Canterbury DHB CEO Update 16 February 2015

Monday 16 February 2015: International conference to be hosted in Canterbury next February Next year we are hosting the inaugural People in Disasters Conference which will be held over three days 24-26 February 2016 at the Air Force Museum of New Zealand at Wigram. It’s timed to coincide with the 5 th Anniversary of the February 22nd Quake. While it’s still a year away, the team has secured some top international speakers. It’s important to point out, this conference isn’t just about the Canterbury Quakes, the conference will include speakers on a number of recent international disasters which have occurred throughout the Asia-Pacific region. It will focus on the impact on people living and working through the response and recovery phases, whilst supporting resilience in the ongoing journey of changes in a disaster affected region.

While devastating in their impact and aftermath, these events also provide an opportunity for us to learn from each other, and to develop new ways of responding and supporting individuals, communities and nations.

The Canterbury-based RHISE (Researching the Health Implications of Seismic Events) group will be an integral part of this conference and will present results of some ground-breaking research.

The planning team is currently approaching some very high profile individuals who we hope will soon be added to the speaker’s list.

Confirmed keynote speakers include Sir John Holmes; Jonathan Davidson, Jeanne LeBlanc and others who are highlighted on the conference website.

Early bird registrations close in June, so now’s the time to get this into your diary for next year.

Professor Mike Ardagh, University of Otago Professor of Emergency Medicine and CDHB Emergency Medical Specialist, Cathy King, SMHS Nurse Educator and Graeme McColl, NZ Representative of the World Association of Disaster Emergency Medicine (WADEM) & Vice President Communities of Practice and Secretary Oceania Chapter are Co-convenors for this conference. Cathy is CDHB’s main contact to discuss any aspect of the conference with and all enquiries are welcome, email cathy.king@cdhb.health.nz

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River of Flowers 2015 On the fourth anniversary of the 22 February 2011 quake, Cantabrians once again have the opportunity to share their experiences and hopes for the future as part of the River of Flowers commemoration.

Between 8am and 8pm people are encouraged to drop a flower in the Canterbury rivers and waterways.

Local community groups are hosting sites from 12:30 to 1:30pm. People can write a message for a Tree of Hope and at 12:51 two minutes silence will be held.

Sites close to CDHB campuses include: Botanic Gardens Footbridge between the Hospital and the Peace Bell Christchurch City Council Commemoration Service starts at noon, followed by the River of Flowers from 1 to 1.30pm.

Heathcote River Riverbank opposite Princess Margaret Hospital Burwood/Avondale Avondale Road Bridge and SW river bank on Avonside Drive Full list of sites.

People are asked to bring their own flowers.

Take care, David Meates

Canterbury Medical Grand Round Date: Friday 20 February 2015, 12.15-1.15pm with lunch from 11.45a.m.

Venue: Rolleston Lecture Theatre Speaker one; Associate Professor Philip Pattemore “Tobacco control: Progress and challenges on the road to a Smokefree Aotearoa by 2025” What has legislation done to help and what are the barriers to achieving the government goal of a Smokefree Aotearoa by 2025 (smoking prevalence ≤5%)? The talk will particularly address the complexity that new free trade agreements may bring to the issue.

Speaker two; David Meates CEO See an unusual view of the new Burwood ward blocks and hear about the next phase of Christchurch’s Acute Services building. CEO David Meates has an update on progress at both the Burwood and Christchurch campuses as Burwood hits the halfway mark and Christchurch moves into the Detailed Design phase.

Chair: Erik Monasterio Video Conference set up in:  Burwood Meeting Room  Meeting Room, Level 1 TPMH  Wakanui Room, Ashburton  Administration Building, Hillmorton All staff and students welcome Convenor: Dr RL Spearing (email: ruth.spearing@cdhb.health.nz)

Friday 1416March Monday February 20142015

Monday’s Facilities Fast Facts Burwood Cafeteria Closing The main cafeteria at Burwood will close on Wednesday 18 February as the kitchen prepares for a big move on 28 February into the new Back of House building. This is expected to take a couple of days but will be up and running the following week, Wednesday 4 March.

