Our System Enablers

We're working towards an increasingly integrated health system and to achieve that, 'the whole system must be working for the whole system to work'. There are many initiatives working towards our shared vision throughout the Canterbury health system.

The following are important enablers of our transformation. 

The Canterbury Initiative (CI) is a clinically-led way of working which focuses on addressing and resolving the challenges that a changing population and workforce demographics will have on the delivery of health care in Canterbury. CI works at the interface between secondary care, primary care and community care to engage, facilitate and implement change across the Canterbury health system.

HealthOne is a secure record that stores health information including GP records, prescribed medications and test results. Authorised healthcare providers such as GPs, community nurses, pharmacists and hospital doctors and nurses can access patient information stored in HealthOne. HealthOne came about as a matter of urgency following the Christchurch earthquake. It was established via a project commissioned by a partner alliance between the Canterbury DHB, Orion Health and Pegasus Health.  Visit HealthOne.org.nz.

Community HealthPathways is a password protected website which is the main source of assessment, management and request information about Canterbury health services for general practice teams and other community healthcare providers. The Community HealthPathways website contains integrated patient pathways and information on referrals, specialist advice, diagnostics, GP procedure subsidies and patient handouts - all of which have been collectively agreed by health professionals from across the health system.

Hospital HealthPathways (HHP) provides online clinical and process guidance for patient management within Canterbury District Health Board (CDHB) hospitals. HHP is a resource for use by all health professionals in the hospital setting but is written with the resident medical officer in mind. Pathways are based mostly around clinical conditions, in line with the CDHB Blue Book (Guidelines for Common Medical Conditions). By 1 December 2016, the Blue Book content will be fully replaced as HealthPathways, and the Blue Book will be discontinued. HHP is similar to Community HealthPathways for general practice teams. Wherever possible the Hospital HealthPathways team are endeavouring to ensure that patient pathways are consistent across primary and secondary care to support seamless integrated care regardless of where the patient is receiving health services.

Collaborative Care describes a way of working which involves community, primary and secondary health services working together to proactively manage and plan for patients with complex needs. Coordinating input into proactive shared care plans allows for improved communication and up to date information. The shared care plans are accessed through HealthOne and Health Connect South. Collaborative Care is a Canterbury Clinical Network Programme.

Shared Care Plans provide an opportunity to securely share electronic information via HealthOne/Health Connect South. The CCN Collaborative Care Team support two types of shared care plans. An Acute Plan is an editable plan that is shared across the Canterbury health system to help manage acute exacerbations of chronic conditions, promote safe transfer of care back into the community and support patient self-management. The Personalised Care Plan was released in February 2018. These plans support people with complex health conditions to work together with a range of health providers to plan how their health care is delivered. Several community based secondary services are already using this as their core work plan. The Canterbury Initiative supports the Advanced Care Plan, a record of a person’s wishes about the types of medical care and treatment they want to receive in the future, in particular towards the end of their life or at a time when they are not able to make their own decisions.

The Integrated Family Health Service (IFHS) programme is facilitating Canterbury's health and social services to better work together for improved patient outcomes. The programme's goal is to facilitate integration and collaboration between services so that they are better coordinated to conveniently, efficiently and sustainably meet the needs of individual and families. IFHS is a Canterbury Clinical Network Programme.

HealthInfo is the Canterbury health system’s easy-to-use patient information website. It contains high quality health information about a range of health conditions and diseases. It also has information about staying fit and well and links to recommended websites for further reading and research. The content of HealthInfo is specific to Canterbury and is checked, approved and regularly updated by the HealthInfo clinical advisers. The site is integrated with Community HealthPathways and pathways link directly to HealthInfo for patient hand-outs.

The Standing Orders Development Project is driving a coordinated, 'system wide' approach to the development of Standing Orders in Canterbury and the West Coast. The aim of the project is to develop a single electronic Standing Orders package, utilising HealthPathways, that is flexible enough to be used across rural and urban primary care and meets legislative requirements. This coordinated and electronic package aims to reduce inconsistency and support general practices to safely and appropriately use standing orders. The package supports general practices with gaining the necessary regulatory requirements, competency and training.

ERMS provides easy to use, secure electronic request forms for most services listed on HealthPathways. It includes a directory of forms and providers which is centrally maintained so the GP doesn’t have to maintain themselves. Each form includes a link to the relevant information on HealthPathways. Requests are tracked electronically to minimise the risk of getting lost.