WellInformed November 2019
Clinical Updates Clinical Update by Dr Stephen Graham Dear Practice Teams, My letter will be significantly longer this month. It contains several lists which are included because they are of material importance to the message.
Investigation for Suspected or Proven Infectious Diseases: I have been looking at eligibility for funded laboratory and radiology testing for patients who are not eligible for normal funded health care in New Zealand. This is something that has come to my attention particularly with regard to Tuberculosis (in the case we looked at a perceived delay had occurred for a chest x-ray for a foreign national with TB but includes a much larger group of infectious diseases. It is my impression that there is a low awareness (well I wasn’t aware of it) of eligibility for these patients to funded investigations in this specific situation. Funded (paid by government) laboratory and radiology testing should be provided for patients not otherwise eligible for free medical care in setting of specific infectious diseases. This may remove a cost barrier for investigation of this group of your patients and it may therefore reduce chances of a worse outcome. I’d like to thank David Murray from SDHB for clarification that these rights to funded investigation are specifically included in lab contracts. There are a large number of people living in our communities who are not normally eligible for funded health care. This includes workers from Vanuatu in Central Otago, Indian nationals in the supported care industry, Philippines nationals in the dairy industry and backpackers on working visas. By act of parliament, and for reasons of public health, these people are eligible for free lab. testing (and radiology) in the setting of infectious diseases.
This extract is taken from page 11 Guidance of Infectious Disease Management Under the Health Act 1956 (amended 2017) Who pays for diagnosing and treating people? A person who has or is suspected of having any infectious disease (i.e., a notifiable infectious disease or other infectious disease) is eligible to receive those publicly funded services specified in clause B23 of the Health and Disability Services Eligibility Direction 2011. This does not depend on their residency status in New Zealand. For an individual to be eligible for public funding the infectious disease need not be formally notifiable. However, it must be a disease listed in Schedule 1 of the Act, and the person concerned must not be otherwise eligible under the Direction to receive the publicly funded services. Clause B23 of the Direction lists funded services as surveillance, diagnosis, treatment, follow-up services and contact tracing services, to the extent that is appropriate in the circumstances to address risks to other people. HIV is now legislatively recognised as an infectious and notifiable disease, and therefore comes within the Eligibility Direction. This does not alter a person’s eligibility under the Pharmaceutical Schedule for public funding of medications, such as for treatment of HIV, which is determined by PHARMAC.
WellSouth Primary Health Network Hauora Matua Ki Te Tonga
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This is the list of diseases to which this applies. It is taken from Schedule 1 of the Act mentioned above Schedule 1: Infectious diseases
Part 1: Notifiable infectious diseases Section A—Infectious diseases notifiable to medical officer of health and local authority • • • • • • • • • • • • •
Acute gastroenteritis Campylobacteriosis Cholera Cryptosporidiosis Giardiasis Hepatitis A Legionellosis Listeriosis Meningoencephalitis—primary amoebic Salmonellosis Shigellosis Typhoid and paratyphoid fever Yersiniosis
Section B—Infectious diseases notifiable to medical officer of health • • • • • • • • • • • • •
