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Mixed results for MidCentral DHB in national health targets

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22/02/2017

​Over the 1 October to 31 December 2016 quarter, MidCentral District Health Board exceeded its target for increased access to elective surgery, met the national target for increased immunisation and made good progress towards achieving the new “raising healthy kids” target. 

Our performance against the new health target– raising healthy kids – has shown a significant improvement over the previous quarter – from 66 percent in the first quarter to 89 percent in the most recent quarter.
MDHB Chief Executive Kathryn Cook said: “While it is pleasing to see the great work in three key priority areas there is still more to do in the other three priority areas. We continue to work on achieving the “faster cancer treatment” target, the “shorter stays in Emergency Department” target, and the providing “better help for smokers in primary health” target.

 
We have a number of initiatives underway to assist us in meeting the faster cancer treatment target, including: a new cancer nurse coordinator role, a “one-stop shop” clinic, reserved CT spaces for head and neck patients, and better, more targeted patient information.
Despite the busy summer period, especially in December, MDHB achieved 93 percent of all patients being admitted, discharged or transferred from the Emergency Department within six hours, just below the national target of 95 percent. 
 
Our result for providing better help for primary health care patients to quit smoking reduced slightly for the period, but there is on-going work with the Central Primary Health Organisation to help meet the target.  MDHB managed 84 percent of enrolled patients being offered advice and help to quit, compared with the previous 87 percent last quarter.
Results for all 20 DHBs were released yesterday.  A summary of our results for this quarter (October to December) across all the national health targets is provided below.
 
Remains below the 95 percent target. Of the 10,842 total attendances over the quarter, 10,039 (93%) had shorter stays in the ED – a small improvement on the low result in quarter one.  There was an unusually high number of attendances during December – 3788, nearly 300 more than in November and almost 200 more than December 2015. The national average result this quarter was 94 percent.
 
MDHB continued to exceed the 100 percent target year-to-date.  So far 107% (4307) of 4034 planned elective and arranged surgical discharges have been achieved year to date; 55% of annual target volume. The national average was 103 percent.

For the six month period to end of December, 90 (81%) of the 111 eligible patients with a high suspicion of cancer received their first cancer treatment (or other management) within 62 days – remaining below target, but it was an improved result relative to the six-month period ending September 2016 (77%). The national average was 82 percent.
 
MDHB continues to achieve target for the total population group – that 95 percent of eight month olds have their primary course of immunisation at six weeks, three months and five months, on time.  95% (a total of 474) of 499 eligible infants were fully immunised by their milestone age this quarter. The national average was 93 percent.
Results for Māori infants were just short of target by two infants being fully immunised on time. 
 
The primary target for PHO enrolled patients who smoke being offered help to quit smoking remains below target; there was just over a 2 percentage point reduction in the result over this quarter ending December 2016.  Of the 21,949 adults identified as current smokers, 18,536 (84%) were recorded as having been offered advice to quit in the last 15 months. The national average was 86 percent.
 
(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.)
 
This is the second quarter that the raising healthy kids target has been publicly reported as a national health target.  The target is that by December 2017, 95 percent of obese children identified in the Before School Check (B4SC) programme will be offered a referral to a health professional for clinical assessment and family based nutrition, activity and lifestyle interventions.
 
Strong progress continued toward achieving the target by the year’s end.  Of the 97 children who had a completed B4 School health check over the six months ending November 2016, 86 (89%) were offered a referral.  
 
The national result for this quarter was 72 percent.
 
For more details and FAQs about the Health Targets go to: www.health.govt.nz/healthtargets and the 'MyDHB' website.
 
Contact: Communications Unit (06) 350-8945

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