What do we know about high performing systems for people with LTCs?
1. Universal coverage2. Cost not a deterrent at point of use3. Prevention emphasised, not just
treatment4. Emphasis on patient self-management5. Priority to primary health care,
especially multi-disciplinary, nurse-led teamwork
What do we know about high performing systems for people with LTCs?
6. Support is commensurate with clinical risk7. Primary care teams can access specialist
advice easily, day-to-day8. IT is used to enable diverse staff to work
together and to support people at home9. Care is coordinated across health & care for
people with multiple conditions who are at greater risk of hospital admission
What do we know about high performing systems for people with
LTCs?
10.Coherent strategy for 1-9 based on clinical leadership, measuring outcomes, aligned payment incentives and community support
acting at all levels, not necessarily requiring organisational integration
Your Taxpayer’s DollarDistrict Health Board’s are funded by the
Government to provide health and disability services to the people of their district.
Each year the Government allocates money to District Health Boards according to a formula based on population characteristics, for example the number of people who live in rural areas, have low income, or are from disadvantaged groups.
Planning and Funding RoleAssess the population’s health needDetermine the best mix and range of
services to be purchased with the funding available
Fund the majority of health services provided
Ensure services are responsive, coordinated, and focused on what is best for the patient and the system
Planning is influenced by:Health needs of the local populationHealth strategic priorities:
Local: Provider and community input and involvement
Regional: South Island Health Services Plan developed
through South Island Alliance (five SI DHBs)
National: Policy and strategies Health Targets
Changing approachAlliance agreements
Partnership (through close collaboration) approach setting outcome expectations and parameters Allows decisions about how a service can best be provided or where the type of service
SI GM’s Planning & Funding Network
The South Island Planning and Funding Network (SIP&FN) supports regional alliance issues and collaborates on non-alliance issues, including:
strategic planning meeting of government prioritiesstatutory requirementswhole of population funding advice.
In developing and agreeing its advice, the SIP&FN uses a South Island wide perspective and approach, reaching recommendations and where appropriate decisions on a consensus basis that reflect the collective good for the population and for the Alliance.
South Island Alliance
South Island Alliance Programme Office
Strategic Planning and Integration Team
South Island General Manager’s Planning and Funding
South Island Alliance Leadership Team
South Island Alliance Board
South Island Population
Asset Planning
Support Services
Information Services
Quality & Safety
SI Regional Training Hub
Public Health
Health of Older People
Cancer
Child Health
Mental Health Neurosurgery
Stroke
Cardiac
Elective Services
Our Values
South Island Alliance guiding principles
Taking a whole of system approach to make health and social services integrated and sustainable;Focusing on people, their families and communities, keeping them at the centre of everything we do;Enabling clinically-led service development; whileLiving within our means.
Four
4People experience optimalfunctional independence and Quality of Life
Focusing on how people want to live, what they desire and their wishes through better end-of-life care including
better access to Palliative Care and
Advance Care Planning
NGO & Communi
tyCare
Primary Care
Specialist Care
Shared & Coordinated Carethat is Patient-centred