Anthrax Arboviral diseases Brucellosis Creutzfeldt Jakob Disease and other spongiform encephalopathies Cronobacter species Diphtheria Haemophilus influenzae b Hepatitis B Hepatitis C Hepatitis (viral) not otherwise specified Highly Pathogenic Avian Influenza (including HPAI subtype H5N1) Hydatid disease Invasive pneumococcal disease
WellSouth Primary Health Network Hauora Matua Ki Te Tonga
• • • • • • • • • • • • • • • • • • • • • •
Leprosy Leptospirosis Malaria Measles Middle East Respiratory Syndrome Mumps Neisseria meningitidis invasive disease Non-seasonal influenza (capable of being transmitted between human beings) Pertussis Plague Poliomyelitis Q fever Rabies and other lyssaviruses Rheumatic fever Rickettsial diseases Rubella Severe Acute Respiratory Syndrome Tetanus Tuberculosis Verotoxin-producing or shiga toxin-producing Escherichia coli Viral haemorrhagic fevers Yellow fever
Section C—Infectious diseases notifiable to medical officer of health without identifying information of patient or deceased person • • • •
Acquired Immunodeficiency Syndrome Gonorrhoeal infection Human Immunodeficiency Virus (HIV) infection Syphilis
Part 2: Other infectious diseases Chancroid Chlamydia Herpes simplex Impetigo contagiosa Influenza Non-specific urethritis Pediculosis Scabies Soft chancre Streptococcal infection group A Varicella-zoster infection Venereal granuloma (Lymphogranuloma venereum or granuloma inguinale) • Venereal warts • • • • • • • • • • • •
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Part 3: Quarantinable infectious diseases
Reference sites:
• Avian influenza (capable of being transmitted between
This site is the relevant Health and Disability clause related to eligibility. Clause 23 https://www.health.govt.nz/system/files/documents/pages/ eligibility-direction-2011.pdf This is the site referencing eligibility (page 11) https://www.health.govt.nz/system/files/documents/ publications/guidance-infectious-disease-management-underhealth-act-1956-feb17-v4.pdf and it directs you here for the list of diseases under the schedule (the same list as above) http://www.legislation.govt.nz/act/ public/1956/0065/121.0/DLM308729.html Another site for background as it related to infectious diseases in the Act on MOH site here. https://www.health.govt.nz/ publication/guidance-infectious-disease-management-underhealth-act-1956
• • • • • •
human beings) Cholera Middle East Respiratory Syndrome Non-seasonal influenza (capable of being transmitted between human beings) Plague Viral haemorrhagic fevers (capable of being transmitted between human beings) Yellow fever
Summary: • I am bringing this to the attention of primary care to raise awareness. I hope this helps to remove a cost barrier to investigating and treating infectious diseases in your patients and helps lead to a reduction of infectious disease across the whole population , as is the intention of the rules. • Investigations are funded for suspected infectious diseases from list above irrespective of whether your patient is eligible for normal funded health care in New Zealand. • This applies to radiology at SDHB and to laboratory testing. • This is clear from legislation and is supported by SDHB contracting. • Screening does not qualify, but investigation of a case with reasonable clinical suspicion does. You need to be clear about this when requesting tests. There is a grey area about where reasonable clinical suspicion sits. Specify the indication for investigation clearly on the request. You may need sometimes to check with the lab. prior to testing. • If your patient is symptomatic, (say in the case of STI), they qualify for investigation. This should apply also in the situation where you have a reasonable clinical suspicion based on contacts or behaviour. Once again you should specify this clearly on your request.
