Mobile Surgical Services
Structure
Rural Hospitals and Practices...
...Independent entities or part of the system
Rural General Practices: Private or Trust/DHB based
Dr Richard Macharg, Queenstown Medical Centre – Private
Since joining Queenstown Medical Centre as a GP associate in 2002, he continues to practice full time as a GP, is a teacher of post-graduate trainees and registrars and has special interests in Orthopaedics and fracture management in GP Paediatrics. Queenstown Medical Centre (QMC) incorporated as a limited company 3 years ago and he has been the CEO since that time. So far the move to company status has been a very positive one for QMC with the achievement of Cornerstone accreditation, improved integration of the general practice team, a continued commitment to quality and a sustainable work environment.
Dr Eric Wegener, Roxburg Medical Centre – Trust
Dr Greville Wood, Greymouth - DHB
Rural Hospitals: Private, Trust based or strictly DHB
Sharon Wards, Private
Sharon Wards, until recently, has been manager of the Dannevirke Community Hospital since it opened in 1997. Sharon came to the health sector following 12 years in the dairy industry in scientific and management roles. She has been appointed as CEO of Tararua Health Group – a private company which includes three GP practices and the community hospital. Sharon leads a team of 100 staff providing a wide range of primary healthcare services to the Tararua region.
Robert Gonzales, Manager Oamaru Hospital Council owned Private company
Robert has been involved in rural health as General Manager of the Oamaru Community Hospital since 2001. He served in international missions for several years, including roles such as Director of a Mission Base in Manila providing health related services in squatter communities, and Mission School Director in Kenya, East Africa. He moved to New Zealand in 1989 and worked in Dunedin Hospital for approximately 12 years during which time he became the Service Leader for the Advanced Medical Imaging Services. He enjoys living in Oamaru with his wife and three children and is an active member of the Oamaru Rotary Club. In 2009 Robert became a director of the Otago-Southland Employers Association.
Norman Gray, Manager, Lakes District Hospital DHB owned
Norman Gray is Operations Manager of Lakes District Hospital (part of Southland DHB) in Queenstown since September 2006. Norman immigrated to New Zealand from Los Angeles, California in 2005. Norman has a varied educational background and work history. He has a Master of Science in Nursing, a Master of Science in Rehabilitation, a Degree in Nursing, and a Bachelor of Social Work. Prior to managing Lakes, Norman worked for Los Angeles County’s Public Health Department for close to 9 years. He was coordinator of nursing education for a work force of 800 public health nurses. He has worked as a public health nurse in inner city Los Angeles and a public health outpatient clinic supervisor. Prior to his nursing career Norman worked extensively with people with physical disabilities, return to work programmes and people living with HIV/AIDS.
The Integrated Community Care Model
General Practices, Hospitals and other providers - The Integrated Community Care model. How far do they go? ..... How far could they go?
Dr Branko Sijnja, Balclutha – The Future
Branko has enjoyed being a general practitioner in Balclutha for 28 years and has been pleased to be able to contribute to his community through his involvement in setting up the community owned and operated hospital and health centre in Balclutha. Medical politics is his interest and he is proud to be a member of the New Zealand Medical Association’s General Practitioner Council. He has been involved in implementation panels to aspects of the health policies of both the National and Labour Coalition Governments and was pleased when he was re-elected last year for a second term with the Otago District Health Board. He is a teacher of medical students in general practice and is committed to the integration of primary and secondary health care in our rural community.
Fraser Goldsmith – Competition Law
Fraser Goldsmith is a commercial lawyer. He has advised general practice representative organisations regarding various aspects of the capitation funding regime roll-out and advises a number of PHOs and an IPA on governance, contracting and dispute resolution issues. Fraser has been responsible for giving risk management advice to DHBs, PHOs and individual practices on a wide range of competition law issues, including issues arising with the integration of rural medical practices.
Generation Y
The Generation Y view of how it will need to work for them - they are the succession.
Lisa Borgman
Lisa is a final year medical student currently residing in Wellington. Originally from Dunedin, she was fortunate to be able to return to the Deep South last year as one of three students based in Balclutha on the Rural Medical Immersion Programme (RMIP). Lisa’s interest in rural health stems from her previous life experience working as a Physiotherapist for Ngati Porou Hauora on the East Coast north of Gisborne. It has since been progressively strengthened by the energy, commitment, and enthusiasm demonstrated to her by the Rural Medical Practitioners Lisa has since been privileged to learn from and work with. Being a post- grad student, Lisa is unsure she is qualified to appropriately represent “Generation Y”. She will however attempt to do so, teaming up with the far better qualified Tom Dawson to present “The Generation Y view of how it will need to work for them – they are the succession”.
Tom Dawson
Tom is a trainee intern at the Wellington school of medicine. He comes from a town in the Waikato and gained entry to medicine via the Rural entry scheme. He has a passion for rural medicine and has been involved in rural health clubs and spent 2008 in Dannevirke as part of the rural medical immersion programme.
Discussion with the panel
Discussion with the panel focusing on implementation of the ideas from Buzz Burrell, David Clarke and the speakers: Tom Dawson, Lisa Borgman, Sharon Wards, Norman Gray, Robert Gonzales, Branco Sijnja, Eric Wegener, Richard Macharg, Greville Wood
