100 Recent trends in stroke reperfusion in new zealand

Unfavorable pregnancy outcomes caused by Chlamydia trachomatis or Neisseria gonorrhoeae infection are well known. The first step in addressing antenatal C. trachomatis and N. gonorrhoeae infection is a national policy to screen all pregnant women for C. trachomatis and N. gonorrhoeae, regardless of symptoms. The aim of this study was to inform policy makers on the presence of antenatal screening recommendations for C. trachomatis and N. gonorrhoeae infection. We conducted a three-part study from June 2015 to February 2016. We analyzed English and French language information online on Ministry of Health websites regarding C. trachomatis and N. gonorrhoeae antenatal screening. We referenced both primary official country and regional policy documents. We contacted the Ministry of Health directly if the information on the national antenatal screening was outdated or unavailable. In parallel, we sent a survey to the regional representative from the World Health Organization to help collect country-level data. Fourteen countries have current policies for antenatal screening of C. trachomatis and/or N. gonorrhoeae infection: Australia, the Bahamas, Bulgaria, Canada, Estonia, Japan, Germany, Latvia, New Zealand, Democratic People’s Republic of Korea, Romania, Sweden, the United Kingdom, and the United States. Australia, New Zealand, and Latvia and the United States restricted antenatal screening to women ≤25 years old and those of higher risk. Several countries responded that they had policies to treat pregnant women with symptoms. This is the currently recommended WHO guideline but is not the same as universal screening. North Korea had policies in place which were not implemented due to lack of personnel and/or supplies. National level policies to support routine screening for C. trachomatis and N. gonorrhoeae infection to prevent adverse pregnancy and newborn outcomes are uncommon.

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A STUDY OF EFFICIENCY MANAGEMENT IN NEW ZEALAND PUBLIC HOSPITAL SERVICES

10.26686/wgtn.17132249 ◽

2021 ◽

Author(s):

◽

Ajit Manorai Arulambalam

Keyword(s):

New Zealand ◽

Performance Improvement ◽

Public Hospital ◽

Qualitative Data ◽

Public Hospitals ◽

Service Improvement ◽

Hospital Service ◽

Performance Information ◽

Management Information ◽

Service Managers

There is increasing policy interest in ensuring that resources are used efficiently within New Zealand public hospitals which are under increasing constraint. This thesis presents a narrative based on a qualitative analysis of the impact of the regular provision of efficiency management information on manager behaviour and achievements based on a single exploratory case study research of 11 senior service managers in New Zealand’s largest public hospital. How performance information is currently used by service managers is unknown. The research questions seek to understand to what extent managers’ use the information, what behaviours and actions result, if these managers know what they need to learn to improve performance, and what barriers impede their actions. A qualitative research design was used to collect data from hospital service managers over a six month period. A model for a three stage information response was re-developed from existing processes and applied to the service managers who all received the hospital’s routine monthly performance information; while some participants also received specific efficiency related information. In each of the months, the participant’s perceptions of the performance information and the management of service improvement was obtained. The methodological approach is inductive using both observational and ethnographic approaches to collect qualitative data from regular surveys and interviews with participants. The findings appear to show enhanced collaboration in performance improvement discussions by managers who are provided with the specific performance information than is seen in those managers provided with the routine hospital management information. The enhanced collaboration appears to lead to greater improvements in service efficiency. The qualitative data provides a rich supplementary database of the participant managers’ experience of using performance management information, and from applying a formal Thematic Analysis (TA), management themes are identified to define the experience of the hospital service managers in using performance information. The TA provides a deeper understanding of the use of performance information by hospital service managers. The four themes were identified as: (1) direct leadership, (2) operational feedback; (3) performance signal; and (4) management development. These provide contextual meaning to purposeful management response and performance improvement.

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A STUDY OF EFFICIENCY MANAGEMENT IN NEW ZEALAND PUBLIC HOSPITAL SERVICES

10.26686/wgtn.17132249.v1 ◽

2021 ◽

Author(s):

◽

Ajit Manorai Arulambalam

Keyword(s):

New Zealand ◽

Performance Improvement ◽

Public Hospital ◽

Qualitative Data ◽

Public Hospitals ◽

Service Improvement ◽

Hospital Service ◽

Performance Information ◽

Management Information ◽

Service Managers

There is increasing policy interest in ensuring that resources are used efficiently within New Zealand public hospitals which are under increasing constraint. This thesis presents a narrative based on a qualitative analysis of the impact of the regular provision of efficiency management information on manager behaviour and achievements based on a single exploratory case study research of 11 senior service managers in New Zealand’s largest public hospital. How performance information is currently used by service managers is unknown. The research questions seek to understand to what extent managers’ use the information, what behaviours and actions result, if these managers know what they need to learn to improve performance, and what barriers impede their actions. A qualitative research design was used to collect data from hospital service managers over a six month period. A model for a three stage information response was re-developed from existing processes and applied to the service managers who all received the hospital’s routine monthly performance information; while some participants also received specific efficiency related information. In each of the months, the participant’s perceptions of the performance information and the management of service improvement was obtained. The methodological approach is inductive using both observational and ethnographic approaches to collect qualitative data from regular surveys and interviews with participants. The findings appear to show enhanced collaboration in performance improvement discussions by managers who are provided with the specific performance information than is seen in those managers provided with the routine hospital management information. The enhanced collaboration appears to lead to greater improvements in service efficiency. The qualitative data provides a rich supplementary database of the participant managers’ experience of using performance management information, and from applying a formal Thematic Analysis (TA), management themes are identified to define the experience of the hospital service managers in using performance information. The TA provides a deeper understanding of the use of performance information by hospital service managers. The four themes were identified as: (1) direct leadership, (2) operational feedback; (3) performance signal; and (4) management development. These provide contextual meaning to purposeful management response and performance improvement.

