for their skill, commitment and dedication, through a very difficult time; nurses for their care sensitivity and compassion. They are truly wonderful people and we shall forever be grateful.

Ward 20, Plastic Surgery, Christchurch Hospital Sincere thanks to docs Sarah Gardner, Kate, Tom… a brilliant team. Also to the theatre staff. Being in Ward 20 I had a lovely group of nurses, felt very pampered. Just a mention to the blood lady, the nurse who removed my stitches, even couldn’t find fault with the food. Well done Christchurch Hospital.

Good luck to you all in your goals in life.

Special mention to Mr D James. You are a star Sarah, may you achieve your goals in your career.

Supply Department I would like to thank the Supply Department for all of their hard work. The last year and a half has been extremely difficult for them with national restructuring, and the Supply Department team (both in the warehouse and in the offices) have continued to approach their work with professionalism. They are always happy to put in the extra miles to ensure that patients receive the care they require, whether it is working extra hours during the earthquakes, the office team working in the warehouse to help fulfil orders, or coming in out of hours if there is an acute

demand for products i.e. pandemics, suspected Ebola cases. A huge thank you to each and every one of the team Ashburton District Nursing I am presently nursing my husband at home. I just want to compliment you on the wonderful service we have in Ashburton, particularly the district nursing service. The unfailing cheerful, practical and encouraging support we have received from these nurses is outstanding. It has made it possible for my husband to stay at home and has also made it possible for me to continue to care for him at home in the knowledge that skilled backup is there whenever I need it. Thank you so much.

Orderly - Matt I would like to commend one of our Orderlies called Matt. Today, Matt went out of his way to find a set of Medical Notes that were required urgently. I didn’t even have to ask. He simply got on his radio, went to the Orderly Office, retrieved the notes and brought them to me here in Paediatric Outpatients. Thank you Matt!

AMAU, Christchurch Hospital Certainly no complaints thank you! The care and attention has been first class and the staff are so competent, efficient and courteous. I am most appreciative, thank you.

AMAU, Christchurch Hospital In my few experiences with Christchurch Hospital I have always been treated with respect and care. This time was no different. So no complaints. Just a big thank you to everyone who took care of me.

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CEO Update

Don’t call me a hero – I am just lucky to be alive and do the job I was there to do Rachel Tullet is a reluctant hero. In fact she will object profusely at the slight suggestion.

“I just want to make it so clear, my story made it into the papers, but that was by no means extraordinary amongst other people’s tales there too.”

The moment after the magnitude 7.8 quake hit Nepal causing an Avalanche “tsunami” of ice, snow and rock to hurdle towards Mt Everest Base Camp where Rachel was working as an Emergency and Wilderness Doctor for charity Everest ER, will probably never leave her mind.

But it’s the critical decisions and actions by the petite selfeffacing 34-year-old in the aftermath that followed which have been attributed to saving more than 20 lives.

Rachel and Australian anaesthetist Megan Walmsley, together led eight doctors - all medical experts for expeditions or climbers themselves – and volunteers, including mountain guides and Sherpas, to care for the injured before being flown out 24 hours later.

That day the avalanche would kill 16 of the 1000 people at base camp, 55 had minor to moderate injuries, while 25 were critically injured. Two of those would later die in Kathmandu.

Seconds before the “blast wave” approached, Rachel rushed to shelter behind a ridge but just as she reached it, she was blown over and thrown onto rocks. She was trapped in the blast wave for several minutes and covered in a layer of ice and debris.

“I was just so thankful to be alive. The camp was destroyed. All I wanted was to reach our medical tent where I had left Meg with one of our patients who we had been caring for that day.

The tent was badly damaged but I was so happy to see Meg alive, covered in ice and huddled over our patient.”

Rachel and Meg didn’t hesitate, swinging into action and within minutes were setting about triaging the casualties that started to arrive.

Nepali NGO). It was established by Dr Luanne Freer and provides paid-for care for expeditions, with the proceeds used to subsidise medical care for Sherpas. All HRA doctors work as volunteers.

Rachel had made many friends within the small base camp community of around 1000, and knew many from previous work in Nepal and Antarctica.

