CEO Update Tuesday 7 April 2015
HealthPathways building a collaborative community Developed in Canterbury in 2008, HealthPathways is now spreading rapidly throughout New Zealand and Australia. HealthPathways is one of Canterbury’s contributions to health system integration, it is now used across 23 health systems in Australia and New Zealand and is helping a number of places to deliver timely, consistent and equitable treatment and access to health care. As we know in Canterbury the development process, using the Canterbury Initiative approach, is where the magic happens. It brings people together for the good of our patients. HealthPathways are unique to each geographic area or health district. The inclusive development approach that gets everyone who is involved in a patient’s care for a particular condition around a table to discuss (and frequently debate) the best way for a person’s care to be organised is proving to add value in all health systems and shortening the lag between new evidence emerging and putting it into practice. This includes when and which diagnostic tests should be done, which medication should be prescribed – and when, and importantly, which patients should be treated in primary care and the type of patient who should be referred to secondary care.
HealthPathways community. Connections were made and plans were hatched - watch this space for ongoing improvements and developments of our HealthPathways. After the recent visit by the Minister of Health and Social Services and Chief Executive of the Isle of Man Health and Social Services, who were extremely keen on Health Pathways, I suspect it won’t be long before the HealthPathways flag is seen flying proudly on the Isle of Man.
2014 Townsville (QLD) 2014 Mackay (QLD)
2014 North Coast (NSW) 2014 Perth (WA)
2013 Eastern Melbourne (VIC) 2013 Melbourne (VIC) 2013 Barwon (VIC)
One of the benefits of HealthPathways is the dynamic nature of the system. Pathways can easily and rapidly be modified in response to new information. As more partners join the HealthPathways community things start to get really exciting – the system provides a vehicle for clinicians to collaborate. New evidence and ideas are discussed on line in a collegial forum. If one partner updates their local HealthPathway for a certain condition, that change can be shared with others who can review and consider whether it’s relevant or appropriate them to do the same. Wheels are not being reinvented. And every new partner brings fresh thinking to the community. Last week the HealthPathways Community conference was held in Sydney. More than 140 delegates representing 22 of the 23 HealthPathways regions came together to share ideas, take part in workshops to foster further collaboration within and across regions, and throughout the whole
2013 Tasmania
2012 Hunter New England (NSW) 2012 Central Coast (NSW) 2013 Western Sydney & Sydney Central (NSW) 2015 South West Sydney LHD (NSW) 2014 Illawarra Shoalhaven (NSW) 2014 Southern (NSW) 2014 Canberra (ACT)
2015 Counties Manukau, Auckland, Waitemata & Auckland DHBs
2011 Nelson Marlbourough DHB 2014 Capital & Coast, Hutt, Wairarapa DHBs
2010 West Coast DHB
2008 Canterbury DHB 2011 South Canterbury DHB
2013 Southern DHB
In the seven years to 2015 the HealthPathways Community has grown to cover 23 regions caring for 15 million people.
Article continues on page 2.
In this issue »» Electronic Request Management System...page 2.
»» Students gaining knowledge in health promotion...page 5.
»» Tuesday’s facilities fast facts...page 4 & 5.
»» Canterbury Grand Round...page 6.
»» April Falls...page 7. »» eMeds coming soon to Older Person’s Health..page 9.
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CEO Update Article continued from page 1.
Congratulations to the South Island Alliance team involved in developing the Bariatric HealthPathway – their poster (pictured) took out the Judge’s award at the conference. In Canterbury there are now over 570 unique HealthPathways, plus resources and request pages for a range of common conditions ensuring the best care for people in our Community. Well done to everyone involved in the initial development and ongoing improvement of HealthPathways. They are now helping make it better for over 15 million patients across New Zealand and Australia. That’s a sizeable reach from a gem of an idea back in 2008. Have a great week
David Meates
CEO Canterbury D istrict Health Board
Why electronic referrals are good news for the region Canterbury District Health Board welcomes the Minister of Health’s recent announcement that the rollout of Electronic Request Management System (ERMS) across the South Island is complete. ERMS is an electronic referral tool developed in Canterbury six years ago to improve the way general practices make requests for specialist advice and referred services across both public and private sectors. It handles around 22,600 requests a month at the moment, creating a faster, smoother patient experience. General Manager Planning and Funding, Carolyn Gullery says the roll out of ERMS to the rest of the South Island is great news for all South Islanders. “The old method meant you didn’t really know whether the referral had been received. And only when the referrer received a ‘sorry, can’t help’ reply could they take the next step, which was
simply to try somewhere else,” Carolyn says. “Through ERMS, General Practice teams and community nurses make a referral using an electronic form, which is then is submitted directly to a secure referrals database. From there, requests are delivered automatically to any one of 800 community and hospital services, both public and private.” ERMS, now South Island wide, means: »» Precious time saved for patients and clinicians »» Delivery of a request is guaranteed and the quality of information is consistently high and always legible in an electronic format »» People can take the best possible next step in their health journey as soon as possible. Simon Wynn-Thomas, a General Practitioner at Mount Pleasant Medical Centre and Senior Clinical Leader at Pegasus, says ERMS has received positive endorsement from many of the Canterbury General Practitioners who have used it.
“Most say it’s easy to use, saves time and because referrals are sent electronically it’s more secure as, unlike posted mail or faxes, they always arrive at their intended destination,” Simon says. “The real beauty of ERMS from a general practice perspective is that it ensures that the patient has had the appropriate management in the community before referral to secondary care.” The next phase, scheduled to be piloted late this year, will enable those receiving referrals to respond electronically (electronic triage) and provide electronic advice back to support general practice in managing patients in the community. Importantly, ERMS also analyses demand and supports a management process that can change service provision to better meet demand. Referral data allows General Practice to compare themselves to other practices - an important step in ensuring consistency of care.
