Diabetes

Click the links below to view each project:

• General resources for quality improvement projects on diabetes
• Hutt Union & Community Health Service/Te Awakairangi Health Network (high-need population, consumer focus)
• West Coast PHO, Poutini Waiora and West Coast DHB (equity and integration focus)
• Linwood Medical Centre/Canterbury District Health Board Diabetes Service, Christchurch (integration focus)
• Taumaranui Community Kokiri Trust (improving health outcomes for patients)
• Tongan Health Society, Auckland (Pacific living with diabetes service)
• The Doctors Otara/Total Healthcare PHO (a consumer-centred approach to improving diabetic control for patients)

General resources for quality improvement projects on diabetes

Resources from around the country that providers may find useful to assist them in their work to improve the management of diabetes.

• Health Pathways media release on the updated type 2 diabetes pathway for the Te Manawa Taki (Midland) region covering Bay of Plenty, Lakes, Taranaki, Waikato and Hauora Tairawhiti DHBs. This contains links to He Ako Hiringa and the EPIC dashboard. Download (281KB, pdf)
• He Ako Hiringa Article on the updated pathway for type 2 diabetes. Endorsed by The Royal New Zealand College of General Practitioners (RNZCGP) and has been approved for up to 0.25 CME credits. Download (629KB, pdf)

Hutt Union & Community Health Service/Te Awakairangi Health Network (high-need population, consumer focus)

Project overview: To improve glycaemic control of patients with diabetes (Type 1 and 2) who have an HbA1c greater than 64 mmol/L.

• Primary care improvement case study: The Hutt Union and Community Health Service diabetes improvement project.
• Drawings from Whakakotahi learning session 1 (featuring the project and others) (1.31MB, pdf)
• Presentation from Whakakotahi learning session 2 (1.4MB, pdf)
• Presentation from Whakakotahi learning session 3 (2MB, pdf)
• Commission news article ‘Tackling diabetes in the Hutt Valley’ (August 2017)
• Process map for people newly diagnosed with diabetes (1.28MB, png)
• Commission news article ‘A day in the life of the Toiora exercise class’ (March 2018)
• HUCHS consumers and providers (video): The importance of consumers in Whakakotahi quality improvement projects 

West Coast PHO, Poutini Waiora and West Coast DHB (equity and integration focus)

Project overview: Improving access to quality health care for individuals and families who are travelling with diabetes. Moving toward increased self-management and community-based, patient-centric care for patients who are pre-diabetic/at high risk of cardiovascular disease. Improving detection of these conditions to prevent/delay their onset.

• Primary care improvement case study: West Coast Primary Health Organisation: Improving access to care and the journey for Māori and whānau with diabetes 
• Commission news article ‘Improving West Coast access to care and the journey for individuals and families with diabetes, prediabetes and high cardiovascular risk’ (June 2018)
• Presentation from Whakakotahi learning session 1 (1.8MB, pdf)
• Presentation from Whakakotahi learning session 3 (583KB, pdf)
• Commission news article ‘Partnership delivers wraparound support for diabetes patients’ (April 2019)
• Infographic outlining the project’s results (1MB, pdf)
• Video presentation from Virtual QI Scientific Symposium 2021 

Linwood Medical Centre/Canterbury District Health Board Diabetes Service, Christchurch (integration focus)

Project overview: Working with complex diabetes patients to improve the quality of their care and developing pathways for increased health literacy and self-management.

• Commission news article ‘Developing a co-designed diabetes model of care’ (June 2018)
• Presentation from Whakakotahi learning session 1 (767KB, pdf)

Taumaranui Community Kokiri Trust (improving health outcomes for patients)

Project overview: Improving outcomes for patients with diabetes through a kaupapa Māori approach. The project focused on developing an integrated diabetes pathway through community engagement – particularly with Māori and Pacific communities – and holding diabetes education and support clinics in a community setting.

• Primary care improvement case study: Taumarunui Community Kokiri Trust: He Mate Huka Oranga – a project to keep well with diabetes 
• Presentation from learning session 1 (380KB, pdf)
• Presentation from learning session 2 (4.5MB, pdf)
• Presentation from learning session 3 (2.3MB, pdf)
• Commission news article 'Whānau Ora approach supporting diabetes self-management' (September 2020) 
• Infographic outlining the project’s results (1.2MB, jpg)

Tongan Health Society, Auckland (Pacific living with diabetes service)

Project overview: To reduce the rate of diabetic complications in the Tongan population, clients are offered an integrated wrap around model of care focused on improving insulin starts for those in need. This project is supported by PHARMAC Te Pātaka Whaioranga.

• Primary care improvement case study: Tongan Health Society: Improving medicine access in primary care for Pacific peoples 
• NZ Doctor article on the project (April 2019)

• Presentation from learning session 1 (704KB, pdf)

• Presentation from learning session 2 (2.97MB, pdf)
• Presentation from learning session 3 (5.1MB, pdf)
• Infographic (192KB, jpeg)

The Doctors Otara/Total Healthcare PHO (a consumer-centred approach to improving diabetic control for patients)

Project overview: Working closely with patients presenting at the Local Doctors Otara practice who have poor control of their diabetes, a new model of care tailoring services to individuals. It includes nurse-led clinics, peer coaches and psychology services aimed at improving patients’ diabetes management and improving equity.

• Presentation from learning session 1 (1.31MB, pdf)
• Presentation from learning session 2 (1.5MB, pdf)
• Presentation from learning session 3 (1.8MB, pdf)