She was grateful for the assistance of a team of highly skilled mountaineers, and also brought her own experience from working in the aftermath of the Christchurch earthquakes.

“This situation brought back so many memories of working in the response to a disaster, with that disaster being within my home community.

“However just the same as in the Christchurch earthquakes, there was so much care being shown by those uninjured to the medical workers. People were bringing us warm clothes and someone found me a sleeping bag as mine was used for a patient.

“There were many others who helped by bringing hot water bottles, tea or simply just with sitting with patients and holding their hands. It was all these small kindnesses that made the task of dealing with severe injuries in such a challenging environment, so much easier to cope with.”

Rachel and Meg stayed at Everest Base Camp for several days after to provide care in the event of further aftershocks and avalanches. She arrived back in New Zealand on May 9 but is already planning her trip back and leaves this weekend.

“I struggled with leaving because they need so much help over there. I just want to get back and assist.”

“The injuries were similar to what you would see in a bomb blast. It was clear to me what needed to be done.”

Rachel’s leg was the only hindrance. Trekking poles aided her getting about until she had time later that evening to take a closer look and close the wound.

“It was nothing really in the scale of other injuries– it was just slowing me down.”

The British-born emergency doctor has lived in New Zealand for eight years. This was her second season working for the Himalayan Rescue Association (HRA). Everest Base Camp Medical Clinic (Everest ER,) is a project of the Himalayan Rescue Association-USA (US based non-profit charity organisation) and Himalayan Rescue Association (a non-profit

Above: Dr Scott Pearson, Canterbury DHB Clinical Director Christchurch Hospital Emergency Department with Rachel Tullet.

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CEO Update “She is quiet and self-effacing. But resilient and has real strength. I find what she did and went through in Nepal fascinating and we are lucky to be able to claim her as one of ours.”

If you’d like to help Rachel raise donations to support great charities working in Nepal, see the websites below.

She is keen to support organisations working in the remote areas, in pre-hospital and emergency care, and those working to provide long-term support to families affecting by tragedies in mountain communities. »» Everest ER www.everester.org Above: Campbell Live reporter John Sellwood interviewing Rachel Tullet.

Cantabrians know well the long road ahead to recovery but unlike here in New Zealand, the Nepalese have a bigger challenge in terms of rebuilding their country with very limited resourcing. In particular the remote mountain communities are badly affected.

Dr Scott Pearson, Canterbury DHB Clinical Director Christchurch Hospital Emergency Department, says Rachel is an inspiration to her profession.

»» The Himalayan Rescue Association www.himalayanrescue.org »» The Adventure Consultants Sherpa Future Fund www.adventureconsultants.com »» The Nepal Ambulance Service www.nepalambulanceservice.org »» The Juniper Fund www.thejuniperfund.org »» Doctors without Borders www.msf.org

Cardiothoracic Service re-accredited The Cardiothoracic Service at Christchurch Hospital has been reaccredited for training of SET1 & SET2+ registrars.

This means the service has been accredited as a suitable centre to train future cardiac and thoracic surgeons.

In 2013 Christchurch Hospital applied for a SET2+ training position for cardiothoracic trainees. The hospital was inspected and found to be appropriately staffed with required facilities for such recognition and was accredited for training.

In 2014 it received its first trainee.

The accreditation report says the 2015 inspection was therefore routine, occurring after one year’s accreditation of training to review the experience both of the trainee and the consultants within the hospital.

“Also the task of the inspection team was to recommend as to whether the training position should be accredited

for a further period of time.”

The number of Intensive Care Unit beds will be increased over time. There appears to be adequate exposure of trainees to both theatre and ward activities. Capacity in ICU is a significant problem for the unit, as it is for other New Zealand Cardiac Centres, and as part of the hospital rebuilding programme a new ICU with greater capacity is planned, the report says.

Christchurch Hospital is well served with regards to its departments of Cardiology and Respiratory Medicine.

The team noted that: “It is clear that the presence of an Advanced Trainee in Cardiothoracic Surgery has had a very positive effect on the department, not only of Cardiothoracic Surgery but of also Respiratory Medicine and Cardiology.”

