Canterbury DHB CEO Update 2 June 2015

CEO Update Tuesday 2 June 2015

Our key themes – making it better for patients The pace of change is rapid in our health system, and with so many competing priorities, quality improvement initiatives and projects happening at any one time, last year we decided to focus our efforts on five key themes, plus mental health (due to the significant increased demand the service is experiencing since the quakes).

There’s a considerable amount of activity happening under each of these broad headings below, and they are certainly starting to have an impact on patient care and save patients’ time. As a result of taking a hard look at current practices, identifying how we can change the way we work to make our systems and processes leaner, and even more patient-focused is essential to ensure we stay ahead of the curve and keep patients flowing through our hospitals and returning home with appropriate care and support as required. The whole health system has an impact on patient flow, and primary care plays an integral role by providing increasing levels of care in the community, and by following HealthPathways.

I want to thank everyone involved in bringing these themes to life in a tangible way that really is making it better for patients.

Doing the right thing makes good sense.

The themes are outlined below and there is more information available on the intranet: »» Frail Older Person’s Pathway – aims to get frail older people safely back home, faster. Working across the system the programme promotes a team response that supports the older person to achieve what is important to them.

The ultimate goal is a seamless pathway with no delays to ensure the best possible clinical outcome for frail older people and improve quality of life. »» Theatre Utilisation –is focused on improving the performance and productivity of operating theatres across the Canterbury DHB, reducing cancellations, improving patient flow and achieving shorter waiting times for patients before their treatment.

»» Enhanced Recovery After Surgery (ERAS) –is designed to optimise surgical outcomes by improving the patient experience and ensuring all patients receive the right care at the right time. This is achieved by ensuring the patient is in the best possible condition for surgery, they have the best possible management during and after the operation and ensuring the patient experiences the best possible rehabilitation. The programme supports early recovery after discharge from hospital and looks to reduce waiting times. »» Faster Cancer Treatment – seeks to improve the patient journey for cancer patients and ensures patients have timely access to appointments and tests which detect cancer and cancer treatment. The programme will reduce barriers to treatment and over time will ensure that patients have access to the same quality of care within the same timeframes, irrespective of where they live. »» 100 Days Programme – focuses on moving towards providing an elective first specialist assessment (FSA) or surgical treatment within 100 days, from the time certainty is given for all patients needing these services. Aiming for 100 days means patients wait less, we reduce waste in the system and more confidence is generated in both primary and secondary care. »» Mental Health – we are also placing priority on mental health services due to the significant increase in demand since the quakes.

David Meates

CEO Canterbury District Health Board

In this issue

»» Spotlight on 100 Days Programme...page 2.

»» Celebrating World Smokefree Day...page 6.

»» Facilities fast facts...page 3.

»» Check out who has immunised their selfies against flu...page 9.

»» Room with a funky view...page 5.

»» One for the blokes...page 11.

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CEO Update

Spotlight on: 100 days programme - outpatient and surgical flow The Canterbury Health System is moving towards providing an elective first specialist assessment (FSA) or surgical treatment within 100 days. This is the time- frame for patients who have been given certainty of treatment in our health system. The goal is they will wait no more than 100 days to initially be seen by a specialist; then if they are accepted for surgery, they will wait no more than 100 days for their surgery or procedure to take place.

The current Ministry of Health target is 120 days. By bringing it back to 100 days our aim is to save patients’ time, and importantly allow us some ‘wiggle room’ or in electives speak ‘protected capacity’. This protected capacity is important as it means urgent and acute patients can more easily be accommodated at short-notice.

Importantly, reducing the time patients spend waiting doesn’t mean we are seeing fewer patients. We still have the same outpatients and theatre capacity – this is a fixed resource and we have no plans to reduce volumes. The plan is to increase volumes over time.

Moving to a maximum 100 day waiting period means when everything is aligned, we are seeing the right patients sooner thanks to: appropriate and accurate referrals guided by HealthPathways; timely triage of referrals; efficient and lean booking systems all supported by access to quality data which provides a clear indication of ‘the big picture’ e.g. how many people are referred, and how urgent they are, how many people are being seen and how many are referred to alternative care or back to their general practice team.

It’s vitally important for patients but it’s also important that we meet these timeframes as there are negative financial implications for Canterbury DHB if we don’t.

result of 16,861. This is because we are delivering more care to people and faster.

We are seeing a decreased readmission rate, shorter stays in ED, shorter diagnostic wait times, and urgent wait times are achieved and theatre utilisation is maximised.

Want to know more?

