Northern Region Clinical Pathways for the Assessment and Management of Skin Infections Louise McCarthy, Project Manager GAIHN & 20,000 Days Campaign Background and Drivers • Northern Regional Health Plan (NRHP) Child Services Plan & CM Health DAP: skin infections– child health priority • Northern Region paediatric skin infections pathways and Auckland Regional Adult Cellulitis pathway • 20,000 Days Campaign: cellulitis and skin infections intervention area • Report: potential interventions for prevention of skin infections in community and primary care settings Paediatric Skin Infection Pathways • Northern Region: assessment & management of skin infections in children > 3 months – 14 years • Cellulitis, abscess, impetigo, scabies, infected eczema • Based on national and international guidelines and evidence and local management • Alignment with the protocols being used in school clinics • Approved by GAIHN Alliance Clinical Network and NRHP Child Health Network • Available on Healthpoint by July 2013 Paediatric Skin Infection Pathways • Designed to strengthen nurse role in practice team • ‘Package’ accompanying the pathways and available to PHOs (in development) : – – – – Checklist for diagnostic features Photos Social risk factor assessment tool Clinician resources: information, links, guidelines for recurrent infections – Family resources: handouts, pamphlets: health literacy – Nurse standing orders – Audit tool Implementation • Education package for PHOs: ready by early July • Clinical Pathways Implementation Group (GAIHN) : oversight for implementation planning – liaison with PHOs: education sessions, cell groups, other? • 20,000 Days ‘Healthy Skin Otara’ Collaborative – two practices and health and social service providers • Locality-based initiatives, e.g. West Auckland – New Lynn Health Healthy Skin Otara • Implement clinical pathways and practice systems: o o o o o Identify and triage Nurse led : assessment tools, referral, coordination Improved health literacy for whānau Follow-up: adherence to medications and advice Training: practice team and other providers • Integrated care pathways and information sharing o o o o o Primary care, secondary care, community Whānau ora and social services for high needs families School nurses / Public Health Nurses Plunket Kidz First Homecare • Skin health promotion through o Participating providers o Local community networks o Local media • Address determinants of skin health o Through whānau ora / community health services: household hygiene, crowding, skin health knowledge • Locality-based child services directory o Being developed by Healthpoint – linked directly to clinical pathways to enable easy and quick referral Contact details Louise McCarthy, Project Manager Child Health, GAIHN and 20,000 Days (Counties Manukau Health DDI: 09 3697192 Mobile: 021576541 [email protected]