Health Target Performance
The overall Quarter Two performance for the More Heart and Diabetes Checks health target was 55 percent. Western Bay PHO was the first PHO to reach the target, at 76 percent. Nine other PHOs are within 10 percent of the target. On average PHOs increase three to four percent per quarter, which on current trends, would indicate that six to seven PHOs will reach the target by 30 June 2013.
The clinical champions for the More Heart and Diabetes checks health target and the Better help for smokers to quit target have been meeting with PHOs and DHBs round the country over the last two months. The discussions focused on strategies to support target gains and sharing common lessons from the case studies the Heart Foundation have pulled together.
The Ministry has also recently provided feedback on the health target sections of draft DHB annual plans. Whilst the plans generally included an outline of activity to progress target achievement, a more detailed outline of explicit actions and quarterly milestones has been requested. The final drafts of DHB annual plans are due to the Ministry later in May.
This is an on-going priority for us. We need to work innovatively and collaboratively – simply doing more of the same is not going to achieve the outcomes New Zealand needs.
Review of the CVDRA Guidelines
The Ministry of Health is facilitating a process to review a number of the cardiovascular components of the Primary Care Handbook (2012). The goal of the review is to create a summary for primary care of the recommended approach to Cardiovascular Risk Assessment (CVDRA), with some additional minor updates regarding more effective implementation and population management. In simple terms, we are aiming to make assessment and management easier in primary care.
The work will support meeting the health target of More Heart and Diabetes Checks in primary care where 90 percent of the eligible population have had a CVDRA within the last five years, by July 2014.
The process includes assembling a small and dedicated working group to undertake both a rapid and targeted review. Issues identified as part of the process would be circulated for feedback and input from the sector, before being finalised.
Keep an eye on the HIIRC website for more information and updates on the membership of the Working Group.