Be quick as the 100 days workshops are almost a sellout!

The 100 days workshops have been very popular – there are still spaces available in the following sessions, 20 August 8-10am and 27 August 12-2pm.

These workshops will provide an interactive opportunity for Canterbury DHB staff to better understand optimal elective patient flow and how to apply the approaches learnt as part of the 100 Days Programme. They will focus on clinical prioritisation (triage), smart booking processes, and reporting tools for data driven flow management. Workshops are designed for clinical directors, triaging clinicians, service managers, booking coordinators and quality team members.

You will get the most from the workshops if you can attend the same workshop as a service team.

Please RSVP indicating your preferred workshop to Karen Hawke karen.hawke@cdhb.health.nz

Is the 100 days programme having an impact?

Canterbury DHB is on target to deliver 17,484 elective surgeries this 2014/2015 year – up 563 on the previous years’

Canterbury Grand Round Friday 5 June 2015 – 12.15 to 1.15pm with lunch from 11.45am.

Venue: Rolleston Lecture Theatre Speaker one: Jared Green “The Tests of Wrath” Exploring the connection, or lack thereof, between your patient and their results.

Speaker two: Scott Pearson “The trouble with Trauma” What is the trauma burden for Christchurch Hospital, how do we handle it and what challenges do we face? Trauma management in the Emergency Department is discussed,

outlining patient presentations. Some developments are on the horizon that will improve our ability to compare outcomes with other centres.

Video Conference set up in: »» Burwood Meeting Room »» Meeting Room, Level 1 TPMH »» Wakanui Room, Ashburton »» Administration Building, Hillmorton

All staff and students welcome.

Next Grand Round is on Friday 12 June 2015 Convenor: Dr RL Spearing - ruth.spearing@cdhb.health.nz cdhb.health.nz 2

CEO Update

Tuesday’s Facilities Fast Facts Burwood

Our next bird’s-eye view of the Burwood buildings will be coming to a computer screen near you soon! The picture shows Tom Worters launching a quadcopter last Saturday to take new footage of the site.

Also this week, another view of one of the ward blocks, showing the external glazing now in place.

Christchurch

The Acute Services building is nearing the end of the site preparation phase, as the photo below shows. The contractors are currently importing high grade fill and compacting the area ready for the construction of the foundations. They are also finalising the re-routing of underground services (water, sewers, cables) around the existing hospital buildings.

Closure of Rolleston Avenue Bridge: A reminder that pedestrians and cyclists wishing to access Christchurch Hospital from the north side of the river can no longer use the Rolleston Avenue Bridge. In particular, wheelchair users and parents/caregivers with baby buggies are advised to use the Antigua Boatshed bridge, and to enter and exit the hospital via the main front entrance.

and Child Haematology day stay areas, and on Emergency Department, Perioperative and Radiology bed bays.

User group news: The second Detailed Design Workshop was held this week. Representatives from each user group attended to finalise design principles for staff bases and receptions, for staff spaces within bedrooms and corridors for placing devices and writing notes, and for bedroom and bed bay joinery. Further work will be done on the Medical Services Panel design for treatment/consult rooms, on Haematology

At the Labs building, repair works to Stair 2 are ongoing, which means that the pedestrian corridor between the blue car-park building and the Labs building will be closed over several weekends to allow a crane on site. The remaining weekends for this work are 6-7 June and 13-14 June. Signs will direct people around the building using the public footpath at this time.

A further two sessions will let user groups view the progress made in planning for the façade design, interiors, signage and door functions.

Notes on quake repairs

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CEO Update

Bouquets Intensive Care Unit, Christchurch Hospital Our family would like the efforts and compassion shown by Delwin and Danni from ICU to be recognised. They made a terrible time for our family as comfortable for us as possible. They answered the many questions we had as best they could and made us feel that we were entirely in the loop. A fine and excellent presentation of a medical professional.

Thanks so much.

Outpatients, Christchurch Hospital Always are made to feel good and service is always wonderful. Thank you all staff, do need better parking.

Best of service, staff great.

Oncology, Christchurch Hospital I think the service here is fantastic. I’ve been treated so well by everybody I have no complaints, only praise for a job well done. Thank you all.

Ward 28, food service, Christchurch Hospital Just want to say Lorraine from food services is the most lovely lady, is amazing, has a very friendly face/ smile and is a breath of fresh air, so helpful in every way possible. Nobody quite like her. I am a regular patient and its always refreshing everytime I come in.