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CEO Update
Bouquets Christchurch Hospital Volunteers – meet and greet When bringing Dad for an appointment, the help and care the ladies gave him while I found a park was extremely good. Good for Dad and myself as I could find my park without being concerned for Dad. They even offered to take him to his appointment. Thank you! Emergency Department, and numerous teams including Ward 18, Christchurch Hospital As a Physiotherapist who has worked in Australian hospitals over many years, I am writing to congratulate you on the excellently managed Christchurch Hospital. I was recently an inpatient at your hospital after an unfortunate incident on the Franz Josef Glacier where I sustained a fracture of my tibia and fibula. The treatment and care I received was second to none. From the moment I arrived at ED where they were expecting me and as an inpatient in Ward 18, the nursing care was professional, compassionate and efficient. I was very impressed by the role of the ward assistants in keeping patients comfortable. My surgical experience from the Orthopaedic team led by Dr Schouten, to the Xray department, to the Anaesthetic team, to the Theatre nurses, to the orderlies, all ran like clockwork and each staff member was professional, caring and medically skilful. I am extremely grateful to Dr Schouten for the excellent realignment of my tibia. The Allied Health team, physios, OT, social worker all worked proficiently to prepare me for my discharge and flight
home. A final word for the Bone Shop, what a well organised department, run by skilful and happy staff. My confidence soared whilst in their care. In summation, in my experience, the Christchurch Hospital is managed at an extremely high standard, its systems run like clockwork and each staff member, with whom I had contact, is competent and caring. I am now back in Australia recuperating and continue to sing the praises of your hospital, my congratulations and heartfelt gratitude. Christchurch Hospital Volunteers I would like to say a big thank you to volunteer Hugh at the park and ride based at Christchurch Public Hospital. I foolishly left my purse on my desk and Hugh came to my rescue and paid for my parking so I wouldn’t get a fine and I could get to my meeting on time. Thank you Hugh, You are a star and your help was very much appreciated. I would also like pass on my gratitude to all the volunteers throughout the hospital, they are wonderful people who give their support to us all every day. They are all awesome. Christchurch Hospital Volunteers Today I had one of our St John health shuttle drivers who was on yesterday express her thanks for one of your volunteers. The volunteer was a woman but I don’t know who she was. We had an almost blind lady travel on the shuttle who had to go to an appointment in the main hospital and then to Hagley Outpatients. Your volunteer ensured she got to her appointment then went back and got her and took her to the upstairs café. Then went back again and took her over to Hagley Outpatients for her
second appointment. Please pass on our sincere thanks. Ward 21 - Women’s and Children’s Health It has been a very humbling experience to be here. The staff and volunteers have been absolutely incredible! The way they have made our stay as stress free as possible, as fun for our daughter and comfortable as can be has been terrific. I cannot believe the positive and caring attitude. It has been amazing! Thank you so very much. Ward 22 - Women’s and Children’s Health What a fantastic team. Sam Dalton, our registrar, Professor Pattemore, Rebecca our Play Therapist, and Kelly our Paediatric nurse. Just a few of our superstars. We will see you again but just a big ‘thank you’ for all your hard work – mother. Thank you for helping me. Gynaecology Outpatients - Women’s and Children’s Health All staff from reception to initial nurse and doctor, follow up doctor, blood tester and reception outside the outpatients’ area were fantastic!! Professional welcoming and made this sensitive process safe and friendly experience. Kei runga noa atu koutou - you are all awesome. Take care of yourselves.
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CEO Update
Monday’s Facilities Fast Facts Acute Services Building – Christchurch Hospital Work is progressing on the new temporary Clean Dock with the steel frame for the roof put in place early last week. Still to go in are the containers that will form a walkway past Oncology for couriers making deliveries. The Clean Dock is on schedule to open on Wednesday, 15 April. Please help reduce congestion to this area by directing all non-urgent deliveries to the CDHB depot at Blenheim Rd. Borehole drilling – As part of the ongoing construction around the Christchurch Hospital site, three boreholes need to be drilled. The only drilling that will impact on Hospital users will be the borehole on the footpath outside the School of Medicine with drilling planned for Saturday 11 April. The rig will not block the road and
access to the ambulance bay will be maintained. Please use the designated footpaths and follow any traffic signs. Cyclists – Traffic volumes of heavy construction vehicles are set to increase over the Rolleston Ave bridge. Your safety is important to us, so please dismount and walk over the bridge. It’s also a heavy use pedestrian area, so safer for all if you are off your bike, rather than on it. Eye Outpatients – The St Asaph st parking area will be closed from 20 April for the start of construction on the new switch gear building. The new entrance to Eye Outpatients will be from Hagley Ave. Parking is limited in this area
and the 90 minute time limit on parking bays will be enforced. A drop off/pick up zone has been created for patients being dropped of or collected by a support person or taxi. User Groups – Beca service engineers held a workshop with representatives from all user groups this week. The workshop provided users with an overview of the services design for the Acute Services Building as well as the specialised design elements for specific wards/units. Items such as lighting, hepa filtration, pressurised rooms, temperature control and medical gases were discussed. »» Article continues on page 4.
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CEO Update Burwood Health Campus Staff forums: Staff are invited to attend an update by OPH&R General Manager Dan Coward on work happening at The Princess Margaret and Burwood Hospitals. The forums are on Wednesday, 8 April at: Burwood Chapel – 10am The Princess Margaret Hospital Chapel – 2pm
Please make every effort to attend. We understand it won’t be possible for everyone, so a replay of the presentation will be made available on the intranet at a later date. Water Tanks: The backup water tanks are in place behind the new Back of House. These are an emergency water supply for the hospital’s sprinkler system (should the mains water ever be compromised in some way.)
Boiler House: The Boilerhouse footprint for the new boilers is still being excavated. Equipment for the boilers will be on site in June.
