CEO UPDATE Monday 8 June 2015
Winter’s here - it’s not too late to get your flu immunisation The recent wet and windy conditions are a reminder, in case we needed it, that winter is here. Over the last couple of years winter illnesses have hit Canterbury’s fragile health system hard. It’s a tribute to the amazing work of people from across the Canterbury Health System that we’ve managed to keep things going for our community.
unsettled claims. Those with unsettled claims report more health issues, say they argue with their partner more, and experience more financial problems.
To achieve our goal of providing the right care, by the right person, at the right time, in the right place we’ve improved the quality of data we collect. We now track hospital activity in real time, can pick up trends, and make incredibly informed decisions. This will be a key tool this winter in helping us to improve the flow of people through our system.
We don’t know how busy our health system will be this year, but we do know we will be busy. Thank you in advance for the work you’ll do keeping people well this winter.
The flu is something that puts pressure on our health system every winter. If you haven’t yet been immunised please take advantage of one of our free staff flu clinics. If you have been immunised, thank you - please encourage your friends and family to get vaccinated too. It’s one of the easiest ways we can relieve the pressure on our health system.
This week is Men’s Health Week – what better time for our male readers to make a time to see their general practice team for a ‘warrant of fitness’?
As we head into this winter we know that many Cantabrians are struggling. Last week The Press highlighted some sobering examples of people who are still being held back by the consequences of the earthquakes, and struggling to find secure, affordable housing. In so many cases it is ultimately the health system that ends up supporting the most vulnerable in our community. It’s important to appreciate that many of us are us are struggling and still need support. Research from the All Right? campaign shows that life is particularly tough for people with
It’s time to man up and get your health checked
If you haven’t been to your doctor recently, this is the week to pick up the phone and make an appointment. If you’re over 50 ask about a cardiovascular risk assessment. When working in busy roles in health, getting our own health niggles seen to isn’t always a priority, so why not make an effort to do something about it today? The Men’s Health Week website has all sorts of tips and advice on ways to stay healthy. Check out the What’s Your Score feature a quick quiz designed just for men. By getting proactive and taking preventative action you can reduce the danger of major health risks down the track.
›› Article continues on page 2
David Meates
CEO Canterbury District Health Board
In this issue
»» The human cost of unsettled earthquake claims...page 2.
»» Cycling in Cambodia for a good cause...page 7.
»» Facilities fast facts...page 3.
»» Another Dry July...page 9.
»» Early bird rate closing for conference...page 6.
»» VDI - your office in your pocket...page 11.
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CEO UPDATE ‘One for the Blokes’ workshops This is a chat about mental health. These small group sessions are suitable for any staff – not just males! »» »» Pete and Jason from ThinkWell are two of the facilitators - they are joined by Mike and Phil, two senior managers from the Wellington City Council who are also involved in presenting the workshops. »» They tell their stories, which involve significant life events which have challenged their mental health. This is followed by a brief introduction to brain chemistry, an opportunity for some group discussion and an overview of some of the
additional support available to Canterbury DHB staff. The main focus is around starting the conversation i.e. that it’s ok to ‘have mental health’ and to talk about it.. »» »» Limited to 25 per session, the workshop has been developed by the Wellington City Council, ThinkWell and the Mental Health Foundation – and is funded by Red Cross. »» Register here – remember it’s first in first served! Attendance is free. »» »» Workshop times are listed on page 19 of the update.
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Nursing role in chronic non-malignant pain Registered Nurse, Alison Middlemiss, has spent more than two decades at the Pain Management Centre at Burwood Hospital assisting people to self-manage their chronic pain. She retires on Friday. Alison did her training in the 1960s, before leaving to have a family. With the encouragement of her mother she returned to nursing in 1987. For the first few years Alison worked in ward 4 (rehabilitation and convalescing). It was at this time the Pain Management Centre had its beginnings, initiated by Dr Barrie Tait, assisted by Charge Nurse, Jan Drayton. Alison also worked on ward 6 (orthopaedics) for a time, until in 1992 the opportunity arose for her to join the Pain Management Team. “I was delighted as I was particularly interested in the psychosocial side of management of chronic pain, how it affects people, and how they can learn to manage it and even enjoy life.” One of Alison’s strengths has been the use of biofeedback to aid learning diaphragmatic breathing and relaxation techniques, and she has been on the team for the CHOICES pain management group. “We work in an interdisciplinary model with our chronic pain clients and I have loved being part of an interdisciplinary team, of physiotherapy, nursing, occupational therapy, social
work, psychology and our doctors,” Alison says. Alison has some family history with Burwood Hospital. Her grandfather worked as the head gardener at Burwood Hospital 1919 to 1939, and the family lived on site. Her mother used to teach at the school at Burwood Hospital in the 1950s as there were many long-term school aged patients, usually with burns. Service Manager, Michele Pringle, wants to thank Alison on behalf of the team for the significant contribution she has made to the Pain Management Service. “Alison’s kind, friendly and professional manner has been appreciated by staff and patients alike. She will be missed.” In her retirement Alison is looking forward to spending more time with her husband, children and grandchildren, as well as time in her garden, continuing her interest in singing, and keeping busy with church activities.