Ward 28, Christchurch Hospital I would like to highly commend the two lovely ‘tea/ dinner’ ladies on Ward 28, Shirley and Lorraine. They are delightful, a pleasure to have around, always making the patients smile and cannot do enough for each and everyone one of us.

Thank you both very much. A treasure!

Ward 28 food service, Christchurch Hospital I would just like to say they do a great job, always friendly and will stop and have a chat about the meals if they have time. Very lovely to talk to, made my

stay in hospital that little bit easier. A big thanks.

acknowledgement on to Gill on my behalf. Once again thank you very much.

Ward 15 and SPCU Thank you for the awesome care you gave our Mum.

Ward 18, Christchurch Hospital To all staff at Ward 18 thank you all for your awesome support during our stay with you. Take care all, much love. You all Rock.

Medical Day Unit, Christchurch Hospital My Father had two days in MDU this week. The nursing staff were so kind and respectful to my Father. Sabina and Dave made a great job of caring for him.

Thank you.

Emergency Department, Christchurch Hospital I came in about four weeks ago with back pain. I would like to express my appreciation for the professional way in which I was dealt with by all staff.

Triage, reception, nurses, doctors and xray department. All were efficient, good humoured and very thorough.

Emergency Department, Christchurch Hospital Lovely staff, very helpful and patient. I enjoyed my stay.

Coronary Care, Wards 12 and 14, Christchurch Hospital What a wonderful six days in this four star plus environment. The professional care and attention given me has been outstanding. Even down to the domestic and food staff, the service has been excellent. With all of the above categories I don’t really want to leave.

Emergency Department, Christchurch Hospital Very fast and thorough service, lovely staff. Thank you very much.

Radiology, Christchurch Hospital I would like to express my thanks for the help that Gill from radiology gave.

She was outstanding, very caring and extremely helpful, helping me with a resident that I had brought in from a resthome. I would like you to pass this

Bone Shop, Christchurch Hospital My Mum… broke her arm and has received first class care and attention.

The staff’s kindness and respect has been great and she just wishes to recommend their service and care. Mum is 85 years old and has been treated as a person in her own right, thank you all for this.

Oncology, Christchurch Hospital Overall very, very happy and impressed by your service so far. Just a suggestion re radiation treatments that if appointments are running more than 30min late, patients could be txt’d to advise or have a website that patients could check to see if running to schedule or not.

Plastics Outpatients, Christchurch Hospital Most impressed with the care and expertise of these people. Nothing is too much trouble. They are always accessible and have a real care – we note this for other patients who attend as well as for us.

Christchurch Hospital On Thursday our brave boy had a heart attack. He is being looked after so well by great staff; Alex Binfield, Paul Currant, Dr Puri, Evan Cameron, John Breslin, David Knight, Geoff Shaw. Thanks to Di M (ED), Pip, Siobhan, Warren, John Garrett, (CAA) Paul Bridgman, Una (cardiology) Cath lab staff, Toni, Meaghan, Claire, Pip J (ICU ) Shane, Anna, Nico, Arthur, Dion (NZFDS) Sorry if I missed some names. Thank you everyone. cdhb.health.nz 4

CEO Update

Room with a funky view Last Thursday a group of young people from CanTeen put their thumbprints on a very special artwork at Christchurch Hospital.

A wall outside the redeveloped Children’s Haematology Oncology Centre (CHOC) has been turned into a funky new artwork, providing a special view for children and adolescents whilst undergoing treatment in CHOC. The mural has been created by Professional Graffiti Artist, Wongi Wilson (aka Freak DTR).

Wongi is a Christchurch born artist whose interest in graffiti developed at a young age. He has played a major role in the transformation of graffiti art in Christchurch. He specialises in large scale murals and is involved in a lot of community work and youth development workshops.

Last year Wongi painted a mural called ‘Freak’s Room’ in a Cranford Street red zoned house which was demolished in September.

“The aim of the artwork is to inspire HOPE, one of the words hidden within the artwork, as well as to symbolise a journey,” says Louise.

Wongi has also hidden other words, such as “shock” and “kia kaha” within the art work that help to express some of the feelings that young people may be experiencing during their cancer journey. This definitely adds to the mural and makes it well worth going to have a look.

The artwork will be officially unveiled on Monday 8 June at 4pm, where the young people involved in the process will help to cut a ribbon. The CEO update will feature photos taken at the opening.

A meeting with Wongi and CanTeen, the only New Zealand organisation supporting young people living with cancer, was organised by Sarah Apiata (CanTeen Youth Worker – Patient Services, Canterbury/West Coast Branch) and Louise Sue (Adolescent & Young Adult Cancer Keyworker, Canterbury District Health Board).

