Funding and Service Development
The Planning & Funding team funds a wide range of health service providers for services provided to the population of Canterbury. The services funded by the District Health Board range from Service Agreements (contracts) for services provided by small community-based NGOs (Non-Governmental Organisations) to multi-million dollar agreements for secondary and tertiary services provided by our own Hospital and Specialist Services (for example the services provided through Christchurch Hospital). Service Development Managers maintain an ongoing relationship with these providers, and ensure the efficient management of these Service Agreements.
Assignment is the process of transferring agreements from existing to new providers. This occurs at the time of purchase, when a facility is sold. The assignment form (PDF format; 24KB) provides a way to assign service agreement obligations from one provider to another.
Within the Canterbury region and in accordance with the Aged Related Residential Care Agreement section A30.2 – Sale or Transfer of Facility, you must notify the Canterbury District Health Board (CDHB) of such intention at least 30 days prior to the date of the intended transfer or disposal of your Facility; and advise any proposed purchaser or transferee of the Facility that this agreement will only apply to that Person if the CDHB consent to the assignment of this agreement in accordance with clause A30.
This is under currently under review
This is currently under review.
This is currently under review
This is currently under review
Auditing Providers
The Planning & Funding division of CDHB is responsible for
monitoring the service performance of providers. An essential part of this
monitoring programme is the auditing of the service agreements (contracts) with
providers. This enables the CDHB:
To ascertain if the provider is delivering the service for which it is funded & that claims for payment are appropriate
To ensure patient safety is not at risk
To gain assurance on the quality of service provided
To identify problems in a timely manner
A comprehensive audit programme is developed annually, covering personal health, mental health, and aged-care services. The audits are prioritised, based on a risk management approach and on service priorities. In addition, ad-hoc issues-based audits and service delivery reviews are undertaken as necessary. Note: The MoH is responsible for certifying providers who are required to comply with the Health and Disability Sector Safety Act. Under this Act these providers are required to employ a Designated Audit Agency to ensure they meet the appropriate Sector Standards. These audits are separate to the service agreement (contractual) audits undertaken by CDHB. (Refer to part 3 also)
Objectives for Auditing Providers
The objectives for the auditing and monitoring of health service Providers are:
To improve the quality of the services and ensure better outcomes for service users by evaluating providers against contractual and regulatory requirements, acceptable benchmarks, and quality standards.
To identify poor performers and instigate support to improve the quality of services. This may include negotiating a pathway through which the provider can work to meet the standards.
To identify actual or potential risks with providers that would have an adverse impact on the quality or the level of services provided, and to take action to reduce the risk where it exists.
To assess the capability of providers requesting a service agreement for new or additional services.
The Canterbury DHB endeavours to use auditing, monitoring, and risk management tools in the most cost-effective way, to enhance the health sector’s performance.
For CDHB, the goal is to achieve an environment where the health providers it funds have a culture of continuous improvement for the provision of health services. The concept of continuous improvement in service performance and in the quality of the health outcomes is an integral step in the strategy to improve the health status and wellbeing for the people within the Canterbury DHB.
Statutory and Contractual Requirements for CDHB to Audit
The Crown Funding Agreement (CFA) with the Ministry of Health requires the Canterbury DHB:
To monitor providers in accordance with the NZ Public Health and Disability Act, & the Operating Policy Framework
To ensure it carries out, as necessary, the monitoring of services and the management of risk.
Under the NZ Public Health and Disability Act, the Canterbury DHB must:
Uphold the ethical and quality standards commonly expected of providers of services
Monitor the delivery and performance of services provided
Monitor the performance of the other parties to the service agreement
The Operational Policy Framework (which is part of the Crown Funding Agreement) requires the CDHB to be accountable for:
Ensuring that third party providers demonstrate a commitment to the DHB’s quality standards.
Undertaking corrective action when quality issues are identified, in particular consumer complaints and peer review processes.
CDHB Audit Responsibilities
The CDHB is responsible for ensuring that its audit activities encompass the following principles:
Audits are conducted in a professional and confidential manner
Audits are carried out by suitable personnel in a professional and competent manner
Audits are carried out with as little disruption to the service as possible
All communication and interactions have consideration and respect for the customs and culture of service staff, tangata whaiora/consumers, whanau/family/carers, referrers and others
Full information and prompt responses are provided to all relevant queries/concerns
For the Provision of Implementation of PRIMHD the Programme for the Integration of Mental Health Data. Please click here to view RFP Documentation and here to view the cover letter.
Please note that 5 copies of your completed proposal are required to be submitted by 30 November 2009 (12 noon).
For the Provision of
of Healthy Eating – Healthy Action Maori & Pacific Community Action Projects. Please click here to view RFP Documentation and here for an application form in WORD.Please note that 4 copies of your completed proposal are required to be submitted by 27 November 2009 (12 noon).
Please click here to view the Alcohol and Drug Services service specifications (2001) (PDF format; 168KB)
The Canterbury DHB (CDHB) have pleasure in providing the following, current, generic copy of the Age Related Residential Care Agreement for rest home, dementia rest home, hospital and dementia hospital level care. This should be read in conjunction with your Admission Agreement. If you have any queries regarding any anomalies with the service you or a family member are receiving in residential care, please telephone the Residential Help line 0800 737 777 or the Aged Care Contract Team at Planning & Funding at Canterbury DHB.
Age Related Hospital Specialised Service Agreement 2009
The following Service Specification outlines the criteria for service delivery for SupportCare End-of-Life and SupportCare Severe Medical Illness services specifically in residential care facilities. This service specification will attach to a long head of agreement to form one contract for selected aged residential care providers for delivery of these services. The one contract will replace individual contracts which are administratively time consuming, which often results in delays to providers.
SupportCare End-of-Life services may only be provided in continuing care hospitals. It replaces the previous palliative care service. SupportCare Severe Medical Illness services may be provided in rest homes or continuing care hospitals depending on the Support Needs Level (SNL) of the client. It replaces the previous chronic medical illness service. Funding will align with daily rates paid under the age related residential care agreement relevant to specific TLAs. This new initiative progresses the new SupportCare initiative which was launched on 1 May 2005.
The Healthy Ageing, Integrated Support Strategy is the Canterbury District Health Board's regional response to build on the Government's Health of Older People Strategy 2002. In 2005 the Canterbury DHB established a project to develop a strategy to provide direction for the provision of health services for the elderly over the next five years. An expert stakeholder group consisting of older people, primary and community providers, specialist service providers and other related agencies such as the city council advised the project. The strategy is older person centred and promotes ageing in place by building service capacity in non-institutional areas and promoting integrated, flexible, holistic and efficient home based support services. It builds on the current strong service base for older people in Canterbury. The first document is the strategy February 2006 as signed off by the Board. The other documents provide back ground support to the strategy's development.
 |
 |
| Planning & Funding |
