Synergia Services
Service performance
Synergia improves quality, process efficiency, and service value for money, within the context of complex, highly linked systems.
Service performance capabilities
- Service design
- Quality improvement systems and infrastructure
design for multi-cultural contexts
- Integrating management service and clinical practice
- Dynamic simulation modelling
- Content expertise across many health service areas
- Business case analysis
Service performance experience
Evidence-based Guidelines for Obesity and Overweight
Project Date: 2008
Contact: Paul Stephenson, Kim Arcus
Client: Ministry of Health
Population: General Population, Maori, Pacific, South
Focus: Service performance
Sector: Health
Description:
Synergia is leading the development of the implementation and training plan associated with the evidence-based guidelines developed by the Clinical Trials Research Unit. These clinical guidelines are for the management and treatment of obesity and overweight in children/youth and adults in New Zealand.
Home Haemodialysis Programme
Project Date: 2008
Contact: Adrian Field
Client: Auckland District Health Board
Population: General Population
Focus: Service performance
Sector: Health
Description:
Working with clinicians, patient representatives, and management to design and project manage a home haemodialysis training programme for people in Auckland and Waitemata DHBs.
Intervention Rate Analysis for Elective Procedures - Cataract, Hip and Knee Replacements
Project Date: 2008
Contact: Philip Gandar, Linden Dale-Gandar
Client: Ministry of Health
Population: General Population
Focus: Service performance
Sector: Health
Description:
The level of cataract surgery and hip/knee replacements has been growing rapidly over the last few years, driven by aging populations, increasing prevalence of underlying disease states, better technology, increased acceptance and usage of surgery and funding changes. As part of an initiative to develop a long-term demand and capacity
Renal Service Design
Project Date: 2008
Contact: David Rees
Client: MidCentral District Health Board
Population: General Population, Maori, Older People
Focus: Service performance
Sector: Health
Description:
This assignment focused on redesigning the current renal service in response to growing demand for in-centre dialysis services. The work used System Dynamics modelling to explore the drivers of renal demand and the clinical and financial outcomes of different design options.
Mediator research and Design Conference design and facilitation
Project Date: 2008
Contact: Miles Shepheard
Client: Department of Labour
Population: General Population
Focus: Service performance
Sector: Infrastructure
Description:
With the advent of the 'Modern Mediator' we carried out research into mediators' preparedness for change and developed and facilitated the subsequent Design Conference.
Review of Auckland Bridging Programme
Project Date: 2007
Contact: Miles Shepheard
Client: Youth Horizons
Population: Younger People
Focus: Service performance
Sector: Social
Description:
The Auckland Bridging programme is designed to assist troubled youth in CYF care to take a useful part in society. We carried out a systemic review of the dynamics in the programme
Optimising Clinical Inpatient Capacity
Project Date: 2006
Contact: Philip Gandar
Client: MidCentral District Health Board
Population: General Population
Focus: Service performance
Sector: Health
Description:
Philip Gandar and Ray Naden undertook a project on behalf of MidCentral Health to rethink issues of resource management and practice to address winter season capacity limitations and constraints on electives throughput.
Pacific Health Village Action Zone
Project Date: 2006
Contact: Paul Stephenson
Client: Auckland District Health Board
Population: Pacific
Focus: Service performance
Sector: Health
Description:
Synergia is the key consultancy to support the design and operational management of the Healthy Village Action Zone Pacific church-centred community development initiative.
System Dynamics Modelling of Retinal Screening
Project Date: 2006
Contact: David Rees
Client: Counties Manukau District Health Board
Population: General Population, Maori, Pacific
Focus: Service performance
Sector: Health
Description:
This work was undertaken to develop a clearer understanding of the actual volumes involved in Retinal screening and subsequent clinics. The outputs of this work were used to negotiate additional contracted volumes with the Ministry of Health. In addition, the model was used to produce quarterly reports on budgeted versus actual volumes.
Health Outcomes Team review
Project Date: 2005
Contact: Paul Stephenson
Client: Auckland Regional Public Health Service
Population: General Population
Focus: Service performance
Sector: Health
Description:
Review of health promotion team performance, focus, and structure. The review resulted in significant refocus and restructure of the service.
Strategic and Operational Planning
Project Date: 2005
Contact: David Rees
Client: Royal New Zealand Plunket Society
Population:
Focus: Service performance
Sector:
Description:
This work involved supporting the management team and the Board to work collaboratively in developing strategic and operational plans. A key theme was developing increased alignment between the Board and management and between national priorities and regional concerns.
National Elective Services Project
Project Date: 2003
Contact: Philip Gandar
Client: Ministry of Health
Population: General Population
Focus: Service performance
Sector: Health
Description:
Supported the initial implementation design development for the national elective services project that covered the five year period from 1998 – 2003.
Differential Service Response
Project Date:
Contact: Philip Gandar
Client: Child, Youth, and Family
Population:
Focus: Service performance
Sector: Social
Description:
This assignment for CYF involved the development of a programme implementation model to guide the establishment of a radically different service configuration. The implementation model incorporated alternative investment strategies for the development of service capacity in agency, community and NGO coordination functions, allowing each part of the complex service system to understand the interaction between service capacity, capability development, service and infrastructure establishment and service delivery during a complex transition from one service model to another.
Epuni Severe Conduct Disorder Unit
Project Date:
Contact: Philip Gandar
Client: Capital and Coast District Health Board
Population: Younger People
Focus: Service performance
Sector: Health
Description:
Synergia provided implementation project design and support for the establishment of a new service and facilities for high risk youth.
High and Complex Needs Unit
Project Date:
Contact: Philip Gandar and Miles Shepheard
Client: Ministry of Health, Ministry of Education,
Population:
Focus: Service performance
Sector: Social
Description:
Synergia undertook a review of the functions of this intersectoral service then lead the implementation of changes both within the service, in respective Ministry policy and funding and with local collaboratives of agencies and NGOs