WellSouth Primary Health Network Hauora Matua Ki Te Tonga
I welcome any feedback. Dr Stephen Graham Medical Director WellSouth PHO stephen.graham@wellsouth.org.nz
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Contents Clinical Updates 1 Message from the Chief Executive 5 DESMOND, Walking Away and Healthy Lifestyles Groups
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Workforce Development 7 Bowel screening update 8 Free follow-up appointment for COPD patients on discharge
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Online lab requests 8 Updates on Southern HealthPathways 10 Small gestures can have a big impact 11 Great gift and an even better speaker 11 Changes to Southern Support Eating Disorder
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New Dunedin Hospital Project 12 GP Dashboard shows patient activity across the health system
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Green Prescriptions 13 Health Promotion 14 Changes to WellSouth Dunedin switchboard service
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Message from the Chief Executive Workforce survey ... have your say How is the Primary and Community Care Strategy impacting your work and workplace? You can have a say. Over the past 18-months, on the pages of this newsletter and in many other arenas, there’s been much talk about Southern’s Primary and Community Care Strategy. The strategy aims to better integrate care between hospital and community-based health care services, improving access, providing care closer to home and making best use of resources. We think this is important work … but you, the clinicians, managers and carers working in the community, are clearly the most knowledgeable about (and impacted by) current and proposed changes to models of care and service delivery. As a starting point of reviewing the strategy’s implementation so far, a team of University of Otago researchers want to hear your views on the personal impact of the changes in the delivery of health services in the Southern district. Information about the survey has been sent to all practice managers. The survey will gauge how you perceive care integration practices in your health care centre, how you work as a team and your feelings about your work environment. See the infomation on the page opposite. This is important work and your response will have meaningful impact on how care is delivered in the Southern district and how your work and workplace could be affected. If you have not done so already, please contact Helen Owen (helen.owen@otago.ac.nz) before 08 November. Your input could make a real difference. Andrew Swanson-Dobbs, CEO asd@wellsouth.org.nz
DESMOND, Walking Away and Healthy Lifestyles Groups The WellSouth long-term conditions team offers DESMOND (Diabetes Education Self-Management for Ongoing and Newly Diagnosed) and Walking Away (Diabetes Prevention) groups across Otago and Southland. These are one off group sessions covering the knowledge needed to improve self-care for diabetes and selfcare to prevent diabetes in high risk groups respectively. WellSouth dietitians are delivering four group sessions on Healthy Lifestyle covering healthy eating and strategies to manage non-hungry eating. Many of your patients will be hesitant about group work. We need your help to encourage patients that there are both benefits of and reasons for group based education. Here is a place to learn more: https://wellsouth. nz/community/about-us/clinical-service/group-education/. When people are referred for any of these conditions we will be offering group education first. If you believe a patient is better suited to 1:1 education we would appreciate you contact us to discuss this further. This is being done to ensure our limited service benefits as many people as possible.
WellSouth Primary Health Network Hauora Matua Ki Te Tonga
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How have the changes affected my working life?
How well do WE coordinate! care and work as a team? © SDHB 2018
How have health system changes affected YOU, your patients and your practice? Have your say in our survey! • The Southern Primary and Community Care Strategy & Action Plan (PCCS) was intended to deliver safe, high quality team-based care to patients closer to home, through improved integration of specialist services into primary and community care. • One year into the new strategy, we would like to know how you perceive care integration processes, your workload and your work environment. • Our findings will help inform the implementation of the strategy in years 2 & 3. • In particular, our findings will allow us to identify strengths of the new strategy and help us get back on track if there are areas that need improving. • For more information, please email: Dr Helen Owen Department of Preventive & Social Medicine helen.owen@otago.ac.nz
Workforce Development Upcoming Education and Training Opportunities Nurses 16 Nov Nurses Study Day Dunedin
GP CME NP and Nurses 13 Nov GP Haematology Dunedin Register to Deborah Tomlin by Wednesday 6th November Email: Deborah.tomlin@leukaemia.org.nz 29 Nov Focused Acceptance and Commitment Therapy Workshop (5.25 CME points) Invercargill Register at (https://event-fact-inv.lilregie.com/booking/attendees/new) Southland Faculty members eligible for discount email Cheryl.moeke@wellsouth.org.nz for code