Canterbury Grand Round FRIDAY 12 June 2015 – 12.15- to 1.15pm with lunch from 11.45am. Venue: Rolleston Lecture Theatre Speaker 1: Cheng Yee Chan, RMO “C9orf72 hexnucleotide repeat expansions in patients with ALS” Discovery of the involvement of the C9orf72 gene in the aetiology of amyotrophic lateral sclerosis (ALS) made headlines in the world of motor neurone disease in 2011. Testing for expansions in this gene, which account for up to 40% of familial cases of ALS, is now newly available here in Christchurch through Canterbury Health Laboratories. A brief overview of ALS, and the way in which the test works, as well as the results of a related project, will be presented. Speaker 2: CEO David Meates “Facilities Development Project” It’s been nearly two years since the CDHB was given the green light for the $650 million plus redevelopment of Christchurch and Burwood hospitals. Progress has been swift. At Burwood the new Back of House is almost completely open and the three ward blocks
have roofs and external cladding in place. At Christchurch, the Acute Services Building is in the Detailed Design phase, site enabling work is drawing to a close and work starts soon on the foundations. CEO David Meates provides an update on the progress of the new facilities. Chair: Peter Ganly Video Conference set up in: •
Burwood Meeting Room
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Meeting Room, Level 1 PMH
•
Wakanui Room, Ashburton
•
Administration Building, Hillmorton
All staff and students welcome Next is – Friday 19 June 2015 (Rolleston Lecture Theatre) Convenor: Dr RL Spearing (email: ruth.spearing@cdhb.health.nz)
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Monday’s Facilities Fast Facts Burwood
Thursday 4 June saw staff at Burwood bid a final farewell to the Allan Bean Centre building. The centre, which housed the New Zealand Spinal Trust since 2001, was badly damaged in the earthquakes and unfortunately needs to be demolished. Staff from the Trust are currently housed temporarily in the Marshlands Room at the hospital.
Above: Attendees at the farewell ceremony – Trust members, clinical staff, patients and family members. Paint-bombing the wall in the background helped to add brightness to the event, as well as being a lot of fun. Riight: The future Outpatients building at Burwood, viewed from the new staff car park in front of the surgical block. A large concrete pour for this building is scheduled for today.
Christchurch A new substation Work began this week on a new electricity substation building behind Eye Outpatients. The building will replace the existing electrical switchgear housed on the ground floor of the old blue car park building. At this stage, the contractors are re-routing underground cables and pipes. Some sheet piling and ground remediation work is also being done. This work will be done at suitable times to minimise disruption to users of adjacent buildings. Because the new substation will be very close to existing buildings, the ground remediation will be carried out using a new ground-strengthening system that is far quieter and less disruptive than conventional pile-driving. The technique, which involves driving gravel into the ground via a rotating screw, creates very little vibration or noise, and has already been used successfully at the new Pak n Save supermarket in Wainoni.
User group news A new user group began this week for the design of the Christchurch Campus Outpatients building, ahead of the appointment of a design team in July. The group reviewed which clinical spaces could benefit from being next to one another, and looked into patterns of patient flow within an outpatients department. Next week they go to the Design Lab to analyse some mock-ups of rooms in the existing Hagley Outpatients building, as well as some in the new Burwood outpatients facility. As a postscript, user groups working on the Acute Services building will be issued their detailed design plans this week for final review of the functionality of all the rooms, anticipating the final sign-off of these detailed plans in July. This is a significant design milestone – well done to all involved.
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Bouquets Mabel Howard Day Clinic, The Princess Margaret Hospital
Emergency Department, Ward 11, Christchurch Hospital
A very BIG thank you for your caring and encouragement, along with medical expertise over these past months. I’ve been attending on Mondays. I really appreciate the way you work so well as a TEAM with your holistic approach to each client.
We would just like to say how wonderful all the staff were to our son. He went to ED when his eye socket was injured during a soccer game and everyone who saw him was really amazing and later he was in Ward 11 for about four days and treated so well. The surgeons (Maxillofacial) were very helpful and informative and had a really good manner. We feel blessed to be in a country where the health system is so good and free to all who need it. Thank you!
Ward 18, Christchurch Hospital Our elderly mother, …, was admitted to Christchurch Hospital Ward 18 with a broken hip. She was operated on that day, but unfortunately passed away … following complications. During her time in Ward 18 the level of care and respect from the staff and doctors shown to our mother was of the highest standard. During what was a very difficult time for our family we were kept well informed of our mother’s condition and options for her care. During her final hours the empathy and “human touch” from the staff made the grieving process bearable. On behalf of my sister and I please thank the staff and doctors involved in our mother’s care, a team of people who, as an organisation, you can be proud of. Intensive Care Unit (ICU)/ Ward 24, Christchurch Hospital Thank you for doing such an amazing job. The staff are so lovely, kind, caring and helpful. Excellent staff have also been amazingly kind to family, very respectful. Ward 20, Christchurch Hospital Pain and delays aside, I enjoyed myself. The interaction between staff and patients was a pleasure to listen to. Thanks for the care.
Christchurch Hospital Thank you for all your fine work. Thank you to all the orderlies. Fantastic service! You are a credit to NZ. Emergency Department, Security, Ward 22, CAAU, Christchurch Hospital We would like to say a huge thank you for the fantastic services we received when our 13 month old got sick. All staff were so pleasant, helpful and incredibly efficient – providing solutions before help was even asked for. Thank you to security for taking care of our car while we were looking after our son. Our stressful journey was made much easier by this wonderful team. Thank you! You guys rock! Surgical Assessment and Review Area (SARA), Christchurch Hospital An amazing nurse, Helen, has helped us through our son having appendicitis. Beautiful manner, so understanding and thorough in explaining. Very gentle. Excellent care from all staff from nurse aides, doctors, ward clerk. Thank you, thank you, thank you.