Students gaining knowledge in health promotion Three students from Christchurch Polytechnic (CPIT) have joined the Staff Wellbeing Programme on work placement. They are based at Community and Public Health while completing their second and third year placement requirements for a Bachelor of Applied Sciences specialising in Human Nutrition and Health Promotion. Nicolette Adam, Kirstyn Steyaert and Gabriella Kuhns say they are gaining a great deal of knowledge around Health Promotion and are making excellent connections with CDHB staff. Nicolette has been working closely with the Staff Wellbeing Programme to organise 25 Staff Wellbeing Workshops across the wider CDHB. These will be available to all staff as part of a focus on resilience building. She is gaining an understanding of the operational side of running health promoting initiatives. “I have really enjoyed meeting people working in the health sector and am gaining insight into the inner workings of the CDHB,” Nicolette says. In the future, she would like to continue working within a community environment to promote health and wellbeing. Kirstyn has also been focusing on the resilience building stream
of the Staff Wellbeing strategy. She has been gaining an understanding of the operational side of promoting physical activity across CDHB by working with the Staff Wellbeing Programme to encourage more CDHB staff to participate in wellbeing activities. “I am enjoying learning more about the challenges of the operational aspects of a wellbeing strategy in such a large organisation,” Kirstyn says. Gabriella will work with CDHB’s Staff Wellbeing Coordinator on the communication stream of the Staff Wellbeing strategy. She is enjoying meeting and working with the CDHB team and hopes to increase awareness of Staff Wellbeing initiatives throughout the year. “The knowledge I am gaining is invaluable and I hope to carry this knowledge into a career focusing on health promotion and nutrition,” Gabriella says.
From left, Gabriella Kuhns, Nicolette Adam and Kirstyn Steyaert
The students will continue to learn and make the most of their placement over the coming months and would like to thank Staff Wellbeing Coordinator, Andy Hearn and CDHB Kaitakawaenga, Lee Tuki, for taking them on board. They would also like to thank CDHB staff for making them feel so welcome.
To check out what’s available to all staff via the Staff Wellbeing Programme click here, or, to visit the new Something for You – Employee Benefits intranet page click here.
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CEO Update
Canterbury Grand Round Friday 10 April 2015 – 12.15 to 1.15pm with lunch from 11.45am Venue: Rolleston Lecture Theatre Speaker one; John Rawstron New Treatments for keratoconus: Corneal collagen cross-linking Lamellar corneal transplantation, intrastromal ring segments and Topography guided PTK with cross-linking, which is on the horizon will also be discussed. Speaker two; Dr Shaun Xiong Rehabilitation of Traumatic Brain Injuries: The Challenges of Concussion and Post Concussive Syndrome Chair: Iain Ward Video Conference set up in: »» Burwood Meeting Room »» Meeting Room, Level 1 PMH »» Wakanui Room, Ashburton »» Administration Building, Hillmorton All staff and students welcome Next is – Friday 17 April 2015 Convenor: Dr RL Spearing (email: ruth.spearing@cdhb.health.nz)
Celebration to mark decade
The Neonatal Intensive Care Unit (NICU) has held a celebration to mark 10 years of being at the Christchurch Hospital campus on Riccarton Avenue. NICU marked the occasion with an afternoon tea on the date they moved from the former Christchurch Women’s Hospital on Colombo Street, says Neonatal Charge Nurse Manager, Debbie O’Donoghue. Those in attendance included staff currently working within the service, staff who had worked at the time of the move but have since retired or moved into new places of work, and parents and children who at the time of the relocation to the new site had a baby in the care of the NICU. “More than 70 people were in attendance and the afternoon tea included speeches, a DVD of the move, slide show, a display of historical memorabilia, commemorative tea towels and teddy bears for the children,” Debbie says. As part of the celebrations the neonatal staff have also held a social function and developed a wordle certificate capturing words from staff on what the 10 years has meant to them, she says. “I would like to say a special thank you to the neonatal staff involved in the organising of such wonderful events - Claire Carroll, Trish Graham, Bernard Hutchinson, Edna Byron, Alice Van den Berg, Jan McKenzie, Nicola Ellis, Serena Bayles and Deb Gibson.”
Teddies given to each child who attended the celebration.
Commemorative tea towels designed & printed by Neonatal Clinical Nurse Specialist, Serena Bayles.
Cake being cut by Professor Brian Darlow, with from left, Neonatal Clinical Director Associate Professor Nicola Austin and Neonatal nurse Manager, Debbie O’Donoghue.
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CEO Update
Some compelling reasons why we should get behind the April Falls campaign Last week the Accident Compensation Corporation (ACC) confirmed they are accepting an astonishing 500+ fallsrelated claims a day from people aged 50 and over. That’s 20,000 more people making successful claims than in 2011, when arguably the acceptance criteria are tougher now. The figures from ACC are recorded in a new falls domain of the Commission’s Atlas of Healthcare Variation – a series of easy-to-use maps, graphs, tables and commentaries to highlight differences in the provision and use of specific health services and outcomes.
more likely to be admitted to hospital as a result. Although people aged 85 and over make up just 5 percent of the 50-plus age group, they accounted for nearly half of hip fractures relating to a fall. Dr Shankar Sankaran, a consultant geriatrician at Counties Manukau Health and chair of the Commission’s falls atlas and reducing harm from falls expert advisory groups says this information underlines the need for the Open campaign’s renewed focus on reducing harm from falls.
Key resources for health professionals and those working in aged care include pocket cards that suggest ways to Ask, Assess, Act to identify those at risk and provide advice on addressing those risks: www.hqsc.govt.nz/ourprogrammes/reducing-harm-from-falls/ projects/ask-assess-act. Visit www.hqsc.govt.nz/atlas/falls to see the falls domain of the Atlas of Healthcare Variation in more detail and www.hqsc.govt.nz/our-programmes/ reducing-harm-from-falls for more about Reducing Harm from Falls.
These are just some of the resources the HQSC has on offer:
The domain has been released for this year’s April Falls awareness month and the start of Open’s latest six-month focus, ‘Stand up to Falls’.
For older people and their family/ whānau, there are the videos Staying safe on your feet at home” and ”Staying safe on your feet in the community”:
People aged 85 and over were twice as likely to have an ACC claim for a fall as those aged 50 to 64 – and 15 times
www.hqsc.govt.nz/our-programmes/ reducing-harm-from-falls/publicationsand-resources/videos.
