The BOP CCC team from left to right: Admin Support
Rowena Strugnell, Operations Manager Asmitha
Patchay, RN Teresa Wynyard, RN Lucia Da Silveira,
Admin Support Pauline Louie and RN Rozanne Young.
By Asmitha Patchay, CCC Operations Manager.
Bay of Plenty Community Care Coordination
(CCC) was launched as a demonstration site
in March this year with referral management
and triage for District Nursing Services and
the Falls Prevention - In Homes Strength and
Balance Programme.
The team includes registered nurses Lucia Da Silveira, Rozanne
Young, and Teresa Wynyard, and administrators Pauline Louie and
Rowena Strugnell.
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The BOPDHB has contracted Body in Motion Physio & Rehab to
develop and provide a Falls Prevention programme. This will see
Physiotherapists and physiotherapy supervised nurses visit patients
at home and follow them up via phone calls over a 12 month period.
For nursing referrals, we aim to ensure that care is directed to
the most appropriate community nurse provider and the referral
information is relevant and complete. We work closely with district
nurses, in patient staff and primary healthcare to achieve this. For
example, patients who require routine wound care and are able
to attend a clinic are funded for package of care at most general
practices. CCC assesses this and refers suitable patients to
primary healthcare where appropriate.
CCC asks that referrers please be mindful of the following when
referring to district nurses:
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Consider if the patient really needs a home visit by a district
nurse or if they can they attend a clinic and note this on the
referral. Remember the patient may not get a visit by a district
nurse because they may be referred to another nursing
service, so it is best to inform them that they are referred to a
‘nurse’, rather than a district nurse.
Short- term services (STS) can take up to five working days
before the service starts. Therefore early referrals ensure
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timely care and this is especially important if the person is
being discharged towards the end of the week.
All referrals for ACC STS must be sent directly to one of the
providers on the ACC 705, not district nurses or CCC. For
more information about processing ACC forms please see
http://oneplace/Content/Pages/PAS/accforms.aspx or
contact either a BOPDHB ACC coordinator or the BOPDHB
ACC & Eligibility Manager.
It is challenging to provide care when referrals are received late.
If a patient needs to be seen on the same day; or if you need to
refer for a visit for the next day and it is after 3pm please contact
district nurses to discuss the referral or consider changing the
date and referring as per normal process.
Please send accurately competed additional paperwork that’s
required for the care to be effectively completed. Examples of
these include ‘Outpatient Medication Chart’ (print room order
number 8285); wound care plans, drain charts etc. Remember
to record on the medication chart the date and time of when
the last dose was administered. If CCC does not receive
accurate paperwork, the requested care cannot be delivered.
We encourage all departments that are not using WebPAS to
start doing so as it is a lot more efficient and safer. Contact IT
for WebPAS training.
CCC is located on the Tauranga Hospital campus beside the
Property Services office, Building 67. The team would love to see
you if you'd like to drop in and find out more about our service. You
can also find information online at: https://www.healthpoint.co.nz/
public/other/bay-of-plenty-community-care-coordination/
It has been a positive and rewarding year as CCC works towards
the vision of coordinating equitable and integrated care for people
and there are encouraging patient stories to reflect this. We look
forward to strengthening and growing together with you in the New
Year and would like to take this opportunity to express our sincere
appreciation for your support.
Merry Christmas and Happy New Year from BOP CCC.
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