Ward 14, Christchurch Hospital Absolutely tip top service. Nothing else I can say. Wonderful staff all round. Wards 16 and 17, Christchurch Hospital As a RN experiencing life as a patient, I could not be more complimentary of the service I received from Ward 16 and Ward 17. Admitted from ED, nurse Shelley on the night shift was empathetic, explained everything to me (as not my area of speciality) and I could not have asked for a better delivery of care. Also thanks to Lee on Ward 17, again excellent care (also surgical team, very thorough and professional). Very heartening to see great nursing care. ENT Outpatients, Christchurch Hospital I would like to thank Andrew (Registrar) for the fantastic job he did today when he saw my daughter. He immediately put her at ease and tried to get to the bottom of what was a tricky diagnosis. When he was unable to diagnose where her pain was coming from he sought a second opinion. Due to the poking and prodding Bella got herself worked up and once again Andrew was able to talk to her and assure her she would be alright. He also offered advice on what we needed to do should this pain not come right in the next couple of days. I can honestly say that if Andrew is a sample of the quality of our doctors coming through then we are in good hands. Once again thank you for your time and effort today.
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Welcoming Safety 1st to the Christchurch campus Having been rolled out across much of the South Island, this month the programme team embarks on the huge task of welcoming Christchurch to the Safety 1st fold. Rollout is scheduled for completion by the end of this month. Safety 1st is an online safety and risk management system, developed to support better patient safety outcomes and reduce risk for patients, staff and visitors across South Island DHBs. It collates and makes available information about serious adverse events or near misses, enabling quicker review and a faster response. It has been well received at other locations, but has its advocates among Christchurch staff too. Here’s what Rob Hallinan, clinical manager Oncology has to say about it: “I was sceptical at first for a number of reasons, not least of which was that I had concerns about how it would fit with our team-based approach to risk management and that I thought it would add work, not save time. We also have a strong culture of incident and near miss reporting and were concerned that the new system might be more cumbersome and lead to fewer incidents being reported. “Having used the system I now have to say I have transitioned from sceptic to Safety 1st champion.” “It has many benefits but the main one for me has been that as soon as an incident is reported, all members of our review team have visibility of the form. “Because Safety 1st is an electronic system, our team has been able to look at incidents together using a data projector and that has enabled us to review and signoff actions in response to incidents far quicker.” “I recommend you approach the adoption of Safety 1st by your team with an open mind. I’m convinced you’ll find it a really useful tool to enhance patient and staff safety.”
People in Disasters Conference book now Early bird registrations for the inaugural People in Disasters Conference closing soon The People in Disasters Conference, hosted by Canterbury DHB, will be held over three days 24-26 February 2016 at the Air Force Museum of New Zealand at Wigram and is a ‘must attend’ for anyone working in emergency service. Conference speakers include experts on a number of recent international disasters which have occurred throughout the AsiaPacific region and will focus on the impact on people through the response and recovery phases. It will also examine the topic of resilience. Early bird registrations close 26 June – check it out now. For more details download this brochure.
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Cycling in Cambodia will be new and challenging experience Production Planner, Steve Jones is going out of his comfort zone to support the New Zealand Red Cross in their work helping vulnerable people whose lives have been devastated by conflict or disaster In October, Steve will spend over a week in Cambodia, where he will cycle up to 75 kilometres a day to raise money for the work of the New Zealand Red Cross. He will also help out with community projects. Steve, who works in Canterbury DHB’s Business Development Unit, is looking forward to experiencing a new culture and being immersed in a different, less privileged lifestyle
Steve Jones
minutes after that I was signed up. It was a very impulsive decision to help raise money for a good cause.” Steve aims to raise at least $3500, with every dollar going towards helping protect the lives and health of people affected by conflict, disasters and emergencies.
“However, having only ever travelled to Australia, this is a completely new and challenging experience for me, in terms of travel, the amount of cycling required, and even the fundraising side of things.” Steve is working on his fitness in preparation for the trip. “I still have a long way to go to be able to cycle such long distances day after day and I will need to brave the darkness and cold of the early winter mornings here in Christchurch to ensure I’m up for the challenge,” he says. Steve stumbled across the Cycle Cambodia Challenge after joining up to community website Neighbourly and skimming through the posts in the community notices section. “Someone had posted about helping the Red Cross with a link to their website. A few more clicks and I was on the ‘Fundraise for us’ page looking at the Cycle Cambodia Challenge. Ten
Cambodian men injured by landmines wearing prosthetic limbs
In Cambodia this includes contributing to the cost of prosthetics for victims of landmines. Any donations, no matter how small, would be “hugely appreciated”, he says. Donations can be made at cycle cambodia challenge 2015. everyday hero.com/nz/steve