Introducing the Falls Prevention self-learning package on healthLearn The Canterbury and West Coast DHBs have released a Fall Prevention self-learning package on the Health Learn site. The focus of the package is to generate learning experiences in facilities and the home environment on fall risk identification and multidisciplinary management. The course tutors are Jacinda King and Kerry Winchester Nurse Educators, and Robyn Cumings Nurse Coordinator Quality and Audits. The course is classed as interprofessional clinical training and should take around four hours.
At the completion of this learning module, staff should be able to:
such as falls risk assessment, to a fun but challenging quiz at the end.
•Understand the definition of a fall
Once you have passed the quiz and completed the evaluation, you can print your end of course certificate and your hours will be added to your healthLearn record of learning.
•Describe the effect a fall has on the individual and health service •Identify the falls risk assessment process including intrinsic and extrinsic risk factors •Identify strategies to manage individuals risk of falling The interactive course elements provide considerable variety that takes account of the different ways people learn, and range from short video clips going over the basics, through to practical skills
You can find the healthLearn button by scrolling down the intranet homepage. It is bottom left under ‘Business Resources’. If you haven’t used healthLearn before, you’ll need to create an account which will then come in handy for your other work-related learning needs.
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CEO Update
Nurse Practitioner role opportunity to educate and prescribe Being able to practice independently benefits her patients, says Nurse Practitioner (NP), Jo Talarico. “I am passionate about best practice, excellence in nursing and most of all, compassion towards others,” she says. “As an NP I can prescribe medications and do not need a general practitioner (GP) on call to cover me at the end of the phone. Before it all had to be done under ‘standing orders’.” For example, for a patient with strep throat Jo used to give out only enough penicillin to cover the weekend. “They were then instructed to come to the practice again on the Monday and get a script from a GP to complete the course,” she says. “I often felt they would not do that due to many reasons including cost. Now I can give out a script myself.” If the person doesn’t come into the practice a lot, she can discuss and if necessary prescribe, for conditions such as diabetes, hypertension or depression and meet any other concerns they may have. “It is much better for the patient,” she says. Jo has been a NP in primary care for six months. Before that she worked for 15 years at The 24 Hour Surgery and worked in American paediatric emergency departments.
Above: Jo Talarico.
Currently she works at a low socio-economic primary care practice in Woolston, where she says poverty has a huge impact on every area of patient’s lives. Jo says it is rewarding to know that because of her role the practice has been able to re-open its enrolment of new patients. Over the last three years Jo has also taken on the role of Primary Responder in Medical Emergency, travelling to Twizel once every month for the weekend and being on call for 64 hours, covering all emergencies and presentations to High Country Health. There she is the sole health care provider for a large geographical area from Tekapo to the top of the Lindis Pass and up to Mt Cook. Jo also covers Akaroa Medical Centre one weekend each month and has covered Hanmer Springs, Rotherham and Oxford at various times. “In many situations, I have been on my own with my two back-packs filled with medical response gear,” Jo says. In this role too her qualification as an NP means she does not have to request that patients return during the week to see their GP, but can take the opportunity to educate and prescribe as needed.
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CEO Update
eMeds coming soon to Older Persons’ Health
Having completed its successful rollout across Specialist Mental Health Services, ePrescribing and Administration (ePA) is set to make a real difference to patient safety in Older Persons’ Health when it goes live May 11. Executive Sponsor, Stella Ward ways with the care of older persons’ often involving patients with complex health needs, the potential benefits around safer, more effective use of medicines, are huge.
“Our implementation team* are getting pretty good at this, and Older Person’s health have a reputation for embracing positive changes that help keep their patients safe. As with the Specialist Mental Health Team, I fully expect the two teams working together will be a winning formula,” Stella says. ePrescribing and Administration is being implemented across the DHB as part of the eMeds programme of work. “Unlike sometimes hard to decipher hand written paper records, the new system is paperless and offers a single electronic drug chart in Medchart where the information is clear, easy to read and easily traced to the person who entered it.” Stella says while it does not replace clinical judgment, it also has some built-in safeguards to ensure dosages are appropriate. “Like all changes, it takes a little time to get used to, but if you work in Older Persons’ Health and have your own ePrescribing and Administration rollout to look forward to, then maybe consider what staff ‘on the ground’ at Specialist Mental Health Services had to say,” she says. Staff endorsements for ePA “eMeds is a natural progression from Canterbury’s first implementation of electronic records way back in 2000. It’s the latest achievement stride in making sure computers realise their potential as useful and versatile tools for clinical teams to enable better, safer care for our patients.” John Beveridge, Nurse Consultant.
“I never expected anything but positive outcomes from having eMeds here, but our rollout experience has proved that change doesn’t have to hurt.” Stu Bigwood, Director of Nursing. And finally, Andrew McKean, senior pharmacist on the clinical team. Says the new system is paperless, faster and the information easily readable. “It’s great to see the new technology and to be able to use it to make medication administration much safer for patients.” Other things to consider to help embrace the coming change are: »» the eMeds implementation team that played such an important part in the successful rollout throughout Specialist Mental Health Services are focused on making the Older Persons Health rollout equally successful »» training will be provided for everyone who use, or look at ePrescribing and Administration, according to their role. All training sessions are run by clinical staff »» staff needing additional support can access basic computer training to help them prior to the training sessions »» a team of clinicians and IT colleagues will be on the wards prior to, during and after going live who will ensure all equipment is working and tested »» immediately before the ‘go live’, the team will be on hand to support all staff with the migration from the paper process to the electronic system »» there is a support line on ext: 80252. *The Clinical Implementation Team is seeking three clinical staff members to extend their team. You will be responsible for providing expertise in Electronic Medicines Management (EMM) applications, coordination and support to the EMM programme of work. These roles are fixed term until March 31 2016.