CPR – Last courses until Feb 2020 13 Nov
CPR With and without Airway adjuncts (Level 2 & 4 mixed)
Invercargill
25 Nov 26 Nov 26 Nov 10 Dec
CPR With and without Airway adjuncts (Level 2 & 4 mixed) CPR With and without Airway adjuncts (Level 2 & 4 mixed) CPR With and without Airway adjuncts (Level 2 & 4 mixed) CPR With and without Airway adjuncts (Level 2 & 4 mixed)
Cromwell Dunedin Queenstown Invercargill
Queenstown – Nurses Conference 2019 - Looking for Presenters PowerPoints? You can find them on our WellSouth website. If you haven’t registered previously you will need to register first in order to access them. Check out our ‘Nurses Resource’ page it is continuously updated. https://wellsouth.nz/Security/login
To find out more info on the events and to register go to http://training.wellsouth.org.nz/upcoming-events/
WellSouth Primary Health Network Hauora Matua Ki Te Tonga
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Bowel screening update Use of self-purchased bowel screening tests discouraged Some asymptomatic individuals are self-purchasing bowel screening tests, under the misapprehension that a positive result will entitle them to further investigation through the public health system. Read more: https://www.nsu.govt.nz/health-professionals/national-bowel-screening-programme/use-self-purchased-bowelscreening-kits
Free follow-up appointment for COPD patients on discharge WellSouth primary health network has launched the fully-funded GP appointment for patients with Chronic Obstructive Pulmonary Disease (COPD) being discharged from hospital and back to general practice-based care. “We know that seeing a general practice team soon after hospital discharge increases compliance with a care plan and significantly reduces the likelihood of re-admission,” says Katrina Braxton, WellSouth Clinical Services Manager. “For patients, having a GP appointment booked within 14 days of leaving hospital, ensures they get the support they need from the health providers who know them best.” Booking a GP appointment is also now part of Southern DHB’s respiratory and internal medicine services discharge process. This checklist is used to ensure patients receive referrals and advice for correct medicine and inhaler use, pulmonary rehabilitation options, and information about smoking cessation, healthy homes, and advance care planning. “The funded GP appointment and other steps on the discharge checklist are simple but effective for improving health and preventing hospital readmission,” says Dr Jack Dummer, Southern DHB respiratory specialist, who was part of team to have developed a COPD discharge checklist. “A lot of ED presentations and hospital admissions for COPD are preventable. We want to help patients manage their conditions and encourage them to get the care they need outside of hospital.” See Health Pathways for more information.
Online lab requests
Create and send laboratory requests online with greater accuracy and efficiency. Visit https://eorder.co.nz/ for more information or email helpdesk@eorder.co.nz. Want to know more, contact SCL Customer Liaison: Tash Bambry tash.bambry@sclabs.co.nz.
WellSouth Primary Health Network Hauora Matua Ki Te Tonga
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WellSouth Primary Health Network Hauora Matua Ki Te Tonga
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Updates on Southern HealthPathways SOUTHERN COMMUNITY HEALTHPATHWAYS September 2019 Total Live Pages 636
Total Reviews Completed 157
The 10 most frequently viewed pathways for the month of September were:
The 10 most frequently viewed pathways not yet localised for the month of September:
1. Measles 2. IV Iron Infusion #1 3. Abnormal Uterine Bleeding (AUB) #2 4. Deep Vein Thrombosis (DVT) #6 5. Atrial Fibrillation (AF) #8 6. Bowel Screening- Family History 7. Tonsillitis #7 8. Headache in Adults #3 9. UTI in Adults #4 10. Otitis Media with Effusion (Glue Ear)
1. Breast Symptoms #55 2. Chronic Kidney Disease (CKD) in Adults #50 3. Diverticular Disease #45 4. Anxiety in Adults #39 5. Acute Spinal Pain in Adults #32 6. Gallstones #32 7. Carpal Tunnel Syndrome #31 8. MGUS (Monoclonal Gammopathy) #31 9. Vaginal Discharge and Infection #30 10. Breast Imaging –Diagnostic #28
# Figure denotes previous month
# Figure denotes number of page views for the month
Measles: For up-to-date information on the measles outbreak in the Southern district please continue to visit the homepage. The link will take you to the up to date information Southern HealthPathways.
Snapshot of HealthPathways current activity: • Tuberculosis – Currently being updated to reflect changes to National Guidelines. • Podiatry – This work is linked to wider activity around Diabetes with the Podiatry pathways due to be completed by the end of this year. • Haematology – A number of Haematology papers are in the process of being localised. • Wound Care – Wound care pathway, including pressure injuries are in the final stages of being localised for Southern. A wound care study day has been scheduled for the end of November. • Pre-operative Care – Work has begun on a pre-operative optimisation pathway (fitness for surgery) with anaesthetists in the district If you have any queries, would like to be involved in HealthPathways activities or like a visit to your General Practice from the HealthPathways Team, please contact: Bridget-Mary McGown, Bridget.McGown@southerndhb.govt.nz.