The Travis Coffee shop, in the main reception area, will become an interim staff and public café until the new buildings at Burwood are completed in 2016.

Travis Café hours will be: Mon – Fri: 8:30 am - 6:30 pm Weekends and Public Holidays: 9:00 am - 1:00 pm (Evening meals can be ordered from the kitchen).

Construction It was a big two crane job this week to lift a massive pre-cast concrete column in place on the ward blocks (see photo below). The column will support the stairs in the foyer of the new entrance.

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Friday 1416March Monday February 20142015

Monday’s Facilities Fast Facts—continued Christchurch Park and Ride: We have an interesting statistic on the Park & Ride system that we are operating for patients and visitors to Christchurch Hospital. In the 14 weeks since mid-October 2014, when our Park & Rides began, we have transported 49,456 passengers – the equivalent of 1% of the whole population of New Zealand. On peak days, which tend to have rain or bad weather, we have helped up to 900 people, those getting to and from their appointments and visitors.

Detailed Design: The next phase in the construction of the Acute Services building has started with Detailed Design. In this phase there isn’t the need for the same level of interaction between the User Groups and the design team, so a Super User Group has been set up to work with the architects. The members of this group include the General Manager, Operations Managers, Director of Nursing, Director of Allied Health, Finance Manager (essential for those important $$ impacts), project managers and clinical lead.

During Detailed Design the rooms in the ASB Developed Design plans will become more lifelike as doors, sinks and curtain tracking, among other things, are added. Decisions will be made around shared or common spaces such as corridors and reception, and choices made about colours, patterns and materials for walls and window coverings.

Any items considered to impact on clinical functioning will be referred back to the User Group or up to the Clinical Leader’s Group for consideration. At the end of the Detailed Design phase, the architects complete their drawings ready for construction.

Bike Parking: At the main entrance to the hospital, a new secure bicycle parking area is almost finished – we are just waiting for the swipe card readers.

Site Maintenance: The demolition of 41 St Asaph Street is almost done, as the photo below shows.

Cricket World Cup: Cricket World Cup matches are bring held in Hagley Park. Please note that on match days the roads around Hagley Park may be more congested than usual. There is NO parking northbound on Antigua St. This area has been reserved for coaches and buses. Access to Christchurch Hospital and all associated health services is unaffected.

Friday 1416March Monday February 20142015

Bouquets Ward 11, Christchurch Hospital I just wanted to say thanks for the fabulous care I received while in hospital recently. Going into surgery, I was a little nervous but the surgical team made me feel relaxed, supported and informed. The Ward 11 staff are just wonderful. Their care and attendance to the patients was outstanding and for this I thank them all.

Ward 11, Christchurch Hospital Very nice nurses. Willing to help with anything. Very friendly and work to a high standard. Thanks.

Christchurch Hospital Always the best of care and attention.

Child, Adolescent & Family Inpatient Unit Thank you so much for supporting my son and helping him through a very difficult time. The kindness, compassion and experience shown by each and every one of you, to both my son and myself, will be remembered for a very long time. You are a great team, and your collective optimism, kindness and good humour has helped my son to imagine a brighter and happier future. Heartfelt thanks.

Canterbury Health Laboratories I would just like to express our appreciation for the service we received from your laboratory yesterday. We were notified of a preschool child who had symptoms clinically indicating….I was given appropriate advice from Kate (Microbiology Registrar) regarding sample types etc and appreciate her prompt response in replying to my questions. Once we had taken the swab sample, it was dropped off at your laboratory at around 1pm and the…results were phoned through to us at 5.30pm. (Thankfully the results were negative). Thanks to this prompt response we were able to take the follow up actions necessary. We appreciate the professionalism and approachability of your staff!

Ward 24, Christchurch Hospital Many thanks for the wonderful care you are giving to my wife and particular thanks to Anna (Nurse) and other staff.

