Establishing ‘Community Care Coordination’ – Providing a single point of access, navigation and coordination, for people requiring DHB community based short term health and enablement services across the Bay of Plenty

Ms Kim Blair1

1BOPDHB, Tauranga, New Zealand

The Bay of Plenty Community Care Co-ordination (BOPCCC) Centre was set up with an aim to provide a single point of access, navigation and coordination, for people requiring community based short term health and enablement services across the Bay of Plenty.

Services currently in scope:

  • District Nursing
  • Kaupapa Maori Community Nursing
  • In-home Falls Prevention
  • Short-Term Home-Based Support Services
  • Community Allied Health
  • Community Gerontology nurse specialist service

Prior to BOPCCC, clinicians, clients and health care workers could refer to the above services via multiple different entry points, potentially for the same patient, many of whom received care from multiple services.

Providing a single point of access has enabled an integrated and coordinated response, challenging problems such as:

  • Over assessment and triage of clients
  • Fragmented Service delivery
  • Gatekeeping and gaps
  • Inequity of access
  • Duplication of services
  • Long waits
  • Lack of cohesive strategic direction across community services

CCC acts like a ‘nerve center’ for community services with highly skilled, responsive, community focused staff who connect, navigate and coordinate with DHB services and wider community networks. CCC coordinate the most appropriate response, harnessing the capability and capacity of community resources and reducing inappropriate demand on specialist services. CCC can help focus the health system on prevention and not just acute treatment.

Our prediction is that by streamlining access to community services via a single point of contact, we will simplify and bring consistency to the request process, release capacity in existing services to address growing demand, and improve patient experience.


Biography:

Kim Blair is a ‘change agent’ committed to the growth of an integrated health care network that will enable flourishing individuals and communities. She is a registered Social Worker, Improvement advisor, and Project Manager for Bay of Plenty DHB. For the past twelve months Kim has been working as project manager, establishing a model for ‘Community Care Coordination’ for the Bay of Plenty DHB.

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