The individual and whānau experience is fundamentally important. People in our communities have different levels of privilege and therefore different levels of ability to access the health care they need. We recognise different approaches are needed to ensure equitable health outcomes for all.
Focusing on equity within your practice is a priority. Here are a range of options you can consider and consult in pursuing equity for your patient patient population.
There are a number of clinical dashboards available including flu, diabetes, CVD and the respiratory dashboard. Further dashboards will be developed in the future.
All clinical dashboards will give you practical outcomes for individual patients and populations, and in particular, support pro-equity activity. The dashboards make identifying gaps and reaching out to patients easy.
As the dashboards contain identifiable patient information, we need to make sure we can audit access of this data. Access will therefore only be given to named users in your practice.
Pinnacle will cover Power BI licence costs for three users per practice, we strongly recommend one licence is held by a lead nurse, one by a medical lead and a third by a key administrator. Practice managers will manage the allocation of their licences and will be the contact point with Sam Yean, practice support administrator, who manages licence access for Pinnacle.
Please note that these dashboards are only available for practices using Indici, Medtech 32 or Medtech Evolution.
For support with using the dashboards see our Power BI dashboards resource page which includes training resources on how to use Power BI and the dashboards.
Without equity, there is no quality. This is why we have an overall focus on equity throughout the quality plan, with the points weighted heavily to your high needs population. This acknowledges the amount of work required and the current inequity in health outcomes within the New Zealand population.
Within the quality plan is an equity project which is worth 18 points (nearly 20 per cent of the funding). This is a project you set for your practice. We give you some guidelines and ideas, but it is up to you as to what you do. You can incorporate activities you already do as part of other programmes such as the equity module in Cornerstone.
The College’s Foundation Standard programme represents a collection of legislative, regulatory and clinical requirements for all general practices in Aotearoa New Zealand. It represents a nationally consistent benchmark by which a practice can measure its current quality of care and progress toward health equity outcomes.
Completing the modules inspires a higher quality of care while also helping to align practices with the expectations of the Health and Disability Reform.
While equity features throughout the Foundation Standards, a particular focus is found in Indicator 3: Rights and health needs of Māori.
A key feature of evidence required to meet this indicator is a Māori health plan for your practices. Excellent advice is given for this plan in the guidance section for this indicator on the College’s website.
The Cornerstone Equity module builds upon the equity work completed in the Foundation Standard and provides the next set of steps toward delivering sustainable health equity outcomes.
The Equity module focuses on four areas where pro-equity elements need to be developed in order to achieve equitable health outcomes across general practices.
LearnOnline is a vocational training resource hub for New Zealand’s community of health practitioners, providing a collaborative approach to educational resources for the health sector. There is a growing number of courses available provided by different organisations for health workers either studying or working in different fields of practice.
LearnOnline offers the following courses
Access the full LearnOnline course catalogue here.
Mauriora Associates is committed to improving Māori health equity through training the Aotearoa New Zealand health workforce.
They have two courses on offer.
There are various people within Pinnacle and beyond who can support you with your equity commitment, depending on your focus. Talk to your Development Manager or District Lead in the first instance.
Over the past few months we have been developing the Pinnacle Group strategy by doing a lot of listening, both within the Pinnacle network and also with other providers, agencies and iwi.
Read moreGPNZ has commissioned a piece of research through Otago University looking at unmet need (UMN) in primary care. The research will be a mixed quantitative and qualitative primary data collection study through a case study approach, focusing on counting the occurrences of UMN, and gathering in-depth insights into patients presenting with UMN at practices, practice responses, and management patterns. GPNZ is accepting practice self-nominations.
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