According to Sue Nightingale, Chief of Psychiatry, the focus and support around the launch at the Inpatient Acute Service (IAS) at Hillmorton has been exceptional. “We couldn’t be happier with how it’s all going.” Dr Sue Nightingale from the Specialist Mental Health Team.
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CEO Update
Improving outcomes for women with gynaecological cancer More new Zealand women will get faster, high quality, life-saving gynaecological cancer treatment thanks to collaboration between the University of Otago, Christchurch (UOC) and the Canterbury District Health Board. Gynaecological cancer surgeon and UOC Professor Peter Sykes is leading work within the Government’s Faster Cancer Treatment programme to improve quality and timeliness of services in his specialty area. A crucial element of the programme is Canterbury-based clinical research. Professor Sykes’ research identified potential improvements in referring patients, particularly those with endometrial cancers. Women with ovarian cancer were also presenting late in emergency referrals rather than from their GP, the research found. “Robust, evidence-based research is key to women getting access to timely and appropriate care of a high level.’’
Research has fed into national treatment standards, outlining ideal treatment pathways and timings for certain cancers. Professor Sykes and his colleagues have also proposed a national service plan for gynaecological oncology to improve access and equity. The proposal includes three expert centres spread around New Zealand. The ramifications are currently being considered by the Ministry of Health.
Professor Sykes says the progress being made would not be possible without Canterbury District Health Board colleagues, research collaborators and the Southern Cancer Network.
“Canterbury is at the forefront of improving gynaecological cancer pathways, both in research and leadership,” Professor Sykes says. “Research has shown, not surprisingly, that the sooner people get access to appropriate services the better the outcomes. We want to ensure women get the best care possible.’’
Professor Peter Sykes
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CEO Update ANZAC Remembrance – 100 years on: Part one The sinking of the Marquette Loss of life during wartime is always tragic, often taking its grimmest toll from the generation that holds most promise. It is somehow all the more tragic when those killed are there for humanitarian reasons, as were the staff of No.1 New Zealand Stationary Hospital. The sinking of the ship the Marquette is one such tragedy and added to the grief of a nation still reeling from the heavy losses at Gallipoli. Designed as a cargo vessel at the end of the 19th century, the Marquette was converted to a troop transport at the beginning of the First World War and saw service mainly in the Mediterranean. As a troop transport rather than a hospital ship, the Marquette would have been considered a legitimate target. On 19 October 1915 the Marquette sailed from Alexandria bound for Salonika. On board were 36 nurses of the NZ Army Nursing Service and staff from the NZ Medical Corps. Also on board were munitions and some 500 troops with their equipment and mules. In total there were 741 people on board the Marquette. At 9am on October 23rd 1915 the Marquette, having been escorted by a destroyer for four days until the evening just before the disaster, was hit by a torpedo from a German submarine. The ship sank within 10 minutes with several men and four nurses reportedly still on deck as she went down. Miraculously, two of these nurses survived.
Of those that made it off the ship as she sank, many died from exposure and exhaustion in the cold water and by the end of that day 167 souls had been lost, 31 of them New Zealanders, 10 were nurses. They were: Marion S Brown; Isabel Clark; Catherine A Fox; Mary Gorman; Nona M Hildyard; Helena K Isdell; Mabel E Jamieson; Mary H Rae; Lorna A Rattray; and Margaret Rogers. They hold a place on the Roll of Honour of the New Zealand Army Nursing Service. Most of the survivors of the disaster were picked up by British and French destroyers but one group reached mainland Greece unaided, a distance of more than 35 miles. Just six days later the 26 surviving nurses and some medical officers sailed back from Salonika to Alexandria on the Grantully Castle, a hospital ship – a ship that had sailed empty to Salonika and the very ship that arguably could have brought them safely to Salonika in the first place. In May 2009, a Greek dive team located and identified the Marquette in 87 metres of water in the North Aegean Sea. The British Embassy in Greece then issued a protection order for the wreck. As a designated war grave, it is now one of two memorials to nurses and others who lost their lives on that day. The other might be rather more familiar, and much closer to home: Christchurch Hospital Nurses’ Memorial Chapel. More on the Memorial Chapel next week.
Editor’s note: The third ANZAC commemoration piece will run on 20 April and as requested last week, it’d be great to make that a collection of the ways our people will choose to remember. We have had some great and thought provoking input so far, but would welcome much more. If you would like to share how or where you will be marking this, the 100th anniversary of the first landings at ANZAC Cove, please send your contribution to mick.odonnell@cdhb.health.nz , by the end of Wednesday 15 April please.
Portrait of Nona Hildyard who drowned in the Marquette disaster by Richard Wallmark (1917). Nona was from Lyttelton and the portrait was funded by the people of Lyttleton. She was 28 when she died.
2014 Quality Improvement and Innovation Award Winners and key dates for entry into the Awards programme 2015 The Canterbury Health System Quality Improvement and Innovation Awards are back! This year, projects/improvement initiatives can be submitted in poster format or the standard written submission.
Entrant materials are now available, please visit the Awards Page We are accepting Expressions of Interest for written submissions from project teams until 24 April.
success of the Awards programme. Please email Amanda.Bielski@cdhb. health.nz to register your interest in being a Mentor or Assessor this year.
