The National Hauora Coalition has been working since early 2010 to develop its whānau ora system as a model for Better, Sooner, More Convenient (BSMC) primary health care. (See also related article: The whānau ora approach to nursing long-term conditions)
The National Hauora Coalition has been working since early 2010 to develop its whānau ora system as a model for Better, Sooner, More Convenient (BSMC) primary health care.
The coalition is currently made up of 59 Māori and iwi health providers serving a third of a million people (331,671) across seven of the 20 district health boards.
Two years down the track, the final version of its long-term conditions programme, Oranga Ki Tua, one of the two key programmes of its initial business case, is just seeking Alliance Leadership Team sign off before going to a national rollout.
In the interim, on July 1 last year, it became a primary health organisation in its own right, with eight of the eleven original PHOs in the Coalition understood to have signed on to the PHO, but large coalition provider Ngati Porou Hauora remains a standalone PHO, and one original member, Te Puna Hauora, has pulled out.
Coalition chief executive Simon Royal says its whānau ora system is embedded in primary health and will be funded by the reconfiguration of existing Vote Health-funded contracts and arrangements.
He says a cornerstone to the coalition being given the health funding flexibility to roll out its whānau ora model was developing an outcomes framework (based on American consultant Mark Friedman’s Results-Based Accountability) to provide evidence that it is making a difference to the families it serves.
Ancillary work has also been underway over the past two years on not only its Oranga Ki Tua and Mama Pepi & Tamariki (mother and well child) programmes, but also workforce development and an IT platform to deliver the programmes and collect outcomes data.
Eight coalition demonstration sites (including Te Kohao Health) have been trialling several whānau ora assessment tools and case management models to identify and help high need families meet their social and health goals.
Rawinia Herewini, the coalition’s whānau ora programme director, says following demonstration site evaluations, it has chosen to work with the tool trialled at Te Kohao, which it has been busy modifying and turning into an electronic tool to roll out to other providers. Following the evaluations, the coalition has also decided not to prescribe whether case managers should be community health workers or nurses or social workers but instead has drawn up set competencies that case managers must meet and will be providing a training programme.
Oranga Ki Tua – long-term conditions programme soon to be launched
Matire Harwood, a GP and clinical lead for the Oranga Ki Tua programme development, says the programme’s aim is to support, educate, and encourage whānau to self-manage their conditions and covers health promotion and prevention right through to disease screening, diagnosis, and management and on to palliative and end-of-life care.
Some of the innovative components developed for Oranga Ki Tua include a health literacy programme, a new programme integrating management of cardiovascular disease, diabetes, and gout, plus an alcohol intervention programme.
Harwood says it was envisaged that a lot of the work was going to be driven and led by nurses and there would be a workforce development programme attached to Oranga Ki Tua.
The coalition is currently made up of 59 Māori and iwi health providers serving a third of a million people (331,671) across seven of the 20 district health boards.
Two years down the track, the final version of its long-term conditions programme, Oranga Ki Tua, one of the two key programmes of its initial business case, is just seeking Alliance Leadership Team sign off before going to a national rollout.
In the interim, on July 1 last year, it became a primary health organisation in its own right, with eight of the eleven original PHOs in the Coalition understood to have signed on to the PHO, but large coalition provider Ngati Porou Hauora remains a standalone PHO, and one original member, Te Puna Hauora, has pulled out.
Coalition chief executive Simon Royal says its whānau ora system is embedded in primary health and will be funded by the reconfiguration of existing Vote Health-funded contracts and arrangements.
He says a cornerstone to the coalition being given the health funding flexibility to roll out its whānau ora model was developing an outcomes framework (based on American consultant Mark Friedman’s Results-Based Accountability) to provide evidence that it is making a difference to the families it serves.
Ancillary work has also been underway over the past two years on not only its Oranga Ki Tua and Mama Pepi & Tamariki (mother and well child) programmes, but also workforce development and an IT platform to deliver the programmes and collect outcomes data.
Eight coalition demonstration sites (including Te Kohao Health) have been trialling several whānau ora assessment tools and case management models to identify and help high need families meet their social and health goals.
Rawinia Herewini, the coalition’s whānau ora programme director, says following demonstration site evaluations, it has chosen to work with the tool trialled at Te Kohao, which it has been busy modifying and turning into an electronic tool to roll out to other providers. Following the evaluations, the coalition has also decided not to prescribe whether case managers should be community health workers or nurses or social workers but instead has drawn up set competencies that case managers must meet and will be providing a training programme.
Oranga Ki Tua – long-term conditions programme soon to be launched
Matire Harwood, a GP and clinical lead for the Oranga Ki Tua programme development, says the programme’s aim is to support, educate, and encourage whānau to self-manage their conditions and covers health promotion and prevention right through to disease screening, diagnosis, and management and on to palliative and end-of-life care.
Some of the innovative components developed for Oranga Ki Tua include a health literacy programme, a new programme integrating management of cardiovascular disease, diabetes, and gout, plus an alcohol intervention programme.
Harwood says it was envisaged that a lot of the work was going to be driven and led by nurses and there would be a workforce development programme attached to Oranga Ki Tua.