A focus group of 10 CanTeen patient members worked with Wongi, Sarah and Louise to come up with an idea for the design and that same group critiqued the first and second draft designs before giving final sign off.

Fingerprints, representing blossom petals being added by the young people from CanTeen.

Sarah explained that she “encouraged our CanTeen members to look at this as a gift they were giving to future CHOC patients, and to reflect on what messages they would want to be passed on to these patients through the design. As each of these young people had been on their own journey with cancer, they brought such genuine insights and understanding and were definitely the right people for the task, alongside the support of Wongi and his creative expertise. They made a great team”.

Louise says it was a great example of collaboration with consumers and incorporating a positive youth development approach into the facility development at Christchurch Hospital.

Professional Graffiti Artist Wongi Wilson with is artwork.

“It gave the young people the opportunity to be involved in the process from beginning to end. We invited them to come back after the mural was completed and add their thumb print to the art. The thumb prints depict blossom petals and will be added to over time by other young people who come along to CHOC. Jacob Knight, a CanTeen patient member who was part of the Consumer group and who went through treatment in CHOC himself in 2009, said it was “an awesome initiative which he felt honoured to be a part of, and that he hoped it would give future CHOC patients something they could enjoy and find inspiration in, during what can be a very challenging time. It has been great to be of the whole process and to see it all coming together”.

CanTeen patient members admiring the artwork by Wongi outside the new CHOC facility. cdhb.health.nz 5

CEO Update

Celebrating World Smokefree Day in Canterbury World Smokefree Day was celebrated in Canterbury on Sunday.

Here are some snapshots of some of the action: 10km a Smokefree celebration Smoking cessation provider Aukati KaiPaipa and seven of their clients celebrated World Smokefree Day by completing the 10km walk at the Christchurch Marathon.

World Smokefree Day Hikoi On Sunday Kaumātua from Rehua and Rapaki maraes did their own Hikoi at the Botanic Gardens to help support World Smokefree Day. Kaumātua and participating whānau wore Smokefree T-Shirts and shoes provided by the Shoe Clinic.

After their 5km walk the group met at Rehua Marae and celebrated with homemade soup and bread.

Justine Riwai (pictured right in above photo) was one of seven Aukati KaiPaipa clients who did the 10km walk on Sunday.

Justine has been Smokefree for 16 weeks, and it’s not just her health which is benefiting. By not smoking Justine is saving $280 a week, which she’s spending on her family.

“I am using all the money I’m saving on taking the kids to places like Orana Park, Willowbank, the Antarctic Centre and Hanmer. We’re doing something special together every weekend,” says Justine.

After smoking for 27 years, and with 14 unsuccessful quit attempts to her name, Justine can now call herself Smokefree.

Hillmorton BBQ A BBQ was held at Hillmorton on Friday to celebrate World Smokefree Day. Creating a supportive Smokefree environment, and ensuring staff are Smokefree role models, are important steps in supporting the health and wellbeing of mental health consumers.

Below: Pukenga Atawhai Vi Anderson and Service Manager Tony Lockington (holding NRT) at Hillmorton.

Celebration as Canterbury café goes Smokefree Ashburton café Columbus Coffee’s decision to go completely Smokefree, inside and out, was celebrated.

Cafe owner Nigel Heney says it was a pretty easy decision to go Smokefree as part of World Smokefree Day after being approached by Community and Public Health.

“For my customers and staff it means a much healthier environment, particularly for the children we have visit the cafe. But it also means our customers can enjoy our outdoor seating without needing to sit amongst smoke which can have a negative impact on their experience,” says Nigel.

Carly McDowell from Community and Public Health says creating more Smokefree community spaces is key if we’re going to reach our Smokefree Aotearoa 2025 goal.

Below - Mandy Casey from the Cancer Society, Columbus Coffee owner Nigel Heney, Carly McDowell from Community and Public Health and Jo Goodhew MP.

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CEO Update

Role of Chaplain “privileged ministry” Catholic Chaplain for Christchurch Hospital and Christchurch Women’s Hospital, Sister of Mercy, Mary Hanrahan, is retiring on June 12, after more than eight years in the role.

Sister Mary, of St Mary’s Parish in Manchester St, began as Catholic Chaplain in 2007. She was previously Principal of Villa Maria College for 20 years and had several other roles in the education sector.

“This amazing woman has been keeping our spiritual heart uplifted and safe and will be greatly missed, not least by her former ‘Villa Girls’”.

