Our Strategy
Our Plan
The Midland Trauma System is aligned with the Midland Regional Services Plan and uses a Triple Aim philosophy to define a broad and logical framework to guide its actions. It describes three realms: patient care, system improvement and injury prevention. The three realms are integrated into the MTS Quality Improvement Model that has a high-quality trauma database at its core. Operationally it works through a hub and spoke model with the Hub team providing support for the clinical teams in each of the 5 Midland DHBs.
Governance
MTS has a simple governance structure involving a strategic group with regional representation at many executive levels, and a larger operational group containing clinical, executive and management staff. The MTS reports to the regional Boards, and Chief Executives as a regional clinical network, and to The Ministry of Health via the Regional Service Plan. Local issues are dealt with by the trauma service personnel and notified to the operational and strategic groups as appropriate via the Hub group.
Funding support for MTS clinical staff was pledged by DHBs its inception in 2009 in alignment with the original MTS business case and memorandum of understanding in 2009. To ensure that MTS could get started in a tight fiscal climate, Waikato DHB agreed to fund the hub staff and system development for five years while MTS became operational. Since July 2015, the DHBs have funded their own clinical and data management staff, and provided pro-rata funding of hub services. MTS has fulfilled or exceeded the strategic objectives in the original BC and is moving progressively toward its optimal and sustainable and long term state.
Strategic Group
- Purpose
Midland Trauma System (MTS) Strategic Group will guide and influence the direction of trauma care in the Midland region.
The Strategic Group is committed to provide professional and clinical leadership with the implementation, maintenance and strategic direction of the regional trauma system.
The Strategic Group will discuss progress and new initiatives, raise issues and develop solutions in a collaborative environment across organisational boundaries within the Midland region.
The Strategic Group will promote a “patient-first” focus in quality improvement activities.
- Objectives
- Influence pathways to enable the delivery of high standard trauma care for the region.
- Make recommendations regarding trauma care delivery in the Midland region.
- Ensure that MTS is able to complete the work programme contained in the Midland Regional Services Plan.
- Address relevant issues brought to the attention of the group.
- Improve the quality of trauma patient care in Midland.
- Provide leadership in change management related to trauma that is recognised by internal and external stakeholders
- Gather and share information that could impact trauma patients.
- Engage with and maintain linkages across wider professional and/or occupational networks relevant to the delivery of trauma care.
- Ensure that the quality programmes, including trauma verification, are supported in the region.
- Determine the data use policy to guide the use of the MTS Registry data.
- Ensure that resourcing is made available to enable MTS to meet the National Minimum Data Set (NMDS) requirements of the Ministry of Health, as national mandated information.
- Membership
DHB Role DHB Clinical Director - MTS Waikato DHB Nurse Consultant / Project Manager - MTS Waikato DHB Chief Executive Officer Representative and Sponsor Lakes DHB Regional CMA Representative Waikato DHB Chief Executive Sponsor - Midland Waikato DHB Acting Chief Operating Officer Representative Bay of Plenty DHB GM - Planning and Funding Representative Bay of Plenty DHB Clinical Nurse Specialist - Trauma Service Representative TaranakiDHB Trauma Medical Director Representative Tairawhiti DHB GM Māori Lakes DHB Epidemiologist Waikato DHB TQIP Coordinator Waikato DHB Finance Manager Waikato DHB Project Manager HealthShare Ltd
Operational Group
- Purpose
Midland Trauma System (MTS) Operational Group is a clinical group with the capacity to guide and influence the direction of trauma care within the Midland region.
This group is committed to provide professional clinical leadership with the implementation and maintenance of the regional trauma system.
Provide a forum to raise issues and develop solutions in a collaborative environment across organisational boundaries within the Midland region.
- Objectives
- Agree regional trauma clinical care pathways.
- Identify functional constraints to delivery of optimal trauma care
- Provide Quality Audit of regional trauma data.
- Discuss cases where care of trauma patients was compromised
- Review sentinel cases that cross organisational boundaries
- Ensure consistency of trauma system delivery and focus across the region
- Present new information/evidence relating to trauma care
- Complete MTS work programme contained in the Midland Regional Services Plan.
- Membership
DHB Role DHB Clinical Director - MTS Waikato DHB Nurse Consultant/Programme Manager - MTS Waikato DHB Trauma Consultant Waikato DHB Trauma Nurse Specialist Waikato DHB Officer Manager MTS Hub Service Coordinator MTS Hub Research Co-ordinator MTS Hub Data Manager MTS Hub TQIP Coordinator MTS Hub Biostatistician MTS Hub Epidemiologist MTS Hub Trauma Medical Director Bay of Plenty DHB Data Administrator Bay of Plenty DHB Trauma Nurse Specialist Bay of Plenty DHB Trauma Medical Director Lakes DHB Trauma Nurse Specialist Lakes DHB Data Administrator Lakes DHB Trauma Medical Director Tairawhiti DHB Trauma Nurse Specialist Tairawhiti DHB Trauma Medical Director Taranaki DHB Trauma Nurse Taranaki DHB