Appendix One - Statement of Intent 2008-11

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Statement of Intent 2008-11
Appendix One

Table A1: Health targets and indicators

Health target	Relevant Minister’s priorities	Indicator
Improving immunisation coverage	Child and youth Primary health care	95% of two-year-olds are fully immunised⁺ With at least 4 to 6 percent point increase on 2005 national immunisation coverage survey baselines
Improving oral health	Child and youth	Progress is made towards 85% adolescent oral health utilisation⁺
Improving elective services		Each DHB will maintain compliance in all Elective Services Patient Flow Indicators (ESPIs) Each DHB will set an agreed increase in the number of elective service discharges, and will provide the level of service agreed
Reducing cancer waiting times	Chronic disease	All patients wait less than 8 weeks between first specialist assessment and the start of radiation oncology treatment (excluding category D)
Reducing ambulatory sensitive (avoidable) admissions	Chronic disease Child and youth Primary health care Health of older people	There will be a decline in admissions to hospital that are avoidable or preventable by primary health care for those aged 0–74 across all population groups*
Improving diabetes services	Chronic disease Primary health care	There will be an increase in the percentage of people in all population groups: estimated to have diabetes accessing free annual checks* on the diabetes register who have good diabetes management* on the diabetes register who have had retinal screening in the past two years* There will be improved equity for all population groups in relation to diabetes management*
Reducing Cardiovascular Disease (CVD)	Chronic disease	Proportion of priority groups have had a absolute CVD risk assessment in the last five years.
Improving mental health services	Chronic disease	At least 90% of long-term clients have up-to-date relapse prevention plans (NMHSS criteria 16.4)
Improve nutrition Increase physical activity Reduce obesity	Chronic disease Child and youth Primary health care	DHB activity supports achievement of these health sector targets: proportion of infants exclusively and fully breastfed: 74% at six weeks; 57% at three months; 27% at six months* proportion of adults (15+ years) consuming at least three servings vegetables per day, and proportion of adults (15+ years) consuming at least two servings fruit per day: 70% for vegetable consumption; 62% for fruit consumption*
Reduce the harm caused by tobacco	Chronic disease Child and youth Primary health care	DHB activity supports achievement of these health sector targets: to increase the proportion of ‘never smokers’ among Year 10 students by at least 2% (absolute increase) over 2007/2008* to increase the proportion of homes, which contain one or more smokers and one or more children, that have a smokefree policy to over 75% in 2007/2008*
Reduce the percentage of the health budget spent on the Ministry of Health	Value for money	The percentage of the health budget spent on the Ministry of Health is reduced to 1.65% of the total Vote Health budget over the three years to 2009/2010.

* Data available for analysis by ethnicity
⁺ Data quality will be improved during the year to include ethnicity data
Ethnic-specific targets are set for all of the indicators where data allows, as shown in the table.

In some cases data quality is insufficient, so only a subset of the health targets are used to measure performance in improving Maori health and reducing inequalities. Where poor quality ethnicity data is preventing the reporting of a target, the Ministry focuses on improving the quality of ethnicity data and reporting on its progress.

Table A2: System and societal-level outcomes and associated headline indicators

Outcome	Headline indicators
Better health	Life expectancy* Infant mortality* Healthy life expectancy* Mental health status*
Reduced inequalities	Life expectancy by ethnicity and deprivation* Infant mortality by ethnicity and deprivation* Healthy life expectancy by ethnicity and deprivation*
Better participation and independence	Disability requiring assistance* Unmet need for disability support services
Trust and security	Views of the health care system Confidence in obtaining high-quality and safe care when needed Access to health care Cost of medical care
Equity and access	Primary health care utilisation⁺ Elective surgery discharges Radiotherapy waiting times Matching of health workforce to population characteristics* Rate of new admissions to general acute inpatient mental health services Secondary mental health services utilisation*
Quality	Patient satisfaction Emergency department triage times Hospital readmission rate* Hospital mortality rate* Cancer screening coverage* Immunisation coverage (fully vaccinated two-year-olds)* Proportion of health records with an NHI# number* Treatment injury rates
Efficiency and value for money	Day-case procedures* Age-related residential care admissions Efficiency of primary health care
Effectiveness	Ambulatory-sensitive admissions* Cardiovascular disease mortality* Cancer survival* Diabetes management* Smoking prevalence and consumption*
Intersectoral focus	Obesity* Alcohol available for consumption Destigmatisation of people with mental illness

* Data available for analysis by ethnicity
⁺ Incorporates ethnicity in that it measures the ratio of high need (Maori, Pacific, Deprivation quintile 5) visits to non-high need visits.

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