Becoming the Best

As you know, we’ve mapped out a journey to be the best healthcare system in Australasia by 2015. But how are we going to know whether we’ve achieved this when the time comes? There are two important parts to the process – establishing our baseline position, and identifying what we need to do in order to make progress and meet our goal. Soon we will be publishing some system level measures which have been developed under the leadership of Professor Andrew Hill. These measures will help us determine our progress towards our goal and also how we rank alongside comparable Australasian organisations come 2015.

Next month we’ll also be completing Certification, an exercise which will enable us to benchmark our current position. Today I’m joined by Chief Medial Officer, Dr Gloria Johnson, and Director of Hospital Services, Jenni Coles, to talk more about this process.

Certification will involve a group of healthcare professionals, with both managerial and clinical perspectives, visiting any of our inpatient facilities (Middlemore Hospital; Manukau Surgical Centre; Botany, Papakura and Pukekohe Maternity Units; Pukekohe Hospital; Franklin Memorial Hospital, Auckland Regional Spinal Unit and Tamaki Oranga) during the week of May 13 – 17. These experts, who work for other health service providers across the country, are employed by an independent agency which is contracted by the Ministry of Health to complete certification audits. During their week with us, the group will look at our organisation with independent, ‘outsider’ eyes and measure us against standards that have been set for the safe delivery of healthcare in this country.

They will be particularly interested in looking at our basic standards for the delivery of clinical services – how they are delivered, the facilities within which they are delivered and the processes we use to ensure their quality. They will want to look at documentation, including clinical documentation, protocols and policies; observe staff working to see how they interact with, and respect the rights of, patients; and talk to staff about their work. Are our medication charts accurate? What steps do we take to ensure the privacy of our patients and the confidentiality of their information? How respectfully do we treat our patients and visitors? This year, the group will also be using tracer methodology, which means they will be following individual patients on their journey through our services from admission to discharge.

During the week, the certification team will give us feedback on what they’re observing and the opportunity to explain things that don’t appear right. After their visit, they’ll then write a report which we can respond to. This all culminates in us being graded according to whether or not we have passed all of the healthcare standards. We hope to pass with flying colours and receive certification for the maximum three year period. If we do fail any standards, however, we will be given corrective actions and a timeframe for implementing these, and our certification period may be reduced. Given our aspiration to be the best healthcare system in Australasia by 2015, we expect to receive as few corrective actions as possible and perform particularly well.

This process is hugely important for several reasons. It determines our certification period, it gives us an independent perspective on the delivery of our services which assists us in maintaining their high quality and it’s an opportunity for all of our staff to reflect on the work that they do on a daily basis. What do you want the certification team to see when they look around our facilities, review our documentation and observe our staff working? We’d encourage you all to think about that, but also add that completing this process isn’t just about what the certification team sees during its week with us. We should be aiming to be an exemplar organisation that provides high quality healthcare which meets all of the national standards all of the time. This should be how we conduct business as usual.

If we are going to become the organisation we aspire to, it’s really important that we start by taking a good long look at who we are now. I’ve blogged a lot recently about meeting the granny test, the importance of compassion and creating an open culture, and how we maintain our moral compass as an organisation to ensure we provide high quality, patient-centred care. Certification will enable us to look in the mirror and gauge how well we measure up to our aspirations. We look forward to your support and hope you take this opportunity to showcase the great work we do as Team Counties.

Geraint, Gloria and Jenni

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Author: Geraint Martin

Geraint Martin was appointed Chief Executive Officer of Counties Manukau DHB in December 2006. It is one of the largest District Health Boards in New Zealand and services a population of half a million. He has significant experience over 30 years in national policy & in managing both primary and secondary care . Previously, he was Director of Health and Social Care Strategy at the Welsh Government .He authored a radical 10 year strategy of reform, including the successful “Saving 1000 lives” Campaign.Until 2004, he was CEO at Kettering General Hospital & had held senior positions in London & Birmingham.He has worked closely with clinicians in improving clinical standards,patient safety,chronic disease management & managing acute care to reduce hospital demand.In NZ, He has promoted clinical quality and leadership as central to improving patientcare. This has led to a significant increases in productivity and access, whilst maintaining financial balance. CMH has completed in 2014 a $500 m capital redevelopment programme, the largest in New Zealand. A central part of this is the establishment of Ko Awatea,the Centre for Innovation and Research which will underpin CMH as one of the the leading health systems in Australasia.In 2008, he chaired the Ministerial Review of Emergency Care in New Zealand, and in 2013 was an member of the Expert Advisory Panel on Health Sector Performance. Geraint has an MSc in Health Policy from Birmingham University .His post-graduate work has focused on health economics and Corporate Strategy . He is adjunct Professor of Healthcare Management at AUT and Victoria University, Wellington Elected in 2006 as a Companion of the Institute of Healthcare Management, previously he was an Associate Fellow at Birmingham University.He is is Chair of the Auckland Philharmonia Orchestra, a member of the Institute of Directors, on the Board of the NZ Institute of Health Management & previously the Board of The NZ Health Quality and Safety Commission.

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