ࡱ>  *bjbj .Dr"*8SD$):   5)7)7)7)7)7)7)$+F.|[)[)  p)!!!X  5)!5)!!:&@' `O/' !))0)9'R..''n.'(!X|[)[)c,). : Paediatric Society Newsletter from Dr Rosemary Marks January 2010 CLINICAL NETWORKS For the last few years, the Society has been promoting the idea that the establishment of clinical networks has the potential to result in improved health services for children and young people. Work on a contract with the Ministry of Health to establish a framework for paediatric clinical networks has been proceeding steadily, and in early January we received our copy of the signed contract from the Ministry. This contract is a huge opportunity for the Society to play a pivotal role in clinical network development in New Zealand. An interim committee met by teleconference on 14 January. The membership of the interim committee is myself as Chair, Mollie Wilson, CEO, Richard Aickin, Nick Baker and Lynne Johnson. As we embark on this big new journey the support of clinicians from all disciplines will be critical. Our first task is to recommend leading clinicians for membership of the National Child and Youth Clinical Network Strategic Advisory Group. Our expectation is that this will be a tightly focussed group. We expect the following skill areas will be needed: Knowledge of quality improvement and risk management, in particular quality assurance in the health sector Knowledge of data and information gathering systems and analysis Knowledge and experience of clinical epidemiology Knowledge of District Health Board service provision and management Clinical experience across the range of general and specialist child and youth health services Knowledge of Maori child and youth health Knowledge of Pacific Island health Knowledge of consumer participation and representation Very soon, we will be calling for expressions of interest from clinicians enthusiastic about influencing the strategic development of child and youth health services. Some individuals may provide strategic oversight in more than one area of the above listed skill sets. In the first year of the three year contract, the emphasis will be on the secondary/tertiary interface, but as the contract progresses, the whole continuum of care will be addressed. While I would love to be able to tell you that we will access through this contract, sufficient funds to establish clinical networks for a range of specialties and interest groups, this is not the case. However we do expect to assist with the rational prioritisation of service needs and the development of a robust infrastructure to support service development. I want to particularly acknowledge Nick Baker, Mollie Wilson and Michael Johnson (from the Ministry of Health) for their hard work in getting us to this point. NEW ZEALAND CHILD AND YOUTH EPIDEMIOLOGY SERVICE In February 2009, the New Zealand Child and Youth Epidemiology Service (the Epi Service) moved from Auckland to Dunedin, and is now ensconced within the University of Otago. This has been a very positive move for the Epi Service, and Liz Craig is capitalising on the significant opportunities for synergistic relationships with other units in the University such as the New Zealand Paediatric Surveillance Unit. The Epi Service continues to depend on income from the annual reports provided to DHBs. Sadly, in these difficult economic times, some DHBs can no longer give priority to the important information that the Epi Service provides to them, despite its crucial importance in planning child and youth health services. I urge all members to ensure that they are informed about how the information from these reports can assist in the planning of services and, longer term, assist is measuring the effectiveness of service changes. Liz also led the development of the Childrens Social Health Monitor, which was launched in a moving ceremony at the annual scientific meeting in Hamilton. PAEDIATRIC SUBSPECIALTIES REVIEW Most members will be aware of this process to update the work done on the Through the Eyes of a Child report in 1998. This latest review was initiated by the Ministry of Health following the review of vulnerable services last year. Many of you have contributed. The Ministry team working on this will be forwarding their summaries on the various subspecialties out for comment soon. There is a very tight timeline on this piece of work so please do comment as quickly as possible. The information from this work by the Ministry will feed in to the Clinical Networks development and wider Ministry work on national and regional service planning. The Societys nominees on the steering group are myself and Lynne Johnson (Council member for nursing and allied health, Upper South Island). The Steering Group will be circulating a newsletter with more detailed information through DHB networks and the Paediatric Society. KIDSHEALTH The kidshealth website ( HYPERLINK "http://www.kidshealth.org.nz" www.kidshealth.org.nz) continues to grow under the guidance of Katherine Lissienko, website editor, Wendy Hunter, clinical advisor and the members of the Parent Information Special Interest Group. The website gets ever increasing fan mail, and is now cited by journalists writing in magazines marketed for parents and women. The only complaint came for a man in the USA, who thought we should add 911 as an emergency number on the website. The SIG disagreed this is a New Zealand website! Since ASB bank withdrew their sponsorship in 2008, Starship Foundation has not been able to find another sponsor for the site. Your Executive and Council are of the firm opinion that this valuable national resource should be funded by the Ministry and discussions to secure funding are ongoing. Any support to seek sustainable funding for this valuable service would be appreciated. TELEPAEDS An effective and accessible telemedicine service is key to the development of clinical networks. At the end of 2008, the New Zealand Telepaediatric Society was disbanded and a commercial company, Vivid Solutions Ltd, was set up to take over the provision of the service which we all refer to as telepaeds. A charitable trust, the New Zealand Telepaediatric Trust was set up. The Paediatric Society has three nominated trustees on the Board of the NZTP Trust: myself, Mollie Wilson and Nick Baker. Other Society members who are also trustees are Mike Sullivan (Chair), Karyn Bycroft, John Garrett (new trustee since mid 2009) and Roger Tuck. Two further trustees have business backgrounds: Peter Ross (deputy chair) and Brian McMath. A Memorandum of Understanding with Vivid Solutions is currently being developed. We encourage you to use this valuable service for both clinical consultations and other meetings. WEBSITE The Societys website was redeveloped and went live in September 2008. You can keep up to date with the Societys activities by visiting the website on a regular basis why not set it as your homepage. You will find all our recent submissions, position statements and media releases in the public section of the website. Minutes of Council meetings are in the members section, as is the Society address book. Contributions from all members are welcome and should be sent to Denise at  HYPERLINK "mailto:psnz@paradise.net.nz" psnz@paradise.net.nz CONFERENCES The 2009 Annual Scientific meeting held in Hamilton in November was a great success and thoroughly enjoyed by all who attended. Put the 2010 meeting in New Plymouth in your diaries now. Conference convenor Raimond Jacquemard and his team have hit the ground running and are already hard at work putting together a great programme for you. They even have a logo and website ( HYPERLINK "http://www.nzpsmeeting.org/" http://www.nzpsmeeting.org/) already.  Another meeting for your diaries is the 27th International Pediatric Association Congress of Pediatrics, which will be held in Melbourne in 2013. This prestigious meeting is held every third year. The Society has the honour of being invited to organise a session at the congress, and we intend to show the world what New Zealand has to offer. You can check out details of other scientific meetings in the public section of our website. OTHER NEWS In 2009 a new ICD Code Z58.7 Exposure to tobacco smoke was introduced. Do encourage your trainees to record exposure so that coders can include it in discharge data. 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