The contribution of experienced mentors and assessors is essential to the
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CEO Update
Clever commuters at Hillmorton
Rather than driving in by themselves, staff at Hillmorton Hospital have said they are going to try different ways to get to work at least two days a week as part of the Clever Commuters transport initiative. In a recent travel staff survey it was found that 83 percent of Hillmorton staff travel by car to work. They said although cars were fast and convenient they didn’t like being stuck in traffic, had problems finding a park, wanted to save some money and 40 percent said they wanted to do something about reducing their environmental impact. CDHB’s sustainability adviser James Young says the aim is to help people to understand there are ways they can get to work that’s better for them, their patients and the environment. “Essentially they can save money and free up parks for patients, mums and themselves for when they need them by choosing a different way to commute twice a week,” James says. For example there are about 20 people living in Rangiora who each spend about $4000 a year driving into work in their cars by themselves, he says. “They are probably stuck in traffic together, breathing in their exhaust gasses and then are competing for a park once they get to Hillmorton. If they carpooled they would save about $3000 a year, create a quarter of the pollution, have a sociable journey and what’s more, we will give them a car pool car park to take away the parking hassle,” James says. On camparison, people from Linwood and Woolston can save about $1,000, Rolleston $1,800, Lyttelton $1,200, St Albans $700 as other examples. The ‘Clever commuters’ project is a suite of initiatives to make alternative travel modes easier to use. It is being launched at Hillmorton Hospital on Thursday 16 April from 11:30 to 1:30pm on the grass outside the administration building – It will be hard to miss with a bus, truck, bike stalls and a marquee.
A whole lot of activities and initiatives will be on offer that can make things easier and safer for staff to take a different way to work than just driving in by themselves: »»Carpooling- register for a carpool token, learn how to use the carpool matching website “Lets Carpool”, find someone to carpool with, find out where the carpool car parks are, find out how much you will save. »»Biking- Let us show you the safe way to cycle in to work, sign up for free cycle training, get free gear, get your bike checked, a truck will be on site so you can understand blind spots, find out about the health benefits of cycling, Have a look at the CDHB Bike Packages on offer from John Bull Cycles. »»Bus – free metro cards are available from ECAN and bus route info – including a bus to show you the process »»Talk the Walk – a guide to walking to work The prizes for the survey will be drawn, free healthy snacks will be on offer, electric bike demo’s, find out about the new Cycle ways being built and much more. The programme is being piloted at Hillmorton and will be rolled out to other CDHB work sites in the future. “We’re asking people, if they can, to consider changing their behaviour twice a week – because small changes by a lot of people can have a big impact – see you on 16 April!”
We’re asking staff to put air in their bike tyres, dust off their favourite walking shoes, ask around the office who wants a lift in, or get a good book ready to read on the bus. On 16 April it would be great to see Hillmorton staff to get out of their lonely car and travel a different way to work. At lunch time come and see us to find out about alternative ways to travel, James says.
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CEO Update
Support Conversations that Count Day Canterbury DHB is asking people to have a ‘Conversation that Counts’ this month.
April 16 marks the second national awareness day for advance care planning, to encourage people to think about, talk about and plan for their future health care. Jane Goodwin, Canterbury Advance Care planning Facilitator, says the key to advance care planning is having conversations. “We’re encouraging conversations in the community; between patients and their families; between clinicians and patients,” Jane says. “Conversations about what matters to an individual, how they like to live their life and how that might impact their care and treatment choices in the future, particularly as they approach the end of their life.” This year an extended set of online and printed postcards have been designed to help encourage New Zealanders to have a “Conversation that Counts” with their friends and families on this important matter. To send someone you care about a postcard or order them online visit www.conversationsthatcount.org.nz
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Jane says many find talking about death and dying hard.
“Yet the process of advance care planning supports a person to think about what is important to them and to communicate their wishes to their health care providers and family members,” she says. This campaign is being coordinated by the National Advance Care Planning Co-operative along with the South Island Alliance’s Health of Older People’s group (HOPSLA), which is a member of the Co-operative and responsible for coordinating the day in the South Island. Community organisations working with older people, DHB staff and agencies across the region are being asked to get behind this important day and help promote awareness of advance care planning.
options for the future and to communicate their own values and choices about their treatment,” Dr Keightley says. “Having an advance care plan helps to guide all care givers, especially if the person is unable to speak for themselves.” Conversations that Count day reminds us that it’s not too early to be having these conversations with people about what is important to them and what they would want for end of life care. You can find Conversations that Count Day on Facebook at: https://www. facebook.com/Conversationsthatcount
Dr Jenny Keightley, Chair of HOPSLA, says advance care planning is something many of us should start thinking about as we approach old age. “It’s not too early to start having a conversation that counts. We know how important it is for people living with chronic health conditions to have the chance to talk about their health care
New free health resources available You can view the latest Community Health Information Centre (CHIC) health resources in their March newsletter. CHIC distributes pamphlets, booklets and posters on behalf of a variety of organisations including the Ministry of Health, the Ministry of Social Development, the Health Promotion Agency and non profits such as the Mental Health Foundation. Their resources are constantly being updated. To view complete list go to www.cph.co.nz/resources or request a
stock list. Orders can be made by mail, fax, phone, email, or online.
For more information contact Resource Coordinator Sue Burgess on 03 364 7844 or email sue.burgess@cdhb. health.nz The latest All Right? resource features six beautiful black and white portraits of local kapa haka practitioners. The portraits are available as A3 posters and as part of a concertina brochure.
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CEO Update
Bake sale for a worthy cause Students and University of Otago, Christchurch staff held a bake sale last week to fundraise for the Red Cross Cyclone Pam Appeal. The sale was held in the Rolleston foyer, ground floor of the Medical School building on Monday 30 March and Thursday 2 April. Pak’nSave Riccarton and New World South City kindly donated baking ingredients (50kg sugar, 144 eggs, 20 bags of icing sugar, 20 cake mixes) for students to use in their baking.
Terra Viva cafe (Canterbury Cafe of the Year 2014) contributed 60 giant muffins. Copenhagen Bakery (Best Hot Cross Buns 2014) donated eight dozen buns. Other contributions came from Couplands, Anna Worthington from Cakes by Anna and White Tie Catering.
The bake sale raised an outstanding $2791. A huge thank you to everyone involved, and for the generous donations of those who brought their morning tea from us on Monday.
Above: Shereen Naicker, left and Laura Pfeifer, right.