The accreditation team stated that “We had no adverse comment to make and believe that Christchurch certainly should continue as a SET2+ training position”.

This enables the service to contribute both to the ongoing training of skilled surgeons, but also increases our ability to ensure that the people of the region receive the services that they require.

The Clinical Director for Cardiothoracic, David Shaw, said “We continue to provide an excellent service. This is an endorsement of what the service has delivered over the last 17 years. Having these trainees lifts the profile of the department”.

There was unanimous agreement that the environment is conducive to learning and the surgeons are very supportive with regards to the trainee’s needs.

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CEO Update

Function Focused Care (FFC) in the Acute Hospital Setting A Function Focused Care Pilot has been launched in Ward 23 as part of the Frail Older Persons’ Pathway.

Garth Munro, Christchurch Campus Director of Allied Health, is the project lead.

“One of the key aspects of the Frail Older Persons’ Pathway Project is managing deconditioning/decompensation to minimise the adverse effects of hospitalisation,” Garth says.

“Physical/functional deterioration is part of human ageing but its management must become a priority and focus when a patient becomes unwell, requiring hospitalisation.

An interdisciplinary workgroup consisting of Nursing, Allied Health and Medical staff has developed the pilot project, which started on Monday 11 May. “The pilot will run for eight weeks and advocates for the multidisciplinary input into the Patient Care Plan so they promote a patient-centred approach with input from all members of the team,” Garth says.

“The shift from disease management, task orientated care to needs based, patient centred care utilising the incorporation of functional and physical activity during all health provider’s care interactions will result in better outcomes for patients without the need for increased staffing.”

Canterbury Grand Round Friday 22 May 2015, 12.15-1.15pm, with lunch from 11.50am Venue: Rolleston Lecture Theatre Health Research Society of Canterbury Speakers Speaker: Kent Stewart, Dept. of Mechanical Engineering, UC - “Clinical Glycaemic Performance of the STAR Protocol” Speaker: Vanessa Lattimore, Dept. of Pathology, UOC “Evaluating BRCA1 and BRCA2 sequence variants that modulate isoform expression” Speaker: Phillipa Newton, Dept. of Psychology, UC “Vitamin-Mineral Treatment for assisting with smoking cessation: A Pilot Double-Blind Randomized Placebocontrolled Trial” Speaker: Joe Healy, Dept. of Biology, UC - “Differentiating lipid, water and calcium-rich regions within atherosclerotic plaques using multi-energy CT” Chair: Assoc. Prof Steven Gieseg, Dept. of Biology, UC Video Conference set up in: »» Burwood Meeting Room »» Meeting Room, Level 1 TPMH »» Wakanui Room, Ashburton »» Administration Building, Hillmorton

All staff and students welcome Next Grand Round is on 29 May 2015.

Convenor: Dr RL Spearing - ruth.spearing@cdhb.health.nz

From left is Pip Murphy, (Hospital Aide), Margot Fuller (Nursing Student) and Anne-Marie Evans CNM and Hannah James (Physio).

Canterbury DHB Certification Audit dates confirmed for July The date for our next audit against the Health and Disability Services Standards across the DHB is set for the week of the 20 July 2015. This will be the full audit with auditors on site for four days. Preparation for this audit is well underway.

Certification is required under the Health and Disability Services (Safety) Act 2001. The main aims of the Act are to keep consumers in health and disability services safe, while encouraging providers to continuously improve their services.

This audit will check all core standards are met. These include: »» Consumer rights »» Organisational Management »» Continuum of Service Delivery »» Safe and Appropriate Environment »» Restraint Minimisation and Safe Practice »» Infection Prevention and Control.

Prior to, and during the audit we need to provide evidence on activities, processes and outcomes against each standard, including how we monitor and evaluate improvement. During the Certification visit you will be able to demonstrate how your team routinely meets the standards in practice. The focus of certification is seeing how we operate every day. It is also an opportunity for teams to showcase all the improvement work. cdhb.health.nz 6

CEO Update

Hangi encourages wellbeing A hangi held at Hillmorton Hospital last week embodied the five principles of Wellbeing – Be Active, Keep Learning, Connect, Take Notice and Give.

