The Royal New Zealand College of General Practitioners

Quality Symposium 2009 Day Two

Primary Care contribution to providing evidence of population benefit from clinical interventions in quality and information.

What does comprehensiveness mean in primary care?

Barbara Starfield
Comprehensive care - what is it and why is it important?
What is the appropriate range of services - and what should be the criteria to decide what it should be?

View videos Part 1, Part 2, Part 3 and Part 4

Dealing with co- and multi morbidity in the care of patients: documenting it, understanding it, managing patients with it

Whanau Whanui – Te Hauora O Te Hiku O Te Ika Trust
Lisa McNab, Callie Corrigan, Manuera Riwai, Lance O’Sullivan
Case study “Brofiles 2007” – Kaitaia (This presentation is not currently available.)
An example of health providers, patients, whanau and community working together in primary care to improve the health of Maori men aged 35 and over.

View videos Part 1, Part 2, Part 3 and Part 4

General Practice solutions to increase safe practice and minimize harm for patients – How well are we doing in primary care? 

Maureen Baker UK, RCGP Clinical Innovation and Research Centre
Safer Systems for Safer Healthcare
Clinicians are imbedded into all aspects of the National Programme for IT, an important priority for its success.

View videos Part 1, Part 2 and Part 3 

Snapshots – Case Studies – General Practice leadership in Significant Events Management systems in general practice and primary care

Chris Fawcett, GP, Board of Quality, RNZCGP
(1) General Practice example - Paraparaumu Medical Centre
Using the RNZCGP approach to guide development of safe systems   
The Paraparaumu Medical Centre has used the College’s significant event management process to guide improvements in patient safety. They have developed a solution to manage and prevent risk in practice systems and processes.

View videos Part 1 and Part 2

Tane Taylor – GP, East Tamaki Healthcare, Auckland
(2) PHO example - East Tamaki Health Care
Transformational leadership and learning environments to manage risk   
A practical significant events process that works within a learning organisation and a culture of safety and learning using Medtech32. The emphasis is on learning opportunities within a safe environment. The process incorporates risk and root cause analysis using a whole of systems approach.    

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Hayley Lord, Pinnacle
(3) Network example: Pinnacle -Implementing Incident Management – reservations of practice staff   
Lessons from the experience of implementing an incident management process across the Pinnacle network - barriers, successes   

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Enabling Quality & Information in primary care – Going forward; What is the path?  How can we help each other?

Professor Bruce Arroll
Introduction: Evidence and Magic – How to transform Quality in NZ?

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Alan Hesketh, Deputy Director General Information Systems
Key Directions - eHealth   
Electronic information and interactions connecting people and communities to health services   

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Verna Smith, ACC
Tensions and barriers to enabling quality    
Transforming quality! - There are still some issues to be resolved – Matters arising.

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Sebastian Morgan-Lynch, Office of the Privacy Commissioner
Patient privacy - Sharing information across systems   
IT and privacy, what are the risks/benefits/opportunities for patients? Should they be concerned?   

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Helen Moriarty – GP, Wellington School of Medicine
Electronic guidelines and quality reporting templates
Information and skills for clinical decision making are essential to handle clinical uncertainty, but clinicians must also recognises other cues that drive clinical decision-making.     

View videos Part 1 and Part 2

Chai Chuah, CEO Hutt Valley DHB
eReferrals - Collaboration between primary & secondary care   
Hutt DHB – How primary and secondary care can better collaborate in the care of patients? What are the essential differences in their roles and how can this be put to better use in referral/specialty use decisions?  

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Johna Low
BMJ Learning
The BMJ Group will launch their new clinician decision support tool, BestPractice which integrates Clinical Evidence and Martindale: the Complete Drug Reference.