Canterbury dhb ceo update monday 27 july 2015

CEO Update Monday 27 July 2015

Canterbury Health System bags four Institute of Public Administration New Zealand (IPANZ) awards It was a great night in Wellington last Tuesday when our health system won four IPANZ awards. The competition was stiff with entry open to all other government-funded agencies and Ministries.

It was a thrill to recieve the awards together with Sir John Hansen, Chair of the Canterbury Clinical Network. We accepted the awards on behalf of everyone working in the Canterbury Health System. We had no idea we were in the running to win these awards as finalists were only announced on the night. Thank you to everyone in our health system who works so hard, every day, for Canterbury people.

To win four out of a total of ten awards speaks volumes about the calibre of people we have working in our health system.

I’m absolutely thrilled to see so many aspects of our work being independently judged as outstanding.

Our Canterbury vision is of a connected health system, delivered through cross-system alliances and partnerships, with people at the centre of everything we do. Our success together as a whole health system shows we are getting closer to that vision every day, despite the ongoing legacy of the earthquakes and the challenge of ever tighter budgets.

The icing on the cake was the Canterbury Clinical Network receiving the Prime Minister’s award for Public Sector excellence.

For the Canterbury Clinical Network to win this award is remarkable, and a fitting tribute to everyone involved.

The Canterbury Clinical Network (CCN) is an alliance with nine partner agencies, and I would like to extend my thanks and congratulations to you all.

Our CCN partners are: Pegasus, Rural Canterbury PHO, Christchurch PHO, Nurse Maude Association, Healthcare NZ, Access Home Health, Canterbury Community Pharmacy Group and the Christchurch Radiology Group.

Here’s a full list of our Public Sector Excellence Awards:

»»The Treasury Award for Excellence in Improving Public Value through Business Transformation - the Canterbury Clinical Network which has led the transformation of health services through their patient-centric, clinically-led alliance approach. ›› Article continues on page 2

In this issue »» Recent Canterbury Health System highlights...page 3.

»» Canterbury Grand Round...page 5.

»» Early positive feedback from MoH certification audit...page 5.

»» Kaikoura’s Integrated Family Health Centre...page 8.

»» Facilities fast facts...page 7.

»» Students awarded Pegasus Health Scholarships...page 9. »» Pharmacy Award finalists announced... page 10.

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CEO Update ›› Article continued from page 1

»» The State Services Commission and Leadership Development Centre Award for Improving Performance through Leadership Excellence - the Canterbury Health System’s ‘8’ programmes, Xcelr8, Collabor8 and Particip8 which develops leaders across the Canterbury Health System was a joint winner with the Department of Internal Affairs. »» The Victoria University of Wellington School of Government Award for Excellence in Public Sector Engagement the ‘Heading to hospital - Plan your trip!’ campaign to inform Cantabrians about the closure of onsite parking at Christchurch Hospital, and the establishment of a new Park & Ride scheme. »» The overall award open to all category winners, The Prime Minister’s award for Public Sector Excellence - was won by the Canterbury Health System’s Canterbury Clinical Network.

Everyone working in the Canterbury Health System can feel proud of a job well done.

Winning these awards provides further independent validation that we are on the right track with the transformational changes in progress.

A whole of system approach through a more integrated way of working is certainly working for the people of Canterbury.

David Meates

CEO Canterbury District Health Board

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A list of recent Canterbury Health System highlights The benefits of supporting people to stay well in the community. »» Achieved the lowest ED attendance rate in Australasia. »» 30 per cent fewer acute medical admissions than the New Zealand average. »» Reduction in the proportion of people over 65 who are attending our ED, from a high of about 27 per cent of our population over 65 attending EDs, now we are down to 22 per cent of our population over 65 attending EDs because they are getting their care without needing an emergency department attendance. »» Our falls prevention strategies are contributing to a reduction in harm from falls in the elderly population. In the 2011-2012 year we achieved a 42% reduction in serious harm falls in our hospitals compared to the 2010-2011 year. »» Since February 2012 (compared with outcomes expected based on previous trends for over 75s); »» 1083 fewer people with falls presented to ED »» 373 fewer than expected admissions for hip fractures »» This has saved about 27 hospital beds each year »» Compared with previous trends, there are 86 fewer deaths at 180 days post discharge after treatment for a fractured neck of femur (hip) »» The reduction in hospital beds is approximately one ward reduction each year i.e. about $6.8M with a net saving over three years of $18M.

»» Supporting people in their own homes means 400 fewer people in residential aged care compared to 2006, and a 13 month decrease in the average time spent in aged residential care. »» Increased access to elective surgery by 43 per cent. »» Have not had to increase the number of beds that we need in our hospital, despite a population increase of about 70,000 in the last 6 years. »» Our acute admission rates are 30% below national rates.

If we admitted at the same rate as the rest of the country there would be 127,000 more people in hospital. »» Last year alone over 30,000 people who would previously have been admitted to hospital received treatment and care in the community. »» Despite significant increases in demand for mental health services post-quake, services, including general practice teams have stepped up and met the demand, with an increased range of community-based mental health services.

Key to improving the patient experience and reducing wastage is the provision of reliable, real time information HealthPathways: Developed in Canterbury in 2008, HealthPathways is now spreading rapidly throughout New Zealand and Australia, and is starting to be introduced further afield.

HealthPathways is a clinically designed tool which helps ensure timely, consistent and equitable treatment and access to health care by mapping out a pathway for a patient with a specific condition. This includes when and which diagnostic tests should be done, which medication should be prescribed – and when, and importantly, which patients should be treated in primary care and the type of patient who should be referred to secondary care.

HealthPathways are frequently updated, shortening the lag between new evidence emerging and putting it into practice.

It is always up to date and viewed by Canterbury clinicians 1.3 million times each year.