The Wellbeing Progamme is currently being run in Hillmorton’s inpatient wards and the hangi was held to help illustrate these qualities.

“The idea was started and driven by nurses Deena Boyd, Trish Strickland, and Dee Rewha, all from the East Inpatient Unit at Hillmorton hospital, says Māori Consumer Advisor (Te Kaihapai), Dean Rangihuna.

With about half the East ward identifying as Māori we realised that the patients would be able to teach other patients and staff about their culture and experience all five principles in action.

“We talked to the patients on the ward and then spoke with the ward management and got their approval. Then the excitement and planning began,” he says.

A menu was organised and list created for food donations.

Deena co-ordinated with kitchen staff to get their assistance for the day and the portable hangis were organised.

“Everything fell into place because of the way everyone supported the event,” he says.

“On the day it was lovely to see everybody together, enjoying the great food and each other’s company. The ward environment was so relaxed.”

The team is looking forward to being part of the process again and ensuring patients develop skills to promote and encourage wellbeing.

Above: Hillmorton Hospital East inpatient unit Nurse Deena Boyd and Pukenga Atawhai staff member, Mike Manahi, cooking the hangi.

BE ACTIVE: Patients and staff were encouraged and asked to be involved in the hangi, by providing food or assisting with the preparation of the food for the hangi.

KEEP LEARNING: The opportunity to learn about Māori culture and how the food is prepared in, and cooked for, the hangi.

CONNECT: Involving both the East and South wards to enable them to connect together and enjoy the company of their inpatient community.

TAKE NOTICE: to listen and develop skills in the preparation of food for a community event, to allow them to sit and enjoy the culture of other patients on the ward and enjoy the sense of being part of the preparations and music.

GIVE: Patients and staff donated the food and helped prepare it.

Healthinfo site commended Accuro Chief Executive Officer, Geoff Annals, has written to say he is “very impressed” by Canterbury DHB’s Healthinfo website.

“While it is Canterbury focused most of the information provided is an excellent resource for anyone, anywhere in New Zealand and I think you have made a great contribution towards improving the health literacy of the general population,” he says.

“Your site is the best I have seen and it deserves wide publication, at least in the Canterbury DHB area.

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CEO Update

Canterbury DHB staff immunising their selfies Canterbury DHB staff have been out in their droves immunising their selfies against influenza. Check out the clinic times here.

Above: Alex Tayor.

Above: Melissa Kerr, Registered Nurse, Ward 27.

Above: Ros Robertson, Children’s Outreach Nurse, Child Health.

Above: Spencer Beasley, Paediatric Surgeon.

Above: Selfie from Juan Gultiano.

Above: Selfie from Aleisha Rusbatch, Health Care Assistant at Burwood Spinal Unit. Vaccinator is Emma Lanyon.

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CEO Update

Collabor8 project identifies time and cost savings A Collabor8 project shows how the process involved in Magnetic Resonance Imaging (MRIs) for Intensive Care Unit (ICU) patients can be made more efficient.

The project, ‘Preparing the ICU patient for MRI’, by Medical Radiation Technologist Rebecca Liddington identified how to ensure critical patients will spend less time away from the ICU.

»» Some metal implants and devices are not safe when doing an MRI so a safety checklist must be completed and faxed to the MRI department.

Speeding up the process would be better for the patient and mean more MRIs can be done and money saved in staff and equipment costs, she says.

»» Acticoat absorbent dressings used after cardiothoracic surgery are not MRI safe and staff have to change these.

MRTs are unable to carry out a scan on an ICU patient until they know the ICU patient is safe to be in the MRI environment. As a result, the various checks and processes required mean it is taking at least two hours to do one 30-minute scan, she says.

Above: Medical Radiation Technologist, Rebecca Liddington

Rebecca examined the precise reason for those delays and what improvement could be made.

One of the biggest delays is due to infusion pumps used in ICU for medication delivery not being MRI compatible. This means the infusion pump extension lines need to go through a ‘wave guide’ in the wall so that patients can receive their required medications while having the MRI.