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Have you immunised your selfie yet? If you haven’t there is still time, but you better get in quick as winter is here and it takes up to two weeks to develop immunity after vaccination Immunise your selfie week Visit at the following times for flu vaccination information, giveaways and to go in the draw to win prizes. »» Burwood Hospital - Tuesday 9 June, 12:00-14:00 »» The Princess Margaret Hospital, Outpatients - Friday 12 June, 13:00-14:30 »» Hillmorton Hospital, Clinical Services Unit – Thursday 11 June, 09:30 - 11:30 & 13:30 - 15:15 Did you get your flu vaccination at your General Practice? If you have received your flu vaccination at your General Practice please let us know by completing this quick form. Clinic times The following clinics have been scheduled for June. Further updates will be available here. Christchurch campus »» Endo Room, off Ward 26 (This is also a general vaccination clinic) - Wednesday 10 June, 13:30 - 15:00 »» Great Escape Café - Thursday 11 June, 09:00 - 15:00 »» Room opposite Otago Research Room - Tuesday 16 June, 09:00 - 11:00 Hillmorton Hospital campus »» Clinical Service Unit - Wednesday 10 June, 14:00 - 15:15 »» Clinical Service Unit - Thursday 11 June, 09:30 - 11:30 & 13:30 - 15:15 »» Fergusson Building - Friday 12 June, 09:00 - 10:30 The Princess Margaret Hospital »» TPMH Outpatients (This is also a general vaccination clinic.) - Friday 12 June, 13:00-14:30 Burwood Hospital »» Tuesday 9 June, 12:00-14:00 If you would like a vaccination clinic to be set up in your area please contact Kirsten.Herrick@cdhb.health.nz
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Another Dry July The Canterbury Regional Cancer & Haematology Service (CRC&HS) is asking for your support again this year to raise funds for Dry July. Dry July is a nationally run, on-line fundraising and health awareness campaign. An individual or team signs up to the challenge of a month-long sponsored abstinence from alcohol. Canterbury had a fantastic response last year – 1396 participants signed up to support (CRC&HS) and raised $198,121. Items purchased are really being appreciated. Here’ are some of them: Hospice mattresses Nurse Maude Hospice received some special mattresses which Jane Rollings, Hospital and Hospice Palliative Service Manager says their whole team is grateful for. “Early this year, Nurse Maude Hospice received four alternating air overlay mattresses through the Dry July funding. These mattresses have been in current use since delivery in the inpatient Hospice area for those patients with cancer who are receiving palliative care. The mattresses provide not only pressure area care but also bring relief and comfort and enable patients to sleep better. Before owning these mattresses Nurse Maude Hospice hired mattresses on a daily basis. The money saved from hiring is now being put to other uses such as providing specialist palliative care. The whole team at Nurse Maude Hospice are very grateful for all those who abstained (no mean feat!) over the month of July last year and for the donations received to enable the purchase of such important equipment. Thank you so much for your support.” Jane Rollings, Hospital and Hospice Palliative Service Manager. Nurse Maude’s Hospice Palliative Care service is provided across the greater Canterbury region, including Kaikoura, Ashburton, Banks Peninsula, Hanmer Springs and across the West Coast.
Jane Rollings, Hospital and Hospice Palliative Service Manager for Nurse Maude
Music for patients A portion of Dry July funds are being used to upgrade the music system in the radiation bunkers. Digitising the music system will allow patients who are undergoing Radiation Therapy Treatment in a Linac Accelerator to select their own music. Listening to music has been demonstrated to decrease anxiety and pain levels in medical settings.
On-line entertainment Patients receiving chemotherapy at Christchurch Hospital will soon be able to borrow iPads to use while sitting and having their treatment. The iPads offer patients some entertainment and distraction to help pass the time. Electric lift beds Cancer patients in the Bone Marrow Transplant Unit can now use electric lift beds. These beds are more expensive than standard hospital beds and offer options such as electric highlow function so that patients can get in and out more easily. They also feature an electric backrest. In addition to the official Dry July website, our CDHB website has a page dedicated to Dry July. We will add more information throughout June and July. Tips for signing up The official Dry July website has been customised for mobile phone apps and Chrome (browser). You may have problems if using a work computer with Internet Explorer 7 or below as your browser. We suggest you use a computer with Chrome or your mobile phone to sign up. If you are putting a team together, use a team name that is easy to search for – something that people in your local community would use – such as your Dry July beneficiary ‘nickname’ that appears at sign-up. That way if someone searches for your organisation they will land on your team page, and be able to join or donate to the team. Please make sure that only one person creates the team – you don’t want multiple teams for the same beneficiary. Even if you personally are not planning to do Dry July, if you ‘sign up’ you will receive all the email communications so you can see what your team is up to. You can keep an eye on how CRC&HS is doing by visiting the beneficiary leaderboard here: https://nz.dryjuly.com/ourcommunity/beneficiaries/beneficiaries-leaderboard/
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CHOC day stay admission form goes electronic Canterbury DHB Children’s Haematology and Oncology Centre (CHOC) has grown from a regional service to become one of only two national tertiary paediatric oncology centres in the country. As provider for the South Island and Greater Wellington child oncology services, CHOC is responsible for the care and wellbeing of children receiving treatment for cancer. These children have complex needs and many are on a variety of international clinical trials and other treatment protocols to provide the best overall survival rates and long term health outcomes. Currently 80% of children with cancer are long term survivors.
This form will initially be used by CHOC, but has the potential to be customised for use by other outpatient services including Paediatric Daystay in Christchurch Hospital. With the increasing collaboration on IT projects across the South Island it is hoped this form may be used in DHBs when patients are seen in their own DHB area, improving the communication for “shared care” patients.
Orla Forster, CHOC IT Project Facilitator says high quality information is critical in enabling skilled, multi-disciplinary clinical management and the provision of high quality clinical care.
It would chart the patient journey from arrival on the day ward through nursing and medical reviews, procedures and/or administration of chemotherapy, medications, blood products etc. It would also have the potential for multiple entries for patients who have multiple reviews on the same day, and for patients who return on subsequent days of the same week for a fourday course of chemotherapy for example. The form would be completed on patient discharge from an event, noting that event may run over several days.