»» HealthInfo HealthInfo is an easy-to-use, health reference website specially created by Canterbury health professionals using local knowledge and with the needs of the local community in mind. It contains trusted and reliable information about many conditions and diseases to help people look after their own health. »» eMeds eMeds is short for the electronic Medicines Management Programme. eMeds is made up of various projects, all focused on improving safety for patients and staff by reducing medication errors.

›› Article continues from page 4

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»» HealthOne Developed so authorised GPs, pharmacists, community nurses and hospital specialists can quickly access the relevant parts of their patients’ health records. It’s giving care professionals across settings access to a more complete picture and case history of a patient allowing better, faster decisions to be made. »» SI PICS (South Island Patient Information Care System) There are currently seven different patient management systems in use in South Island DHBs. The South Island Patient Information Care System will replace and consolidate a number of those patient management system, streamlining processes such as registration when you’re being admitted to hospital, referrals, waiting list booking and scheduling, reporting and business intelligence, discharge and more. It will support better patient care, improve safety and lead to more consistent care across the region. »» Electronic Request Management System (ERMS) ERMS is an electronic referral tool developed in Canterbury to improve the way general practices make requests for specialist advice and referred services across both public and private sectors. It handles around 22,600 requests a month at the moment, every one of which facilitates a faster, safer patient experience. »» Online health dashboards Online health dashboards are making key issues more visible and able to be managed. The dashboards are also displayed in the new operations centre and are reviewed and issues addressed as part of broader hospital flow and resource management.

»» Leadership development programmes Health professionals are guiding the transformation of our health system through identifying areas where improvements can be made and leading the design of the solutions via our leadership development programmes (Xcelr8, Particip8 and Collabor8). »» Collaboration and alliancing Collaboration and alliancing are the way we work, and we have implemented dozens of innovative ideas to make it better for patients. »» Canterbury Clinical Network The Canterbury Clinical Network is the broadest health alliance in New Zealand with nine partner organisations and whole of system engagement. Since 2009, CCN has developed new service delivery models, funding and contracting mechanisms that are based on principles of high trust, low bureaucracy, openness and transparency.

International acclaim A report by highly-regarded British health authority, The King’s Fund, about the Canterbury Health System numbers Canterbury as one of only a handful of high-performing health systems in the world. »» “It’s one thing to advocate the idea of integrated care but quite another to make it work in practice − as Canterbury District Health Board has.” Chris Ham, chief executive of The King’s Fund »» “Canterbury are making real inroads into lack of productivity in the [health] system.” Malcolm Grant, Chairperson, National Health Service.

Dry July raffles The Christchurch Campus Dry July raffle has closed today - results will be published in next week’s update and on our Dry July webpage .

The Dry July raffle at TPMH closes this Friday 31 July. Three beautiful baskets of goodies to win for just $2 a ticket. Main reception is selling the tickets.

If you are at Hillmorton, catch up with Elsie Roder to get a ticket.

Check out our Dry July webpage for photos and full list of prizes. If you can’t get your hands on a raffle ticket you can still donate to the CDHB and Christchurch Hospital team or someone else supporting our campaign.

The CDHB Education Fair 2015 is here!

Check it out now to see what is available, hear from others who are already enjoying the benefits of their development and have fun exploring and connecting.

We look forward to hearing all about your next move.

Click here for the CDHB Education Fair Click here for post-graduate nursing information sessions If you have any questions, please contact the Learning and Development team.

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CEO Update

Early positive feedback from the MoH Certification audit The Ministry of Health Certification audit has now been completed and a very positive verbal report from the audit team was shared with us last Thursday. I am delighted to say they very much appreciated our preparation, our willingness to provide information, and our hospitality.

Some standout comments from the audit team included: »» Acknowledgement of the ongoing challenges presented by the rebuild and by our post-quake environment. They also took time to remark on the effects that continues to have on staff, and said that they were quite humbled by the experience.

got specific mentions. The audit team were impressed too with the knowledge, expertise and passion of the infection control team »» They spoke of our focus on safety, about our effective use of Safety 1st and the positive feedback they have had about it from staff. »» Their visit to ED coincided with one of our busiest days this year and the auditor commented on the calm, efficient and professional way our ED staff seemed to take the workload in their stride.

»» The standards of care overall were very high and they were impressed by the way we use best practice to drive improvements.

We did of course hear about a number of areas where we could be doing better. The areas for improvement will be summarised in a corrective actions report that will be made available to staff.

»» Consumer rights across all services were appropriately respected and patients needs were well met. Consumers are participating and consumer representatives felt involved and engaged in decision making and perhaps most importantly, feedback from patients about their experiences was overwhelmingly positive.

The constructive feedback they provide gives us a focus for our ongoing improvement – there are, and always will be, things we can do to make it better for the communities we serve and the people we care for. For now though, let’s take pride in our collective achievements and let it motivate us to build on them.

»» The leadership showed a clear direction of travel and we did a great job at all levels of demonstrating the value of consistent process. They commented on the way people work well together across disciplines. »» We have good quality and risk programmes. Falls prevention and embedded hand hygiene good practice

Canterbury Grand Round Friday 31 July 2015 – 12.15- to 1.15pm with lunch from 11.45am.

Chair: Melissa Kerdemelidis

Venue: Rolleston Lecture Theatre

Video Conference set up in:

“Tips for Working with Maori and Pacific Peoples” Two local experts will bring you practical tips for improving your interactions with Maori and Pacific patients.

Speakers: Maria Pasene, Pacific Manager, Pegasus Health PHO; Hector Matthews, Executive Director, Māori & Pacific Health, Canterbury DHB. “Patients admitted with vertigo keep going round and round and round” Speaker two: Jeremy Hornibrook, ENT

»» Burwood Meeting Room »» Meeting Room, Level 1 TPMH »» Wakanui Room, Ashburton »» Administration Building, Hillmorton All staff and students welcome Talks (with Speaker approval) will be available in two weeks on the CDHB intranet at the following link: http://cdhbintranet/SitePages/Canterbury-Grand-Round.aspx Next Grand Round is on Friday 7 August 2015.

