Learning session two

Whakakotahi 2019 programme – learning session two

Nine primary care teams involved in the 2019 Whakakotahi quality improvement programme met in Auckland on 1 October 2019 for their second learning session.

The sessions are an opportunity for teams to share their learnings and take part in workshops throughout the day focusing on equity, consumer engagement and integration. Consumers involved in each project also attended, with the aim of reminding teams to put consumers at the centre of their work.

The day was chaired by Whakakotahi clinical lead, Dr John Wellingham.

Adele Small and Renee Smith-Apanui from Te Tihi o Ruahine Whānau Ora Alliance presented on collective impact – the benefits of working in a collaborative rather than isolated manner, how it ties into and aligns with whānau ora principles and gave some examples of Te Tihi’s work within this framework, including the positive impact it has on consumers. Jane Cullen, quality improvement advisor at the Commission, had the teams thinking about integrated systems – how different parts of the system might communicate with one another and how that might look from a consumer perspective.

The teams had an opportunity to present their work to the wider group, including how the projects are progressing, what they think has worked well, lessons they’ve learned and what they’ve found challenging.

After lunch the teams split into two groups. A workshop led by Dr Chris Walsh, director of Partners in Care at the Commission, focused on establishing true partnerships with consumers. The other group looked at equity measures with Ying Li, senior analyst in the Commission’s health quality intelligence team, showing how their data could be presented in a useful way. She also shared examples of how the Commission is currently working with equity data. Kim Dougall quality improvement advisor at the Commission, presented on how unwarranted variation in access and quality of care can signal inequity, and ways to measure the impact of improvement on equity.

Teams thoroughly enjoyed the session and having consumers present added relevance to their work. A third and final learning session will be held in March 2020.

The Commission will continue to work with the teams to support their projects and their improvement journey.

Below is a selection of the presentations from the project teams:

• South City Health eczema project (1.7MB, pdf)
• Taumarunui Community Kokiri Trust he mate huka oranga (4.5MB, pdf)
• Improving wellbeing for 0–4-year-old Māori children enrolled with Hauora Heretaunga suffering physically and emotionally with eczema (3.2MB, PDF)
• Lack of timely and safe access to medicines at the Te Whānauā Apanui Community Health Centre (8.1MB, pdf)
• Diabetics on maximum oral doses resistant to insulin initiation need to commence insulin uptake (2.97MB, pdf)
• A consumer-centred approach to improving patients’ diabetes control (1.5MB, pdf)
• Improving access to health care for patients on opioid substitution treatment at Victory Square Pharmacy (3.4MB, pdf)
• Improving quality of life in Māori patients with poorly managed gout registered at Hora te Pai health centre in the Kāpiti Coast (1.25MB, pdf)
• Breath-taking asthma management for men at Mt Eden Corrections Facility (1.6MB, pdf)