“The patient information management processes used in CHOC were inadequate and the team lacked confidence in the integrity of data. As a result, Orion Health and Vector Consulting were engaged to suggest solutions to address the issues and reduce clinical risks due to incomplete or hard-toaccess information.” One of the recommendations was that a CHOC DayStay patient form in an electronic format be developed to immediately reduce the need for hard-copy storage and make information more accessible. “In keeping with the current climate of future-proofing our patient information systems within Canterbury DHB, our aim was to provide a more streamlined patient journey by improving communications through our records,” Orla said.
Stella Ward, Executive Director Innovation, says this is another important stride towards a paperless environment. “More importantly though, it is a locally driven initiative that taps into the expertise of our strategic partners Orion and our own ISG, and will enable the CHOC team to work more efficiently and with the best information available.” “The new form will facilitate safer, more patient-focused care and waste less of everybody’s time.,” says Stella
Changes to the CHOC Day Patient Admission Form will enable: »» Mandatory entry for data that is often missed. »» Drop down boxes that are linked to clinical codes allowing accurate coding and access to coding data electronically. »» Mandatory entries for patients on studies for research purposes. »» All or parts of the document to be sent to other health providers. »» Integration between HCS, Éclair and potentially Mosaiq. »» Reduced hard copy storage and improved accessibility. »» A smoother introduction of eMeds in late 2015.
Stella Ward, Executive Director Innovation, Canterbury DHB
»» Decision Support to meet CHOC information needs. cdhb.health.nz 10
CEO UPDATE
VDI – your office in your pocket VDI stands for Virtual Desktop Infrastructure and it’s a Very Desirable Innovation. Anecdotally clinicians love it as it enables them to spend less time accessing systems for the information they need, and more time delivering care.
What are the advantages? When paired with the “Follow You” printing Dot, signing in and logging out is as simple as tapping your Dot on the VDI scanner.
Here is what Surgeon Saxon Connor says about his experience of VDI:
Because your PC is housed inside one big super computer and streamed directly to a VDI device, there’s no need to hump your laptop around and hope for a good wifi connection. You can literally sign onto it from any Canterbury DHB computer with a VDI device.
“VDI is a major improvement, cutting down on time spent waiting to log on. It is almost instant and allows you to pick up where you left off, even when you have moved to another computer. “As with all new innovations, there are some issues with slow performance at times and bugs with some software but our IS team and Orion Health are working hard to iron these out and once at full speed VDI can save heaps of time.”
As an added advantage, you don’t need to close your work. Simply tap your Dot on the scanner and your session will be saved as is. That way if you shift to another VDI device, you can simply tap to sign back in and continue work as you left off.
Stella Ward, Executive Director Innovation says VDI is one of a range of technical innovations aimed at saving patients and clinicians’ time and enabling them to work more efficiently and effectively.
VDI devices by default use the Follow You printers, so you can also generate a print from anywhere.
“It’s more than just a smarter way of doing things, information systems working as they should allows us to concentrate on what’s important and puts us in the right frame of mind to deliver the best care.” What is VDI? It is a simple and effective way to access your PC desktop from anywhere within Canterbury DHB. If your work means you move around a lot or don’t work from a desk like many of our clinicians, you should get yourself set up for VDI - it’ll save you time and trouble.
To make your VDI session a speedy and reliable experience, the “Aero Experience” and “Wallpaper” features in Windows 7 have been disabled. The Aero Experience includes the new Windows management features such as Aero Flip, Live Preview and Shake. Thankfully, Snap will not be affected so you can still split screen your applications. For more information about the listed features, please refer to the IT Support and Training webpage.
A VDI device
How do you get it? There is a three step process for getting set up, you need: A ‘Dot”. If you use FollowYou printing, you already have one. If you don’t, you can get one from the ID Badge office on the ground floor of Christchurch Women’s Hospital contact the ISG Service Desk on ext 80999 or service.desk@cdhb.health.nz
A VDI Dot
To Enrol your Dot. Click on the link to go to the relevant IT Support and Training webpage for VDI. How does it work? A centralised server hosts a copy of your Windows 7 PC for you, and each time you log in to your VDI device, the server streams information straight to your VDI device in real time so that any computer you ‘tap in’ to will have access to your documents and be set up as your personal desktop.
A VDI scanner
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Alison Clarke 6/11/54 – 25/5/2015 It is with much sadness that the Child Health Service acknowledges the death of Alison Clarke who passed away on May 25 following a short but aggressive illness. Alison was the Charge Nurse Manager of the Public Health Nursing Service and Vision Hearing Testing Service based at Burwood Hospital and as such was integral in the delivery of children’s health services in Canterbury. She began her training as a registered nurse at The Princess Margaret Hospital in September 1972. Once her training was complete she moved away from the area. Her first nursing appointment with Canterbury Health was in February 1981 when she was employed to do night duty in the inpatient service at Ashburton Hospital. From here she moved to the District Nursing Service. Then in 1990 she was appointed to Public Health Nursing. During her time as a Public Health Nurse in Ashburton she was a long standing member of the Care and Protection Resource Panel and served a term as Chairperson. In addition she established the sexually transmitted diseases clinic in Ashburton, now known as the Sexual Health Clinic. Alison managed countless cases of families and children. She had a professional and effective relationship with schools, staff and social service agencies. Many of whom, with her passing, have acknowledged her commitment to them. In 2005, Alison moved to Christchurch and took up a co-ordination role with the Public Health Nursing Service here. She was the driving force behind the smooth implementation of the Meningococcal B vaccination programme which had to be rolled out in a very short time frame. She was appointed to the role of Charge Nurse Manager of the Public Health Nursing Service and Vision Hearing Testing in 2006, a role she held until her passing. During this time Alison worked tirelessly advocating for the services she ran and for the nurses and allied health professionals she led. She was instrumental in introducing the SAP programme to the service in order to streamline activity and accurately record the activity of the service. Alison had very strong links with many non-governmental organisations and community services. She was well respected across the Canterbury community as a strategic thinker and service leader. Her passion was for children and young people and she was determined to see that the services she led gave these young people the best deal they could offer.
