Rising to the Challenge - Latest News

Please see the listed links below for updates from Whanganui Rising to the Challenge: Mental Health and Addiction Services Development Plan Project.

Focus on Falls | December 2015

Focus on Falls – a quarterly publication for everyone interested in understanding and preventing falls in older people. Reducing Harm from Falls is the name and the broad aim of the national programme led by the Health Quality & Safety Commission, working in partnership with key organisations such as the Accident Compensation Corporation (ACC). This edition features some of the great work being done at Whanganui DHB. Click here for the newsletter.

Partners in Care - Experience Based Co-design | December 2015

The Whanganui Rising to the Challenge framework for service improvement has, as a key principle, the adoption and use of co-design for service planning and improvement. It is both a method to use in change and improvement and a philosophic methodological approach to change. Click here for more information.

Partners in Care programme to be introduced | July 2015

Whanganui Rising to the Challenge will using the Partners in Care programme to introduce co-design as a key way of implement the framework starting in September – this document from the Health Quality and Safety Commission is a practical guide to help DHBs, and the health and disability services they fund, to engage better with consumers. Click here for more information.

Older peoples (Confused Patient ) workstream update | July 2015

Whanganui Hospital's Medical Ward has continued their work on the Close Observation Project. Click here to see the progress they have made.

Balancing mental health: Group link to mental health services | 1 July 2015

Balance Whanganui has started on a programme of building relationships with Wanganui general practitioners, beginning with Aramoho Health Centre. "It's for people presenting with mental health issues," says Balance's Carla Langmead. Click here for the full story.

Health care assistants drive new approach to dementia care | 19 May 2015

Whanganui Hospital’s Medical Ward health care assistants (HCAs) have been hailed ‘heroes’ for leading a project designed to improve the care of cognitively impaired patients – a key workstream under the Whanganui Rising to the Challenge development of a system that supports mental health and wellbeing. Click here for the full story.

‘A Year of Patient Stories’ launched

Haelo, an innovation and Improvement Science Centre based in the UK, has launched ‘A Year of Patient Stories’, a series of films to highlight issues in healthcare as seen through a patient’s eyes. The people will be new to you but the stories may not as they’re stories heard time and again in the health service.

You know that most of our older people take lots of medication. You know that people who have a major operation scheduled also have lives to lead outside of their procedure. But by hearing directly from the people, hearing their voices, seeing their faces and emotions, we hope you’ll see something new.

You will all have heard of déjà vu, the sensation you get when you’re in a strange place or circumstance yet somehow feel as if you’ve “been there before”.

But did you know there’s a reverse of that? Suppose you’re in a situation that is very familiar, perhaps you’re driving to work, helping a sick relative to get dressed, or washing your hands before entering a ward. Something you might’ve done a hundred times before but you suddenly feel as if you’re experiencing something completely new. This is vuja de, and it could be a key to becoming a better questioner and a more creative, innovative thinker.

Click here to learn more and follow the patient's stories

Whanganui’s Rising to the Challenge report June 2015

The June 2015 project report is now available. Click here to view.

Consumer Experience Feedback - Whanganui’s Rising to the Challenge

Whanganui Hospital Discharge Lounge nurses Tania (left) and Denise check out the new Marama real-time patient feedback tool.

28 May 2015

As part of the work to implement Whanganui Rising to the Challenge we are introducing the Mārama Real-time Consumer Experience Feedback tool.

Mārama uses wireless Samsung tablets to collect anonymous feedback from our consumers and their family / whānau and presents the results on the Mārama website. Mārama has been developed for the Health and Disability Commissioner (HDC) for use in hospital and community services.

Unlike traditional surveys Mārama allows patients and family/whanau to quickly and simply provide feedback – completing the survey takes about three minutes and the results are available quickly.

Whanganui is one of the first regions to introduce this tool and we are currently collecting feedback from patients and their family / whānau upon discharge from the Medical Ward.

The Child and Youth Mental Health Service will be collecting feedback starting May 20. Other services will be using the survey over the coming year.

By using this tool we will be able to use the experience of consumers and their family / whānau to help improve services and to see if changes are having a positive impact.

