This report was commissioned to focus on improving the productivity of adult community mental health services by identifying successful strategies for achieving productivity, including overseas and locally. This report was prepared using a literature search and interviews, synthesis and analysis of this information, and review of the draft report by a reference group.
Purpose
The purpose of this report is to inform any future actions by DHB clinical directors and general managers pursuing productivity improvement. Many DHBs and NGOs already have productivity initiatives underway. There is a desire to take a more collaborative approach and avoid duplication of effort to implementing productivity initiatives. Hence, the commissioning of this work funded by the Ministry of Health via the Mental Health Commissioner to Ko Awatea.
Methodology
An expert advisory group nominated by DHB MH&A services clinical directors and general managers was established to develop the scope of the project and provide feedback on the draft report.
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Expert Advisory Group |
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Robyn Byers (Chair), Nelson Marlborough DHB |
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Frank Rawlinson, Whanganui DHB |
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Jeanette Wylie, Mid Central DHB |
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Joanna Jastrzebska, Tairawhiti DHB |
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Tess Ahern, Counties Manukau DHB |
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Clive Bensemann, Auckland DHB and Chair National MH&A Service KPI Group |
As a first step to completing this report, a request for literature on productivity was made to the Counties Manukau Health Library. The results of their search led to the identification of 11 resource websites, 46 reports and approximately 82 abstracts (some of these were duplicates). The abstracts and websites were appraised. A total of 75 reports were reviewed to inform this report.
The search strategy was to search several databases using two search topics:
- Productivity and improvement
- Productivity improvement measures for health care services, especially mental health.
The databases searched with the limits of English language and year coverage 2010-2014 were:
- Medline
- CINAHL
- PsycInfo
- Proquest Health and Medical Complete
- Proquest Nursing and Allied Health
The library also did a manual search of internet sites relating to productivity and health sector productivity covering the NHS, Australia, Canada and the USA.
In order to supplement the literature with current experience and advice about mental health productivity initiatives in New Zealand, meetings or phone conversations were held with the following key informants between 28 May and 17 June 2014.
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Key informants: interviewed |
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John Crawshaw, Ministry of Health |
Helen Wood, Waitemata DHB |
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Toni Gutschlag, Canterbury DHB |
Robyn Shearer, Te Pou |
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Clive Bensemann, Auckland DHB |
Barbara Disley, Richmond Fellowship |
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Tess Ahern, Counties Manukau DHB |
Virginia Endres, Waikato DHB |
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Francois Rawlinson, Whanganui DHB |
Emma Wood, Te Pou |
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Rees Tapsell, Waikato DHB |
Jane O’Malley, Ministry of Health |
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Jeff Bennett, Waikato DHB |
Derek Wright, Recovery Solutions |
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Rebecca Merrington, KPI Forum |
Paul Ingle, Platform |
Note that there were others key informants who were approached but were unable to contribute due to a variety of reasons.