Locate a GP tool makes it easier to enrol Pegasus Health’s Locate a GP tool was designed to assist people in Canterbury to easily find a general practice in their area. This well used tool was recently upgraded at the request of the Christchurch Hospital Emergency Department, to include the enrolment status of each practice. This additional information is helpful for patients who are not enrolled to find a general practice that is currently accepting new patients. Also upgraded to include a languages search option, the tool now provides more support for people from culturally and linguistically diverse communities to find a practice who can cater for their specific requirements.
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Rangiora role “golden opportunity” A long-serving midwife at Christchurch Women’s Hospital (CWH) is taking up a new challenge at Rangiora Hospital’s birthing unit. Lois Skerten, who has been a midwife and Clinical Coordinator at CWH for 35 years leaves on 13 June to take up a position as Midwife / Registered Nurse at Rangiora Hospital, starting on 22 June.
“In work and life I am motivated by doing things efficiently and properly. I like planning ahead, thinking things through before I do them and avoid making mistakes that waste time and money.”
“I see it as a golden opportunity for a new challenge in my career. I had been looking for a change and have a real interest in further developing my skills and experience around primary midwifery care and optimum general convalescence,” Lois says.
Lois says she will dearly miss her friends and colleagues and appreciates all the opportunities she has been given. However she is also looking forward to the challenges that the future may bring.
The most enjoyable thing about her time at Christchurch Women’s Hospital was the satisfaction of working with and helping people.
Acting Charge Midwife, Anna Foaese, says Lois is a wellrespected and valued colleague and will be missed. “We wish her well.”
“The job has been enjoyable because of the giving and receiving of support and the atmosphere of camaraderie.” Originally from Taranaki, Lois did her nursing training in Palmerston North. She came to Christchurch in 1975 to do her Midwifery training and has stayed ever since. Lois says the main difference in the organisation between now and when she started is in IT. Technology changes have resulted in better communication and support, as well as up to date information. The best advice she had received was as a teenager from her father. He told her “If a job is worth doing, it is worth doing properly”.
An artist’s impression of Rangiora’s new birthing unit
Were you at Gallipoli this year? Regular readers of the CEO Update may have read a series of articles on the theme of the contribution and sacrifices medical personnel make in times of war. The last of those articles captured people’s individual views 100 years on from the ANZAC landing at Gallipoli – their thoughts, memories and plans to commemorate the day. Here is an open invitation to anyone who visited Gallipoli this year and would like to jot down a few words to tell us of their experience – if you’d like to share your thoughts in a short paragraph (short because I’m hoping to get a lot of them) and perhaps a photo, I’d be pleased to share them more widely in the June 15 CEO Update. Please send your contribution to mick.odonnell@cdhb.health.nz by 10 June.
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Helping you connect – Social Interest Groups One of the five ways to wellbeing is to Connect – so the Staff Wellbeing and Something for You programmes have teamed up to promote Social Interest Groups which will help Canterbury DHB staff connect with other staff who have similar interests. If you have a special interest, a hobby or want to try something new, check out our Social Interest Groups. They are for anyone who wants to connect informally with like-minded people. A first call was recently put out for anyone wanting to start a Social Interest Group and there has been a great response so far. Check out some examples of groups that are already happening: Not so Young Social Network – Alison Young works in Planning and Funding and is usually the contact person for this group, but Lisa Parry is acting contact person while Alison is on leave. It is for anyone – no age restrictions - who would like to widen their social group and meet for informal social events such as a meal out, going to the movies or a show. It could also be for people who have just moved to Christchurch and want to get to know different places to eat and meet people with similar interests. It is a laid back group with no particular commitment required from any one person. Alison sees it simply as a good way to get to know new people, try new restaurants and widen your group of friends. They will meet for dinner once a month, and if people want to organise something in between they can. The first meeting was at Saigon Star, the Vietnamese restaurant in Riccarton and the group will meet again on 3 July. If you would like to be added to the distribution list just send Lisa an email and she will email you the latest news and plans. Photography Group – Nadia Morgan works at Hillmorton Hospital and has started this group. Nadia wants to meet fellow photographers, talk about the latest gear, swap tips and techniques, share images and stories - and have fun doing it! She thinks there could also be opportunities for a few photography trips for those who are keen. Nadia sees this as a great way to do something she loves, get to know new people and improve communication across CDHB departments at the same time. The group is always looking for more members and anyone is welcome - no particular skills are needed. Contact Nadia anytime to find out about the next meeting. Gardening Group – Daniel De Souza works at the Youth Specialty Service and is the contact person for this group. Daniel would love to get together with other keen gardeners to swap plants, share knowledge, tips and ideas. Daniel is a keen fruit and vege gardener. He sees the social interest group as a great way to build relationships and share an interest in a healthy activity. The group is just in the process of organising their first meeting, so join them and have some fun! Scooter Riders Group (the motorised kind) – Cynthia Spittal works in the Mental Health Service and wants to catch up, go for rides and a coffee with other keen scooter riders. She is happy to tailor trips to match the varying capacity of both scooters and their riders. This is a great opportunity to meet like-minded people and socialise. If any of these groups interest you – get in touch with the contact person to find out more. Contact details for all groups can be found on the Social Interest Groups intranet page. If you are more interested in tramping, quilting, running, crochet, books, baking, windsurfing, papercraft, mountain biking, paragliding, Lego, surfing, embroidery, healthy eating, poker, badminton, tennis or any other activity… and want to start your own group – email somethingforyou@ cdhb.health.nz and we’ll help you connect with like-minded people.