WellSouth Primary Health Network Hauora Matua Ki Te Tonga
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*** Small gestures can have a big impact Thanks to Wanaka Medical Centre for sharing this lovely feedback from a patient. Sometimes courtesy, kind words and a few snacks can make a stressful visit, a lot less daunting.
“I recently visited the Wanaka Medical Centre for a routine Cervical Smear Test. I was directed to a waiting room, all set up for a group of ladies, and there was a little table with fruits and Belgium biscuits for us to enjoy while waiting. We had quite a conversation about the biscuits, how we loved them but didn’t make them. This was such a lovely surprise … treats while we waited! A delightful nurse called me through and was so warm and friendly, before what is a not-the-most-pleasant examination. She made me feel at ease. We chatted about age, I’m turning 70, so this is my last examination. I jokingly said I was of no use to anyone anymore ... those who were interested in aged health!!! I was given a lovely hug and a wee present. She told me how she loved her work. When we hear in the news media all the negative stories about health issues and funding, what I experienced was quite overwhelmingly positive. And all this was free ….well done! I wanted to pass on the story of my experience. With much appreciation ... thank you.” A Wanaka Medical Centre patient.
Great gift and an even better speaker There were numerous highlights from our Practice Nurse Conference 2019 – Power in the Profession – among them a keynote presentation from Julie Woods (AKA That Blind Woman) who gave a rousing talk, encouraging us to be bold in facing adversity and adventure and to always ask: ‘Why not?’ Julie’s talk was inspiring as is her gift of a painting of the WellSouth name in Braille, presented to CEO Andrew Swanson-Dobbs. These words and the artwork are meaningful gifts with lasting impact. Thank you, Julie!
WellSouth Primary Health Network Hauora Matua Ki Te Tonga
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Changes to Southern Support Eating Message from Louise Travers, General Manager, Mental Health Addictions and Intellectual Disablity Directorate, Southern DHB You will have received a letter from the Southern Support Eating Disorder (SSED) Service advising that this service was entering a transition phase, building on the excellent work done over the years building capacity in primary and community level eating disorder work. The next few months will see this service moving to a co-working model in a way that is consistent with the long-term expectations when the service was set up some ten years or so ago. You will still have access to Trudy Dent the SSED Clinical Nurse Specialist for advice, consult- liaison and expert advice. The likely change you will see will be a co-working relationship with Trudy as opposed to Trudy taking on particular cases. Most people with Eating Disorders do well in primary and community settings with a small number requiring Specialist Mental Health Services Input – the services available in Specialist Mental Health Services for people with severe eating disorders continue to be provided with no change. Please feel free to contact Trudy on 0800 328 744, if you require any further information.
New Dunedin Hospital Project A lot has been happening behind the scenes for the New Dunedin Hospital project. The Project Management team has moved into a shared site office on Castle St, opposite the Cadbury site. This will allow them to work closely and collaboratively with teams from the Ministry of Health, architects, health planners, and other contractors. We are nearing the end of the second of five design stages which will each refine and confirm the design, functionality and cost of the project. Geotechnical investigations on the new hospital site continue to give us a clearer picture of what it will take to support the new structures. While ground conditions are challenging, engineers are confident that solutions can be put in place to minimise the impact on cost. We have also begun looking into the many energy options available to us, including the District Energy Scheme. Environmental sustainability is important to our vision for a future-focused new hospital. The New Dunedin Hospital has a tremendous opportunity to change the way healthcare is delivered in our region. A lot of work has recently been undertaken in strategising a transformation of the Southern health system. We have been examining how a new hospital, that is closely integrated with community health services and education facilities, can provide our region with the right care, in the right place, at the right time.
