Health Informatics New Zealand - www.hinz.org.nz
Population Health
Population based approach to...
Health Informatics New Zealand - www.hinz.org.nz
Paradigm shift 1
Let’s look at new ways of und...
Health Informatics New Zealand - www.hinz.org.nz
80
Avera...
Health Informatics New Zealand - www.hinz.org.nz
Approximately 90% of healthcare occurs at home and in the community.
...
Health Informatics New Zealand - www.hinz.org.nz
Global Population
For the first time...
Health Informatics New Zealand - www.hinz.org.nz
Potential Support Ratio (PSR) is the number of people
...
Health Informatics New Zealand - www.hinz.org.nz
A major part of the solution lies in increasingly
so...
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Population based approach to healthcare is new to DHBs and PHOs

Jill Calveley
Published on: Mar 4, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Population based approach to healthcare is new to DHBs and PHOs

  • 1. Health Informatics New Zealand - www.hinz.org.nz Population Health Population based approach to healthcare is new to DHBs and PHOs. In the past, defining a population perspective was mostly confined to the MOH and Public Health experts. Allowing PHOs to take responsibility for the health of their enrolled population is creating opportunities for serious thinking and some paradigm shifts by funders, planners, health professionals……. …..and policy makers 1
  • 2. Health Informatics New Zealand - www.hinz.org.nz Paradigm shift 1 Let’s look at new ways of understanding the health status of our enrolled populations In the past assessments of the population ‘health status’ were based mainly on a combination of reasons for hospital admission (ICD codes) and mortality and longevity data. The majority of people do NOT attend a hospital each year. Patterns of service utilisation 2
  • 3. Health Informatics New Zealand - www.hinz.org.nz 80 Average Annual Service Utilisation & cost per person Example only 70 75 – 80 yrs Northland 60 Utilisation 50 40 30 20 10 0 Comm I Lab No Prescript Radiology Tests Rehab (Days) 2 2 2 Supp Res Care Longevity Bed days yrs Tests OP Admissions Bed days hrs Consults Community Service Type Cost ($000) Example only 8 55- 60yrs 65-70 yrs 7 Res Care Bed days Life expectancy Life expectancy Comm 6 Supp hrs Res Care Bed days 5 2 Comm Supp Bed days 4 2 OP/ Bed days Community OP/ 3 Community Rehab Rehab Radiology Radiology 2 Prescriptions Prescriptions 1 Lab Lab 0 I Consults I Consults 3
  • 4. Health Informatics New Zealand - www.hinz.org.nz Approximately 90% of healthcare occurs at home and in the community. 80% of people attend a GP or community health professional each year. We need some baselines from which to discover whether we are making a real difference. We need to engage fully with consumers and involve them in more in decisions about themselves, their families, whanau and communities We need to look at what the terms ‘health status’ and ‘health needs’ really mean to consumers. Paradigm shift 2 Population changes will force us to view and deliver healthcare differently. For example, an ageing population 4
  • 5. Health Informatics New Zealand - www.hinz.org.nz Global Population For the first time in history, the number of older people (60+) in the world will exceed the number of people under 15 years by 2050. It is a result of the transition from high to low levels of fertility and mortality The trend appears to be irreversible The older population is itself aging By 2050, one fifth of older people in the world will be 80 years or older New Zealand Proportion of people 65+ will rise from 12% (2001) to 26%(2051) 15% of population will be 75 years and over 5.3% will be 85 years and over 2001 Census there were 400 people 100 years and over 2051 it is predicted that there will be 12,000 people 100 years and over 5
  • 6. Health Informatics New Zealand - www.hinz.org.nz Potential Support Ratio (PSR) is the number of people 15 – 64 years per one older person. PSR globally was 12 : 1 in 1950 9:1 in 2000 New Zealand: predicted to be • 5:1 by 2010 • 3.8: 1 by 2020 • 2.4: 1 by 2050 Underestimated in NZ, as age of leaving school and actually joining the workforce is often 18 - 20+ years If dependent children 0 – 14 yrs is included the ratio is halved. Health workforce will not continue to increase relative to the population At the same time – treatment choices are increasing Health decisions will have to become more efficient and effective Online consultation and inter-provider communication will increase. On line consultation, self diagnosis and self management will become the norm. 6
  • 7. Health Informatics New Zealand - www.hinz.org.nz A major part of the solution lies in increasingly sophisticated and user friendly IT for decision making and communicating. 7

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