Convenor: Dr RL Spearing ruth.spearing@cdhb.health.nz

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CEO Update

Bouquets Ward 21 and Emergency Department, Christchurch Hospital Our care and consideration during … visit has been outstanding. We were the family involved in the teenage boy’s violent outburst on Tuesday night. It was extremely well managed and a true credit to all the staff involved, security, nurses etc. Our care has been incredible, thank you all so very much.

ENT & Ward 11, Christchurch Hospital I recently went through the process of having ENT surgery and I was very impressed with the care and service I received. From the charming ladies at reception in ENT to my pre admission nurse Raewyn and my surgeon Mr Stevenson, I felt well informed and fully prepared for my day in theatre and post op.

I would also like to mention Chris Dalton the surgical booking coordinator who was kind enough to accommodate my operation date around my work / leave requirements as much as she could. The staff in Ward 11 were warm, friendly and professional and I felt in good hands. The kind nurse in PACU (Will or Matt?) was fantastic. I was duly impressed with the post op care - everyone delivered the same message to me and the discharge instructions and care was prompt and thorough.

So thanks to all involved - what you do makes a huge difference to anxious individuals, because there are no “minor surgeries” when they are your own!

Clinical Nurse Specialist, Sharen Small, Infant2teen project, Child and Family Service I am writing to express my gratitude for some of the wonderful work Clinical Nurse Specialist, Sharen Small, is able to do with some of the young people coming to our attention.

I was lucky enough to sit in on a … meeting for a client some of my staff are working with, and was surprised and pleased to see how much action Sharen had been able to achieve in such a short time frame.

I am unsure if it is because she is so knowledgeable in this area, or if she has the most amazing network of contacts, or she is just incredibly efficient – but whatever it is, she (and your service) is a GEM! Can you please pass my thanks to Sharen and rest assured, we will continue to contact your fine service.

- Sergeant Andrea Dahl, Youth Services, New Brighton Police.

Acute Medical Assessment Unit (AMAU), Ward 28 Christchurch Hospital Thanks to all the hospital staff – medical and support staff for the empathy and care shown to my 91 year old mother …. who today was diagnosed with lung and brain cancer in the wake of scans which were done as a result of a suspected stroke.

It’s been a frightening experience for someone who is very deaf, almost blind, but I so appreciate the respect and kindness shown to her during her two days here. As someone who has experienced the hospital system more than I would like in the last four

years (my husband died two years ago after wonderful treatment), I have nothing bur aroha and respect for you all. Thank you so much.

Physiotherapy, Christchurch Hospital Referred to physio – to a student, she was amazing! Has helped me get a great range after breast surgery. She was so professional and friendly. I wish her well and recommend her to all patients. You have a good one here at Christchurch Hospital.

Plastics, Christchurch Hospital Thank you for all the good service and help. Keep it up.

All the wards I have known I think the staff in Christchurch are terrific. So caring and kind. Thank you… a lot.

Kaikoura I am extremely appreciative of the care my loved one received in Respite Care and Carer Support. On arrival, he was greeted so cheerfully and reassured, offered “a cuppa” and introduced to another patient in the lounge. Thank you.

Radiology, Christchurch Hospital My husband had an appointment at Radiology this morning and I wanted to say how wonderful all the staff that we came into contact with were.

From the volunteers who showed us where to go...to the receptionist to the rest of the staff we dealt with, I was very impressed at how well we were treated and looked after. It was an appointment we were not looking forward to and the lovely treatment from all concerned made the visit a lot better than we thought it would be. cdhb.health.nz 6

CEO Update

Monday’s Facilities Fast Facts Burwood

Two concrete pours have now been undertaken for the foundations of the new boiler house at Burwood. When it’s complete, the new facility will contain two high-tech biomass boilers designed to burn wood with a high moisture content, such as forestry clearings and wood waste.

Burning environmentally sourced woody biomass is

considered carbon-neutral. The existing boilers, dating from 1964, are well past their life expectancy and require high quality coal that is increasingly expensive, difficult to obtain, and has a high carbon footprint.

Did you know: an average of 340 workers sign in to Burwood’s construction site every day.

Christchurch Concrete trucks were also lining up outside Christchurch Hospital as the first major concrete pour for the Acute Services building took place last weekend. Beginning on Friday evening with preparation works, the pour itself got fully underway at 1 am Saturday morning and lasted until around 8 am.

During the pour, 1200 m3 of concrete was laid to a depth of one metre: enough to fill around 7500 standard bathtubs.

The pour took 300 truck-loads of concrete over eight hours of continuous concrete delivery and pumping, with another day and a half to smooth and level the concrete.

In total, some 15,710 m3 – or just over six Olympic swimming pools worth of concrete, will form the foundations of the new building, together with more than 2,300 tonnes of reinforcing steel.

Watch the action in this video on the intranet.

Above: The first look at the meter high slab of concrete that was poured in the early hours of Saturday morning and forms a section of the foundation of the new Acute Services Building.

Above: Around 300 truck-loads of concrete were delivered to and pumped on the site throughout the night.

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CEO Update

Community gets first look at new Kaikoura Integrated Family Health Centre The doors on the new Kaikoura Integrated Family Health Centre swing open for the first time on Saturday 1 August.

It’s an opportunity for staff and the community to have a look around the centre before equipment is commissioned and the patients move in.

The Kaikoura community have to raise $3.4million to supplement the government’s $10m spend on the centre. CEO David Meates says the entire community has risen to the challenge and he applauded the huge effort people have made to raise the extra funds.

It’s been incredible to see everyone pitching in, from Arrow International donating the proceeds from the sale of their old site office, to the Op Shop that’s raised nearly $50,000, the people of Kaikoura have really got behind this project. It’s been a long time coming for the community and they’ve worked hard to get it.