»» ECG dots used in ICU are not MRI safe, the metal can heat up and cause burns. So these have to be removed and replaced with MRI safe dots in the MRI prep room.

Rebecca looked at how to reduce the amount of time that a patient is away from ICU in the MRI department by getting infusion pump extension lines through the wave guide before the patient arrives and creating a document checklist for ICU. ICU staff are now aware of the problems faced in the MRI environment, Rebecca says. With the help of ICU Nurse Educators, Helen Tregenza, and Sue Davies, and Dr David Bowie, a formalised policy and protocol is being created and implemented amongst the ICU and anaesthetic teams.

“And everything is looking like it should be set in place to go ahead by July 2015.”

“The lines are easily tangled as we need at least four extension lines to and from the infusion pump to the patient while they are in the scanner. Untangling and getting them in place is taking over half an hour.”

Other delays include: »» The consent process. Patients are generally intubated and ventilated, so can’t give medical history or contrast injection consent to MRI staff. This means forms have to be faxed to and from the MRI department and ICU.

Above: Lines easily tangled on transfer.

Above: Wave guide.

DHB Whānau Ora Update No 31 - May 2015

Open for better care e-update Issue 17 [20 April–10 May 2015]

The latest DHB Whānau Ora update is now live

Includes:

It provides an overview on some of the recent media coverage, as well as updates on Mahere (the Whānau Ora Information System), DHB Annual Plans, and a link to an excellent example of He Korowai Oranga in practice from the Whanganui region.

Read here

»» Bestselling US health writer Dr Atul Gawande gives Wellington public lecture »» Entries for the april falls display photo competition »» Stand up to falls activities in May »» Patient safety week 2015 »» Ihi team to support opioid collaborative

Read here

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CEO Update

What is Mindfulness?

In his recent presentations to Canterbury DHB staff, Nigel Latta talked a lot about the benefits of being mindful. So what exactly is mindfulness?

Have you ever been driving somewhere and arrived at your destination only to realise you remember nothing of the journey? We are often ‘not present’ in our lives and fail to notice what our body is telling us, the good things about our lives and our surroundings. Mindfulness means focusing our attention on the present moment with openness, perceptiveness and interest.

It is defined as being consciously aware of and acknowledging ones feelings, thoughts and environments and approaching them without judgement. It is something we do deliberately, where we observe our experiences without getting caught up in the busy chatter of our minds. While we are busy in our heads, we lose sight of what is happening in each moment.

The ABC’s of Mindfulness are: Awareness, Being, and “C-ing.”

Awareness means being more observant of what you are thinking and doing and what is going on in your body and mind. Being is being present in the moment and avoiding the tendency to respond on auto-pilot. “C-ing” means creating a gap between our experience and our reaction to ’c’ more

clearly and make wiser choices.

In Mindfulness sessions at Canterbury DHB, we sit for 20-30 minutes, practicing holding our attention on the present moment, noting distractions as they arise, and then returning our attention to the present moment. Practicing Mindfulness skills help to make the most of our life and connect with the world directly. This helps to decrease stress, improve working memory, concentration and attention, and improve emotional wellbeing and immune function.

To find out more about Mindfulness, go to the American Psychological Association’s website on Mindfulness Click here for more information on CDHB Mindfulness session times or visit the Staff Wellbeing Programme intranet page for information on other Staff Wellbeing initiatives.

World Inflammatory Bowel Disease Day Tuesday 19 May is designated World Inflammatory Bowel Disease Day. Across the globe 5 million people live with Crohn’s disease and Ulcerative Colitis, conditions known as inflammatory bowel diseases (IBD). IBD leads to inflammation of the intestine, and is characterised by periods when the disease is active, and other times when it is inactive and patients may feel perfectly well. Between 30 and 50% of patients will require surgery because of their IBD during their lifetime. If left untreated or is badly managed, IBD can lead to colon cancer.

Based on data from studies undertaken in Canterbury in 2004-5, and more recently in Nelson-Marlborough New Zealand tops the league table for IBD worldwide, with an estimated 15,000 adults and children with these chronic bowel diseases.