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One minute with…Christine Beasley, Coordinator Clinical Skills Unit What does your job involve? I coordinate the Clinical Skills Unit (CSU) at Christchurch Hospital. The unit provides both training facilities and clinical training equipment to any health professional group within both Canterbury DHB and West Coast DHBs. One of the big areas of work currently is the development of simulation based learning and human factors awareness (safety) training. CSU is encouraging the training of existing teams in rare but complex situations, which will help reduce risk to patients. I am working on a number of projects to improve healthcare professional training throughout the region and in rural areas. CSU also provides training equipment to health professional groups to use outside of the department. Why did you choose to work in this field? I had previously been in health education roles in the UK and found that I had a passion for teaching. A secondment came up for the CSU Coordinator lasting one year, which I thought sounded interesting. That was in 2010. I saw an opportunity to develop and improve training opportunities for all healthcare staff and I am still here. What do you like about it? I particularly enjoy the simulation based learning and human factors awareness sessions. I have a huge interest in improving patient safety, team training and learning from our mistakes, to the extent that I have just completed my Masters of Health Sciences – Nursing Dissertation on the subject. I have organised an interest group in simulation for all health organisations within Canterbury to come together every three months to share simulation ideas and collaborate on interprofessional projects. I strongly support the idea that teams who work together should train together and this includes all the team not just nurses and doctors.
tirelessly to improve simulation and human factors awareness training and I am always inspired by her enthusiasm, ideas, commitment and energy. Also Janette Dallas, Nurse Manager Professional Practice Development, Professional Development Unit. Jeanette’s enthusiasm for health professional education is infectious and the way she is able to generate change, through education is to be admired. Finally, the Canterbury Collaborative Simulation Interest Group (CCSIG). All healthcare professionals who are committed to improving simulation based learning and put in a lot of their own time, resources and expertise because they are so passionate. They come up with some amazing ideas and training sessions. The last book I read was… A Cellarful of Noise: Biography, Brian Epstein If I could be anywhere in the world right now it would be… I have not been back home for a few years so I would go home to welcome new family members and catch up with great friends. My ultimate Sunday would involve… After completing four years of study, anything that does not involve a computer and is outdoors. One food I really dislike is… Cabbage and brussels sprouts, never liked them, never will. My favourite music is… Anything that makes my foot tap. I grew up listening to Motown and Soul, but currently I am listening to Sam Smith and Paloma Faith.
.What are the challenging bits? CSU is now situated in what used to be ward 32. The area was not designed for clinical skills or simulation and so it is a bit like Lego, we are building our capability and realism brick by brick. With the dedication and support from Biomedical Engineering we have just added new patient monitoring equipment. The department is made up of one full time member of staff, (me) and my ideas are sometimes too big for one person to achieve so I spend a lot of time meeting and collaborating with others to gain support which takes me away from the actual work Who do you admire in a professional capacity at work and why? There are a few people I admire in my day to day work, including Neonatal Consultant, Maggie Meeks. Maggie works
Christine Beasley
If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz.
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In brief Department of Psychological Medicine University of Otago, Christchurch & SMHS, CDHB Tuesday Clinical Meeting Tuesday 9 June 2015 12:30 pm – 1:30 pm Venue: Beaven Lecture Theatre, 7th Floor, School of Medicine Building Canterbury Youth Offending Programme Presenter: Bevan Seal from the Canterbury Youth Offending Programme
Special notes: »» These meetings are held on a weekly basis (except during school holidays) »» A light lunch will be served at the School of Medicine venue, 7th Floor, from 12 noon. »» Psychiatrists can claim CME for attending these meetings. »» The sessions will be broadcast to the following sites: »» For TPMH attendees the venue is the Child, Adolescent & Family Inpatient Unit, Ground Floor. Access is from the main reception at TPMH.
For Hillmorton attendees the venue is the Lincoln Lounge, Admin Building, Hillmorton Hospital »» The dial in address is: Psych Med Grand Round. »» If you have difficulties dialling in please call 0800 835 363 to be connected.
Christchurch Campus Quality & Patient Safety Team Invitation to all staff: Quality and Patient Safety Presentation Topic:
HealthPathways in the Hospital (HPH): What it is and where it’s going?