All the patients from the old Kaikoura Hospital will be transferred into the new 2,800m² state-of-the-art facility in a staged move by the end of September.

This will allow Arrow International to move onto the second stage of the project, which is to demolish the old buildings, build new car parks and complete the project before the end of January 2016.

Pupils from the district’s five local primary schools have been growing shrubs and flowers to plant around the new IFHC. As well as the efforts by the children, registered nurse Susan Fey has been nurturing the roses rescued from the old rose garden before it was dug up.

The plants, including the roses, will be planted after the demolition of the old buildings.

Trevor Kenning of Kaikoura Nurseries (top left) with some of the children, teachers and parents from all five primary schools around Kaikoura with the plants they have been helping grow for the new Integrated Family Health Centre.

The public Open Day is on Saturday 1 August between 11am and 2pm.

There will be tours of the facility and the Kaikoura Health Facility Charitable Trust will be on hand selling refreshments and raffles, and accepting gold coin donations for the tours.

Marlene Ingram, Tony Eldon, Lesley Pattison, Nancy Boundy, Lynda Scott and Ellen Jackson at the counter and ready to serve at the Kaikoura Community Op Shop, which was set up to raise funds for the Kaikoura Integrated Family Health Centre and has so far raised nearly $50,000.

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CEO Update

Students from many cultures awarded Pegasus Health Scholarships Pegasus Health (Charitable) Ltd awarded its annual scholarships to 18 students from Maori, Pacific and refugee and migrant backgrounds last week.

The students, studying medicine, nursing and allied health, were selected from what organisers say was “an almost overwhelming number of entries.” “The people we have chosen are of a very high calibre. They are from incredibly diverse backgrounds and will contribute greatly to the cultural and linguistic richness of the health sector,” Pegasus Health CEO Vince Barry said.

The Maori Scholarships have been awarded to seven recipients, of whom three are nursing students and four are studying medicine. This year’s Pacific Scholarships have been presented to five students. Two are studying health science, two are studying medicine and the fifth is training to be a nurse. Six scholarships have been awarded to students from refugee and migrant backgrounds. Four are training to be nurses, one is studying medicine and one is studying social work.

Maori Scholarships: Back L-R - Kennedy Sarich (medicine), Andrea Wicks (nursing), Chivala Heal (medicine), Jayden Ball (medicine) and Vanessa Olliver (nursing).

Front L-R - Lilian Neena Woodgate (nursing), Anika Tiplady (medicine)

In applying for a scholarship, each of the winners had to write a 1000 word essay, saying how they would make a difference in their careers.

Medical student Jayden Ball, who was awarded one of the Maori Scholarships, said having grown up on the east side of the city (Christchurch), his main aspiration was to complete his degree, with the best results he could, and give back to his community by working there when he graduated.

Lurita Kurene, who is training to be a nurse at CPIT, said her personal experience of caring for her grandparents inspired her career choice and her long-term aspiration is to qualify as a Nurse Practitioner. She was awarded a Pacific Scholarship.

Refugee and Migrant Scholarships Back L-R - Natu Rama - Chair, CALD Reference Group, Susan Yu Gao (Chinese, nursing), Shannon Solomon (South African, nursing), Uddaka Wijesinghe (Sri Lankan, medicine) Front L-R - Anna Francisco (Filipino, nursing), Chang Hun Yu (Korean, social work).

Absent - Yasmin Abdulkadir (Somali, nursing)

Fifth year medical student Uddaka Wijesinghe, who received one of the Refugee and Migrant Scholarships, said as a future Canterbury doctor he felt he could make a difference, given his migrant background and commitment to culturally competent care, advocacy and evidence based solutions.

Pegasus Health Chair Dr Les Toop said, “It was wonderful to see the high standard of entries and to know that these students would soon be joining the health workforce in our communities.”

Pacific Scholarships Back L-R - Noman Mene-Vaele (health sciences), Marcus Bentley (medicine), Suli Tuitaupe (health sciences).

Front L-R Beaudicia Carrasco (medicine), Lurita Kurene (nursing).

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CEO Update

Pharmacy Award finalists announced Finalists for the PharmacyToday/ Guild Pharmacy Awards have been announced.

The Canterbury finalists are: »» Guild and Pharmaceutical Services Limited (PSL) Community Pharmacy of the Year: Maria McIntyre and Amanda Nuttall, Unichem Bishopdale Pharmacy. »» PSL Technician Superstar: Jo Batcup, Christchurch Hospital and Sandra Edmondson, Christchurch Hospital. »» Sanofi and Nature’s Own Best Complementary Healthcare Campaign: Mark Webster, Stay Well Pharmacy The PharmacyToday/Guild Pharmacy Awards showcase pharmacies and individual pharmacists that have demonstrated particularly excellent and innovative service for their communities. The judges noted a particularly high calibre of entries this year. Winners will be announced at an event in August.

Maria McIntyre has also just received a Pegasus Health Quality Recognition Award for Outstanding contribution to Clinical Quality and Education.

Maria, a pharmacist and clinical quality and education small group leader is the third pharmacist in New Zealand to gain a Medicine Therapy Assessment qualification and has been described as an inspirational role model.

The bi-annual Pegasus Quality awards involve those working within primary healthcare nominating their colleagues for outstanding contributions to primary healthcare in Canterbury.

Te Wiki o Te Reo Māori – 27 July to 2 August 2015

Eric Gamble

The theme for 2015 is Whāngaihia Te reo ki ngā Mātua: Nurture the language in parents.

Following last year’s format of one word per week this year’s campaign is one phrase per week.. The Whāngaihi te Reo website lists one simple phrase for 50 weeks of the year aimed at encouraging parents to use te reo Māori in the home. All ‘Phrases of the Week’ have an audio file available to assist you to learn how to pronounce each phrase.