The diseases are most commonly diagnosed in the second and third decades (13-30) just when people are approaching their most productive years and contemplating starting families. IBD causes significant direct and indirect costs and is an enormous economic and social burden on the country as well as on those individuals with the illness.

A recent survey of the effects of IBD on patients’ lives undertaken in Europe and replicated in New Zealand (the IMPACT study) found that the majority of patients felt tired, weak or worn out even when their disease was thought to be inactive. Over half felt unable to reach their full potential in education and a quarter took more than 25 days off work in the previous year due to their IBD. Additional complaints pertinent to New Zealand were limited access to specialist care and the long delay to a concrete diagnosis.

In New Zealand until 2009 there was patchy and limited access to modern drug treatments but, with the cooperation of the New Zealand Society of Gastroenterology, the patient advocacy group Crohn’s and Colitis New Zealand and the government medicines agency PHARMAC, treatment options for those with severe disease have improved rapidly in the last 5 years. Still, we remain behind most Western health care systems with a limited choice of medications.

Furthermore, in contrast to other countries, New Zealand has been slow

to introduce IBD Nurse Specialists to help Gastroenterologists care for these sometimes complicated patients. There are currently just 12 IBD Specialist Nurses across the 20 District Health Boards and none of them are full time, so patient access to their support remains patchy.

Yet all is not doom and gloom. This year the first Activity Camp for children with IBD took place outside Auckland. The camp was organised by the patientsupport group Crohn’s and Colitis New Zealand and it allowed 48 children from all over New Zealand, aged 10 to 19 years, to meet together for five days of fun.

Innovative NZ-led research into both the causes of IBD and smart-phone based methods of monitory disease activity are underway supported by the New Zealand Society of Gastroenterology and the Gut Health Network.

One in 350 New Zealanders has IBD. Chances are you know someone personally with IBD. Don’t be shy to show them your support, especially on Tuesday 19 May. cdhb.health.nz 10

CEO Update

One minute with…PJ Michel, SI PICS Super User What does your job involve?

I am one of three Canterbury DHB Super Users for the South Island Patient Information Care System (SI PICS). My role is to test the programme using real scenarios to ensure that once it’s launched it will be able to do what we, the users, need it to do. Effectively, I’ve tried to break the system!

Why did you choose to work in this field?

In my lifetime man has landed on the moon, we have telephones not just in homes but in our hands and faxes were invented and considered a luxury - but not anymore.

In a lifetime we seldom have an opportunity to really influence change. I see my involvement with SI PICS as an opportunity to support a ground-breaking development that will have a huge impact not only in our communities, but across our region.

What do you like about it?

Getting out and meeting other staff members to find out what they do. I also really enjoy the challenge of supporting change and striving for better processes that support development of robust systems.

What are the challenging bits?

Convincing my colleagues that SI PICS will be better than the current patient administration system (PAS). It will take some time to bed-in but there will be plenty of training and support, and because of our testing, we know that we really can’t break the programme!

Who do you admire in a professional capacity at work and why?

I speak for my whole team when I say Shannon de Bruin, SI PICS Project Associate. Thank you, you have supported

Department of Psychological Medicine, University of Otago, Christchurch & SMHS, CDHB Tuesday Clinical Meeting Tuesday 19 May 2015, 12:30pm – 1:30pm Venue: Beaven Lecture Theatre, 7th Floor, School of Medicine Building “Forging healthy steps to undermine youth offending” Youth Forensic Service(s) are being established in order to provide mental health input to those intersecting with the criminal justice system. As a population this group is notable both for having high rates of multiplicity of aversive factors in their background as well as high rates of unrecognised or untreated physical and mental health problems.

This talk will provide a background, describe progress including in liaising with the Courts, The Police, Child Youth and Family as well as the residential institutions

our transition to the team with your efficient, well-organised processes.

The last book I read was…

The Highlander Next Door, by Janet Chapman.

If I could be anywhere in the world right now it would be…

Right here! If you can get through the earthquakes, you can get through anything!

My ultimate Sunday would involve…

Playing a game of golf and enjoying a roast with the family.

One food I really dislike is…

Olives. I understand they’re an acquired taste, but why would you?!

My favourite music is…

Anything that isn’t grunge.