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Studying the issues around the reporting of complete and quality data by private hospitals across New Zealand

10.26686/wgtn.17011472 ◽

2021 ◽

Author(s):

◽

Urwashi Singh

Keyword(s):

New Zealand ◽

Service Providers ◽

Health Sector ◽

Clinical Information ◽

Healthcare Sector ◽

Quality Data ◽

Health Improvement ◽

Ministry Of Health ◽

Private Hospitals ◽

Improvement Programs

The policies of the Ministry of Health (MOH) around information collection and reporting are mainly focused on DHBs, who are allocated more than three quarters of the health funding and are responsible for planning, purchasing and providing health services within their regions (Ministry of Health, 2014a). The focus of the national health collections therefore, has always been to collect information about publically funded hospital services. Due to this weighted focus on public health service providers, over four hundred private hospitals across New Zealand (NZ) are under-represented in the National Minimum Data Set (NMDS) (Ross, 2012). MOH has a strong focus on providing New Zealanders with better health care through improved health information (Ministry of Health, 2013b), thus discharge data is extensively used by them in a number of applications to achieve this goal. For optimal success, it is vital for MOH to improve their own datasets and to ensure that their data is put to its best use by researchers and analysts. Part of this improvement requires a push towards ensuring better data collection from the private healthcare sector of NZ. This study explored the views of private hospitals staff on improving the quantity and quality of the data reported by private hospitals across NZ. Semi structured interviews with 12 participants covering 32 private hospitals across NZ were conducted to collect the data. The data was analysed using thematic framework analysis. The participants acknowledged that reporting full clinical information around each patient’s condition, especially for surgeries, would involve a change in traditional ways of entering and coding the clinical information. This is because their work is influenced by the mode of funding they receive and the type of treatment they provide to their patients. Most of the participants supported the idea of having full patient clinical information in the National Collections; however, since full patient diagnosis information is only usually accessible by the GP, specialist or the surgeon, they questioned how easily they as private hospitals could access and enter this information into their system with their current resources. Added to this is the fact that they do not employ clinical coders. This is because hiring the coders to record information which is not required for their funding or operational purposes is of no value to their business. Different options for motivating the hospitals to maintain a minimal level of reporting were discussed. Participants emphasised the need for an increased level of collaboration from the Ministry in terms of feedback to their data as well as consideration of private hospitals as part of healthcare community. There was also a strong emphasis on the need to unify private and public sectors in order to reach the full potential of the whole healthcare sector. The participants’ view on the change included a desire to better understand the benefits to them from reporting which they hoped would lead to an improved level of engagement between MOH and the private surgical sector. Above all they saw a need to implement new ideas and methods of collaboration with the health sector as a whole that take into account both the service providers and patients. The reporting of full datasets is both an issue of information availability and cost for private hospitals. Policy initiatives which combine private hospitals with the rest of the health sector are likely to meet with the challenges posed by the health improvement programs required to achieve improved healthcare for the whole nation.

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A Direction and Principles for the Reshaping the Government's Climate Change Communications and Engagement Strategy

10.26686/wgtn.16967500.v1 ◽

2021 ◽

Author(s):

◽

Alex Hannant

Keyword(s):

Climate Change ◽

New Zealand ◽

Best Practice ◽

Strategic Thinking ◽

The Self ◽

Diverse Range ◽

Global Challenge ◽

Change Communication ◽

Research Outcome ◽

Recent Trends

Climate change is a global challenge that requires immediate individual and collective action. The self-evident fact that information alone is unable to motivate action suggests that effective communications and engagement will be critical in stimulating the required response. This research project explores how strategic thinking can be employed to support the New Zealand Government's climate change communication and engagement objectives. Strategic thinking is the active and deliberate pursuit of synthesising evidence with a creative anticipation of what might be possible. Rather than work within parameters set by precedent and convention, it represents the deliberate intent to question, disrupt and design new courses of action. This research explores the inertia in mainstream attitudes and behaviours towards climate change; relevant communications and social science best practice and theory; recent trends in New Zealand; and views and opinions from a diverse range of experts. The research outcome is a set of interconnected and interdependent principles that serve to inform and lead the development of a national climate change communications and engagement strategy.

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Guidelines Summary: Clinical guidelines for weight management in New Zealand adults, children and young people

Journal of Primary Health Care ◽

10.1071/hc11066 ◽

2011 ◽

Vol 3 (1) ◽

pp. 66 ◽

Cited By ~ 4

Author(s):

Andrew Jull ◽

Carlene Lawes ◽

Helen Eyles ◽

Ralph Maddison ◽

Delvina Gorton ◽

...

Keyword(s):

Primary Care ◽

New Zealand ◽

Young People ◽

Weight Management ◽

Clinical Guidelines ◽

Ministry Of Health ◽

Treatment Algorithms ◽

Children And Young People

This paper summarises the treatment algorithms (Figures 1 and 2) and key messages from the Clinical Guidelines for Weight Management in New Zealand Adults, Children and Young People prepared for the Ministry of Health. The guidelines aim to provide support to weight management providers in primary care and the community. The full guidelines and methods can be downloaded from the Ministry website (http://www.moh.govt.nz).

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