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Hūtia te rito o te harakeke,
Kei whea te komako e kō?
Ka rere ki uta, ka rere ki tai.
Kī mai koe ki a au, he aha te mea nui o te ao?
Māku e kī atu,
He tangata! He tangata! He tangata!
If you pluck out the flax shoot,
where will the bellbird sing?
It will fly inland, it will fly seawards.
If you ask me,
What is the most important thing in the world?
I will reply, People! People! People!

Kia ora e te KPI Programme whānau

“Don’t underestimate the willingness of people if you give them a sense of purpose (or if they know ‘why’), … the extraordinary lengths they will go to, to support the Kaupapa. Together they can achieve amazing things.” 

It is one of Dr Ashley Bloomfield’s greatest learnings, and it sits at the heart of what has kept our KPI Programme team energised over this past month.

Despite the reemergence of COVID-19 in the community, people from across our mental health and addiction sector continued to make space to come together virtually and engage in meaningful discussion about how they can use key performance indicators (KPIs) and technology to continually improve services for tāngata whai ora, whānau and the community.

Our sector engagements have reinforced the strength in our collective ‘why’. A united vision for a health system where informed practice and collective action drives better wellbeing for all.

It has been the willingness of the sector to share their expertise and insights over this time which has allowed us to get traction on both the redevelopment of our KPI Programme website and data visualisation tools, and to also achieve momentum against our contract variation to investigate the establishment of three additional Programme streams for Adult Forensic, Child and Youth Forensic and non-government organisations (NGOs).

This issue showcases the richness of just one discussion had by 30 of our Adult Forensic stakeholders on 19 August and we are looking forward to sharing more about our other streams in future issues of The Indicator.

As we’ve listened to the voices of the people working in mental health and addiction services, sector leaders, tāngata whai ora, whānau and rangatahi, we have noticed the growing impatience for action to get moving on tackling some of our greatest challenges. A desire to tap into the data and experiences of our colleagues across Aotearoa to not only compare results, but to really learn from each other about what actions and initiatives make a difference.
 
There’s no avoiding it. The COVID-19 pandemic has disrupted life as we knew it and reinforced the notion that there are many things which are beyond our control. But, it hasn’t taken away our human ability to make choices. To make informed choices that result in the actions which will ensure we can mobilise together and get through this challenge, and many others.

After all, in the words of Dr Bloomfield – “There is no cavalry. It’s up to us… we’re the people. Let’s figure it out.”

Noho ora mai

The KPI Programme team

Showcasing the Adult Forensic stream workshop


On Wednesday 19 August, 30 forensic stakeholders from across Aotearoa gathered for the first Adult Forensic Indicator scoping workshop via Zoom. Contributors included clinical directors, clinicians, service managers, technical, cultural and consumer advisors from across the five regional forensic units.
Prior to the workshop, Johnnie Potiki (pictured), Consumer Advisor for Southern District Health Board (DHB) spent time engaging with consumer advisors from around the country to identify priority indicator groupings from the perspective of people who access services. Together, they developed a list of eight key indicator groups which the workshop contributors were asked to consider in their discussions.
The groups included:
  1. Social determinants – ensuring step down that allows access to a good home and work within and beyond forensic services.
  2. Whānau engagement - in admission (mihi Whakatau) and discharge (Poroporoaki).
  3. The use of a Māori outcome measurement tool - possibly Hua Oranga.
  4. Holistic treatment - for example, Te Whare Tapa Whā.
  5. Cultural assessments and cultural engagement - in collaboration with kaupapa Māori services.
  6. Good quality outcomes - from strong forensic community support.
  7. Trauma-informed care - appropriate screening.
  8. Actionable feedback - use of listening group evidence from tāngata whai ora to provide evidence of the KPI indicators (for example, Real Time Feedback).
These indicator groupings were considered against current pressure points for forensic services, to help workshop contributors best understand where they might need to put their attention to improve processes and outcomes for tāngata whai ora, whānau and the community.

During the two-hour workshop, contributors moved into smaller breakout groups to explore how they would know if their services were improving health outcomes (the success factors) and to discuss and prioritise the possible Adult Forensic indicator groupings.

Breakout session one: How might we know we have delivered services that improve health outcomes for tāngata whai ora, whānau and the community?

  • We understand exactly what defines a forensic patient and the forensic population.
  • We have a clear understanding and profile of who accesses forensic services.
  • We maximise all opportunities to keep tāngata whai ora out of the criminal justice system.
  • We use evidence to demonstrate we deliver tāngata whai ora (people) centred services.
  • We know tāngata whai ora wellbeing improves under our care, we are not harming, traumatising or re-traumatising tāngata whai ora, whānau and our communities.
  • We know tāngata whai ora have the support they need.
  • We know tāngata whai ora access services when and how they need them. 
  • We know tāngata whai ora are living well.

Breakout session two: What indicator groups do we believe Adult Forensic should put attention on?


The four most frequently mentioned indicator groups were:
  1. Cultural competence of the workforce.
  2. Ensuring that the people who access forensic mental health services are those who need forensic services.
  3. Whānau engagement.
  4. Services that are tāngata whai ora (people) focused.
A working group will be convened to take forward initial discussions to determine the actions that will be needed to re-establish the Adult Forensic KPI stream. This will include the development of relevant indicators, forums and dashboard visualisation requirements. They will also identify whether further research is required to inform the development of forensic indicators and will report back to the wider forensic community in due course.   

What did workshop contributors say about their experience?


A sincere thank you to the nine workshop contributors who shared feedback with us about their experience of the Adult Forensic stream workshop via our evaluation survey. Your voices help us to continually review and consider how we can best tailor KPI Programme engagements and events.
 
The key learnings were:
  • Put more attention on tailoring the agenda and schedule for Zoom delivery, including changes to the agenda, breakout spaces, and length of general and breakout discussions.
  • Make sure workshop facilitators have good guidance and the resources they need to lead focused and timely discussion.
  • Provide key documentation only ahead of the workshop and give more space for meaningful conversation relevant to forensics.

Kia kotahi te hoe kia tere ai te waka - Paddle in unison to speed the canoe

Spotlight on our Sponsors

Kia ora I'm Alison Hudgell 


I’m the General Manager for Mental Health and Addictions at Auckland District Health Board (ADHB), the fourth-largest DHB in Aotearoa and one of the fastest-growing.

As a KPI Programme Sponsor, I represent the national Mental Health and Addictions General Managers network. My aspirations for the KPI Programme are that we continually share and learn from each other, and we make a difference.  

Family and friends, living life, being in our beautiful country and exploring others, the sun, the sea and the snow are the things I cherish most.

Going virtual again - end of year forums will be Zouis


You heard it here first. The KPI Programme end of year benchmarking forums will be held via Zoom. In these unpredictable and resource-intensive times, it was the most responsible decision we could make, despite our desire to bring you altogether face to face. We also didn’t want the KPI Programme to be renowned for creating a new cluster!

Initial preparations with the Programme stream leads have identified the last week in November as the most probable time for the forums. We’ll announce all the details and the dates for both forums here in the next issue of The Indicator.

Help us shape your end of year Zouis


Our Adult and our Child and Youth stream leads would like to know what KPIs you'd like the Programme to focus on and discuss at our end of year Zouis. Share your priority KPIs with us by completing our one-question survey.
What are your priority KPIs?
We hope you are enjoying the mental health and addictions KPI newsletter, The Indicator. If you’d like to showcase your KPI stories, share the great work of your teams or even write a brief opinion piece, we’d love to hear from you info@mhakpi.health.nz
Copyright © 2020 MHA KPI Programme, All rights reserved.


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