Health and Care Services for New Zealand's Ageing Population

Planning for and resourcing the delivery of integrated services to meet future need

Event Details

Agenda

08.30
Registration and Coffee
09.00
Opening remarks from the Chair
09.10
Ministerial address: Preparing our health and care system for the future
09.40
Population ageing and the implications for health and care services
  • Demographic trends around ageing at the national and regional level
  • Demographic factors  [life expectancy | healthy life expectancy | changes in life expectancy by sex | age at death patterns | main causes of death]
  • Social factors: wellbeing and current perceived concerns, availability of care and migrant dependency
  • Unmet needs and risks – housing, loneliness, isolation
  • Scales of change: what might that mean for the health and care sectors?
  • Growth and complexity of older populations
  • Transitions in population structures
  • Changes in rate of population change - a factor for planning
Denise McGregor, Deputy Government Statistician and DCE Insights and Statistics, Statistics New Zealand
10.20
Resourcing the future delivery older persons health and care services in New Zealand
  • ·         What additional resources are required to meet the projected need?
  • ·         Ensuring the Population Based Funding Formula for DHBs remains fit for the future
  • ·         What insights can we gain from other countries
  • ·         Addressing equity in access to care funding
  •           Social insurance for NZ?
David Moore, Managing Director, Sapere
10.50
Morning break
11.20
Exploring the future of aged care funding
  • Outcomes of the Aged Residient Care Funding Model review - what are the emerging options?
  • Reviewing funding relationships between aged residential care providers and health services – how can incentives be best aligned
  • Creating a funding model that provides the incentives for the aged care industry to deliver the investment required to achieve additional bed capacity in order to meet projected need
  • Shaping aged care products and services to meet future needs and the future funding environment
Carolyn Cooper, Chief Operating Officer, Bupa Health and Care
Bill McDonald, Chief Executive, Arvida Group
11.50
Preparing aged care and health of older people services for future demand

 

  • Refreshing the strategic direction (Healthy Ageing Strategy 2nd action plan, MSD's work to refresh the Positive Ageing Strategy and Carers Strategy)
  • Highlight recent research about frailty and the benefit realisation of person-centred care
  • Emphasising the importance of multi-disciplinary team approaches
  • Showcase case studies demonstrating strong integration across the system
Keriana Brooking, Deputy Director General - Health System Improvement and Innovation , Ministry of Health
12.30
Lunch
1.30
Planning and delivering the future workforce needed for older persons health and care services
  • Workforce planning and redesign to cope with growing demand
  • Understanding the skill mix required by future workforces
  • Creating a workforce development plan to deliver the requirements
  • Tackling the recruitment crisis in aged care - how can aged care best respond to the drain of registered nurses from residential care to DHBs?
  • Managing the impact of pay equity
  • Using the Calderdale Framework to create systematic, objective method of reviewing skill, role, and service design, ensuring safe, effective and productive patient centred care across the South Island
Professor Des Gorman, Professor of Medicine and Associate Dean, Faculty of Medical and Health Sciences, University of Auckland
2.30
Achieving system redesign – Taking an interdisciplinary, whole system approach to the health of older people’s health and care services
  • Integrated practice models – bringing together interventions for primary secondary and tertiary care
  • Delivering integrated care for multi-morbidly to reduce acute care cost and improve the service user experience
  • Improving hospital flow and tackling delayed discharge of older people
  • Developing a hospital flow programme
  • Integrated discharge planning
  • Ensuring the effective integration of residential aged care providers with the hospital and care service
Timothy Kenealy, Associate Professor of Integrated Care, University of Auckland
Valerie Fletcher, Clinical Director Community Services Older Persons Health, Canterbury District Health Board & Chair, Health of Older People Service Level Alliance (HOPSLA), The South Island Alliance
3.30
Afternoon break
3.50
Maintaining older people with complex needs in their homes
  • Restorative approaches to working with older people and improving their ability to function independently in their own home and community
  • Providing gerontology outreach services – delivering increasing complex treatments in out of hospital and community settings
  • Primary care and the role of general practice in managing frail elderly patients 
  • Co-production and moving decision-making closer to older people
  • Working with older people to create effective care models that meet their needs
  • Engage ORBIT – delivering multidisciplinary hospital avoidance for older people
  • Examining how Enliven services supports the independence of older people living with disabilities
Sarah Shanahan, Team Leader - Engage Community Allied Health Service, Hawkes Bay District Health Board
Andrea McLeod, Chairperson, Home and Community Care Association & GM - Strategic Change - Enliven, Presbyterian Support
4.50
Harnessing Big Data in the health of older people
  • Using data and healthcare informatics to improve the care outcomes of older people
  • Realising the power of the New Zealand interRAI data set
  • Utilising predictive analytics to deliver sophisticated anticipatory care
Michele McCreadie, , General Manager, interRAI Services, TAS
5.20
Chairs remarks
5.30
Networking drinks reception
9.00
Chairs opening remarks
9.10
Opening keynote: Buurtzorg: A nurse-led model of holistic care that has revolutionised community care in the Netherlands
  • Exploring the Buurtzorg-approach and how it enables and supports self-managing clients
  • Simplifying processes for staff and service users through self-managing teams and well-designed electronic record systems
  • Understanding how the New Zealand community care delivery model will influence the implementation of an adapted Buurtzorg-inspired model of care
Arnold Stroobach, Director – Australia, Buurtzorg International
10.00
Striving to achieve healthy ageing and improve quality of life in older age
  • Refreshing the Positive Aging strategy
  • Taking a holistic approach focused on wellbeing and broader concepts of health
  • Health economics and healthy ageing - analysing the potential impact that achieving effective uptake of a preventative approach could have on future need and costs
  • Improving health literacy – what is the best way to communicate health messages to older people
  • Improving healthy equity and long-term-health outcomes by targeting preventative interventions at Māori and Pacific communities
Jim Nicolson, Manager, Healthy Ageing, Population Outcomes - System Strategy and Policy , Ministry of Health
10.40
Morning break
11.10
Tackling the poor health outcomes of Māori older people

