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International acclaim for EBoP integrated community service

International acclaim for EBoP integrated community service

Made possible by Minister Tony Ryall’s Better Sooner More Convenient initiative, the Te Whiringa Ora/Care Connections (TWO) service has been internationally recognised as an innovative integrated community service that engages clients and connects providers. In addition, an independent value for money study of TWO has found it is capable of delivering substantial savings to the health sector.

The economic analysis by consultancy Synergia suggests TWO represents excellent value for money, including:

Projected local net savings of $6.8 million over five years for a community of 50,000 people.

Potential to break-even within the first 12 months.
Annual savings of $3,416 per patient and $7,966 for clients with a primary diagnosis of Chronic Obstructive Pulmonary Disease (COPD).

Implemented in February 2011 in the Eastern Bay of Plenty, TWO is a partnership between the Bay of Plenty DHB, the Eastern Bay Primary Health Alliance and Healthcare of New Zealand. TWO targets clients with multiple long-term conditions and those who are high users of hospital services, so that they can remain active in their homes and community. It provides a web of support around clients (and their family/whānau) with chronic conditions like heart disease, diabetes and COPD.

TWO was selected as one of seven international case studies (and the only New Zealand example) on integrated care in the community. Released by the Commonwealth Fund and the King’s Fund, the first in a series of papers provides compelling evidence that integrated care for older people with complex needs can be successfully delivered through incremental improvements to a community provider’s existing services.

Points of interest include the following:
· TWO was the only programme where telehealth remote monitoring was deployed.
· TWO placed the most emphasis on engaging patients and family/whānau to achieve its goals.
· TWO is confirmed as a service that incorporates the right principles in order to achieve success - for both clients and the health system.

“The Bay of Plenty District Health Board and Eastern Bay of Plenty Primary Health Alliance need to be commended for supporting such a transformative approach,” says Peter Hausmann, Chief Executive Officer of Healthcare of New Zealand Holdings Limited.
“Not only is it a locally grown and tested innovation, but the international acclaim proves TWO provides an answer to other countries struggling with increased healthcare costs and unmet demand.”

“I’m also particularly excited that in an earlier Synergia study there were examples of general practice saying that TWO cut their workload in half and freed up the primary sector team to do clinical work. It is our vision that this versatile integrated healthcare model is implemented in communities throughout the country to improve quality of life and health outcomes, as well as further integration of primary care and community support within the New Zealand health system,” says Peter. “TWO is easily replicable for all demographics within every community in New Zealand.”


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