Ward 23, Christchurch Hospital Thank you so much, you’re doing a great job.

Ward 20, Plastics and Outpatients What an amazing team of people from the surgeons, doctors, registrars, nurses and backup staff. Thank you so much for taking care of me, making me laugh along the way. You are a truly amazing team of people.

Ward 10, Christchurch Hospital ...I can’t fault the doctors and nursing staff.

All excellent! Can’t praise them enough.

Emergency Department, SARA and Ward 15, Christchurch Hospital The care I have had at this hospital has been excellent in all respects.

Monday 16 February 2015

Canterbury study finds highest IBD rates Canterbury has one of the highest rates of Inflammatory Bowel Disease (IBD) in the world, according to new research from the University of Otago, Christchurch.

The research was done by Summer Student Vikesh Gupta and overseen by joint University–CDHB clinical staff, gastroenterologist Professor Richard Gearry and paediatrician Professor Andrew Day. Gupta tallied all diagnosed cases of IBD in the Canterbury region during 2014. He then compared that data to a groundbreaking study done in 2004 by Professor Gearry, which showed Canterbury rates were among the highest internationally.

The 2014 study found a 50 per cent increase over the past decade in IBD rates, and a doubling of the incidence of ulcerative colitis.

Professor Day says IBD – which encompasses Crohn’s disease and ulcerative colitis – is a serious and growing health problem worldwide.

“After diagnosis of IBD, many people require ongoing medications and regular medical review. Consequently, increasing rates lead directly to increased demands and costs for the health system.’’

Gastroenterologist Professor Richard Gearry (left) and paediatrician and gut health expert Professor Andrew Day.

The reason behind Canterbury’s exceptionally high rates of IBD is not known, but is the subject of much ongoing research, Professor Day says.

Professor Gearry says his 2004 study changed the way people thought of IBD in New Zealand.

"We were able to increase the profile of the disease and its impact, leading to the funding of newer drugs."

The study led to international collaborations that have made a real difference in identifying some of the causes of IBD. One possible cause is modern hygiene changing bacteria in our gut and its interaction with the human immune system, Professor Gearry says.

Professor Gearry is giving the first University of Otago, Christchurch, Public Health Lecture for 2015 on February 25th. You are invited to attend. See schedule of lectures: www.otago.ac.nz/christchurch/news or email kim.thomas@otago.ac.nz otago.ac.nz/christchurch

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Child Development Service receives donation to build playground The Canterbury District Health Board Child Development Service has received a generous donation to go towards building a playground at its new premises, Montreal House.

The Warehouse stores in Christchurch, Rangiora, Ashburton, Timaru and Greymouth along with generous support from their customers, raised a fantastic $41,265 for Canterbury District Health Board’s Child Development Service.

From October 1-28, team members from the 12 stores raised money through an add-a-dollar campaign where they asked customers at the checkout whether they would like to add a dollar to their total purchase.

Kay Boone, Clinical Manager from the Child Development Service, says the Child Development Service was hugely grateful for the donation.

“We will use this money to provide a child friendly playground for children with disabilities to use while attending a clinic at Montreal House,” Kay says.

“The playground completes our new premises and will make a huge difference to the experience of the children who come here.”

The Child Development Service provides a range of therapies for infants to 16 year olds, who have delays in their development or disabilities. The service is currently based at Burwood Hospital but is relocating to Montreal House on the corner of Montreal Street and Bealey Ave as part of the facilities redevelopment plans within the Canterbury DHB. Derek Cotton, The Warehouse Regional Manager, says it was a great pleasure raising money for such a worthy cause and The Warehouse team was delighted to present the donation to formally recognise the outstanding work the service does in the local community.

“We are thrilled to support Child Health Canterbury to help build a disability friendly playground for children to use while attending clinics at Montreal House,” Derek says.

“We are grateful for the crucial work they do in our community. Through their work they touch so many lives and we hope this money will help to make a difference to the lives of families and children in our local community.”

