Since 2004, 1000minds has created tools and services for New Zealand’s Ministry of Health.
Online decision-making and prioritization tools
1000minds online decision-making and prioritization tools are used by the Ministry’s Electives team in working with groups of clinicians to develop CPACs (point systems) for prioritizing patients on health waiting lists. The data includes hypothetical patient vignettes, criteria for prioritization of patients, and participating clinicians’ expert judgements with respect to criteria and vignettes.
National Prioritization Web Service
NZ’s National Prioritization Web Service is used to assign a booking status and clinically appropriate timeframe for patients waiting for elective treatment. The Service is accessed by the Ministry of Health’s Electives team, District Health Boards (DHBs), clinical directors and clinicians. The Service is also accessed as a web service by other clinical information systems, which provide their own user interface to the service. Various charts and data for the Ministry, clinical directors and clinicians to review their use of the tools compared with DHB and national averages are provided. A learning module also lets a clinician score a hypothetical patient vignette and compare their rating of the patient with that of an expert reference group’s rating of the same vignette.
This service streamlines the collection of patient impact-on-life data as an input to the National Prioritization Web Service described above. Patients rate themselves on a six-level scale on six standard criteria. This may be done on paper and then entered into the system by an administrator, by the patient on a tablet or computer screen at the DHB, or the patient using their own device after entering a unique single-use code posted to them or emailed to them if they have elected to engage with the DHB electronically. This service is integrated with the National Prioritization Web Service.
National Ophthalmology Quality Improvement Collaborative
The National Ophthalmology Quality Improvement Collaborative (OQIC) website supports a national collaboration of DHBs in implementing the RANZCO AMD Management Guidelines and RANZCO Glaucoma Referral Guidelines. The collaborative's aim is that no patients with Glaucoma or AMD experience avoidable vision loss, which will be achieved by DHBs providing safe, effective, patient centred, timely, efficient and equitable ophthalmology services.
National Orthopaedics ERAS Quality Improvement Collaborative
The aim of the National Orthopaedic Enhanced Recovery After Surgery (ERAS) Quality Improvement Collaborative is to have all patients needing Elective Primary Total Joint Arthroplasty for Hip, Elective Primary Total Joint Arthroplasty for Knee and Acute Treatment for Patients with Fractured Neck of Femur (#NOF) managed according to ERAS principles. Users of the system enter aggregate data about their DHB’s services, such as the number of patients who received each ERAS component and how many received all of the ERAS components. All users are able to view charts and tables on all DHBs’ performance with respect to these statistics.
National Radiology Service Improvement Initiative
The goal of the NRSII is to support DHBs to provide high quality, timely and efficient radiology services for patients and health care professionals. Users of the system enter aggregate data about their DHB’s services, such as the number of planned vs actual scans and the number of patients entering, exiting or waiting. All users are able to view charts and tables on all DHBs’ performance with respect to these statistics.
Mobility Action Programme
The goal of the Mobility Action Programme (MAP) is to help improve care for people with musculoskeletal health conditions. This includes increasing access to early community based advice and treatment, education to improve self-management, and rehabilitation to improve function and participation in activities that are important to them. The 1000minds MAP system allows programme providers and the Ministry of Health to work together in order to identify models of care that provide the greatest benefits for people with musculoskeletal conditions while providing good value on the investment in health resources.