Posters will be displayed in Great Escape café and foyer of Christchurch Women’s Hospital. You can download your own set of posters. Choose English language setting and look through Te Wiki o Te Reo Māori resources.

40 Years of Māori Language Week 1975 - 2015

In the early 1970s there was growing concern amongst Māori for the viability of the Māori language. Groups such as Te Reo Māori Society and Ngā Tamatoa emerged to advocate for te reo Māori and on 14 September 1972 a Māori language petition was presented to Parliament calling for te reo Māori to be taught in schools. The first Māori Language day was held on this date and in 1975 became Māori Language Week which continues to feature as part of the national calendar.

Forty years on we celebrate our achievements in revitalising te reo Māori. This commemorative poster of late Dame Whina Cooper and mokopuna / grandchild at the start of the 1975 Land March, expresses the spirit of determination and cooperation across New Zealand for the survival of the language.

To celebrate Te Wiki o Te Reo Māori on Thursday 30 July, the Great Escape café will be serving Māori kai on the menu between 11.40am and 12.45pm.

Māori staff will be singing waiata /songs so come along and join in with a sing-along in te reo Māori. Nau mai, haere mai!

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CEO Update

Firefighter faced his own battle Ralph Moore, is experienced at being in dangerous situations.

The Woolston Fire Brigade Station Officer and Christchurch Urban Search and Rescue (USAR) Deputy Task Force Leader, has been in the Fire Service for 38 years.

He was among the first to respond after the earthquake which struck Christchurch on February 22, 2011, rushing to the USAR base at Woolston and helping to deploy the Southern USAR team to the central city.

Over the next four weeks he helped co-ordinate rescues all over Christchurch’s city centre including at The Press building and the ChristChurch Cathedral. At the time it was believed up to 23 people could be lying dead in the cathedral. Ralph oversaw the deconstruction of the cathedral which proved there were no bodies in its ruins.

At the time he told the media those days and weeks were a “roller coaster ride”.

“One minute you go from helping people out and then you go to another building where unfortunately someone hasn’t made it.”

In 2013 Ralph faced his own personal danger when he was diagnosed with melanoma. After initial surgery he and his wife Denise went ahead with a planned overseas trip to Spain with 13 stitches still in Ralph’s chin. On their return to Christchurch Ralph had to undergo more surgery and radiation, requiring six months off work. Radiation was tough, he says, he lost 10kg and his sense of taste.

“With radiation you get really fried up. It was right in the side of my neck and became so raw I couldn’t even put water on it without yelling.”

Today Ralph is back at work and feeling good, he has returned to his hobby of riding trailbikes and motorbikes. He says his body has lost some of its resilience but that isn’t stopping him and Denise returning to Spain in a couple of months.

This time the couple are going to walk 500km of the Christian pilgrimage, Camino de Santiago over 25 days.

“It will be an adventure and beats sitting in a bus being ushered around,” he says. Ralph encourages people to support Dry July.

“Anyone going through cancer treatment is going through a very low time in their life, from being bullet proof to very fragile, so any support people can give to provide comforts to them will make a big difference.”

Dry July is a nationally run, on-line fundraising and health awareness campaign. Individuals or teams sign up to the challenge of a month-long sponsored abstinence from alcohol. Funds raised are spent on creating better environments and support networks for adult cancer oncology patients and their families.

You can support Dry July by visiting the Canterbury DHB webpage and sponsoring a ‘DJer’.

Ralph Moore with his wife Denise

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CEO Update

An update on the Safety 1st Incident Management System from the Safety 1st Team Thank you everyone for your support of this project, and for the feedback you are providing to help us improve the Safety 1st system. It is encouraging to see the positive response to incident reporting, with 3000 incident forms having been submitted for June/July.

Safety 1st has now been rolled out to around 400 defined work locations across Canterbury DHB, with only a small number still to go live.

The vendor, RL Solutions will carry out a routine system release on 10 August 2015, to cover background housekeeping items and to introduce Dashboard reporting capability for some specialised groups. There will be no impact to the general users of the system.

Safety 1st Project Manager Colin Browne says that many people have been asking about the Safety 1st update/review.

“This will begin in August and continue until November, and will be carried out in conjunction with the South Island DHBs and the Safety 1st Control Group.”

“It will involve data/feedback gathering, validating this information, preparing, demonstrating, receiving approval for the changes, and then updating the system through RL Solutions.”

Planning is underway for the introduction of the Feedback (Complaint/Compliment) and Risk Register modules later in the year.

“We will continue communicating with you regarding tips, hints and changes for Safety 1st through this Newsletter, the daily Staff Communication Update and/or the Safety 1st Intranet site. We will keep you informed as we implement this.

If we can be of assistance, please contact us as follows:”

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Lectures honouring retiring health and development Professor David Fergusson You are invited to lectures’ celebrating Professor David Ferguson as he retires after almost 40 year career leading the Christchurch Health and Development study.

Safety 1st System Administrator: Jamie Clarke Ext: 68979, DDI: 337 8979 or email Jamie.clarke@cdhb.health.nz

No registration necessary. Attend all or some of the lectures.

Held in the University of Otago, Christchurch’s Rolleston Lecture Theatre, at 2 Riccarton Ave on the Christchurch Hospital campus.

Safety 1st Clinical Coordinator: Yvonne Flitcroft Ext: 66904, DDI: 337 7904 or email Yvonne.flitcroft@cdhb.health.nz

Details at: http://www.otago.ac.nz/christchurch/news/ community-events Queries to robyn.maguigan@otago.ac.nz Festschrift for David Fergusson Friday 21 August 2015 Rolleston Lecture Theatre All Welcome – Registration not required.

Programme starts 10am and concludes at 3.40pm with afternoon tea.

