Please outline your DHBs highest incident local ASH Specific conditions and their underlying factors/causes. Please Criteria be sure to highlight the equity differences between population groups i.e. Māori. Please identify activities that aim to improve these ASH conditions with a focus on improving health equity for The activities can be a mix of condition-specific Māori. actions to improve care (for those conditions which account for large numbers of ASH events), and activities that more broadly impact equitable access/utilisation of healthcare services, and access to the social determinants of health. Monitoring the processes and utilisation of services by ethnicity will also ensure these activities have been tailored for the most effective prevention of ASH conditions specific to each DHB and priority population group. Please outline how you plan to do this for Māori and by when. Please note that ASH conditions and preventative activity may differ between each DHB due to a mix of demographic/environmental/system influences. It is the expectation that the highest incident ASH conditions should have similar focus in regard to preventative activity and actions within the primary care and community setting. Linkages For 2016/17 reduced asthma admission rates for Māori children is an indicator to support Ora. The Whānau performance of this indicator is also reported in System Integration S15: Delivery of Ora of the Annual Whānau Plan. It requires a heightened focus to achieve accelerated progress towards Ora and health Whānau equity, as agreed by the Ora Partnership Whānau Group. Rationale: ASH is a proxy measure for avoidable hospitalisations, and unmet healthcare need in a community based setting. There are significant differences in ASH rates for different population groups and a key focus on activities to reduce ASH must address the current inequities Definition Exclusive or fully breastfed at LMC discharge (4-6 weeks) Exclusive or fully breastfed at 3 months Child Health Receiving breast milk at 6 months (Breastfeeding) Target 75% exclusive or fully breastfed at LMC discharge 60% exclusive or fully breastfed at 3 months 65% receiving breast milk at 6 months
Specific Criteria Please outline your DHBs highest incident local ASH conditions and their underlying factors/causes. Please be sure to highlight the equity differences between population groups i.e. Māori. Please identify activities that aim to improve these ASH conditions with a focus on improving health equity for Māori. The activities can be a mix of condition-specific actions to improve care (for those conditions which account for large numbers of ASH events), and activities that more broadly impact equitable access/utilisation of healthcare services, and access to the social determinants of health. Monitoring the processes and utilisation of services by ethnicity will also ensure these activities have been tailored for the most effective prevention of ASH conditions specific to each DHB and priority population group. Please outline how you plan to do this for Māori and by when. Please note that ASH conditions and preventative activity may differ between each DHB due to a mix of demographic/environmental/system influences. It is the expectation that the highest incident ASH conditions should have similar focus in regard to preventative activity and actions within the primary care and community setting. Linkages For 2016/17 reduced asthma admission rates for Māori children is an indicator to support Whānau Ora. The performance of this indicator is also reported in System Integration S15: Delivery of Whānau Ora of the Annual Plan. It requires a heightened focus to achieve accelerated progress towards Whānau Ora and health equity, as agreed by the Whānau Ora Partnership Group. Rationale: ASH is a proxy measure for avoidable hospitalisations, and unmet healthcare need in a community based setting. There are significant differences in ASH rates for different population groups and a key focus on activities to reduce ASH must address the current inequities Child Health (Breastfeeding) Definition Exclusive or fully breastfed at LMC discharge (4-6 weeks) Exclusive or fully breastfed at 3 months Receiving breast milk at 6 months Target 75% exclusive or fully breastfed at LMC discharge 60% exclusive or fully breastfed at 3 months 65% receiving breast milk at 6 months