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GP Dashboard shows patient activity across the health system General practice teams in the Southern district have a clearer picture of their patients’ hospital treatments and appointments - and have the information sooner - thanks to a new feature in online records system, HealthOne. The new GP dashboard gives general practice teams up-to-date information about care their patients receive in hospitals throughout the South Island. ED visits, hospital admissions, and outpatient appointments (including missed appointments) can now be seen along side patients’ other medical records. Invercargill Medical Centre, a Health Care Home practice with 13,000 enrolled patients, is an early adopter and is using the dashboard as part of its nursing team’s more proactive and coordinated support to patients. “As a part of the Health Care Home processes, we’re including time for nurses to check the GP dashboard each day and phone patients on discharge, to check how they are recovering, and to book follow-ups,” explains IMC clinical nurse lead Toni Day. “Hopefully, all is well and we’ll just be letting them know that we care. But if things are not going as planned, we can intervene before things escalate.” “This tool will be far more timely than waiting for a discharge summary and then waiting for one of our GPs or nurse practitioners to forward that summary to nursing staff for assistance.” Southern DHB application specialist Sara Ross, who worked with other DHBs in the South Island Alliance to help bring the dashboard to Southern, says the new feature closes an information gap between secondary and primary care. “In the Southern district, for example, we manually generate daily reports that are sent to practices, listing patients that have been admitted, discharged, or that have passed away in hospital,” she explains. “The new dashboard populates this information automatically, as well as outpatient appointments and missed appointments – which is newly incorporated information.”
Green Prescriptions 18 months ago, the doctor told me I had emphysema (causing shortness in breath) and hypoxia (below-normal level of oxygen in my blood). 10 months later I was diagnosed with Type 2 diabetes and prescribed metformin, along with blood pressure medication, inhalers, and other medication I was taking at the time. This ignited the motivation to reduce the medications I was taking and manage my conditions through a healthy lifestyle. Read Brian’s story here.
To refer to Green Prescription Sport Otago (03) 474 6350 Sport Southland (03) 211 2253 ERMS – ALLIED HEALTH – GREEN PRESCRIPTION
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Health Promotion Are you Diabetes aware? November heralds Diabetes Action month, including international celebrations of World Diabetes Day on the 14th. Diabetes awareness and prevention is the main focus with this year’s theme being “Diabetes: Protect your family”. An estimated 240,000 kiwis have currently been diagnosed with diabetes, with a staggering additional 100,000 people estimated to be unaware they have diabetes. The good news is there are some things you and your family can do to stay well. Keep an eye on the Diabetes NZ webpage for 2019 campaign updates or use the free online quiz to check your risk factors https://www.diabetes.org.nz/are-you-at-risk.
Will you Take the Challenge this November? Switch to Water this November and take up the 30-day challenge to switch all your sugary drinks to water for 30 days. Yes, it's as simple as that and will help you and your whānau to set a realistic goal to reduce the amount of sugar you may be consuming – often we don’t notice the high amount of sugars we drink in juices, soft drinks, sports and energy drinks and many smoothies. Switch your sugary drinks to water for a great first step towards a healthier you and get on board with the power of humble water: • Naturally the best way to hydrate • Zero calories • Non-acidic • 100% natural • Free and readily available on tap And if you’re still not convinced, both your pocket and your oral health (and overall wellbeing!) will thank you for it too!! Check out https://www.nzda.org.nz/public/switch-to-water for more details.
Movember! An annual favourite, Movember is back again for the month of November to raise funds and aid awareness of men’s health issues like prostate and testicular cancer, mental health and suicide prevention. You can get involved and support Movember as an individual or in your workplace, so have fun and take part in these initiatives; • •
WellSouth Primary Health Network Hauora Matua Ki Te Tonga
‘Grow a Mo, Save a Bro’ and use facial hair to show support ‘Make a Move’ and run or walk 60 km over the month to represent the 60 men we lose to suicide each hour across the world!