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CEO Update

Celebrating the glue that holds our health system together Administrators from across Canterbury DHB recently came together for the annual two-day workshop to celebrate “the glue that holds our health system together.”

Opening honours for the workshops were shared by Chief Executive David Meates, workshop sponsor Pauline Clark, General Manager at Christchurch Hospital, Stella Ward Executive Director of Allied Health and Michael Frampton, General Manager People and Capability.

Featured presentations included thriving through change, reducing workplace conflict and the South Island Patient Information Care System.

Feedback about the workshops

Nearly 300 administrators attended the four workshops, gaining an overview of how their roles can contribute to organisational priorities and key projects.

“This is the first workshop I had been to. I thought it was very valuable, and a good chance to chat with other administrators from within CDHB.

On day one, by popular request, leading adult educator Linda Hutchings returned to talk about the people side of change and shared some practical strategies to help us navigate and thrive through the changes ahead.

“The session was good and had helpful examples of real events – far more powerful than plain old theory.”

In the afternoon workshop Linda gave people some very practical how-to strategies for reducing workplace conflict and encouraged all teams to develop an agreed team process for managing/resolving conflict upfront.

Hands-on

“Most of the admin staff would not have had any input into SI PICS. To have the overall picture of what is planned, but not yet set in stone, gives us a feeling of some value that our ideas and suggestions will be noted.”

Day two saw attendees getting hands-on with the new regional patient management system, the South Island Patient Information Care System (SI PICS), completing four everyday tasks under the guidance of the project team’s Super Users and trainers.

“The SI PICS workshop gives a diverse range of people doing a variety of jobs the chance to have an input into a system that will hopefully end up being quicker, with fewer layers before achieving the end result.”

The audience was split into four break-out groups that each followed the end-to-end process of managing a patient using SI PICS, covering registration and referral, wait list management, making an appointment and admission.

“It’s good to know that our clunky/clumsy PMS system will soon be just a memory!”

Kay Strang, Administration Manager for the combined Christchurch campus and the event’s organiser, says the workshops provide a forum for administrative professionals to take time away from their desks and celebrate their contribution to the organisation.

“The workshops are valuable on many levels and feedback is always very positive. This year is no exception, and early evaluation results show a high percentage of attendees rating the workshops as either extremely or very valuable,” she said.

For those attendees who want to find out more about the SI PICS project, or arrange a demo in your area, please contact Elly Edwards, communications lead for Canterbury’s SI PICS project team, at Eleanor.Edwards@cdhb.health.nz For those who weren’t able to get along to the workshops on day one, Linda has generously shared her slides from both sessions. These are available on the admin services pages of the intranet.

Look out for information about how you can become a SI PICS champion in next week’s CEO Update.

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CEO Update

Staff...there’s still time to immunise your selfie Influenza activity in Canterbury is on the increase with the numbers of patients attending general practices and hospital escalating. It’s more important than ever to get your vaccination. The staff vaccination programme is almost over, but there is still time.

Further clinics scheduled Burwood Hospital Wednesday 5 August, 14.00 – 15.00, Totara Room, Department of Nursing

Ashburton Hospital and Rural Authorised vaccinators can vaccinate on the wards as able.

Make contact with these people:

The Princess Margaret Hospital Thursday 30 July 12.00 -14.00 Foyer (by reception) at TPMH Friday 14 August, 13.30 – 15.00, TPMH Outpatients

»» Deborah Hanrahan - AAU

Christchurch Hospital Tuesday 28 July, 10.00 – 14.00, Great Escape Wednesday 12 August, 13.30, 15.00- Endo Room off ward 26 Tuesday 18 August, 10.00 – 14.00, Great Escape Thursday 27 August, 10.00 – 14.00, Great Escape The above clinics are all combined flu and general vaccination clinics.

Specialist Mental Health Service Vaccinations are available from the Clinical Services Unit, Te Awakura, Building 2, Hillmorton Hospital. But, please ring first to make an appointment ext. 33699.

»» Paula Burgess – AAU »» Fay Jones - Ward 6 »» Sheila Lyons - Ward 1 & Home-based support »» Sharon Greenslade - Ward 1 »» Amanda Van Asperen - Nurse Educator »» Jill Gerken - CNS Infection Prevention & Control »» Rural Hospital staff please contact your Nurse Manager for guidance.

If you can’t attend a clinic contact your local authorised vaccinator - click here for details or contact Kirsten.Herrick@cdhb.health.nz for assistance.

Did you get your flu vaccination at your General Practice?

If you received your flu vaccination at your General Practice please let us know by completing this quick form.

Upcoming positions on National Ethics Advisory Committee The Ministry of Health has recently published advertisements seeking nominations/applications for appointment to a number of health and disability bodies.

The Ministry has advertised the positions on the National Ethics Advisory Committee (NEAC) with terms that expire between the beginning of October and end of December 2015. More information on the Ministry website.

The positions are for: »» Māori members (for any of the following vacancies) »» health professional »» community/consumer representative »» member with expertise in epidemiology.

Applications close Tuesday 1 September.

We encourage you to circulate this amongst your networks and colleagues who may be interested.

Please feel free to contact appointments@moh.govt.nz if you have any questions.

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CEO Update

One minute with… Jill Summer, Social Worker, Assessment, Treatment and Rehabilitation What does your job involve?

The last book I read was…

Assisting patients to make decisions regarding their health, legal issues, family and “what’s next for me” in their lives. This can involve family/whanau concerns, staff concerns and my own concerns for the patient.

Dirty Politics

Why did you choose to work in this field?

I have enough years that I am in a similar place to the patients and families’ stage of life and I enjoy working with people who are sometimes facing hard decisions. I am good at thinking laterally and with a considerable background of social work outside the hospital setting. I believe I use this to benefit the patients and staff. There’s quite a bit in my kit bag that I can call on.

What do you like about it?

If I could be anywhere in the world right now ...

