PHO Performance Programme

The second meeting of the PHO Performance Programme’s Advisory Group was held on 14 July 2009 in Wellington. DHB representatives appointed at the last Governance Group meeting joined existing members to complete the Advisory Group composition – 12 out of 15 members attended.

Jocelyn Tracey was elected unopposed to the position of Chair of the Advisory Group, and Rose Lightfoot to the position of Deputy Chair.

There was productive discussion on a range of topics – in particular the:

Proposed appointment of a ‘Health Economist’ to the Group;
Evaluation of the Smoking Indicators that have been developed for the Programme;
Impact that the cardiovascular disease and diabetes prevalence estimates calculated by the Programme have had on PHOs;
Transition of the Programme’s ‘age appropriate vaccinations for 2 year olds’ indicator data source from reports provided by PHOs to the National Immunisation Register;
Appropriateness of the inclusion of the RSM expenditure indicators in the current indicator set; and
Public reporting.

Recommendations were forwarded for consideration by the Programme’s Governance Group, which:

endorsed the request to implement two new smoking indicators on 1 January 2010 as information only;
endorsed the request to investigate the feasibility of having a Health Economist on the Advisory Group;
declined the request to move the two Referred Services Management indicators which are currently funded by the Programme to information only;
endorsed the explanatory notes (template) that had been proposed for DHB level public reporting;
noted the impact which the CVD and Diabetes prevalence estimates calculated by the Programme have had on PHOs; and
noted a plan which the Programme has developed to transition its current childhood immunisation data source from being the PHO Service Utilisation Report to being the National Immunisation Register.

The next Advisory Group meeting is scheduled for 12 October 2009.

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REPORTING.....

ANNUAL REPORT

The Programme is developing its first Annual Report. This will recognise the work done by the Programme under the leadership of its Governance Group and guidance from its Advisory Group. The report covers the period 1 July 2008 to 30 June 2009 and contains information about the Programme’s:

strategic direction
annual achievements
governance and submission to the Ministerial Review Group
relationships
performance and financial information

On completion the Annual Report will be available via the DHBNZ website.

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CUBE TOOL REPORTING

In March the Programme advised that a ‘Cube Tool’ was being developed to help DHBs and PHOs formulate their own queries based on their GP Referred Laboratory and Pharmaceutical Expendituredata. The Cube tool is now available and information relating to 1 January 2006 to 31 March 2009 has been disseminated via CD to all DHBs and PHOs.

The Programme has developed an on-line guide to the Cube Tool which can be found by clicking here and selecting the Cube Tool Tutorial link. (You will need Windows Media player to run this file).

Any inquiries can be directed to PHOPerformance@dhbnz.org.nz

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DHB LEVEL PUBLIC REPORTING

The Governance Group agreed earlier this year that the Programme should release performance information to DHB-level, and that it should encourage and support PHOs to make their own information publicly available (at PHO level).

On 1 September 2009 the Programme ‘went live’ with DHB level public reporting. 21 individual DHB performance reports were published on the public pages of the DHBNZ website. All DHBs were invited to provide narratives to accompany the performance results reported – all DHBs responded.

Publicly reporting DHB level performance results will now become a regular six monthly Programme activity with the most recently completed performance period being reported one month after performance payments have been made to PHOs.

Over coming months the Programme will work with those PHOs that do not already have a process in place to prepare information for publication. The Programme would like all PHOs to be publicly reporting by November 2009.

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PROVIDER LISTS | SERVICE UTILISATION AND CLINICAL PERFORMANCE INDICATOR REPORTS

The next series of data reports for the period 1 July to 30 September 2009 are due to the Programme by 20 October 2009. Please forward this information directly to merita.tuala@dhbnz.org.nz in the required formats by the required date.

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QUARTERLY REPORTS

The Programme’s next series of DHB, PHO and Ministry of Health performance reports and scorecards are due to be posted to the members-only pages of the DHBNZ website at the end of October. These reports will report PHO performance against indicator targets to 30 June 2009. This is a performance cycle and resulting payments will be made to PHOs on 15 November 2009.

Any inquiries can be directed to PHOPerformance@dhbnz.org.nz

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SMOKING INDICATORS

From 1 January 2010 the Programme will introduce two new indicators into its national indicator set. These indicators are:

% of smoking status ever recorded
% of eligible population who are current smokers

Both indicators will initially be ‘information only’ (meaning no financial incentives will be available). A system change is required and the Programme will be working with vendors to implement the change. The data for the indicators will be sourced from the Clinical Performance Indicator report (CPI report) which PHOs already forward to the Programme on a quarterly basis.

Any inquiries can be directed to vicky.li@dhbnz.org.nz

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OTHER.....

DATA PROCESSES AND SECURITY

The Programme has published a diagram which illustrates the data flows and security processes that are currently in place when accessing and disseminating data. The diagram can be viewed by clicking here and selecting the Data Flow and Security Processes link.

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EXTENSION TO THE 2009 INFLUENZA VACCINATION SEASON

Contrary to our advice in the previous bulletin, please be advised that the Programme WILL NOT be extending the period for measuring influenza vaccinations. PHO targets need to be achieved within the timeframe originally agreed (to 30 June 2009). It is not known if the Government’s move to extend the influenza season from 30 June to 30 September will be ongoing. If the Programme extends the influenza season measurement period this year, it is likely that PHO targets for next year will be harder to achieve as the targets will be based on the previous season’s achievements.

Any inquiries can be directed to natasha.maraku@dhbnz.org.nz

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WEBSITE DOCUMENTATION

Please be aware that the Programme is updating its documentation on the website. Documents which require information to be updated have been removed from the website until the appropriate amendments have been made.

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Contacting Us …..

DHBNZ Team


Title	Email	Phone
Programme Manager	Serena Curtis-Lemuelu	04 803 5818
Account Manager \| Analyst	Natasha Maraku	04 803 5808
Developer \| Analyst	Thangamani Maroli	09 580 9056
Change Coordinator \| Analyst	Merita Tuala	04 803 5821
Analyst	Vicky Li	04 803 5815
Analyst	Shane Kerr	04 803 5809
Support Coordinator	Carine Haidamous	04 803 5802

Regional Analysts


Region	Email
Northern	Jay Sharma
	Ling Liu
Central	Rebecca McDowell