Internationalstudytour sharingoffindings
NāIrihapetiMahuika MAY2023
OverallSummary
I would like to mihi to Collaborative Aotearoa for the facilitation and organisation of this Study Tour
ThetourincludedvisitingpertinentplacesincludingAlbertatolearnmoreabouttheirprimary andcommunityintegration;aswellasvisitingTheTamarackInstitute,GreaterHamilton HealthTeam,NorthYorkHealthTeamandtheOntarioIndigenousPrimaryHealthCare Council;wherewecantakeadeepdiveintotheOntarioHealthNetworks,theuseofCollective ImpactandFieldCatalystapproachandIndigenousPrimary/CommunityHealthModelsof Care.Wewerealsoprivilegedtobehostedbytheindigenoushealthcareleadersacross Canada.
ThetourtheflewintoLondontovisitanumberofIntegratedCareSystems,whicharesimilar toourNewZealandmodelofLocalitiesbutaremuchfurtherdownthetrackintermsof maturity;sothereweregreatopportunitiestoexploretheconceptoflocalities.
ThetourfinishedwiththeopportunitytoattendThe23rdInternationalConferenceon IntegratedCare(ICIC23)inpartnershipwiththeFlandersAgencyforHealthandCare-ICIC23–23rdInternationalConferenceonIntegratedCare(integratedcarefoundationorg)
Weco-presentedtheCollectiveActionkiAotearoakaupapaalongsideHealthyfamiliesteam. Thiswasanamazingexperienceforusandgreatexposureonaninternationalstage.
TeAraAko-May2023
TeAraAkooCollaborativeAotearoa2023
Thestudytourlearningswillsupportourleadersin Aotearoa,NewZealandintheredesignofourprimary andcommunitycaresystems.Specificallyaimingto deliveronthevisionofachievingHauora,healthand wellbeingforallNewZealanders.We'llgainfresh perspectivesandexperiencesthatsupportthehealth reformsandmultisectorcollaborationthatdeliversreal communitychange.
KeyObjectives
Taongawecreatedandtookoverseas togifttotheplaceswevisited
Strategiesandactivitiesaroundindigenousleadershipand improvingequityofoutcomesforprioritypopulations
Usinginnovativeworkforcemodelsandcomprehensiveprimaryand community-basedcaremodelstosupporttransformationalchange
Howtoleveragecommunityassetsandcommunityvoicetoplan andextendthereachofservices
Howtousepopulationhealthdatatoeffectivelyunderstandthe needsofourprioritypopulation
Howprimaryandcommunityservicesintegratetoprovideholistic care(includingprimarymentalhealthcare)
Usingextendedcareteamstothetopoftheirscopetoaddressthe widersocialdeterminantsofhealth
TeAraAko-May2023
CANADA
AlbertaHealth(Edmonton,Canada)
AlbertaHealthpresentedanoverviewoftheirsystem,themodelseemsbrokenanduponfurther understandingtherearemanyflawsinthefundinganddesignofPrimarycare.Thereislittleorno investmentincommunitycareandmanycommunitycareprovidersrunoffnexttonothing.Alberta Healthpresentedtheirsystem,theyacknowledgedtheCanterburyhealthsystemastheinspiration proudmomentrightthere.Itisaffirmingtoknowthatweareleadingthewayintermsofprimarycare.
Radius Community Health and Healing Centre
Thereareamazingpeople,doingamazingworkforthemosthighneedspopulation Theydothiswithmana,andcompassion The teamatRadiusCommunityHealthandHealingreceivedourfirst mauristone Itwasanamazingmomentwherewewereable connectandshareourtraumajourney.Inanareaofhomelessness, itwasconfrontingandclearlyahighneedsarea,therewerethe mostatrisk,vulnerablecommunitybeingservedbythemost amazingcliniciansandsupportworkers.
Opportunitiesforus:topartnerwithNGOswhicharesupportingourhomelessand mostatriskcommunitiesandwhānau.Howcanwesupportthemandensurethat theyhaveeverythingtheyneed?
Indigenous Wellness Clinic
TheIndigenousWellnessCentreinAlbertaisanIndigenous ledandrun“IndigenousHealthinIndigenoushands”
TeAraAko-May2023
Keytakeawaysfromthisfirstpartofthejourney
FirstNationsjourneysaresimilartooursinAotearoa. Weareapartoftheinternationaljourneyofcolonization. Therearethesameintergenerationaltraumasthatweshareandwehonorthesejourneys, together,asindigenouspeoples.
Weneedtobringagroundswellofindigenousleadershiptogethertobeabletomake progressinpartnership,internationally.
Fourdirectionslearning
Thebasisformanyoftheteachingofthefirstnational communitiesarebasedonthefourdirections.Allaspectsof beingandwellbeingconnectstothesefouraspects Theyare allinter-connected.Thereisastrongconnectionofbetween thiswhakapapaofknowledgeandthesamefoundationof knowledgehereinAotearoa.
