‘Team Based Care - Connecting Providers to put Clients first’

Hawkes Bay DHB - 2017 HINZ Conference Submission – Digital Health Ideas

1. Introduction

The HBDHB Mental Health Service provides care to 3,000 clients at any one time. Mental Health Service (MHS), range from inpatient through to intensive care, community-based services and community-based case consultation.

While the MHS had moved to the use of an electronic record, the system did not provide the ability to create a living, updatable ‘Assessment’ and ‘Plan’ document leading to many issues:

  • Clients having to repeat their story multiple times
  • Clinicians spending considerable time recreating assessments which were not updatable
  • Multiple documents confusing providers and clients –introducing the potentialfor clinical risk
  • No capacity to audit or generate reports on provider compliance/ carry out analytics on client wellbeing/targets met.

2. Use of technology and/or information

The MHS wanted to develop new plans that were ‘living documents’ to ensure one ‘Assessment’ and one ‘Plan’per client available at the click of a button and to guarantee that all carers were working on the ‘same’ plan.

Whānau Tahi Limited (WTL) was chosen as the provider of choicefor MHS services to be delivered safely and successfully usingits Connected Care platform.

3. Implementation/Processes

MHS engaged consumers/providers to define pathways for the ‘Plans’ to ensure that we met needs of consumers, multiple clinical disciplines and health care providers, along with various treatment settings (e.g. child and adolescent mental health, substance use treatment through to inpatient mental health). This served to gain early ‘buy-in’ as we had developed clinical champions before the plans were developed into electronic forms in collaboration with Whānau Tahi.

4. Conclusion

Significant benefits have emerged from the introduction of the Whānau Tahi solution:

  • Clients have one collaborative (shared care) plan accessible at the click of a button by the multi-disciplinary team members who share care their care delivery across secondary, primary and community care provider organisations.
  • Reduced administration of records means more time for clinicians delivering frontlinecare
  • The full audit functionality means that we can measure our progress at the click of a button and have information available for analysis to improve:
    • health outcomes for our clients
    • financial sustainability of our services

Must do’s

  • Have high expectations and encourage a feeling of excitement about innovation.
  • Be clear about what you want and why and share your vision – using sponsors and champions
  • Engage a vendor as a partner willing to collaborate to do something different