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Improved results for MidCentral DHB in most of the national health targets

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22/08/2017
By the end of 30 June 2017, MidCentral District Health Board exceeded its annual target for improved access to elective surgery, achieved target in offering help for smokers to quit in primary care, improved its result for faster cancer treatment and for

the “raising healthy kids” health target.

MDHB Chief Executive Kathryn Cook said: “We are pleased with our improved performance results over this quarter – not only ensuring that more people in our district received their planned surgery, but also that more eligible people were receiving faster cancer treatment and more primary care patients were offered help to quit smoking.  We are also making good progress toward the health target for offering referrals to families of children who are identified as obese. We are disappointed with our shorter stays in the Emergency Department target but are committed to on-going improvement strategies like reviewing theatre use, and the better management of acute care in the community and the flow of patients to ED and back to the community. We continue to work with families to further improve our infant immunisation coverage rate.”

Results for all 20 DHBs were released today.  A summary of our results for this quarter (April to June 2017) across all the national health targets is provided below.

Over April to June quarter, there were 10,435 total attendances at Palmerston North Hospital’s Emergency Department (ED) – much the same as last quarter (10,425).  Of the total number of attendances, 9191 (88 percent) were admitted, transferred or discharged from ED within six hours. This was well below the expected national target of 95 percent having shorter stays in Emergency Departments.  On average 1073 (30.8 percent) of the attendances each month resulted in an admission to an inpatient ward over this quarter – 137 more than over the January - March quarter (29.6 percent of attendances) reflecting the higher health care needs of those who attended the ED over this quarter.  The national result for shorter stays this quarter reduced to 93 percent (94 percent last quarter) with an additional 5853 ED presentations across all DHBs.

Over the 12 months to the end of June 8281 residents of MidCentral’s district had been discharged from hospital following their elective or arranged surgery – 404 more than the 7877 originally planned number of surgical discharges, and exceeding the 100 percent target by just over 5 percent. There were 204,035 elective surgical discharges across all DHBs by the end June – six percent above the full year plan (192,237).
 
For the six month period to the end of June, 64 (83 percent) of the 77 eligible patients with a high suspicion of cancer received their first cancer treatment (or other management) within 62 days – closer to target (85 percent), and an improved result compared to the previous six-month period ending December 2016 (81 percent).  The improved results reflect the work to improve the triage process with key specialties such as surgery to ensure all eligible patients are included in the cancer treatment pathway.  The national average was 81 percent.
 
The proportion of eligible eight month old infants that were fully immunised by their milestone age stayed the same at 93 percent this quarter.  Of the 556 eligible infants between April and June 2017, 515 had had their full primary course of immunisation on time. The number of parents or caregivers decline or miss at least one of the three vaccinations for their infant, or opt off having immunisation data included on the National Immunisation Register seems to be increasing - 41 in total over this quarter (36 last quarter).  While the immunisation team was also involved with the influenza vaccination campaign over this quarter, it is looking at other ways and means of ensuring families have the right information to enable informed consent and support them to reduce the potential for vaccine-preventable diseases occurring in our community. The national average this quarter was also retained, at 92 percent.

The proportion of patients enrolled with the Central Primary Health Organisation (CPHO) who have been offered help to quit smoking over the past 15 months again increased this quarter to 90 percent (number was 19,930) of 22,193 current smokers – achieving target for the first time.  Central PHO works closely with General Practice Teams, Community Pharmacies, Midwives, Te Ohu Auahi Mutanga (a smoking cessation service) and others to ensure the appropriate advice and range of opportunities to support people to quit smoking are being offered and followed up.

(Note the better help for smokers to quit hospital target result is no longer being reported as a national health target. Results will still be available on the Ministry’s website, along with the maternity target result, which is not published in the chart below).

MidCentral continues to improve the proportion of four-year-old children and their family/caregiver that are offered professional support to reduce childhood obesity.  We are making steady progress toward the health target that by December 2017, 95 percent of children identified as obese in the Before School (health) Check programme will be offered a referral to a health professional for clinical assessment and family-based nutrition, activity and lifestyle interventions.  Over this latest six month period from December 2016 to May 2017, 92 percent (number was 82) of the 89 children identified as obese were offered this type of support – an increase of three percentage points for both Māori (to 94 percent of 36 children) and non-Māori (91 percent of 53 children) relative to the previous six-month period ending November 2016. We are continuing to focus our efforts on having “healthy conversations” with families to support a reduction in childhood obesity.
The national result for this period increased to 91 percent.
 
 
For more details and FAQs about the Health Targets go to: www.health.govt.nz/healthtargets and the 'MyDHB' website. The latest health target results for all DHBs are shown in the following chart.
 HT_Q4-MidCentral.jpg


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