Born and raised on a farm near Rakaia, Sister Mary went to a local convent school before attending boarding school in Timaru. She decided to join the Sisters of Mercy and then did university studies and teacher training.

There will be an informal morning tea for Sister Mary, in the Christchurch Hospital Great Escape Cafeteria’s Lounge on Friday 12 June 2015 at 10am, Staff are invited to attend, share a cup of tea and wish Sister Mary well.

“I have been a school teacher for most of my life,” she says.

Her role as Hospital Chaplain, part of a five strong Catholic Chaplaincy Team, has been “wonderful”.

We wish her a very happy and fulfilling retirement, Joy says.

Below: Sister Mary Hanrahan

“It’s very privileged work in this ministry, being with people when they are sick, being able to support them in difficult times.”

Along the way she has got to know many patients and their families and staff.

“I have had huge support from staff and met older people whose daughters I have taught as well as former colleagues who were patients in hospital. I have had some very remarkable and privileged experiences.”

Customer Services Manager, Joy Sixtus, acknowledged Sister Mary’s “great contribution” over the eight years with her dedicated pastoral care of so many staff, patients and their families.

“Often unnoticed in the busyness of day, Sister Mary has quietly been a warm, and comforting presence, listening, supporting and encouraging us all through the many challenges arising from trauma, illness and loss, not to mention the stresses during and since the earthquakes”.

WellNow winter 2015 out – well, now.

Look out for the latest edition of our community health magazine that will reach mailboxes from Friday. Its purpose is to tell Canterbury’s health-related success stories featuring people the readers can identify with, to inform and educate, and to provide useful information. You may already have heard some of the radio ads?

This edition features a great story about schools learning about good food and where it comes from, while building fruitful relationships with other schools and the wider community. On a similar vein, there are a couple of stories about the health village engaging Māori at this year’s Te Matatini and the health benefits of connecting with your culture and taking part in kapa haka. It talks about the continuing wellbeing challenges Cantabrians continue to face and how appreciating the simple things can help. You can also get an update on our facilities redevelopment programme.

As a special offer, just for you, you can check out an advance copy by clicking on this link. This edition and all previous editions of WellNow can be found under ‘news publications’ on our website.

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CEO Update

Electronic prescription and administration: Taking over the world one ward at a time It’s not as sinister as it sounds, it’s a good thing!

Having successfully infiltrated the Hillmorton campus, MedChart will also be live across the Older Person’s Health and Rehabilitation (OPH&R) service at The Princess Margaret Hospital by the time you read this. OPH&R was made high priority because medicine administration is often complex in older person’s health, and so that it will be embedded as standard practice well ahead of the move to Burwood.

Electronic prescribing and administration is being implemented across the DHB as part of a wider programme of work referred to as eMeds. eMeds is focused on improving safety for patients and staff by reducing medication errors. A key component of the eMeds programme is called MedChart, an electronic system that replaces the printed QMR4 form.

The new system is paperless and the information clear and easy to read – no spidery handwriting to decipher or missing or added zeros in the dosage. It is a single electronic record where each change can be tracked to the individual who made it, so entries can be checked with the originator if necessary.

Importantly, it doesn’t replace clinical judgement.

have been very responsive to all of these and are always just a phone call away.

“Overall – a very positive experience,“ Andrea says.

Karen Hurley, Charge Nurse Manager Ward 2B made this comment: ‘’The roll out of eMeds has been a very positive and empowering experience. There is a feeling of positivity, enjoyment and satisfaction amongst staff.

“The vibe is one of being very well supported and staff feel that they are a very valued part of the change process which makes a significant impact on efficiency and patient safety.

Staff have been surprised at how well they can manage and have embraced the change with professionalism and open mindedness.’’

And finally, from Julie in Ward 2A: “Awesome programme! Wonderful to have such positive support from you guys (eMeds Clinical Support) - so simple and easy to use.”

Andrea Mears, Charge Nurse Manager assessment, treatment and rehabilitation says the training programme for staff has been excellent, with all the nurses being trained in the month leading up to the start of the roll out.

“The extra support given to those who are not used to dealing with computers has been excellent as well. The actual go live has gone very smoothly, with a project team member on the ward to help anyone who needs it.

“Anxiety before the go live was moderately high, but on the day it all started there was a collective sigh of relief as it was so much easier than expected. There have been some ‘hiccups’ along the way – with local processes not always reflected in this national MedChart. However, the eMeds project team

Nursing Education Development and Delivery A recent review of education delivered within some parts of the CDHB showed that: »» There is a significant duplication of topics and resources. »» The development of teaching resources and study days represent a significant proportion of educators’ and clinicians’ time. »» Learning and development is not always translated into improved clinical outcomes. »» Following benchmarking and a review of the literature, we have developed a process by which all education over the length of four hours will need to be approved by the appropriate education committee (Medical/ Surgical or Mental health) as per the Nursing Education Development Policy.