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CEO Update
One minute with… David Mather, Change Facilitator, Roster Project What does your job involve? I manage the “people side” of change associated with the Microster implementation project. Change management is the structured and intentional approach to enable individual employees to successfully adopt the changes required by projects and initiatives. On a day-to-day basis my job varies quite a bit. It can include nutting out revised business processes to support the change, co-ordinating and enacting the roll-out strategy and communication plan, and working alongside managers to better understand their requirements, and working these into the wider context of the project objectives. As part of the project team, I naturally work very closely with Roster Support. Why did you choose to work in this field? I have a background in Health and Safety, Injury Management and Rehabilitation, and Education which are all cognate disciplines that involve change at an organisational and at an individual level. This role was a great opportunity to pull a lot of that previous experience together and yet focus on something new. What do you like about it? No two days are exactly the same. There is also opportunity to problem solve and be creative and collaborate with others. People working in health, generally and genuinely, care for others. It might sound corny but it is a privilege to work alongside such people.
If I could be anywhere in the world right now it would be… I am not widely travelled, although that is about to drastically change in a few months’ time with an overdue jaunt through Britain, France and Italy. I really value what we have in New Zealand. Hailing from the Bay of Plenty, I love wading across Athenree estuary to emerge on an uncrowded stretch of Waihi Beach, and diving into the warm Pacific surf. Bliss. My ultimate Sunday would involve… I enjoy football so rising early to watch Liverpool thrash Manchester United would be a fine start. Then, after a walk in the hills, a cycle ride, or a swim, having an afternoon jam with The Four Donkeymen of the Apocalypse. This would lead into an evening with family and friends out on the patio, drinks in hand (in moderation of course), and a roast lamb on the spit. Then out with the guitars again, hollering into the night. I could probably only do this on a long weekend One food I really dislike is… I like and will try most things but I am not that enamoured with sheep’s brains My favourite music is… The Four Donkeymen of the Apocalypse pretty much cover all bases within the ever popular Avant-Garde Garage genre. Say Yes to Apes, were a great, if little known South Island band, from a bygone era. Hard to go past The Beatles if I had to plug for just one. We will never see or hear the like of them again.
What are the challenging bits? It’s probably fair to say that not everyone enthusiastically embraces change from the outset. But then that’s why I am here. The needs of the organisation are complex and for a large project like Microster implementation, solutions need to be worked through in an intelligent and collaborative way. There are still a lot of challenges ahead. Who do you admire in a professional capacity at work and why? I have to mention three, Krys Liddell the Programme Manager for being able to keep in perspective and keep in focus, the big picture, when there is so much going on. Corinne Wright, with whom I share an office, is tenacious and challenging in a good way. Michelle Keogh the Team Lead in Roster Support, has a great calm manner, and is always solution focused. The last book I read was… My reading has dropped off a little in the last few months, maybe because it’s been summer. The best book I have read in recent times is The Minotaur Takes a Cigarette Break by Steven Sherrill. It’s a modern allegory of alienation and redemption which I thoroughly recommend. (The book and not the alienation!)
If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz.
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CEO Update Staff Wellbeing Programme Free Financial/Retirement planning and Housing Advice
Westpac is running free 30 minute appointments at main hospital sites with an Authorised Financial Advisor or Home Loan Expert Next sessions at Burwood on 7th and 8th April
Click here for information on dates/times and how to make an appointment.
ESCs – Earthquake Support Coordinators – drop is sessions. To help case manage your EQC/insurance issues. Hillmorton Hospital – café
TPMH – café
Wed 8 April
Tues 14 April
1030-1330
1030-1330
Luke & Lisa
Stacey & Karin
Click here for more information including a contact number. Visit the Staff Wellbeing Programme intranet page for all staff wellbeing information Andy Hearn, Staff Wellbeing Coordinator, Canterbury and West Coast DHB Phone: 03 337 7394 | Ext: 66394 | Mobile: 027 218 4924 andy.hearn@cdhb.health.nz
Live-streaming Nigel Latta sessions Nigel Latta’s coming to talk Monday morning 13 April, with health system staff and to view, all you need next Monday 13 April to do is click the link at the start of a session (sessions Nigel Latta’s sessions for are at 11am, 4pm and people who work in the 7pm). Canterbury Health System are fully booked. If you’re in Ashburton, you can join your colleagues We will be live streaming in the Wakanui Room to each of Nigel’s catch a session on the big presentations. screen. Check the details here including the technical requirements of your computer. We will send out a link on
At Christchurch Hospital, you can also watch it on the big screen in the oncology lecture theatre at 11am, 4pm and 7pm.
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CEO Update
Early Bird Registration closing on 15 April 2015 MidCentral District Health Board (MDHB) along with Central Primary Health Organisation (Central PHO) are proud to present the following world renowned speakers at the High Performing Healthcare Conference. Professor June Andrews is the Director of the Dementia Services Development Centre in the School of Applied Social Science at the University of Stirling, Scotland. June is an award winning world authority on dementia care and is a recognised leader in the worldwide movement to improve services for people with dementia and their carers.
MDHB and Central PHO are partnering to bring their High Performing Health Care conference on the 7 and 8 May 2015. Presenting at this conference are four world renowned speakers and 24 national speakers on their experience of transforming healthcare in the following areas: Older People, Child Health, Partnering with Communities and Long Term Conditions.
Dr Stuart Cumming is a GP working in Stirling and Associate Medical Director of Forth Valley NHS, Scotland. Stuart has led a large scale integrated health care transformational change involving clinical leadership redesigning services.
Prior to the conference there will be two seminars on the 5 and 6 May 2015. These seminars will be facilitated by the speakers pictured above.
Dr Joshua Tepper is a Family Physician and the President and Chief Executive Officer of Health Quality Ontario (HQO), Canada. HQO is an arm’s length agency of the provincial government, which works in partnership with Ontario’s healthcare system to support a better experience of care, better outcomes for Ontarians and better value for money.
Dr G. Ross Baker is a Professor in the Institute of Health Policy, Management, and Evaluation at the University of Toronto, Canada, where he teaches and carries out research on patient safety, quality improvement strategies, and leadership and organisational change.