Above: PJ Michel

If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz.

and other organisations directly involved. An overview of the substantial challenges in developing such a service is outlined for what is either a ‘difficult to reach’ or sometime ‘captive’ client group.

Presenter: Dr Daniel Svoboda Chair: Dr Harith Swadi Special notes: »» These meetings are held on a weekly basis (except during school holidays). »» A light lunch will be served at the School of Medicine venue, 7th Floor, from 12noon. »» Psychiatrists can claim CME for attending these meetings. »» The sessions will be broadcast to the following sites: For TPMH attendees the venue is the Child, Adolescent & Family Inpatient Unit, Ground Floor. Access is from the main reception at TPMH. For Hillmorton attendees the venue is the Lincoln Lounge, Admin Building, Hillmorton Hospital The dial in address is: Psych Med Grand Round. If you have difficulties dialling in please call 0800 835 363 to be connected.

cdhb.health.nz 11

CEO Update

In brief Simulation Based Education: more than just playing with cool toys Simulation Workshop - Wednesday 3 June 2015 at UOC Simulation Centre, 1/72 Oxford Terrace.

A one day workshop open to anyone with an interest in simulation-based education.

Brief presentations on educational overview, scenario writing and debriefing plus group activities including orientation to SimMan3G, developing, running, participating in and debriefing scenarios.

Cost is $150 plus GST, includes catering.

All details including online registration at: www.otago.ac.nz/ christchurch/services/simulationcentre/simworkshop

Are you still using www.cdhb.govt.nz in your documents and emails?

Over a year ago Canterbury DHB changed our domain name from www.cdhb.govt.nz to www.cdhb.health.nz to better reflect our health sector role.

Behind the scenes the old government address www.cdhb. govt.nz remained in place so that your existing hyperlinks to documents, web pages and email addresses continue to work.

In the long-term it is best practice to withdraw many of these workarounds, so that our new domain is efficiently managed, and so that we can fully establish our “health” identity.

Your action: Please review your documents and online information to make sure our new address of www.cdhb. health.nz , and NOT www.cdhb.govt.nz is used.

Annual Artist Doctors & Friends Concert - 5 September 2015

1. Check your Word, Excel and PowerPoint document hyperlinks if you believe that they use the old address www. cdhb.govt.nz and update them to www.cdhb.health.nz

We are calling for performers to take part in this year’s variety concert.

Singers, dancers, comedians, groups, instrumentalists.

a. Note: links can hidden under text, you can rollover to see the web page address (as below) and right- click > “Edit hyperlink” to change the address.

Get your act together!

Website: http://www.artistdoctors.org.nz Email: enquiries@artistdoctors.org.nz Event Organiser Ros McCarthy Ph. 364 1104 M. 027 353 2639

2. Check your email signature blocks and change the old govt web address to www.cdhb.health.nz and email addresses to your.name@cdhb.health.nz

HRC Career development awards The application forms and guidelines for the following career development awards (general category) in the 2016 funding round are now available from the HRC website: »» The Sir Charles Hercus Health Research Fellowship »» Foxley Fellowship »» Clinical Research Training Fellowship »» Clinical Practitioner Research Fellowship If you are interested in applying or would like further information please contact the CDHB Research Office on cdhb.researchoffice@otago.ac.nz or phone 378 6370.

a. An example of our recommended email signature format can be found on our intranet.

3. If your department has customised quick links to the Canterbury DHB website such as www.cdhb.govt.nz/deu they should be changed to the new format www.cdhb.health.nz/ deu and checked so that they go to the correct page.

4. Please let your external partners who may link to your online information know that they should be using www.cdhb. health.nz and your new email address format your.name@ cdhb.health.nz If you have any broken links, issues or queries, please contact ISG Service Desk

cdhb.health.nz 12

CEO Update

In brief FILL THOSE EMPTY SEATS FOR KIWI CARPOOL WEEK 8–14 JUNE 2015

8–14 JUNE 2015

Find and share rides with great people going your way.

Sign up at letscarpool.govt.nz

Snap a selfie either before, during or after your flu vaccination.