Carlos (Juan) Molina from the eMeds team with Registered Nurse Wendy Winter.

The purpose of this policy is to support the delivery of quality education by means of a standardised development process for education development. This policy is applicable to all CDHB internal nursing education providers who are involved with the development and delivery of nursing education.

Any queries can be directed to Janette Dallas, Nurse Manager Professional Practice Development or Tony Farrow, Clinical Manager/Training Coordinator, SMHS.

Mary Gordon, Executive Director of Nursing

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CEO Update

Immunise your selfie

Clinic times

Check out our flu vaccination videos

Christchurch campus

»» Great Escape Cafe - Friday 5 June, 09:00 - 14:30 »» Endo Room, off Ward 26 - Wednesday 10 June, 13:30 - 15:00 (This is also a general vaccination clinic.) »» Great Escape Cafe - Thursday 11 June, 09:00 - 15:00

Hillmorton Hospital campus

»» Clinical Service Unit - Wednesday 3 June, 14:00 - 15:15 »» Clinical Service Unit - Thursday 4 June, 09:30 - 11:30 & 13:30 - 15:15 »» Fergusson Building - Friday 5 June, 09:00 - 10:30 »» Clinical Service Unit - Wednesday 10 June, 14:00 - 15:15 »» Clinical Service Unit - Thursday 11 June, 09:30 - 11:30 & 13:30 - 15:15 »» Fergusson Building - Friday 12 June, 09:00 - 10:30

The Princess Margaret Hospital »» TPMH Outpatients (This is also a general vaccination clinic.) Friday 12 June, 13:00-14:30

Further clinics & details for other sites will be available here.

Watch the daily global email for details about our Immunise your selfie week.

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CEO Update

Building on our improved hand hygiene performance The interim result as at 28 May is 74.2 percent, a further two percent increase over the last audit period score of 72.7 percent which in turn was an impressive 10 percent jump up from the previous result.

Having surpassed the old target and made significant gains in recent months, we still have a bit of work to do to meet the new national target of 80 percent that must be achieved from the end of June 2015.

Nearly 1200 moments so far have been collected of the required 2400, with the National Audit Period finishing at the end of June. We have the whole month of June to demonstrate our commitment to effective hand hygiene.

The chart below compares our performance with NZ DHBs as a whole, showing that 80 percent is totally achievable.

We all know appropriate hand hygiene practice is essential to safe patient care and we are counting on you to continue to promote and prioritise hand hygiene excellence through every level of the organisation.

Regular area-specific interim reports are being circulated and areas that are not meeting the 80 percent have developed action plans to target local and service specific improvements.

Resources to drive local improvements are continuously updated and can be found on the CDHB intranet.

Some of the new resources include: »» Hand Hygiene Educational Video Improving the focus of hand hygiene targeted to doctors (thanks to Waitemata DHB) »» Hand Hygiene Safety Cross, a tool that displays local results

The wards under scrutiny as part of this national audit period are »» WCH: CHOC, NICU, Gynae Ward

»» Hand Hygiene Posters »» World Health Organization Hand Hygiene posters specifically for Peripheral IV’s, CVAD’s and ET Tubes

»» Med/Surg: ICU, Acute Dialysis, BMTU, Ward 26, Ward 20 »» TPMH: Ward 2B, Ward 3A »» Burwood: Spinal Unit, Surgical Ward »» Ashburton & Rural Health: Ward 6

Key messages & summary from the Alliance Leadership Team - 18 May 2015 Includes information on: download here »» New CCN Website »» Kaikoura SLA Transitional Manager »» Radiology SLA Disestablishment »» Rural Funding Allocation Formula »» Patient Portal »» Health of Older People Workstream (HOPWS) proposal »» CCMS Changes in Governance Structure

Snap a selfie either before, during or after your flu vaccination.

Post your selfie on CDHB’s facebook page with hashtag #FLUHQ and a line about why you chose to be vaccinated. Remember to link it to your own page.

Or forward to communications@cdhb.health.nz and we’ll post it for you.

The most liked selfie will win a prize each month.

More information on the staff intranet.

Based on a campaign run by the Liverpool Community Health, NHS Trust.

