IntensiveCareServicesinNewZealand-MinistryofHealth.docVIP

Intensive Care Servicesin New Zealand A Report to the Deputy Director-General, Clinical Services from the Intensive Care Clinical Advisory Group Citation: Intensive Care Clinical Advisory Group. 2005. Intensive Care Services in New Zealand: A report to the Deputy Director-General, Clinical Services. Wellington: Ministry of Health. Published in June 2005 by theMinistry of HealthPO Box 5013, Wellington, New Zealand ISBN 0-478-29603-7HP 4140 This document is available on the Ministry of Health’s website:t.nz Contents 1 Executive Summary 4 Definitions 4 Standards 4 Service organisation 5 Data collection 5 Quality improvement 5 Recruitment and retention 5 2 Introduction 6 Definitions 6 Standards 6 Service organisation 6 Data collection 6 Quality improvement 7 Recruitment and retention 7 3 Definitions 8 Recommendation 8 4 Standards 9 4.1 Issues 9 4.2 Recommendations 10 5 Service Organisation 11 5.1 Issues 11 5.2 Recommendations 13 6 Data Collection 14 6.1 Issues 14 6.2 Recommendations 15 7 Quality Improvement 17 7.1 Issues 17 7.2 Recommendations 18 8 Recruitment and Retention 19 8.1 Issues 19 8.2 Recommendations 20 9 References and Further Resources 21 Appendices Appendix A: Terms of Reference for the Intensive Care Service Delivery Project 23 Appendix B: Members of the Intensive Care Clinical Advisory Group 25 Appendix C: Joint Faculty of Intensive Care Medicine Minimum Standards for Intensive Care Units Review IC-1 (2003) 26 1 Executive Summary Intensive care services are fundamental to delivering health care in New Zealand, providing crucial support to the delivery of both acute care and complex elective surgery. Recent clinical evidence also indicates that best practice in intensive care improves patient outcomes and reduces overall health care costs. In New Zealand, intensive care services have developed in a piecemeal way. In the recent past, a number of stakeholders, including the Health and Disability Commissioner and senior clinicians, have rai