NCHIP Learnings and Collaborations

21 October 2015

No Child Left Behind?In the Waikato• 20% of six week immunisations not achieved on time• 37% of children under 6 not enrolled with Oral health

• 30% of children not enrolled with GP at 3 months

• Nationally, 50,000 immunisations not given in 2014

Birth event

Nominate GP and WCTO

provider, for

enrolment

Newborn Check

Well Child assessmen

t

Metabolic screenin

g

Hearing screenin

g

Transfer of care (to GP & WCTO)

Well Child assessment

sImms Oral Health

assessments

Early Childhoo

d educatio

n enrolmen

t

B4School check

Multiple, provider-centric view of milestones

LMC Maternity systems

WCTO

GP, NIR

Oral Health

B4SCHearing team

Service view/capture of data

What is NCHIP and CHCS?

- Ensure children are enrolled with providers - Ensure children are receiving health checks/milestones- Support providers to find ‘missing children’- Support families to connect with providers

- Register newborns and children- Collate milestone data from provider systems- Create shared view of children, and their

• Chosen providers• Health milestone status

- Generate ‘red flag’ prompts for follow-up

Birth event

Nominate GP and

WCTO

provider, for

enrolment

Newborn

Check

Well Child assessme

nt

Metabolic screening

Hearing

screening

Transfer of care (to

GP & WCT

O)

Well Child assessments

Imms

Oral Healt

h assessments

Early Childhood education enrolment

B4School chec

k

Collects data from multiple sources Displays data in one place

Single, integrated child-centric view of milestones

NCHIP view of data

Midwife’s checks

Metabolic Screening Results

Newborn screening results

Transfer of care to WCP and GP

ImmunisationsOral health checks

Milestone Status Tracked

LMCs

GPsWell Child/Tamariki Ora

Oral HealthShared view…

No Child Left Behind - new capability introduced

• Providers can identify and check with other providers• Providers able to check child’s track record and milestone status• Ability to assess risk & calibrate response

• missed one milestone with one provider - low risk• missed several milestones across different providers - different story

• Support to find missing children (incl. access to MSD and MoE)

Ensuring provider connections:• 4,000+ newborns plus 27,000 under 6 year olds

• Connected 300+ newborns with GPs (10-12 per week)• Connecting newborns with a well child provider • Identified 60+ newborns without metabolic screening results• Identified 70+ newborns missing from Newborn hearing screening• Identified 6,000+ children missing from Oral health service

Getting to grips with reporting

Milestones by PHO

Imms – tracking by PHO

Children who missed 6 week imm – by LMC

Timing

Children who missed6 week imms – did they receive 4-6 week wellchild provider check?

YESNO

Tracking upstream/downstream influence

LMC 4-6 week Well Child Referrals (Transfer of Care) to GP, WCTO

• 20% of referrals not completed

• Referral completed 77% achieved 6w immunisation• No referral 65% achieved 6w immunisation

= 12 percentage point difference

Moving forward

• Improve/extend diagnostics and reporting

• Promote/foster utilisation by practices and outreach imms– monitor other providers/recent checks– CHCS support for ‘missing’ children

• Interface with planned maternity (MCIS) and oral health (Titanium) systems

• Aligning CHCS, NIR, Outreach Imms, B4School service

NCHIP Roll out

WaikatoNovember

2014

Tairawhiti November

2015

Taranaki January

2016

Lakes March 2016

Questions?