Post your selfie on CDHB’s facebook page with hashtag #FLUHQ and a line about why you chose to be vaccinated. Remember to link it to your own page.

Or forward to communications@cdhb.health.nz and we’ll post it for you.

The most liked selfie will win a prize each month.

More information on the staff intranet.

Based on a campaign run by the Liverpool Community Health, NHS Trust.

News s from Can nterbury Medical M Liibrary

C CDHB Quality Q y & Pattient Sa afety present p tation

letscarpoolnz

News from Canterbury Medical Library Patient P Po ortal: soon ner, better,, more con nvenient healthcare h e.

Co ome and heaar Katie Verd d, Product an nd Programm me Manager, Canterbury District, talkk about how patient po ortals can im mprove patien nt engageme ent.

“IIt is the cliennt who know ws what hurtts, what directio w ons to go, wh hat problem ms are crucial, what experiences have beenn deeply burried” ers Carl Roge

An n attendance record sheet w will be provided.

Ple ease contact SShona.MacMiillan@cdhb.he ealth.nz, Quallity Manager

Websites W

Ce enters for Medicare & Medicaid Services htttps://www.ccms.gov/ehrrincentivepro ograms Th he official Weeb site for th he Medicare & Medicaid EHR incentivve prrograms.

ealthIT.gov v He htttp://www.healthit.gov/ Th he official Am merican goveernment site for Health ITT informatio on offers a range of information fo or providers, researcherss, and patien ts and their families, for example:

ord.

• FAQ: What is a Personal Health Reco ww.healthit.ggov/providerrs‐professionnals/faqs/wh hat‐personal‐‐health‐recorrd http://ww ard.

• HealthIT.govv. EHR Adopttion Dashboa http://dasshboard.healthit.gov/index.php

Accenture m htttp://www.accenture.com Acccenture is an internation nal organization providinng managem ment and tech hnology seervices. Read d Accenture’ss reports on ccatching the eHealth wavve and learn how to ngage the ag ging populatiion through ddigital chann nels. atttract and en

Come enjoy a masquerade themed evening with proceeds going to Postnatal Depression Family/Whanau NZ Trust.

Enjoy a glass of champagne on arrival, live music, three course meal, silent and live auction, drinks till 11pm with cash bar available till late.

Friday 11th September 2015 6:30 – Late Mashina Lounge Christchurch Casino

Tickets $125.00 pp

A special night for a special cause.

Book your tickets now.

Th hey have found that ‘silveer surfers’ (o or senior citizzens) are morre likely to perform

heealth management activiities than peers who thinnk technologyy is “not at a all Read the full newsletter im mportant” to health mana agement.

• Insight driveen health: Silvver Surfers a are Catching the eHealth Wave. 2013 3 http://ww ww.accenturee.com/SiteCo ollectionDoccuments/PDFF/Accenture‐‐Silver‐ Surfers‐Arre‐Catching‐TThe‐eHealth‐‐Wave.pdf

»» The CEO Update is compiled weekly by the Communications Team T ealth Wave for Silver Surfers: Healthh Manageme ent. 2014.

• The Next eH ofhttp://ww CDHB ww.accenturee.com/us‐en/Pages/insigght‐ehealth‐w wave‐silver‐ssurfers‐healtth‐managem ment‐ infographiic.aspx

»»• Silver Surfer Contributions should be emailed to communications@cdhb.health. s Are Catchin ng the eHea lth Wave Inf fographic. 20 015. ww.accenturee.com/SiteCo ollectionDoccuments/PDFF/Accenture‐‐Silver‐Surfe rs‐Catching‐eHealth‐ http://ww nz Wave‐Info ographic.pdf

»» Copy deadlines are Thursday morning each week before publication

(whichMedical Libra is usually onne: 03‐364‐0 the following Monday) Ca anterbury M ry Phon 0500 librrarycml.uoc c@otago.ac c.nz Ma ay 2015 »» CDHB reserves the right to edit articles for spelling, grammar and space restrictions

Tickets Available Now! Maud Martin 021 2059 872 Sonya Watson 021 1314 352

admin@pndcanterbury.co.nz

cdhb.health.nz 13