Above: Canterbury DHB’s Child Development Team with staff members from The Warehouse handing over the generous cheque donation of more than $40,000, which will go towards building a playground at the team’s new premises at Montreal House Bealey Ave. Friday 1416March Monday February 20142015

Graduate Midwifery Programme presentation A presentation was held to celebrate the completion of the Graduate Midwifery Programme (GMP) over the last year.

Two Midwives who have just finished the programme are Edith van Zelderen and Carine Reimink.

The GMP aims to provide a supportive environment for new midwives to develop their practice in both primary and tertiary care settings.

Clinical placements provide experience across the full scope of midwifery and throughout the CDHB maternity service. This includes high risk outpatients clinics, foetal maternal medicine unit, day assessment unit, antenatal inpatients ward, birthing suite and postnatal ward.

Carine says the programme was a great transition from student to midwife.

“It allowed us to work in a supportive environment while developing clinical skills and professional relationships.”

The midwives are supported with preceptors in each area to assist their transition into the clinical settings and enhance their learning. In addition dedicated study days are Above: Midwifery graduates, left, Carine provided throughout the year on relevant midwifery topics, some as part of compulsory requirements and some Reimink and Edith van Zelderen. individualised to their learning needs.

The Midwifery First Year of Practice Programme was introduced by the Midwifery Council in 2007 and runs effectively alongside the GMP at Christchurch Women's Hospital.

Civic service for earthquake commemorations A civic memorial service recognising the fourth anniversary of the 22 February 2011 Canterbury earthquake will start at midday on Sunday 22 February at the Botanic Gardens Archery Lawn.

The service will include a minute’s silence at the time of the earthquake – 12.51pm.

Mayor Lianne Dalziel says this is a community event and everyone is invited to attend.

“This is an opportunity to quietly reflect and remember what happened that day,” Lianne Dalziel says.

Families of people who died in the earthquake, people who were seriously injured and members of the emergency services will attend the commemoration.

“We have respect for one another at this time as everyone has a different memory and experience of 22 February. Even though time has passed, we still feel the pain of loss.

“The earthquake is indelibly etched on the minds of us all but we look to the future with a sense of hope and anticipation,” Lianne Dalziel says.

The service will include a mihi whakatau, various addresses, an act of remembrance by youth representatives of different faiths, wreath laying, and reading of the names of those who perished in the earthquake.

After the service people may cast flowers into the Avon River near the Peace Bell at the Botanic Gardens as part of the River of Flowers event.

Further details can be found on the Council’s website: www.ccc.govt.nz/22feb Friday 1416March Monday February 20142015

Safety 1st “Goes Live” in the South The “Go Live” of Safety 1st is another progressive step for the South Island Health Services as they redesign and align the way in which they collect vital information on incidents and patient feedback. This information will then be put to its most important use in improving patient and staff safety and the experience of care.

Canterbury DHB is the first South Island DHB to switch on the new system, with Mental Health and Older Person’s Health and Rehabilitation Services going live during February. Other departments at Canterbury are to receive the sys-tem in the following months in a planned roll out across the DHB’s many departments.

Southern, Nelson Marlborough and West Coast DHBs have all commenced staff training and their Safety 1st system is planned to “go live” across their sites from March. The South Canterbury DHB launch is scheduled for July.

Safety 1st is an integrated, electronic system which collects and reports on safety and risk event data at a local and regional level. Its tailored modules are designed to take a ‘whole of systems approach’ and it has the capability to develop incident reports electronically that will be comprehensive and meaningful.

The system stores information around adverse events, including what happened and why, along with feedback including complaints, compliments and suggestions. This information can then be used to support learning amongst staff throughout the health care system.

The benefits of the new system are many, including: easy access to information that will help staff to learn from events, easy reporting processes, a “user friendly” interface, and tools that reduce the time needed for staff intervention.

