Minutes Programme Board – Patient and Whaanau Centred Care held 10.00 – 12.00 on 14 December 2012 in Ko Awatea, Middlemore Present Denise Kivell (Co‐Chair, Director Nursing) Mary Seddon (Clinical Director, Quality Impr.) Rosalie Glynn (community panel) Suzanne Takiwa (Comms Manager) Ian Kaihe‐Wetting (Māori responsiveness) Salin Reji (Consumer engagement co‐ordinator) Poutoa Papali’i (community panel) Willem Landman Snr (Palliative Care Physician) Soli Henare (Community Liaison Mgr) Margie Apa (Co‐Chair, GM Strategic Dev) Martine Abel (community panel) Katie Latimer (Programme Manager) Bernard Te Paa (GM Māori Health) Arrived 10.26 Sue Cotton (Mental Health) Arrived 10.26 Apologies Greg Simpson (GM Facilities) Alex Twigg (Centre Quality Improvement) Renee Bambery (Patient rep) Sarah Gray (Quality Improvement) David Grayson (Clinical Lead 20,000 Days) Lisa Gestro (Grp Mgr Service Development) Janet Anderson‐Bidois (Senior Legal Advisor) Elizabeth Powell (GM Pacific Health) Penny Impey (Clinical Nurse Director) Brigid Mills (Legal Advisor) Agenda 1 Item Previous minutes Minutes approved. The previous minutes have not yet been loaded onto PWCC website under Achieving a Balance. This Executable Strategy is of great interest to the public, so they should be able to view the minutes. Criticism of the Achieving a Balance link on SouthNet – not easy to see and little information on what it is. Previous action points Whakatauki Ian has been in contact with Henare Mason who is happy for the whakatauki in the Whaanau Ora Plan to be re‐vitalised in the English version. Ian has also sent the whakatauki to Te Reo experts for their feedback. Health Passport (HP) Katie has been in contact with Samantha Dalwood at Waitemata DHB who implemented the HP, to get her perspective on things and hear some of the lessons learned. Katie has discussed with Martin Chadwick and CMDHB DiSAC unlikely to be in a position to implement HP. The programme board indicated they would like to support the disability sector in implementing the HP, but perhaps not lead the implementation, as implementation should sit in the primary sector with NGOs. The DHB has a responsibility however to ensure our staff are aware of the HP and that they know how to use it. Denise asked that we find out whether the HDC have investigated development of an e‐learning tool to aid implementation, and if not, whether the HDC would be interested in funding the development of an e‐tool with CMDHB. Denise will liaise with ADHB to see what their intentions are with Page 1 Actions Katie Denise and Suzanne Ian Soli Katie Minutes 2 3 Page 2 respect to HP implementation and see whether we can join forces as the disability agencies are likely to be the same. There is a risk that the organisation isn’t prepared for go‐live of HP and that staff training isn’t complete, but this can be overcome through careful planning. AI2DET Rosalie yet to advise Ian of her recent experience. Patient survey and engagement portal Paper from Centre for Quality Improvement went to ELT for discussion. ELT advised that funding is required for implementation. The earmarked capital may have been spent already. Blueprint Complete Programme Benefits and Measurement Katie presented an abbreviated version of the AaB Driver diagram as it related to the PWCC programme. The “benefits” detailed in this diagram are a mixture of benefits, outcomes and outputs. Comment was invited from the Programme Board on the “benefits”. Wording around a reduction in complaints was not supported by the board – increased patient and whaanau feedback was preferred. Katie presented a draft benefits map for discussion. Considerable dialogue followed, with agreement by the board that the top 3 benefits measured by the programme would be: 1. Patient satisfaction 2. Engagement with patients and whaanau which is meaningful and makes a difference 3. Whaanau as partners in care Patient satisfaction will be measured through the use of a specific question in the feedback survey How to measure meaningful engagement which makes a difference needs to be considered further. Measurement of how whaanau are recognised as partners in care also requires further work. Mary commented that the IPFCC has a document which explains how partners in care can be measured. These three benefits will be used to test new proposed initiatives against so the board can understand how they contribute to the desired outcomes and if the initiative is given approval to proceed. Way finding and Signage Presentation Isobel Gabites and Jenny Pooley presented their paper and a short powerpoint presentation to the Programme Board. The Wayfinding group has been in existence since 2011 and their focus has been wayfinding from home to the organisation and within the organisation. The focus has also been on MMH, but the principles can be applied across all sites. The aim is to “de‐clutter” signage and minimise acronyms and long phrases. Some of the letters cannot be changed Denise Rosalie Denise and Salin Minutes 4 5. 6. 7. because the name of the area is driven by ADHB systems, but there are other instances where the signs can be changed, even though that may not be reflected in the letter. Multiple maps have been developed, which is not ideal, but this needs to be balanced with the changing campus environment and layout. The Programme Board supported the paper Jenny presented, and will continue to support the group where/when required. The ward signage and way finding information will be launched during the week of 4‐8 March. A decision needs to be made re: who is the naming of clinical areas for; staff or patients/whaanau/visitors? The programme board are comfortable with the principles outlined in Jenny’s paper and will work through the exceptions as they come up on a case by case basis. Regarding correct terminology from a Maaori perspective, Ian and Bernard are happy to ask their teams to review wording and return feedback within 24‐48 hours. Highlight reports Circulated prior to meeting for review by Programme Board. Not discussed in detail due to time constraints. Standing items Communications: Suzanne presented a draft communications brief. A week by week communications plan for the re‐visiting visiting project needs to be developed, to include internal and external stakeholders. Options for community engagement need to be costed and considered – advertisement in paper, noticeboards, online, churches and marae. The 2‐3 key messages that need to be communicated at every opportunity need to be included in communications brief. Revisiting Visiting First planning meeting to be held on 19th December with a wide range of internal stakeholders. Next meeting 30th January 2013, 1‐3pm, Ko Awatea room 101. Meeting closed at 12.00pm Suzanne Denise Action points Name Katie Denise and Suzanne Action Re‐send minutes for publishing to PWCC website Discuss visibility of AaB link on SouthNet Timeframe 7 January 2013 30 January 2013 Ian Whakatauki update at next Programme Board meeting 30 January 2013 Soli 30 January 2013 Katie Discuss with the Disability agencies in the area and gauge their appetite for implementation of HP Liaise with Elizabeth Finn re: e‐learning tool Denise Liaise with ADHB re: HP implementation 30 December 2012 30 January 2013 Rosalie Provide update to Ian re: recent experience 30 January 2013 Denise and Salin Discuss funding for survey and portal 30 January 2013 Page 3 Minutes Katie Attach programme risks and issues log to agenda 30 January 2013 Suzanne Further development of Communications brief 30 January 2013 Denise Update on Revisiting Visiting 30 January 2013 Page 4