nchip learnings and collaborations
TRANSCRIPT
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NCHIP Learnings and Collaborations
21 October 2015
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No Child Left Behind?In the Waikato• 20% of six week immunisations not achieved on time• 37% of children under 6 not enrolled with Oral health
• 30% of children not enrolled with GP at 3 months
• Nationally, 50,000 immunisations not given in 2014
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Birth event
Nominate GP and WCTO
provider, for
enrolment
Newborn Check
Well Child assessmen
t
Metabolic screenin
g
Hearing screenin
g
Transfer of care (to GP & WCTO)
Well Child assessment
sImms Oral Health
assessments
Early Childhoo
d educatio
n enrolmen
t
B4School check
Multiple, provider-centric view of milestones
LMC Maternity systems
WCTO
GP, NIR
Oral Health
B4SCHearing team
Service view/capture of data
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What is NCHIP and CHCS?
- Ensure children are enrolled with providers - Ensure children are receiving health checks/milestones- Support providers to find ‘missing children’- Support families to connect with providers
- Register newborns and children- Collate milestone data from provider systems- Create shared view of children, and their
• Chosen providers• Health milestone status
- Generate ‘red flag’ prompts for follow-up
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Birth event
Nominate GP and
WCTO
provider, for
enrolment
Newborn
Check
Well Child assessme
nt
Metabolic screening
Hearing
screening
Transfer of care (to
GP & WCT
O)
Well Child assessments
Imms
Oral Healt
h assessments
Early Childhood education enrolment
B4School chec
k
Collects data from multiple sources Displays data in one place
Single, integrated child-centric view of milestones
NCHIP view of data
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Midwife’s checks
Metabolic Screening Results
Newborn screening results
Transfer of care to WCP and GP
ImmunisationsOral health checks
Milestone Status Tracked
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LMCs
GPsWell Child/Tamariki Ora
Oral HealthShared view…
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No Child Left Behind - new capability introduced
• Providers can identify and check with other providers• Providers able to check child’s track record and milestone status• Ability to assess risk & calibrate response
• missed one milestone with one provider - low risk• missed several milestones across different providers - different story
• Support to find missing children (incl. access to MSD and MoE)
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Ensuring provider connections:• 4,000+ newborns plus 27,000 under 6 year olds
• Connected 300+ newborns with GPs (10-12 per week)• Connecting newborns with a well child provider • Identified 60+ newborns without metabolic screening results• Identified 70+ newborns missing from Newborn hearing screening• Identified 6,000+ children missing from Oral health service
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Getting to grips with reporting
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Milestones by PHO
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Imms – tracking by PHO
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Children who missed 6 week imm – by LMC
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Timing
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Children who missed6 week imms – did they receive 4-6 week wellchild provider check?
YESNO
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Tracking upstream/downstream influence
LMC 4-6 week Well Child Referrals (Transfer of Care) to GP, WCTO
• 20% of referrals not completed
• Referral completed 77% achieved 6w immunisation• No referral 65% achieved 6w immunisation
= 12 percentage point difference
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Moving forward
• Improve/extend diagnostics and reporting
• Promote/foster utilisation by practices and outreach imms– monitor other providers/recent checks– CHCS support for ‘missing’ children
• Interface with planned maternity (MCIS) and oral health (Titanium) systems
• Aligning CHCS, NIR, Outreach Imms, B4School service
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NCHIP Roll out
WaikatoNovember
2014
Tairawhiti November
2015
Taranaki January
2016
Lakes March 2016
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Questions?