AnishawbeHealthTorontoandIndigenousHealthcareCouncil
ThereisacollectiveofIndigenousleaderswhoareleadingthewayfortheircommunitiesas advocatesforthewayinwhichthehealthsystemrespondstotheneedsoftheirpeople.They provideeducationandsupport,growindigenousworkforceinhealthcare,offerappropriate Indigenoushealthcareinasupportedandintegratedwayaswellassupportthecreationof indigenoushealthresources
Wisdomweaversaretheopportunitiestocome togetherandsharethenarrativesofourpeopleto ensuretheyarenotlost.
Resources:
EffectiveEngagementToolkit
IndigenousHealthSystemsTransformationBooklet
TeAraAko-May2023
GreaterHamiltonFamilyHealthNetwork(Hamilton,Canada)
Keyfindings
Thesebothhadastrongfocusonintegratedcare.Therewerehighlightsofhowservicescanbebrought togetherforthebettermentofthecommunitiestheyserve
Thesevisitsallfocusedonthecommunityfirstandthenbringingtogethertheappropriateservicesthat thesecommunitiesneed.Theyareoftenco-locatedandsharespacesothattheycanbestmeetthe needsofthepeopletheyworkfor.Theneedsofcommunitiesareparamountinthedesignof collaborationandservices
rtn
Waterloo Health Centre
TeAraAko-May2023
North York Family Health Team
LONDON
CityandHackneyPlaceBasedPartnershipandHealthInnovationNetwork(SouthLondon)
Hackney and City Locality
AllLocalitiesinLondonhadastrongpartnershipwithlocalcouncil andworkedhardtoconsiderinnovativeapproachesthatrequired resourcesandconnectionsoutsideofhealthinordertomakethem work
Thereareadditionalresourcesthatareprovidedwhichprovide additionalrolesintofamilypractices(generalpractices).Theseroles arewellbeingbasedandprovidetheopportunityforcliniciansto collaboratewithtoaddressandsupporttheholisticneedsofthe communitiestheyserve.
Thereweresomeinterestingexamplesofservicesthatwerethinking ofspecificwaysofworkingforparticularcommunitiesofpeople.
Eg:therewasaninnovativeapproachtomentalhealthcareservice thatareofferedinaveryrealandresponsivewaytotheirclients.
BristolIntergratedCareBoard
South Bristol Locality (Innovation and Community connector roles)
Brisol About Us - NHS BNSSG ICB
Longstandinglocalitieswithlearningsthatwereabletobesharedwithusasweenterintoourjourneyof localitydesign.Theseincludedtheneedtoresourcelocalitiesproperly,thestructuralandsystemic designoflocalitiesandtheimportanceofLeadershipandguidancefromothersectorssuchaslocal governmentandthesocialsector ThefocusonaHealthissueisrespondedto,notonlybytheHealth system,butincollaborationwithothersectorssuchassocialservices.
TeAraAko-May2023
ANTWERP,BELGIUM
InternationalIntergratedCareConference
Highlights
Co-designingofMentalHealthmodelsofcare
Theimportanceoflivedexperiencevoiceinthe codesigningofthemodelofcareaswellastheneedtoconsidertheDesignofmodelsofcare shouldcomefromasystemicCollaborativeapproach Eg:Over104differentculturesinAntwerp, howdoweensurethateveryonegetsavoice?
Anopportunitytoexplorethemodelsofcarewhicharepeople-focused? Theclosestwehavehere istoensurethatourTTWandotherCSVmodelsofcarealignwiththeseprinciples.
Thereisastrongneedtoalwaysexploreandconsiderfromawiderviewpoint,howcommunities canbegrowntosupportthemselves.
Consumerinputintoservicedesign
Iamanexpertinbeingsomeonewho liveswithmycondition
Whenweunderstandwhatitfeelsliketobeaconsumer itmakesusbetterclinicians
Wemustworkwithpartnersandcreatenetworks
Haveclearaimsandensuretherearelotsofdifferent waystoengage.
Opportunitiesforus:beapartofthe growthanddevelopmentofthepractices aroundlivedexperiences.Thereisanational movementtohonorlivedexperiencevoice, weshouldbeapartofthis.
Network example TeAraAko-May2023
PanelDiscussionaboutPopulationHealthapproach
PanelmemberincludedJohnEastwood. (MedicalOfficerofHealth,NationalPublicHealthService–Southern,TeWhatuOra–HealthNewZealand,Dunedin,NewZealand).
Anexplorationofapopulationhealthapproach...whataretheinfluencers?Whatisthedefinitionof thisapproach?Whatdatainformstheseapproaches?Canterburywasagainhighlighted.
Opportunitiesforus:ensureourunderstandingofwhatapopulationhealthapproach isisclearandconsistent.Askthequestionswhichwillensureweareallworking towardsapopulationhealthapproach
Finally,Ico-presentedwithCollaborativeAotearoaaboutthekaupapaofCollectiveActionandthe NationalHealthyFamiliesteam Clickheretoviewthepresentation
TeAraAko-May2023