For more information or to register for the Seminars and Conference visit www.midcentraldhb.govt.nz/hphcc
Hilmorton Yoga With Lisa Improve your:
Flexibility is NOT a prerequisite
Flexibility
...each class provides
Strength
a level of options for
Balance
Asana practice –
Co-ordination
enabling you to
Sleep
practice at your own
& ability to
pace & within your
Relax
own capabilities
balancing breath & movement
MONDAY and THURSDAY MONDAY
6pm-7.30pm Training Unit Room #4
$15 Casual 90 minute class (concession cards, $125 for 10 sessions)
THURSDAY
4.45pm-5.45pm Training Unit Room #4
$12.50 Casual 60 minute class (concession cards, $100 for 10 sessions)
For more information/registration forms contact Lisa 027 814 0785 or surrendance@clear.net.nz
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CEO Update
In brief Christchurch Campus Yoga With Lisa and Sarah Improve your:
Flexibility is NOT a prerequisite
Flexibility
...each class provides
Strength
a level of options for
Balance
Level 1 Hatha practice
Co-ordination
– enabling you to
Sleep
practice at your own
& ability to
pace & within your
Relax
own capabilities
Balancing breath & movement
MONDAY and WEDNESDAY LOUNGE OFF THE GREAT ESCAPE MONDAY
MONDAY & WEDNESDAY
LISA WOOD
SARAH IBBOTSON
4.45pm-6pm
aljwood@clear.net.nz
12.30pm-1.30pm
yogasavitri@hotmail.com
For further information / registration forms contact Lisa Casual attendance $10 per class, concession cards available
Health Informatics Seminar Thursday 25 June, CDHB Design Lab This seminar is designed for clinicians and health managers who wish to gain confidence interacting with technology related projects in their workplace. Come along to learn about health informatics, hear how it is reshaping health care globally, find out what is happening locally and how you can contribute. The expert local and international presenters include: »» Graeme Osborne (Director of National Health IT Board) »» Dr Anne Postulka (MD and Director of Medical for Cepheid in Europe) »» Dr Karen Day (Senior Lecturer, Health Informatics, University of Auckland) »» Sheree East (Director of Nursing, Nurse Maude Association) »» Gabe Rijma (Senior Director for health & social services, Microsoft Asia) »» Liz Schoff (HiNZ board chair) Only $89 for a full day catered event with an excellent speaker line up. This seminar is excellent value! Don't delay - earlybird rate closes 30 April. REGISTER NOW Download flyer here. Questions? Email Irma on admin@hinz.org.nz
Gerontology Acceleration Programme (GAP)
Health Leaders 2015 Conference (3-5 August, Christchurch) This two day programme is designed for Health/Emergency & Aged Care Managers and Clinical Leaders – two streams will be offered, one focused on updating our Health Leaders on all of the latest information from within the Health Sector and the second aimed at capturing the journey, lessons learnt and developments since the CHCH Earthquake. More details at www.nzihm.org.nz found on the Postgraduate Nursing Education webpage: PG Nursing Education cdhb.health.nz 18
CEO Update
In brief Burwood Hatha Yoga
VOLUNTEERS WANTED FOR TRIALLING A NEW TREATMENT FOR TYPE 2 DIABETES DO YOU HAVE TYPE 2 DIABETES and TAKE METFORMIN AND AT LEAST ONE OTHER TABLET TO CONTROL YOUR DIABETES and DO NOT TAKE INSULIN?
With Kate Improve your: Flexibility
•
If you have certain medical conditions such as kidney failure or liver damage
•
If your diabetes is already well controlled (your HbA1c is below 64mmol/mol)
...each class provides
Strength
a level of options for
Balance
Level 1 Hatha practice
Co-ordination
– enabling you to
Sleep
practice at your own
& ability to
pace & within your
Relax
own capabilities
If yes, you may be eligible to participate in a clinical research study of an investigational procedure for diabetes being conducted at Auckland City Hospital, Middlemore Hospital, Christchurch Hospital and Dunedin Hospital. The procedure is similar to a coronary angioplasty so this will be conducted by a cardiologist. Who cannot take part?
Flexibility is NOT a prerequisite
Balancing breath & movement
THURSDAY AFTERNOONS in the UTLEY GYM 4.45pm – 6pm Casual attendance $10 per 75 minute class
For further information / registration forms contact Kate: fourgonorth@clear.net.nz Ideal for all staff members, beginners welcome. Please bring your own mat (some mats may be available if you don’t have one) and wear comfortable/stretchy clothes. If anyone has a mat they wish to donate that would be appreciated.
Transport costs will be reimbursed If you would like to know more, please contact: JAN BURD (Auckland City Hospital) (09) 307 4949 Extn 24365 JBurd@adhb.govt.nz
DIANE CAVENEY (Middlemore Hospital) (09) 276 0044 Extn 2821 Diane.Caveney@ccrep.org.nz
JULIE COOK or JINNY WILLIS (Christchurch Hospital) (03) 364 1096 / (03) 378 6259 or (03) 364 0448 Julie.Cook@cdhb.health.nz or Jinny.Willis@cdhb.health.nz
MARY BLOK or MARGUERITE MCLELLAND (Dunedin Hospital) (03) 474 0999 Extn 8084 cardiology.research@otago.ac.nz This study has Ethics Committee approval (HDEC Reference: 14/NTA/102)
The role that health professionals play in disasters will be highlighted in the inaugural People in Disasters Conference, hosted by CDHB, which will be held over three days 24-26 February 2016 at the Air Force Museum of New Zealand at Wigram. This conference includes speakers on a number of recent international disasters which have occurred throughout the Asia-Pacific region and will focus on the impact on people through the response and recovery phases. It will also examine the topic of resilience. Early bird registrations close 26 June – check it out now. For more details download this brochure.
»» The CEO Update is compiled weekly by the Communications Team of CDHB »» Contributions should be emailed to communications@cdhb.health.nz »» Copy deadlines are Thursday morning each week before publication (which is usually on the following Monday) »» CDHB reserves the right to edit articles for spelling, grammar and space restrictions
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