Working together to improve patient outcomes

Kia ora koutou,
thanks for tuning in today.
We're going to meet our new
Systems Commissioning and Performance team
and hear more about our new approach.
So we're going to start with you, John.
Thanks Sophie.
You've been heading up the new
Commissioning team since September.
Yeah.
Can you tell us
why you've set up the team,
and what you've been focusing on so far?
Yeah, sure.
We set up the team
because a new commissioning function was designed
and conceived in the ACC
at the start of the year.
And what we're doing essentially is focusing
on core components of a
health and care commissioning cycle.
The 4 or 5 key components for us;
strategic prioritisation,
understanding providers,
the wealth of providers that we contract with,
building relationships
and then finally,
understanding some of the performance measures
and procurement functions that we have
alongside our provider market.
And I think for the team’s perspective,
we've been forming relationships
within the organisation
but also outside the organisation.
Doing that hopefully in the right way
and then understanding
the we've got 30,000 providers
which is a significant amount for such a small geography.
And then working out
who those providers are
and how they fit into different channels
channels and different functions
and different service pathways.
So Matt,
what's our new approach
going to look like?
It's going to look like a big shift from where we've been.
So we've traditionally been a price setter
in the market, which is around
designing a model that works
just from a pricing perspective.
We're interested in moving to a co-commissioning model.
For us,
that looks like working a lot closer
with providers who are closest to our clients,
deciding what's of greatest value to ACC,
to the scheme
and frankly, to New Zealanders and New Zealand Inc,
and how we work with a provider group
to solve problems collaboratively
rather than just through basic mechanisms.
That will take something new from us,
which is a lot more data-sharing,
being more transparent about what value looks like to us,
what good looks like, and how we drive
and how we drive that collectively.
For our clients.
Eldon, from your experience, can you tell us
how co-commissioning
sort of actually works in practice?
Yeah.
For us it's about actually
getting out of the office
and really going to the communities
that we're trying to serve.
It's about understanding
their pain points
or what works for them.
It's about sharing
the information we have,
and then to find that is value
in sharing collective information.
It's also about,
designing solutions that are either going
to improve our performance
of rehabilitation
or new solutions that are going to
help improve our pathways.
For example,
as we've worked with the rongoā community
we've found
that implementing rongoā
as an option, as a pathway of care,
has helped to improve our health services.
For some, it's their first access
into the health system.
Our recent client survey
has shown that over 87% of people
that are accessing rongoā are satisfied with the service
and are helping to improve
their health outcomes.
So these are the type of things
we're really proud of.
And that's because
we're co-commissioning
with our communities.
Rochelle, for our providers who are watching out there,
can you tell us how the clinical voice
comes into this?
I know my clinical colleagues
are passionate about providing quality care
to their injured patients
and achieving the best possible
rehabilitation outcomes.
ACC shares the same goal.
We want to help providers
make this happen.
The clinical voice is a vital part
of our new commissioning approach.
We plan to strengthen
clinical leadership
and have a clinical governance
lens across all aspects
of commissioning.
For example, just this morning
we met with GP's to learn about
how we could support them
with accessing high tech imaging
and facilitating a recovery at work programme
for their patients.
We recognise that no-one understands
the health system better than
those who deliver it.
And we need clinicians
to tell us what we need to do
to enable them to
achieve the health
and rehabilitation outcomes that matter to people.
Great.
So we've heard a little bit about
what's been going on so far
and what we're thinking about going forward.
So John,
what what's going to happen next?
New Zealand's
an interesting place to commission
because it doesn't have a lot
of the regulatory functions,
commercial and competition regulatory functions
that other territories globally have.
So as a commissioner,
you're bound by competition law.
You're bound by the way that you can contract.
So for us, what happens next year
is a mixture of engagement
with our providers,
but seeking to find clarity
and consensus around how
we manage that relationship,
how much commercial edge
we put into that relationship.
As Matt says,
looking to share data,
build transparency
and some of the legislation
around transparency in data-sharing is,
I think, a challenge for for us,
and those are the things we've got to work through.
I think there's a couple of things as well is,
using evidence and outcome data progressively.
So looking at open data,
looking at the way that we measure outcomes
without blame,
and we start to share some of those outcomes
and build trust.
And then finally, I think that
recognising that through some of the
the meetings and engagements that we might have,
and Matt might talk about this,
that with our providers
we build greater trust and certainty.
Yeah.
I think there's going to be a lot of our listeners
who are really interested in this.
And I think a question
they'll have is
well, how can they get involved?
Yeah.
So early next year we're going to go out
with a set of market engagements.
And the point of this is for us to work with
provider networks on different things.
So we're going to bring multidisciplinary teams together.
We're not going to think about things
the way we have traditionally,
which is around ACC services
and how we design contracts.
It's going to be across pathways.
It's going to be around problems
that we need solved as an organisation,
How we bring the voice of the clinician,
how we bring the right groups
of providers across the country
together to work on a common set of problems
that focus on client outcomes
and ACC sustainability.
So thank you, everyone.
That brings us to a close.
I'd just really like to say
a big thank you
to everyone listening
for all the hard work
that you've done this year.
We wish you a safe
and happy summer holiday.
And we'll see you in the new year.