Paying and Funding the Community Centred Midwife in New Zealand

Paying and Funding the Community Centred Midwife in New Zealand

Paying and Funding the Community Centred Midwife in New Zealand Fairly and Equitably Funding the Work of our Community Centred Midwives This is now Significantly Reducing Workforce (Community and DHB)

Increasing number of women with no access to a midwife Rapidly increasing hours per midwife to counteract midwifery shortages Changing Political Direction Fairly and Equitably Funding the Work of our Community LMC Midwives Perception of Midwife

Fairly and Equitably Funding the Work of our Community LMC Midwives Reality of the Midwife Urban and Rural Fairly and Equitably Funding the Work of our Community LMC Midwives Representative Midwife Gross Fees per Woman under current Section 88

Low Capacity -Low Need Low Capacity - High Need Teen Mum , smoker but otherwise healthy Mum with multiple disadvantages

$2,120 $986 High Capacity - Low Need High Capacity - High Need Mum in her 30s, urban, healthy, affluent

Well educated, affluent, Mum with mental illness $2,805 $2,058 Result - Inequitable Distribution for the Woman and the Midwife

Fairly and Equitably Funding the Work of our Community LMC Midwives Snapshot of Some Key Numbers (Current) Estimate of Annual Births under Community Midwives Care 52,000 Average Rate per Birth/Other Services

$2,269 or $102,105 Gross Revenue per annum(for estimated full time case load of 45) before Business Costs and On Call Acknowledgement Current MOH S88 Midwife Spend for Estimated Annual Births and Other Services

$118m Average Hourly Rate for 1 FTE (before Tax) $42.02 before Business Costs and On Call Acknowledgement $12.80 after Business Costs and On Call Acknowledgement Fairly and Equitably Funding the Work of our Community LMC Midwives

NZ Health Strategy Fairly and Equitably Funding the Work of our Community LMC Midwives Fairly and Equitably Funding the Work of our Community LMC Midwives Co-design Process

Fairly and Equitably Funding the Work of our Community LMC Midwives Fairly and Equitably Funding the Work of our Community LMC Midwives Snapshot Level of Community Interaction Fairly and Equitably Funding the Work of our Community LMC Midwives Snapshot Level of integration

Fairly and Equitably Funding the Work of our Community LMC Midwives Community Primary Midwifery Funding Model Co-design Co-design Project intent

Developed early prototype ideas to achieve a better future Refined and tested prototypes Prototype Test Lenses What is desirable

for users? OUTCOMES The Sweet Spot What is possible or

feasible? VIABILITY What is affordable or viable? What is going to work for the

organisation, for others? What is cost practical & sustainable? FEASIBILITY Ca (Fe pabi

as lity ibi lity Laye ) r Vis ib

le La ye r Str a

teg yL ay er RISK Risk Identification

Risk Assessment Risk Mitigation What are the critical

vulnerabilities and credible threats or opportunities? What is the likelihood and impact?

How to treat the risk with what? (Deter it, Detect it, or Deal with it?) Payment Models Funding Models

Community midwifery funding model prototypes Stakeholder engagement National Maternity Monitoring Group GMs, DHB Planning & Funding Primary Healthcare Alliance Royal Australian & New Zealand

College of Obstetricians & Gynecologists Fairly and Equitably Funding the Work of our Community LMC Midwives Co-design Overall Recommendations Fairly and Equitably Funding the Work of our Community LMC Midwives Payment Models

Funding Models Community midwifery funding and payment recommendations Overall Co-design Recommendation A National Community Midwifery Organisation that holds a national contract to support the workforce and

fund contracted midwives via a Blended Payment Model that approximates the real costs of services and meets the highly variable needs of women and workforce. Fairly and Equitably Funding the Work of our Community LMC Midwives National Community Midwifery

Organisation Fairly and Equitably Funding the Work of our Community LMC Midwives Supporting 1. 2. 3. 4.

Workforce service delivery Workforce data and reporting Service data and reporting Sustainability for service Fairly and Equitably Funding the Work of our Community LMC Midwives Blended Payment

Model Fairly and Equitably Funding the Work of our Community LMC Midwives Features of a Blended Payment Model Implementation plan for Community Midwifery Fairly and Equitably Funding the Work of our Community LMC Midwives

Pricing Fairly and Equitably Funding the Work of our Community LMC Midwives Pricing Approach Findings

System cost

Recently Viewed Presentations

  • Powerpoint template for scientific posters (Swarthmore College)

    Powerpoint template for scientific posters (Swarthmore College)

    Context Tree is a project with its own context: a tradition of poetic experiments that have emphasized unit and form over sequence and series, including Concrete Poetry, Dada, Vorticism, and even the "flowerishes" of Kenneth Burke.
  • CengageNOW in Your Course

    CengageNOW in Your Course

    You are now in Coursemate. If your instructor gave you a course key, you may enroll into his course. Leave responsibility of handing out course key to the professor unless you've made other arrangements. Remind students: Important to do Introductory...
  • Why do things move? - Department of Physics | USU

    Why do things move? - Department of Physics | USU

    Have you ever wondered why water seems to speed up or slow down in a stream? Fluid motion is affected by: - Width / depth of stream - Viscosity of fluid (friction within fluid) - Type of flow (laminar or...
  • Performance of Recommender Algorithms on Top-N Recommendation ...

    Performance of Recommender Algorithms on Top-N Recommendation ...

    References [1] P. Cremonesi, Y. Koren and R. Turrin. Performance of Recommender Algorithms on Top-N Recommendation Tasks. Page consulted on 15 June 2012.
  • Innovations In Wired Network Service - University of Waterloo

    Innovations In Wired Network Service - University of Waterloo

    Watitis 2009 - Innovations in Wired Network Service - Bruce Campbell. Providing Wired and Wireless Network Services. Wireless only vendors claim wireless is ready to be the primary network service. Reality Check: Mobile (wireless) networking is designed for mobile computing.
  • MS Publisher - University of Florida

    MS Publisher - University of Florida

    MS Publisher Publications, design sets, web pages Publisher Publisher Publisher allows you to opt for pre-designed templates for various publications and web sites Or, for "blank" print publications and web sites Publisher: Print Templates Print Templates for most types of...
  • Product Evaluation & Quality Improvement

    Product Evaluation & Quality Improvement

    Procedure - Product Evaluation. Receive pre-built robot from TA. Analyze robot for faults in design. Modify robot to perform the tasks later in the lab. Section 1 - Accuracy and Precision Tests. Four straight tiles. Section 2 - Timed Competition...
  • Training for the Uncompensated Care (UC) Pool Payment Application

    Training for the Uncompensated Care (UC) Pool Payment Application

    Observation - This cost center utilizes the A&P per diem to calculate a cost to charge ratio. Numerator - A&P per diem x observation days (reported on cost report worksheet S-3 part I Line 28 Col. 8). Denominator - Observation...