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MHAW – A Regional Roundup With Mental Health Awareness Week wrapped up for another year, here are a couple of the many great MHAW activities held across the Southern region…
Oamaru: On Saturday 28th September, the Waitaki region organised the free One Day Ahead community ride for mental health utilising the Alps 2 Ocean cycle trail from Weston to Elderslie Estate. More than 100 people turned out to show their support for mental health and wellbeing, enjoying the many presentations, community provider stalls, activities for children and families, and of course the BBQ!
Central Otago: Five Ways to Wellbeing was the focus in Central Lakes with the Central Otago and Queenstown Lakes District Councils leading the way. QLDC offered a staff workshop while CODC partnered with WellSouth and others to support activities including mindful walks, breathing for relaxation and an open mic concert featuring two council staff. Teviot Valley artist Sally Jory displayed her work which created many opportunities for discussion. Daily social media posts also ensured everyone across the district could Connect and Learn. CODC staff also went out doing good in the hood – some volunteered time at local organisations, others chose to ‘plog’ – picking up rubbish while jogging to Be Active, Connect and Give to the Cromwell community! Libraries across the Queenstown Lakes and Central always provide an opportunity to Keep Learning and featured displays which included the WellSouth Books on Prescription programme. Alexandra Primary School’s Middle Hub (Yr 4-6 students) hosted 250 students, from five schools, for a day at their Dunsta Hauora Day. They planned their day throughout the term with activities for visiting students to choose based on the Te Whare Tapa Wha Māori model of health. The day culminated with a disco planned specifically enhance their taha tinana and taha whanau.
Whakaaro of the Month
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Changes to WellSouth Dunedin switchboard service We are changing how we receive calls at our Dunedin office to serve you better. From Monday 04 November, calls to WellSouth switchboard – 0800 477 115 & 03 477 1163 - will be answered automatically and callers given the following options: • • • •
For Brief Intervention Counselling services, please press 1. For GP vouchers, please press 2. For Dunedin Dietitians, please press 3. Or please hold to speak to an administrator.
Other useful numbers: GP Vouchers: Please contact Jan Caldwell directly on: 03 260 7730 . Finance For queries regarding: • Payments not received. • Claims not paid. • Remittance advices not received or expired. Please contact Sarah MacKenzie directly on: 03 474 2672 or email: sarah.mackenzie@wellsouth.org.nz. Invoices should be emailed to supplierinvoices@wellsouth.org.nz. IT Helpdesk For queries regarding: • • • •
HealthOne Patient Dashboard (Claiming) ERMS Thalamus
• Web Portal • WellSouth Medtech Evolution • Health Cloud Internet Services* *Applicable to Health Cloud customers only for Internet, Connected Health and Firewall. Please log an email in the first instance to: it.helpdesk@wellsouth.org.nz or call 0800 935 575. Not resolved, Escalate to: Amira Dabaliz, Service Delivery Manager, 021 197 6939 Or email: amira.dabaliz@wellsouth.org.nz.
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What’s happening with the health system? Please join the Southern DHB Commissioner team and CEO for an update recent developments and next steps for health in the Southern district, and your community. Monday 11 November
Tuesday 12 November
• Oamaru: Inkbox theatre, Oamaru Opera House, 94 Thames Street, 10 - 11.30am
• Queenstown: Crowne Plaza Hotel, 93 Beach Street, 1 - 2.30pm
• Alexandra: Cellar Door, 143 Centennial Avenue, 3.30 - 5pm
Wednesday 13 November
• Wanaka: Conference Room, Wanaka Presbyterian Church, 91 Tenby Street, 6.30 - 8pm
• Southland: Lecture Theatre, Community Services Building, Southland Hospital,11.30am - 1pm • Gore: Hamilton Park Hall, 20 Hamilton Park off railway esplanade, 4 - 5.30pm