It would be at the cycle tours in Europe, love watching the races on TV. My ultimate Sunday would involve...

A warm swim at Corsair Bay with the Tri Club girls then a run and coffee in Lyttelton.

One food I really dislike is…

Eggplant My favourite music is…

Mellissa Etheridge and The Boss

The endless variety of success and sadness. The dedication and generosity of staff members and reaching conclusions that work for patients. The staff: love being part of the team. And sometimes I get to hear amazing stories about the lives of our patients in younger different times. New Zealand has changed so much since their ‘day’!

What are the challenging bits?

Fractious family dynamics and the deep worry some families have for their parents. We are all stressed since the quakes, more so as the years pass and yet we are trying so hard to manage it all. When a parent becomes ill on top of the stress it can sometimes be the last straw. Often we are dealing with this ongoing problem in the ward. Staff patience with family distress while managing their own problems is something I admire greatly. I endeavour to emulate them!

Who do you admire in a professional capacity at work and why?

Anne Cox our receptionist. She is truly amazing! Patient, always kind and respectful; an example to us all. One day when I grow up I want to be like her.

If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz.

Hot drinks are great but please consider the environment A visitor to The Princess Margaret Hospital recently came in with handfuls of discarded polystyrene cups that are available in the TPMH café.

The cups had been dumped in the river and broken into pieces causing a hazard for river health, not to mention an unsightly mess.

If you are taking a hot drink outside to enjoy in one of these cups, please consider:

»» Using one of the arcoroc cups and returning it to the café when finished »» Investing in a reusable cup which you can clean and keep.

We’re lucky to be able to enjoy the river outside our doors – let’s keep it clean.

»» Bringing back the empty cup and disposing of it in the bins provided.

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CEO Update

Department of Psychological Medicine University of Otago, Chch & SMHS, CDHB Tuesday Clinical Meeting Tuesday 28 July 2015, 12:30pm – 1:30pm Venue: Beaven Lecture Theatre, 7th Floor, School of Medicine Building, University of Otago Title: Trying too hard or not hard enough?

Coherence, validation, symptom exaggeration and iatrogenesis after mild traumatic brain injury.

Presenter: Dr Debbie Snell, PhD Chair: Dr Sandy Macleod Abstract: The post-concussion syndrome after mild traumatic brain injury (MTBI) is a widely debated condition, not in the least because the basis for persisting symptoms is unclear and those who recover slowly or incompletely can attract negative attitudes from health professionals and funders. This presentation will explore the complexity of the patient’s journey

from injury to (non) recovery with a focus on psychological constructs such as sense of coherence, injury beliefs and recovery expectations.

Special notes »» These meetings will be held on a weekly basis (except during school holidays). »» A light lunch will be served at the School of Medicine venue, 7th Floor, from 12 noon. »» Psychiatrists can claim CME for attending these meetings. »» The sessions will be broadcast to the following sites: »» For TPMH attendees the venue is the Child, Adolescent & Family Inpatient Unit, Ground Floor. Access is from the main reception at TPMH. »» For Hillmorton attendees the venue is the Lincoln Lounge, Admin Building, Hillmorton Hospital »» The dial in address is: Psych Med Grand Round. »» If you have difficulties dialling in please call 0800 835 363 to be connected.

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CEO Update

Team work Avon Rowing Club Inc. Corporate 8+ Challenge 2015 It’s time to get your crews together! Are you up for the challenge?!

This event is a unique opportunity to support the local rowing community and be involved in a highly enjoyable and effective teamwork initiative. Step outside your comfort zone, have fun trying your hand at one of New Zealand’s most successful Olympic sports and feel what it’s like to really have to work together!

This year we are offering two classes of racing, over 1000m and 500m, with the chance for the best performing crews to represent Christchurch at the Canterbury Corporate Championships on the 28th of November at Lake Hood in Ashburton.

The Nitty Gritty The event: Sunday 18 October, Kerr’s Reach Christchurch Racing: Two classes, featuring time trials and knockout racing over either 1000m or 500m Entries due by: Friday 4 September Entries are limited so get in quick!

Entry price: $1750 + GST per crew Warm up In-door Regatta: Thursday 1 October, 7pm Training starts: Monday 7 September Crews may be from the same company or a composite crew of two or more companies. Entry includes plant use, coaching, racing events and post-event social. Every crew will have their own coach available for up to 12 on-water training sessions What now? Get your crew together and enter! Please email the Avon Rowing Club for an entry form and all additional information- avonrcchch@gmail.com More information here.

Clinical Board Update We have six new board members who joined us this month.

This is the result of an election and appointments to the Board from outside agencies. The same number of members have retired or were not re-elected. Our new members are: »» Dr Tearch MacLean, GP from the Christchurch PHO »» Dr Mike Ozimek, GP, Pegasus Health »» Denise Brankin, District Nurse/homecare/specialist nursing/ hospice/palliative care with Nurse Maude »» Ietje van Stolk, physiotherapist from the Private Physiotherapists Association (community health professional) »» Helen Little, Clinical Manager, Nutrition Services Chch Hospital (Allied Health)

»» Elizabeth (Lizzie) Johnston-Walker, Nurse, ICU Chch Hospital.

Mary Gordon executive director of nursing presented on the Canterbury Nursing highlighting »» Almost 20% of the nursing workforce is over 65 years old »» Strategic goals for our workforce including growing; attracting; enabling; extending and engaging »» We need to identify future leaders and identify opportunities within their current roles »» Have a clear Canterbury workforce education plan.

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CEO Update Staff Wellbeing Programme: Wellbeing Workshops almost fully booked – TPMH mindfulness, help needed Staff Wellbeing Workshops Click here to view dates and to register – or click here for more information.

Mindfulness at TPMH – help needed Our wonderful volunteer Kathryn can’t always cover all mindfulness sessions at TPMH and needs a couple of helpers who can be contacted at short notice to set up the CD player and play the mindfulness track.