 

  • Why do fewer Māori people reach old age and why is their health worse in old age?
  • Addressing equity of access to healthcare
  • Working with indigenous health models
  • Taking a client led approach and working with whanau
  • Building the knowledge base around the services required by kaumaatua
  • Improving healthy equity and long-term-health outcomes by targeting preventative interventions at kaumaatua
Haze White, Researcher, Te Whānau O Waipareira
Georgina Martin, Senior Researcher, Te Whānau O Waipareira
12.00
Practical strategies to reduce prevent falls and reduce frailty -Lessons from the National Science Challenge
  • Understanding frailty and why it results in increased risk for health care needs
  • Exploring cost effective physical programmes for reversing frailty in pre-frail older people
  • Learning from the National Science Challenge – putting in place actions from the Staying UPright and Eating Well Research
  • Understanding and applying the basics of quality improvement to deliver a falls prevention strategy
Ngaire Kerse, Head of School of Population Health and Professor of General Practice and Primary Health Care, University of Auckland
Dr Ruth Teh, Principal Investigator - Staying UPright and Eating Well Research, National Science Challenge & Senior Lecturer, University of Auckland
12.30
Lunch
1.30
Ensuring that older people receive the compassion, dignity and respect in aged care that they deserve

 

  • Compassionate care: Going beyond caring for the person
  • Compassion, cultural competency and relevance
  • Achieving compassionate care - strategies to build staff resilience and address compassion fatigue in challenging care environments?
Valerie Wright-St Clair, Co-Director AUT Centre for Active Ageing , Auckland University of Technology
2.10
Dementia is everyone’s business – Preparing providers to meet projected dementia need
  • Delivering the investments required to prepare services for the coming tidal wave of dementia need
  • Creating and disseminating a shared model of care for dementia
  • Improving dementia care in non-specialist settings – a practical guide to managing higher levels of dementia need in residential care
  • What are the staffing requirements for improving dementia care in residential care?
Dr Matthew Croucher, Clinical Lead, The South Island Dementia Initiative & Psychiatrist of Old Age, Canterbury District Health Board
2.50
3.10
Improving health outcomes and reducing system costs by tackling loneliness and social isolation in older people
  • Understanding the scale of the negative impact of loneliness on the health outcomes for older people
  • Community based strategies to tackle isolation
  • Learning from the National Science Challenges projects to tackle social isolation
Dr Hamish Jamieson, Consultant - Healthcare of Older People, Canterbury District Health Board
3.50
Smart technology, augmented intelligence and robotics in aged care settings
  • Utilising technology to enhance the lives of the older people and enable them to maintain independence
  • Taking sensors and remote monitoring to the next level
  • Harnessing the power of smart home technology to create dementia friendly facilities
  • Preparing your systems and infrastructure for the introduction of augmented intelligence
  • Analysing the benefits of therapeutic healthbots in aged care settings
Therese Jeffs, Chief Executive, The CARE Village
John Ashley, Chief Operating Officer Community Services, The Selwyn Foundation
4.30
Chair's closing remarks
14.40
Close of conference
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