2020 Change Opportunity COVID-19 Prac Serv and HCH teams - updated

Change Opportunity Discussion 16 April 2020

in a COVID-19 setting and beyond

Jo Henson & Wendy Horo-Gregory

He karakia whakatimatanga Tūtawa mai i runga

I summon

Tūtawa mai i raro Tūtawa mai i waho

-from below -from the surronding environment

Tūtawa mai i roto

and from within

Kia tau ai Te mauri tū, Te mauri ora Ki te katoa

from above

The universal vitality and energy To infuse and enrich all present

Haumi e. Hui e. Tāiki e!

Enriched, unified and blessed

Whakatāukī Paterangi of Ngāti Kahungunu

E hara taku toa, I toa takitahi engari, he toa takitini Success is not the work of an individual but the work of many

Action Thinking

Restore

Sustain

What Why How Who When Where

ADKAR

Training • Best Practice • Evidence • Environment • Culture • Mindset • Communication Access to funding • • Support Knowledge Coaching/mentoring • • Material • Machine • Method • People power

Business Acumen Template review Nurse utilisation PCPA development HCH characteristics Fees review Facility redesign Managing vulnerable COVID management Technology Workflow Workforce Patient engagement

Data and narrative collection/Goal setting

Sustainable and thriving general practices

Rebuild

• • • • • • • • • • • • • • •

Aim: Realignment of innovation across the network

Certainties post Covid • Demand for our services will return to 100% + • Life will not be the same in the next 6 or even 12 months • Anxiety re: COVID infection will be ongoing for patients, staff and the community • Change will be ongoing as we adapt to a new post COVID normal and may be fatiguing - health and safety • Equity

Preserving the good stuff post Covid • New ways of working for GPs and nurses – remote, virtual, telephone, portal • New and improved patient experience of care • Technology applications that support clinical work and workflow that are user friendly, patient centred and cost effective.

• New communication pathways – social media, portal, website, community notices • A two-team workforce as a health and safety and infection control management strategy

Adapting to a new normal • Managing vulnerable people amidst the threat of ongoing COVID infection • Proactive COVID testing of high risk and marginalised communities • Managing potential exposure of COVID infection in the workplace • Meeting the demand for technology enabled services, e.g. telephone and video consultations, Virtual YoC, Virtual consultations with allied health workers, e.g. pharmacists, health coaches, mental health workers, PCPA’s etc…

• Effectively managing the service and daily workload with a twoteam workforce or a different way of working

Adaptation considerations • Protect your investment in your staff, practice culture and trust within your team • Be open and transparent with your team, they are your biggest asset • Make the adaptation period and activities about your population, and your team, “our people” and “our community” • Communicate clearly and frequently to staff and patients as you adapt and realign services to a new normal – listen to the feedback • Be solution focused not problem fixated • Skills and training requirements for staff

Aim: Looking to an amended model of care