The landmark project is being led by the Quality and Safety Service Level Alliance (Q&SSLA), whose members represent each of the five South Island DHBs and together are planning and managing implementation and roll out to each DHB. Mary Gordon, Chair of the Q&SSLA says that the new system will make a real difference in improving the safety and wellbeing of patients and staff: “Safety 1st is a real win-win for staff and patients in terms of making our health settings safer and improving the quality of care we provide every day. We know that in every health setting around the world adverse events and incidents do happen, and it is our job to learn from them and to reduce the chance of them happening again. This system will make it easier for us to do that. Overall it’s about supporting an open and transparent process of reporting and information sharing within the health sector, which we can all benefit and learn from,” says Mary.

Below right and above: Jane Bailey from Southern DHB training staff on using Safety 1st.

Click here for more South Island Alliance news.

Monday 16 February 2015

Learning from Canterbury DHB The following article is featured in the latest National Radiology Service Improvement newsletter, Beyond the Image. Read the full newsletter here.

Lizzie Macauley, Angela Fuller and Iain Morle, from Hawke's Bay DHB, recently spent a day at Christchurch Hospital to learn more about how the Canterbury team runs its radiology department. Project Manager Lizzie gives an overview of what they took from the day.

The most useful part about the visit was going behind the scenes to see how the team managed their workflow. The department was so welcoming and friendly, and just had a great vibe about it. We found they had a patient-focused way of working.

The main things we learned about workflow were: 1. It is important to forecast daily demand.

2. Match your resources to the demand for them.

3. Create resource flexibility.

4. Make planning information available to staff and team leaders.

5. Have a daily planning meeting so the whole team knows what the day looks like.

Other important lessons: 

The importance of staff engagement. We need to hold open and frank discussions about the way we work and how we can improve.

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The referral acceptance system must be open, fair and consistent. Radiology needs to be firm on this and referrers need to be aware of this.

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Any mismatch between demand and capacity must be reported early and extra resource made available where possible. This must then be fed back to the referrer/DHB community.

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Referral and wait times for radiology services need to be visible throughout the DHB.

At Hawke's Bay DHB, we have started holding daily five-minute operations meetings between the radiology manager and team leaders.

We have also created posters to put outside CT and MRI rooms to advise referrers of where they can access their inpatient referral appointment time to minimise disruptions to scanning staff. Soon we will divert phone calls about patient appointments from the scan rooms to reception - again to minimise disruptions to staff.

Our visit to Canterbury DHB was an excellent experience. We came away with renewed enthusiasm for our project and a real sense of what can be achieved with a collaborative approach to service improvement in radiology.

Monday 16 February 2015

These opportunities!

Health and Safety Advisor The Health and Safety Team is looking for an experienced Health and Safety Advisor to join their team and share their expertise and passion for making a difference to the health workforce in Canterbury. The successful candidate will have an opportunity to be part of a team initiating change in this interesting and challenging field. You will enjoy working across all levels of both the Canterbury and West Coast DHBs with the main focus of your role being to provide quality health and safety advice and support to managers and staff.

Your tasks will include the implementation of Health and Safety programmes so a good knowledge of occupational health and the ACC Partnership Programme would be an advantage. Key to your success in this role will be your strong communication skills and ability to build strong relationships across all levels of the organisation as well as with external networks.

To find out more contact Heather Ewing, Recruitment Specialist, phone (03) 337 7953, or email: heather.ewing@cdhb.health.nz

Financial Analyst You’ll have the opportunity in this role to put your analytical skills to good use by assisting with the ongoing functions of the Corporate Finance Department. This will include assisting in the preparation of the organisation’s internal and external monthly reporting requirements, annual accounts, external reporting requirements, and responding to ad hoc analytical requests.

A confident self-starter, you will thrive in this fast paced dynamic environment where your exceptional communication and analytical skills will be put to good use. You will be a strategic thinker and be capable of conveying complex information, while building positive relationships with key stakeholders across all levels of the business.

