NCHIP Learnings and Collaborations
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Bronwen Warren, Midlands Health Network, HiNZ 2015 Conference, Christchurch
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NCHIP Learnings and Collaborations
- 1. NCHIP Learnings and Collaborations 21 October 2015
- 2. 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
- 3. Birth event Nominate GP and WCTO provider, for enrolment Newborn Check Well Child assessment Metabolic screening Hearing screening Transfer of care (to GP & WCTO) Well Child assessments Imms Oral Health assessments Early Childhood education enrolment B4School check Multiple, provider-centric view of milestones LMC Maternity systems WCTO GP, NIR Oral Health B4SCHearing team Service view/capture of data
- 4. 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
- 5. Birth event Nominate GP and WCTO provider, for enrolment Newborn Check Well Child assessment Metabolic screening Hearing screening Transfer of care (to GP & WCTO) Well Child assessments Imms Oral Health assessments Early Childhood education enrolment B4School check Collects data from multiple sources Displays data in one place Single, integrated child-centric view of milestones NCHIP view of data
- 6. Midwife’s checks Metabolic Screening Results Newborn screening results Transfer of care to WCP and GP Immunisations Oral health checks Milestone Status Tracked
- 7. LMCs GPs Well Child/Tamariki Ora Oral Health Shared view…
- 8. 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)
- 9. 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
- 10. Getting to grips with reporting
- 12. Imms – tracking by PHO
- 13. Children who missed 6 week imm – by LMC
- 14. Timing
- 15. Children who missed 6 week imms – did they receive 4-6 week well child provider check? YESNO
- 16. 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
- 17. 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
- 18. NCHIP Roll out Waikato November 2014 Tairawhiti November 2015 Taranaki January 2016 Lakes March 2016
- 19. Questions?
Hinweis der Redaktion
- NCHIP In brief: there are 30,000+ children in the system, opt-offs are low (lower than NIR), milestone data is flowing into the system, MCIS integration is being planned for, over a 1000 electronic transfers of care have been completed, children are being linked to GPs when declined or identified as needing a GP, children are being linked to Oral health, children missing out on Newborn screening and metabolic screening are being helped.
- All children captured at birth by Midwife or birth centre or automated processes Nomination goes to: General Practice Well Child / Tamariki Ora provider Secondary care – Oral health, NIR Cutting out 4-5 paper forms or processes Experience so far has shown for well child providers they are suddenly more aware of children nominated to them, reducing self referral (by the parents) and identifying kids which they normally wouldn’t know about.
- All providers around the child now have access to multi milestone status, know who to talk to about them Can complete an electronic transfer of care direct to the GP and WCP
- 30,911 total kids in the system