More Information:
Whanganui DHB results
Mārama website - http://hdcrtf.co.nz/

Quick Facts

  • Mārama Real-time feedback is an electronic survey
  • You can share your thoughts good or bad
  • All feedback is completely anonymous, no one can see you individual responses
  • It only takes 1-3 minutes, there are only 7 questions
  • It is for patients and their family/whanau
  • You will be asked if you are the patient or a family member, which ethnic group/s you belong to, your age group and your gender
  • You can choose from seven languages to complete the survey, English, Māori, Samoan, Tongan, Chinese, Hindi and Korean
  • Your feedback will help us to understand what we are doing well or what changes we need to make if things aren’t going well.

Whanganui’s Rising to the Challenge report March / April 2015

The project report for the March / April 2015 period is now available. Click here to view.

Whanganui’s Rising to the Challenge newsletter update December 2014

As Whanganui continues its commitment to improving health services for people with mental health needs, the framework for Rising to the Challenge is firmly focused on enhancing services for three groups of patients:

  • the person presenting with confusion
  • adults presenting with mental health issues
  • children and young people presenting with behavioural problems.

Designed to help health professionals better understand what patients expect and what really matters to them, Rising to the Challenge’s success is dependent on community input. This input will be carefully considered to ensure any changes made will assist the Whanganui health sector’s efforts to enhance mental health services by providing service users with more effective experiences and most importantly, services that meet their needs.

The Rising to the Challenge document (published in March) was written following an extensive community consultation process with a range of Whanganui district health providers, community stakeholders, health service users and their families.

Over the next 12 months, our project teams will be carefully considering the three groups described above, as the first step to using the framework as a roadmap for future service development. We have set up each team with a membership which includes clinical staff, community and non-government organisations (NGO) stakeholders. Each team is responsible for using their networks and experience to guide and develop ideas for change which meet today’s challenges and for building flexible, improvement-focused services for the future.

The goal of each team is to put people at the centre of any change and to make the patient journey easy for patients and staff. While these are simple statements to make, the work will be challenging.

We will need the help and support of staff and management within the DHB and the leadership and goodwill of community and provider partners to introduce sustainable improvements to our services, processes and systems.

We have selected three team leaders who bring clinical community and management experience to the project.

  • The older persons work is led by Wendy Stanbrook-Mason and Dr Terry Johnston who bring a wealth of operational and clinical experience to the project team.
  • The adult mental health and addictions work is led by Alex Loggie and Frank Bristol (consumer representative) – both of whom have a passion for community-focused mental health services.
  • The child and youth team brings the Paediatric and Child and Adolescent Mental Health Service together led by paediatrician Dr David Montgomery and Child Psychiatrist Dr Gargi Bandyopadhyay.

Each team has a balance of clinical, community and provider expertise with a commitment to ensuring that consumers and families have a voice in improving health services. To help this process we will be collecting patient stories, working with advocates and testing ideas with patients and families.

Whanganui DHB is supporting the project with myself as project lead appointed for the duration of the work. Ongoing support is also being provided by the Ko Awatea quality improvement organisation based at Counties Manukau DHB.

What next?
The three project teams began their work in the first week of December with the intention that over the next 12 months each team will be testing some improvements to how we do things currently. Initially we will do this on a small scale to make sure we are on the right track before implementing anything wider.

Based on international best practice, we have adopted the Institute for Healthcare Improvements (IHI) breakthrough improvement methodology using small scale improvements to build long-term change in how we deliver care and support access to services.

Introducing Rising to the Challenge project lead Warwick Gilchrist
I am a specialist in health sector improvement and change. My background includes 19 years of public sector planning and service development working for the Ministry of Health on public health quality improvement and latterly more recently as a service planner and manager in DHBs.

My expertise is in connecting ideas, people and leading work programmes for organisations - taking complex issues and generating effective and sustainable change across a range of areas with a focus on putting people at the centre of everything we do.

My role is to coordinate and support the three project teams to use the Whanganui Rising to the Challenge framework as the building blocks of better health services and processes for the Whanganui community.