To find out more contact Stacey Flintoff, Recruitment Specialist phone (03) 337 7985 or email stacey.flintoff@cdhb.health.nz

Application Administrator We require an experienced and competent Application Administrator to assist with the configuration and maintenance of the Microster Rostering system.

The successful applicant will have a sound background in business system administration and IT. While business systems administration experience working with a large Roster application is not essential, such experience will be highly regarded. Excellent communication, interpersonal and organisational skills are essential as is the ability to work in a team environment.

To find out more contact Heather Ewing, Recruitment Specialist, phone (03) 337 7953, or email: heather.ewing@cdhb.health.nz

Want to know more about other roles available at the Canterbury District Health Board?

Visit https://cdhb.careercentre.net.nz

Monday 16 February 2015

One minute with… Heather O’Connor, Hospital Aide, Oncology Ward What does your job involve?

Where do I start? It’s a great place to work. I have been here for eight years so I guess you can say I am happy in my job. My duties include a lot of different tasks which help the ward run smoothly, including maintenance requests and Oracle. I have been updating my skills on the Patient Management System, (only when the wonderful Una our Ward Clerk is away). My job mainly consists of me working closely with the registered nurses. I am the other two hands they do not have. I work under their guidance and class myself as an important team member.

Why did you choose to work in this field?

Oncology is something that I am passionate about as I feel it is where I am meant to be at the moment.

What do you like about it?

The most important part of my job to me - the patients and of course my colleagues.

What are the challenging bits?

Sometimes it is being in two places at once.

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

All my colleagues and need I say why as they already know. The list is so long I would be here for longer than a minute.

The last book I read was…

In the Land of the Long White Cloud. Fictional book but has a bit of history about Christchurch (also a love story).

If I could be anywhere in the world right now it would be…

On a tropical island with a deck chair, the sea and of course something nice to drink.

My ultimate Sunday would involve…

Spending time with family and friends.

One food I really dislike is…

Broad Beans, yuck, yuck, yuck.

My favourite music is…

I like pop, rock or anything I can Ceroc to.

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

Above: Heather O’Connor.

Are you looking for a training position with plenty of variety and exposure to the largest, highest visibility project in South Island history?

The Patient Information Care System (PICS) project will ensure our patients receive the best care by integrating patient information across all five South Island District Health Boards, making a better journey for everyone. Change isn’t easy, so we want to fully support the health workforce through the transition to the new system. With this goal in mind, we are looking for a training professional from within CDHB to join our dedicated and innovative team. For more click here.

Enquiries should be directed to Heather Ewing, Recruitment Specialist, phone (03) 364 0599, email: heather.ewing@cdhb.health.nz Monday 16 February 2015

In brief

Expression of Interest - National Health IT Board Consumer Panel The National Health IT Board Consumer Panel was established to provide consumer advice and opinion to a range of governance and working groups engaged in delivering the National Health IT Plan.

The Panel is looking to increase its membership and is seeking Expressions of Interest from everyday New Zealander’s who have a passion for Health and Information Technology. We are particularly interested in individuals who have an affiliation to a national non-government organisation or health organisation and are able to utilise networks to disseminate information and gather advice.

For further information read the Terms of Reference for the Panel and the updated National Health IT Plan.

Applications should be made on the Expression of Interest form and can be emailed, posted or couriered to the address on the form.

Staff Wellbeing Programme: New Classes - Yoga / Pilates / Zumba at main hospital sites Updated information is now available for the following initiates:   

Physical activity – Yoga/Pilates/Zumba Mindfulness sessions Weight Watchers @ Work

Visit the Staff Wellbeing Programme intranet page for details.

Andy Hearn Staff Wellbeing Coordinator Canterbury and West Coast DHB Phone: 03 337 7394 Ext: 66394 Mobile: 027 218 4924 andy.hearn@cdhb.health.nz

Applications need to be received by 23 February 2015. Successful applicants should be prepared to attend the next Consumer Panel meeting on 12 March in Wellington.

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Monday 16 February 2015

In brief

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Monday 16 February 2015