Are pressure injuries on their way out?

Pressure injuries are still a hot topic in New Zealand. Care-Metric was interested to find out whether the problem was increasing, stabilised or decreasing in the aged care sector. For this we studied the interRAI data, which is publically available here: order to create a meaningful graph that tells this story, we created a panel graph that displays the percentage of interRAI assessments that observed a pressure injury grade 2 or higher per region since 2014.

Study tour to the Netherlands – April 2020

The Netherlands is famous for its innovative approach to elderly care. Join us as we visit aged care facilities, hospitals and supporting organisations around the country, and share your experiences with other healthcare professionals. With the W.H.O. predicting two billion people aged 60 and over by 2050, and dementia set to triple in the next 30 years, we need to innovate. Come and see what The Netherlands is doing and the brilliant results they are achieving. This is Care-Metric’s fourth Healthcare Study Tour to The Netherlands, running from April 19-24 2020. You can find out more and read what people have said about our tours here.

Ethical questions in long term care

In their daily work, healthcare professionals often have to deal with ethical issues and dilemmas. Yet it seems difficult to recognize and discuss these issues. How do you think about good care within your organization? The role of healthcare professionals has shifted. The patient has became more articulate and wants to have a voice in options around treatment. Ultimately, the key question is: what is good, appropriate care for this person, with this life story? 

200,000+ Dutch people using long term painkillers

More than 200.000 Dutch people (1.2% of the population) used very heavy painkillers for an extended period in 2017. This is the conclusion of a new study from Zorgverzekeraars Nederland (a coalition of Dutch healthcare insurers), published in the Netherlands Journal of Medicine this month (April 2019). The study looks at people who have taken opioids for more than three months. Opioids — such as oxycodone and fentanyl — are highly effective against severe pain, but they are also highly addictive. Fentanyl is fifty times stronger than heroin. The study did not look at addiction rates: “Only claim data was looked at”, said a spokesperson for the group.

Elder care needs often unmet – NZNO report

According to a new report from the NZ Nurses Organisation (NZNO), nearly 75% of staff working in aged care facilities feel there is insufficient time to look after residents in the way they deserve. The NZNO argues that staffing levels need to be reviewed, updated and made mandatory. Would this will solve staffing issues in the long run? What do seniors say? Care-Metric Ltd believes this issue as an opportunity to make sustainable changes. New small-scale living arrangements have a positive influence on staffing levels, as well as the well-being of seniors.

Backlash on pharmaceutical prices

Two Dutch hospitals and a large pharmacy in the Netherlands are taking a stand against the mighty pharmaceutical industry. The three of them have decided to manufacture specific cancer drugs and offer it to patients at a fraction of the ‘normal’ price. For example, the drug firm Novartis manufactures Lutathera – a drug used for treating tumours in the gut – and asks 92,000 euros for a one of course of four injections. The two hospitals are now offering it for 16,000 euro. Their stand is being supported by the Dutch government. The Netherlands is an influential voice in Europe, with the European Medicines Agency based in Amsterdam (as a result of the Brexit vote).

Rural homes closing down in the USA

compassion440 U.S. rural nursing homes have closed down or been forced to merge with others in the last decade, according to a recent report from the Cowles Research Group. The effect of this can be devastating for residents, their families and loved ones, who now need to drive up to 300 km to visit. The closures are being caused by reduced occupancy and staffing difficulties. Is this the future for New Zealand? In 2017 Care-Metric Ltd investigated the availability of nursing home rooms for people over 75 years. The funnel graph below shows that for every 6.6. people over 75 there was only one room available. Looking more closely at the graph we can also see that a number of DHB’s have only one room available for every 10 or more (ie the dots below the LCL line). Rural areas are affected most. With equal pay settlement bringing more closures we need to keep a close watch on our elderly and help them stay within their communities when they need to go into care.

Available rest home beds by DHB, August 2017

Rooms available in August 2017 was taken from the Healthcert website.
Population per DHB was taken from the Census 2013 data.

Residents exposed to noxious gases at retirement complex in Lower Hutt

You can download Vanderbilt University's tool for turning strategic priorties into deliverable change for free: This might be useful for leadership teams thinking about strategy implementation

Great reminder from our @SaskHealth ED Q&S @McgrathPetrina on the importance of systems & the enduring wisdom of Deming
#Bettertogether @hqcsask @helenbevan @TheIHI


Alzheimers NZ and Ryman working towards dementia-friendly New Zealand via @HealthCentralNZ

In 1995, #NursingNow board member Maureen Bisognano facilitated a discussion about “The Glass Ceiling in Health Care.” In this interview, she reflects on what has changed and what remains to be done @TheIHI @maureenbis #genderequality #women #healthcare

Day two of coaching training with @TheIHI and I learnt how to plot and interpret a run chart 😊 also learnt that I’d forgotten how to work out the median 🙈

Pressure injuries in the aged care sector. Are they equally distributes across New Zealand? Why were there more InterRAI assessments observing a pressure injury grade 2 or higher in the Wairarapa DHB compared to the other DHB's #pressure_injury #InterRai #New_Zealand

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