Dr Mike Ardagh, Emergency Medical Specialist and HealthPathways in the Hospital Clinical Lead HPH is based on the successful Health Pathways in the community. It will further the excellent work already done in our hospitals and will be patient centred, based on collaboration and trust, and led by clinicians. Venue: Oncology Lecture Theatre Date: Thursday 11 June 2015 Time: 1pm to 2pm An attendance record sheet will be provided. Video conference can be setup on request. Please contact Shona.MacMillan@cdhb.health.nz, Quality Manager
Issue 42 - 11-31 May 2015
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Christchurch has breast cancer research hub A team of specialist cancer researchers have joined forces to focus on the impact of obesity on breast cancer. The researchers all work at the University of Otago, Christchurch’s Mackenzie Cancer Research Group. The Group is headed by Canterbury District Health Board oncologist Professor Bridget Robinson, a breast cancer expert. Researchers Associate Professor Gabi Dachs, Dr Margaret Currie and Dr Logan Walker have previously investigated various aspects of cancer but decided to team up and focus on the significant health issue of obesity.
resistant to treatment. She suspects the fat cells provide ‘an extra energy hit’ to cancer cells by providing lipids, or fats, in addition to glucose. »» Geneticist Dr Logan Walker will investigate whether the obesity-related gene responsible for the amylase enzyme in saliva (AMY1) contributes to breast cancer development. He will also explore the role of key genes that behave differently in breast tumours from obese women.
Associate Professor Dachs says that international studies have shown breast cancer patients who were obese before or after diagnosis are less likely to survive than patients with normal BMI. Risk of dying from breast cancer increases by a third for every increment of 5kg/m2 in BMI. The three researchers are investigating different aspects of obesity and breast cancer: »» Associate Professor Dachs is looking at molecular factors associated with obesity in cancer, particularly how fat cells communicate with cancer cells and negatively affect them.
From left: Associate Professor Gabi Dachs, Dr Margaret Currie and Dr Logan Walker of the Mackenzie Cancer Research Group
»» Dr Margaret Currie is putting fat and breast cancer cells together to see how the fat cells make tumours more
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CEO UPDATE Winscribe issues The Winscribe user group is aware of some ongoing issues for Winscribe Author i.e. dictating. There is a particular issue when the program is both on the C drive of a computer, and when it is delivered as part of a user profile – the latter occurring mainly on computers that are used by many people. This mix of different versions of the program may be contributing to some of the problems you have been experiencing. A change is planned to align versions and to remove duplicate copies of Winscribe Author. You will see communications on this as your department is updated with the solution. Please refer to the CDHB Intranet http://cdhbintranet/corporate/Supportandtraining/SitePages/Winscribe.aspx for advice on various aspects of Winscribe use . Note that rebooting the computer will frequently resolve some, but not all WinScribe problems. We are aware that this is time consuming. It is anticipated that the planned changes to how Winscribe is going to be delivered over the computer system will reduce the number of problems being experienced. The IS helpdesk is recording decreasing number of reports for Winscribe help over the last three months. Please remember that if you do experience an issue with Winscribe, it is important to log that issue with the Service.Desk@cdhb.health.nz or your WinScribe Super User so that we can monitor the type of incidents that are happening and work on solutions for those issues.
New free health resources available The Community Health Information Centre (CHIC) provides free health resources for Canterbury, South Canterbury and the West Coast. Click here to view some of their latest resources, including new resources on Carbohydrates, Sport Drinks, Coconut Oil, and B4 School Checks. To view complete list go to www.cph.co.nz/resources or request a stock list. Orders can be made by mail, fax, phone, email, or online. For more information contact Resource Coordinator Sue Burgess on 03 364 7844 or email sue.burgess@cdhb.health.nz
Health benefits return to DHB control Stroke app to collect global data on risk and predict outcomes Orion Health announces $61 loss on top of revenue growth Free app a guide down diagnostic imaging pathways
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Staff Wellbeing Programme Burwood Campus new morning yoga class and Christchurch Campus Zumba restarting Burwood yoga – new morning class has started
* What signs to look out for?
Thursday 0700-0750 with Kirstyn in the Utley Gym
* What support is available? * How can family/friends and colleagues provide support?
Full list of yoga classes CHristchurch Campus - Zumba Gold (low impact) Class re-starting at 1730 on Tuesday 9 June with Sandra, in the Lounge off The Great Escape If you’re attending for the first time the class is FREE! Wellbeing Workshops Registrations will open for the next set of 10 Staff Wellbeing Workshops on 18 June. Keep an eye on the CEO Update, global emails and the Staff Wellbeing Programme intranet page for details For more information on these, and other, wellbeing initiatives visit the Staff Wellbeing Programme intranet page for all staff wellbeing information REMINDER - One for the Blokes…and their friends/ partners
Workshops presented by the Wellington City Council and ThinkWell. Funded by the Red Cross. Each workshop is restricted to 25 participants. Attendance is free of charge and registrations will be accepted on a first come, first served basis. Click here to register for a workshop. Location TPMH
Date Monday 15 June
Time 1000-1200
Burwood
Monday 15 June
1400-1600
CHCH Campus Tuesday 16 June
0900-1100
For more information contact Andy Hearn andy.hearn@cdhb. health.nz or 027 218 4924.
Andy Hearn, Staff Wellbeing Coordinator, Canterbury and West Coast DHB Phone: 03 337 7394 | Ext: 66394 | Mobile: 027 218 4924 andy.hearn@cdhb.health.nz
Brought to you by Pete and Jason…a chat about men’s mental health Two hour workshops designed to raise awareness of mental health issues facing men… * What are the key issues?
CEO Update format & deadline »» The CEO Update is compiled weekly by the Communications Team of CDHB
»» Copy deadlines are Thursday morning each week before publication (which is usually on the following Monday) »» CDHB reserves the right to edit articles for spelling, grammar and space restrictions
»» Contributions should be emailed to: communications@cdhb.health.nz
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