5. Improve oral health in all community and service settings a. Develop referral pathways for optimal dental care throughout ageing Ministry of Health and and into the end of life, to maintain independence and minimise pain. sector b. Identify and promote innovative care arrangements for oral health care Ministry of Health and of people living in aged residential care. sector c. Disseminate updated information and advice on dental care to older Ministry of Health and people family, and carers in communities, and aged care organisations. sector Acute and restorative care Goals Best practice restorative rehabilitation strategies, discharge planning and follow-up support are in place for older people requiring urgent or planned hospital treatment. Older people are supported through recovery and the return home. Family and whānau receive support to assist older people to recover from acute events. The number of people readmitted to hospital following hospital treatment reduces. Lead 6. Support effective rehabilitation closer to home a. Promote rehabilitation partnerships with primary care workers, allied Ministry of Health, DHBs health, nurse practitioners, pharmacists, and family and kaiāwhina to support discharge planning for and ongoing rehabilitation whānau and restoration of older people at home. 7. Improve outcomes from injury prevention and treatment a. Develop, implement and review prevention and treatment of injuries Ministry of Health, ACC, for ACC and health clients, including: Health Quality & Safety Commission and DHBs enhancing fracture liaison services to prevent secondary injury implementing a national hip fracture registry enhancing rehabilitation services for injured older people, including through supported discharge and home and community support to achieve maximum independence and recovery closer to home work with local health systems to integrate prevention and rehabilitation services into existing service models. b. Make use of big data to identify older people at risk of falls and ACC, Ministry of Health, fractures, to target and coordinate investments and interventions. Health Quality & Safety Commission, DHBs
5. Improve oral health in all community and service settings a. Develop referral pathways for optimal dental care throughout ageing and into the end of life, to maintain independence and minimise pain. Ministry of Health and sector b. Identify and promote innovative care arrangements for oral health care of people living in aged residential care. Ministry of Health and sector c. Disseminate updated information and advice on dental care to older people family, and carers in communities, and aged care organisations. Ministry of Health and sector Acute and restorative care Goals Best practice restorative rehabilitation strategies, discharge planning and follow-up support are in place for older people requiring urgent or planned hospital treatment. Older people are supported through recovery and the return home. Family and whānau receive support to assist older people to recover from acute events. The number of people readmitted to hospital following hospital treatment reduces. Lead 6. Support effective rehabilitation closer to home a. Promote rehabilitation partnerships with primary care workers, allied health, nurse practitioners, pharmacists, kaiāwhina and family and whānau to support discharge planning for and ongoing rehabilitation and restoration of older people at home. Ministry of Health, DHBs 7. Improve outcomes from injury prevention and treatment a. Develop, implement and review prevention and treatment of injuries for ACC and health clients, including: enhancing fracture liaison services to prevent secondary injury implementing a national hip fracture registry enhancing rehabilitation services for injured older people, including through supported discharge and home and community support to achieve maximum independence and recovery closer to home work with local health systems to integrate prevention and rehabilitation services into existing service models. Ministry of Health, ACC, Health Quality & Safety Commission and DHBs b. Make use of big data to identify older people at risk of falls and fractures, to target and coordinate investments and interventions. ACC, Ministry of Health, Health Quality & Safety Commission, DHBs