Please contact Andy if you think you can help andy.hearn@cdhb.health.nz or 027 218 4924

Understanding Incontinence presentation – FULLY BOOKED but…

This workshop is now FULLY BOOKED but you can still click here to register and we’ll send you a link so you can watch a recording of the presentation See continence.org.nz for more information on incontinence

Wellbeing Workshops

“ The greatest wealth is health

-Virgil

2015

For All CDHB Staff To support your wellbeing, the CDHB Staff Wellbeing Programme and MHERC are running a series of 2.5 hour wellbeing workshops.

The CDHB acknowledges the crucial role you play in the delivery of high quality care to the Canterbury community. In the current Christchurch environment it is more important than ever that you take the time to focus on your own wellbeing.

2.5 hours to focus on YOUR wellbeing!

We are running a number of workshops in 2015 to allow you to put your wellbeing first. Evidence suggests that by doing this, those around you – your family, friends, your colleagues and patients will also benefit.

For more information on all wellbeing initiatives visit the Staff Wellbeing Programme intranet page

Workshop Overview: • The importance of wellbeing; psychological and emotional effects • Learn about stress responses and how to cope with stressful environments • Understand the science and practice of applications of self-care • Appreciate the progress of recovery for communities and individuals • Gain skills and take ownership of tools for increasing your own and others’ wellbeing • Improve your health and wellbeing: 5 Ways to Wellbeing, Staff Wellbeing Programme • Enhance positive relationships and social connections Workshop Details:  All workshops run for 2.5 hours, including refreshments  For dates and to register for a workshop click here Facilitated by Alison Ogier-Price MSc Psyc, B.Comm, BA Hons, C.AT, MNZAPP

Free Counselling available to all staff Through our EAP provider we offer free, confidential offsite counselling (and other support options) for all staff.

Covers both personal and work related difficulties

“

For more information contact: Lee Tuki Lee.Tuki@cdhb.health.nz 027 689 0285 Andy Hearn Andy.Hearn@cdhb.health.nz 027 218 4924

Click here to register

Click here for more information

YOGA

FOR STAFF

Join Lisa at

Hilmorton (Training unit room #4)

Monday 6 – 7.30pm (90mins) $15 casual Concession cards, $125 for 10 sessions

Thursday 4.45-5.45pm (60mins) Flexibility is NOT a prerequisite ...each class provides a level of options for a beginner Hatha practice – enabling you to practice at your own pace & within your own capabilities.

$12.50 casual Concession cards, $100 for 10 sessions Please bring a yoga mat, your drink bottle and comfortable clothing.

Email: Lisa: 027 814 0785 or surrendance@clear.net.nz Please notify instructor before attending a class

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CEO Update Physiotherapist (Core II Rotational)

We have recognised that we need a bigger presence on LinkedIn to reach out to more professionals like yourselves who could be future WCDHB or CDHB employees.

We are seeking applications from those seeking a Core II Permanent, Full Time position where you’ll have a great time rotating through a wide range of specialties including: Orthopaedics, Spinal Injuries Unit,Burns & Plastics, ICU, General Surgery, Acute Stroke Unit, Brain Injury Rehabilitation and General Medicine, Hand Therapy, Musculoskeletal Outpatients, Cardiology/Cardiothoracic Surgery, Paediatrics, Pulmonary Rehabilitation, Pain Management and Oncology/Haematology across our sites at Christchurch Public and Women’s Hospitals, Burwood Hospital and the Princess Margaret Hospital.

So next time you’re online please have a look at the WCDHB and CDHB company pages and “Follow” them and help us to get our name out there!

Secretary/ Administrator

LinkedIn is a professional networking website that connects to over 340 million people worldwide.

It is the place to build your own professional brand as well as a great avenue to build a company brand.

Here are a few useful tips to help with your own profile: »» Connect to groups and individuals relevant to your interests and your career »» Always have a photo – it gives your profile a personal touch »» Have a headline »» Include a short professional summary

Come be a part of our team at the Child Adolescent and Family Inpatient Unit based at The Princess Margaret Hospital, as a Secretary/ Administrator.

»» Connect to influencers

Calling Occupation Therapists!

We are seeking applications for NZ registered Occupational Therapists at the Christchurch Campus of the CDHB tertiary hospital to provide Occupational Therapy assessment, treatment, and discharge planning, early rehabilitation within the acute environment.

We have the following opportunities: »» Two x 1FTE permanent, full time positions in a variety of clinical settings. Ideally you will have some acute or graduate experience; »» One x 1FTE position that includes a permanent 0.5FTE role within the Acute Stroke Unit and a fixed term 0.5 FTE role covering parental leave for 1 year in the Neurology ward.

People in Disasters Conference - Early Bird Registration extended to 31 Aug 2015 The People in Disasters Conference is pleased to announce that Early Bird Registration will continue until August 31, 2015. We have heard your pleas and recognise that we did not take the end of year finances into our initial planning of dates.

Visit our website for registration details.

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CEO Update

7.30pm, Wednesday 30th September 2015 At the Court Theatre

Bryan Cook is a property developer who has accumulated a small fortune building leaky homes. He’s stressed out, self-medicating and self-loathing; killing himself to increase his bank balance while decreasing his golf score. When things fall apart, he joins a men’s cycling group to relieve stress – And makes a few startling discoveries in various cracks and crevices. Poignant and achingly funny, MAMIL presents the male mid-life crisis in all its lurid glory.

“This production will be one of the highlights of the year. It is a must-see show for men and women.” Dominion Post All tickets $60 per person

Tickets only available by contacting events@jointhefbi.org or phone 021 514 158 Profits from this performance will help the New Zealand Brain Research Institute and its research into Parkinson’s, Alzheimer’s, Dementia, MS, Stroke and other neurological conditions.

Thank you for your support!

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