Ngāti Porou Hauora Health Dashboard March 2016 Prepared by Lee Tan For Ngāti Porou Hauora 0 Background Author: Lee Tan Lee Tan was contracted by Ngāti Porou Hauora on the Dashboard and health outcome project. Lee has developed a set of indicators using data from several sources including the Ministry of Health, Tairāwhiti District Health Board (DHB), Primary Health Organisation and Statistics New Zealand to track trends and progress in selected health outcomes for the population served by Ngāti Porou Hauora. Lee has been in the planning and funding team at Capital & Coast DHB for over 10 years, she has contributed extensive analysis of primary health care policy and implementation in NZ, with a particular focus on equity, including a secondment to the Ministry of Health as Advisor (epidemiology). Her experience also included nearly 3 years of policy analysis in Māori Development for Te Puni Kōkiri. 1 TABLE OF CONTENTS Acknowledgements ........................................................................................................................................... 4 Executive Summary ........................................................................................................................................... 5 Introduction ................................................................................................................................................... 5 Key Facts ........................................................................................................................................................ 5 Ngati Porou Hauora Dashboard - Summary of results .................................................................................. 8 Recommendations ......................................................................................................................................... 9 Ngāti Porou Hauora Dashboard ...................................................................................................................... 10 Background .................................................................................................................................................. 10 Selection of Indicators ................................................................................................................................. 11 Indicator placeholders ................................................................................................................................. 11 How to interpret results: tables on dashboard indicators .......................................................................... 13 Understanding the Indicators .......................................................................................................................... 14 Social Determinants..................................................................................................................................... 14 Profile of NPH population ............................................................................................................................ 15 Other Socioeconomic Indicators ................................................................................................................. 17 Access to Care .............................................................................................................................................. 19 Analysis of PHO Enrolment .......................................................................................................................... 20 Intermediate Performance Outcomes ........................................................................................................ 22 Preventive Service Uptake ........................................................................................................................... 22 Primary Health Care .................................................................................................................................... 26 HEALTH OUTCOMES (All ages)......................................................................................................................... 29 How to interpret results: tables on health outcomes ................................................................................. 29 Mortality ...................................................................................................................................................... 30 Potentially Avoidable and Amenable mortality .......................................................................................... 30 All-Cause Mortality ...................................................................................................................................... 32 Leading Causes of Mortality ........................................................................................................................ 34 Injury Mortality ............................................................................................................................................ 35 Hospital Admissions..................................................................................................................................... 36 Leading Causes of Hospital Admissions ....................................................................................................... 36 Potentially avoidable hospitalisations ......................................................................................................... 38 Ambulatory Sensitive Hospitalisations (ASH) .............................................................................................. 39 Health Outcomes of Population Group ........................................................................................................... 42 Pepi, tamariki – Infants and children (0-14 years) ...................................................................................... 42 Births............................................................................................................................................................ 42 2 Oral health ................................................................................................................................................... 43 Healthy skin ................................................................................................................................................. 43 Acute rheumatic fever ................................................................................................................................. 44 Potentially preventable hospitalizations ..................................................................................................... 46 Heart diseases ............................................................................................................................................. 47 Cancers ........................................................................................................................................................ 48 Respiratory disease ..................................................................................................................................... 49 Injuries ......................................................................................................................................................... 50 Bibliography and References ....................................................................................................................... 52 Glossary of terms and concepts .................................................................................................................. 54 Appendix 1 Methodology ....................................................................................................................... 55 Appendix 2 Preliminary List of Indicators ............................................................................................... 56 Appendix 3 Ministry of Health Virtual Diabetes Registry (VDR) ............................................................. 57 Appendix 4 Data Notes ........................................................................................................................... 59 Appendix 5 Definition of Avoidable Conditions ...................................................................................... 60 Appendix 6 Definition of Amenable Conditions ..................................................................................... 62 Appendix 7 Mortality Tables ................................................................................................................... 64 Appendix 8 Leading causes of death ...................................................................................................... 65 Appendix 9 Leading causes of Hospital Admissions ............................................................................... 66 3 ACKNOWLEDGEMENTS The Ngāti Porou Hauora (NPH) Dashboard project was initiated by the NPH Board and senior management. The data analysis and writing of this report faced many challenges. In particular, there was no published information for the section on health outcomes for Ngāti Porou Hauora and the Dashboard indicators come from a variety of sources of customised data and analysis. Apart from the PHO performance indicators (PPP and IPIF) which are readily accessible to NPH, all other indicators had to be prepared through customised data requests and was limited by conflicting delivery timeframes due to other larger projects and/ or the availability