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CEO Update

Women’s Health Section (NZNO) 13th Annual Conference - ‘Shaken, but not Deterred’ The Women’s’ Health Section (NZNO) 13th Annual Conference ‘Shaken, but not Deterred’ was opened by Christchurch Mayor Lianne Dalziel at the Chateau on the Park on the weekend 14-16 May. Jill Lamb, Clinical Nurse Specialist, Christchurch Women’s Hospital says the conference was a great opportunity to gain up to date knowledge of relevant women’s health topics.

Presentations were delivered by a number of doctors, nurses and midwives who covered a wide range of topics including anxiety post-earthquake, non-invasive pre-natal screening, wound management, pharmacological topics and coronial case reports through to advanced nursing practice, hysterscopic procedures, endometriosis and an entertaining and thought provoking finale from Dr David Peddie on his work in Kiribati with women with gynaecological cancers.

We were grateful to our gold sponsor, Lifetime, who supported the free paper. The winner of this paper was Catherine Cook (Auckland) who spoke on ‘Optimising cultural safety and comfort during gynaecological examinations: accounts from Māori women” and a first time presenter Robina Mall (Auckland) was awarded a prize from NZNO Women’s Health Committee for being a first time presenter. Her topic was “Selective Fetoscopic Laser Photocoagulation (SFLP) for Twin to Twin Transfusion Syndrome (TTTs).

Another gem from All Right?

The crew at All Right? has just put together a new poster generator (that’s an online tool where you can create your own posters…I had to have it explained to me – Ed) to encourage us all to get outside, shake off the cobwebs and go for a stroll.

Walking is a great way to give yourself a mood boost – especially as winter sets in.

The Women’s Health Section (NZNO) 14th Annual Conference will be held in Hamilton in May 2016.

Above: The Christchurch contingent in fancy dress for the conference dinner.

The theme was either ‘W’ (Women’s) or an ‘H’ (Health) and the winner of this was Eileen Mangan who designed and made her own outfit as a wine bottle made complete with a cork top. A very close second was Lorna Durney wearing a womb.

One for the Blokes …and their friends/partners

WALKING IS GOOD FOR THE BODY, MIND AND SOUL

Brought to you by Pete and Jason

A chat about men’s mental health Two hour workshops designed to raise awareness of mental health issues facing men…

What are the key issues What signs to look out for What support is available How can family/friends and colleagues provide support

You can customise your own walking posters, print them off and spread the word at: http:// walkingposters. allright.org.nz

Workshops presented by the Wellington City Council and ThinkWell Funded by the Red Cross Location TPMH Burwood CHCH Campus

WHY NOT WALK? Awesome destinations near Christchurch Hospital Ilex Cafe: 800m, 10mins Re:Start Mall: 900m, 11mins Bus Interchange: 1km, 12mins

Date Monday 15th June Monday 15th June Tuesday 16th June

Time 1000-1200 1400-1600 0900-1100

Each workshop is restricted to 25 participants. Attendance is free of charge and registrations will be accepted on a first come, first served basis. Click here to register for a workshop.

For more information contact Andy Hearn andy.hearn@cdhb.health.nz or 027 218 4924

Distances are one way, from here to there!

Make your own poster at walkingposters.allright.org.nz

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CEO Update

One minute with…Gemma Warner, Senior Medical Physicist What does your job involve?

Medical Physics and Bioengineering (MPBE) is a mixed bag of physics, engineering and technical staff, we provide scientific and technical services in a variety of fields from engineering new equipment to repairs and providing radiation safety advice. I work in oncology as one of nine qualified radiotherapy physicists.

Our main role is to support a safe radiotherapy service by ensuring that all the complex equipment delivers correct radiation doses, check patient plans, advise on complex situations and commission new equipment and techniques.

My specific role is to look after the four linac machines which deliver external beam radiotherapy to approximately 120 patients every day.

I manage a quality assurance schedule to ensure they are kept to a standard in line with international guidelines as well as liaising with manufacturers’ engineers and radiation therapists if they happen to break down to get them back in to use as quickly and safely as possible.

Why did you choose to work in this field?

I always enjoyed science and maths at school and took a module in medical physics as part of my degree. The appeal was being able to apply the physics theory I learned in a useful and really interesting field.

continuing to publish useful papers and push treatments/ equipment forward particularly from the Netherlands Cancer Institute in Amsterdam and the University of Sydney Medical School.

The last book I read was…

Stoner, by John Williams.

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

I would love to pop home for lunch with my family in the UK. My ultimate Sunday would involve…

Lazy morning with my husband reading papers or listening to the radio and cooking up some tasty brunch.

