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JUNE 2011

From the CEO Welcome to the Winter edition of Connect. We are now only days away from one of the most exciting developments in health care today. Ko Awatea brings together the best international expertise with local leadership to ensure we have the skills, capacity and relationships to meet the health and healthcare challenges of now and the future. Ko Awatea is the beginning of our new way to deliver healthcare…. recognising our present method of health delivery is not going to work long term. Currently, despite best efforts, demand for healthcare services continues to outstrip our ability to supply it. This means reexamining how we do everything - re-thinking how we think about things; re-thinking about our community and how we connect with them. And re-thinking how primary care will be the new engine room of healthcare. Simply, just becoming the most efficient version of today will not deliver what is needed for tomorrow. It is essential to improve the health of our population not only for equality, but for the longterm viability of our health services – and it is clear we need to adopt several things. • We need to be more productive and selfreliant • We need to improve health services to individual patients by eliminating harm,

improving quality, reducing errors and improving the patient experience • We need to do these things within a budget which is not growing at the same rate as our population and the demand for health services • We need to redesign our health services to provide more community-based care. While we understand what the drivers for demand are, we have in the past not had a great impact in reducing the increasing pressures on our hospital. However, we know that by using the very best knowledge that has been developed by the very best minds in heath care internationally and by developing and using the best of our own people, we can influence the health outcomes for our population. For example, we know that chronic disease (diabetes, heart and lung disease etc,) obesity, smoking, population growth and an aging population put extra demands on our system. And on the social side, poor education, poor housing, unemployment and poverty contribute to poor health outcomes. By working much closer in partnership with other agencies and by developing the very best practice in terms of patient care in hospital and at a primary care level, we can substantially reduce costs, improve patient care and experience while at the same time improving their health. While we cannot second guess what all future solutions will look like, we will be in a position to be able to properly assimilate and test the possibilities. We will be in a position to know what the best clinical pathways are and we will be able to deliver these to our community in a way that they want. Our local Ko Awatea partners include Auckland University, AUT and MIT. Our international partners include the prestigious Institute for Healthcare Improvement in Boston, Sir Muir Gray, one of

the UK’s leading Public Health Physicians and Professor of Public Health at Oxford University, the Jongkoping County in Sweden who have the highest performing health system in Europe and the Dartmouth Atlas Project Group. For some of these partners, it is the first time they have entered into these international agreements, such is their confidence in Ko Awatea. Our Staff and Our Community Twenty-first century healthcare should be provided mostly in the community, by people who know the best way to manage the illness and who have easy access to all the tools and information they need to be able to provide this care. This is where Ko Awatea comes in. The very best way to prepare for future healthcare is to equip and invest in our staff and our community with the skills they need to be able to provide these services. Not only will we need a more highly-skilled workforce, we will need a workforce which will truly reflect what our community looks like and sounds like. Ko Awatea, through working with educational institutions such as Auckland University, AUT, MIT will have students on-site and they will be able to choose a health future and train in their own community. Through these collaborations and our international partnerships, we will be putting together a programmes and opportunities to engage our staff and students – and community – to provide them with the skills, desire, knowledge, support and confidence to change and improve the way we deliver healthcare. I would also like to take this opportunity to thank all for the hard work which is reflected in our continued high ranking in the national health targets that were published last week. This is a major achievement for a large hospital such as ours, especially given how busy we have been. So thank you for all of your efforts that have allowed us to achieve so well. Best wishes Geraint A Martin CEO, CMDHB

CONNECT I PAGE 1

2011 June Connect+  

Counties Manukau Health staff publication

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