One food I really dislike is…

Pickled onions.

My favourite music is…

Embarrassingly I never really grew out of my grunge phase but also enjoy listening to the Yeah Yeah Yeahs and Florence and the Machine.

Gemma Warner

What do you like about it?

I love working as a radiotherapy physicist as it is so varied and I get to work with a lot of dedicated staff from a wide range of disciplines. Particularly over the last 10 years radiotherapy treatments have undergone rapid development in terms of new techniques and equipment.

One day you might be performing complex Quality Assurance on a linac or analysing measurement data at your desk and the next attending theatre with a whole different team or commissioning a brand new piece of equipment that only a handful of centres have installed.

What are the challenging bits?

The workload can be overwhelming at times and prioritising tasks difficult, it would be great if patient numbers were constant, complex scenarios only ever turned up during a quiet spell with plenty of notice and equipment never broke down! It can require long days and late evenings trying to get machines back into use to cause the least disruption to patient treatments as possible. Working as a radiotherapy physicist requires very specific training and as such it is often hard to recruit into our team so we are frequently understaffed.

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

I have so much respect for all of the RTs I work with that make radiotherapy a really positive and enjoyable place to be for staff and patients. From a radiotherapy physics perspective there are a few groups around the world performing research,

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

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CEO Update

Staff Wellbeing Programme Burwood new morning yoga class & Christchurch Campus Zumba restarting

YOGA

Burwood yoga – new morning class has started Thursday 0700-0750 with Kirstyn in the Utley Gym.

FOR STAFF

Join Kate & Kirstyn

Burwood Hospital

(Utley Gym)

CHCH Campus - Zumba Gold (low impact) Class re-starting at 1730 on Tuesday 9 June with Sandra in the Lounge off The Great Escape.

Every Tuesday

If you’re attending for the first time the class is FREE!

4.45pm - 6pm

7am-7.50am Every Thursday Only $10 Concession cards available

Please bring a yoga

Wellbeing Workshops The first series of 10 Wellbeing Workshops are fully booked. We will be advertising another 10 workshops (running from July to September) in the next couple of weeks. Keep an eye on the CEO Update, global emails and the Staff Wellbeing Programme intranet page for details For more information on these, and other, wellbeing initiatives visit the Staff Wellbeing Programme intranet page for all staff wellbeing information

Flexibility is NOT a prerequisite

mat, your drink bottle and comfortable

...each class provides a level of options

clothing.

for a beginner Hatha practice – enabling you to practice at your own

(some mats available if you don’t have one)

pace & within your own capabilities.

Email: Kate- fourgonorth@clear.net.nz Kirstyn– 02102298699 kirstyn.steyaert@gmail.com Please notify instructor before attending a class

Full list of yoga classes 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

Be Active – try Zumba

Did you know only 18 per cent of respondents to the Canterbury DHB Staff and Family Wellbeing Survey 2014 achieved the minimum recommended level of physical activity outlined in the Ministry of Health guidelines?

Exercise doesn’t have to be a chore. You can look good and feel great with Zumba at CDHB. Re-energise yourself by dancing with friends to help tone muscles and gain fitness. Zumba classes give you a high energy, high fun workout. Come along to have fun and enjoy yourself as you boogie down to the latest Latin inspired music.

Zumba is perfect for everybody and everybody. Each class involves a mix of low-intensity and high-intensity moves for an interval-style, calorie-burning dance fitness workout. You’ll get a total workout, combining all elements of fitness – cardio, muscle conditioning, balance and flexibility, and boosted energy. Zumba classes are typically an hour long and are taught by fully trained instructors. Because Zumba offers different options/moves, the Zumba programme is safe for all ages.

Catherine is our incredible Zumba instructor at The Princess Margaret Hospital. One of her participants says, “Zumba has been a great way for me to connect with my colleagues outside of work, while doing something that is great for my body and mind.”

Zumba is about being active, connecting and having fun, while relieving stress. It’s also a good option if you’re aiming to focus on both nutrition and being more active as tools for managing your weight.

Click here for more information on CDHB Zumba class times or visit the Staff Wellbeing Programme intranet page for information on other Staff Wellbeing initiatives.

CEO Update format & deadline »» The CEO Update is compiled weekly by the Communications Team of CDHB

»» Copy deadlines are Thursday morning each week before publication (which is usually on the following Monday) »» CDHB reserves the right to edit articles for spelling, grammar and space restrictions

»» Contributions should be emailed to: communications@cdhb.health.nz

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