{"text_format":"1","workbook":"xlsx","n_sheets":15,"sheets":["Form Overview","Instructions and Help","Evaluation Results","1. Organisational Leadership","2.Training and Support","3. Resource Funding","4. VIP Practices","5. Cultural Responsiveness","6. Quality Improvement","7. Policies and procedures "," 8. Collaboration","9. Documentation","Measurement Notes Summary Page","Sheet1","Item Standardised Score SPSS"],"not_rendered":{"charts":0,"images":3,"macros":1,"external_links":0,"defined_names":4,"comments":10,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Form Overview","index":0,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}

{"sheet":"Instructions and Help","index":1,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}

{"sheet":"Evaluation Results","index":2,"n_rows":21,"n_cols":6,"rows_kept":21,"cut":false,"hidden":false,"merged":[]}
[]
[]
[]
[]
[]
[null,null,"Domain","Score out of 100"," Weight ","Standardised  Score"]
[null,null,"1. Organisational leadership",{"$f":"'1. Organisational Leadership'!J39","v":{"$error":"#DIV/0!"}},0.14000000000000001,{"$f":"D7/100*E7","v":{"$error":"#DIV/0!"}}]
[null,null,"2. Training and support",{"$f":"'2.Training and Support'!J18","v":0},0.11799999999999999,{"$f":"D8/100*E8","v":0}]
[null,null,"3. Resource funding",{"$f":"'3. Resource Funding'!J14","v":0},0.115,0]
[null,null,"4. VIP practices",{"$f":"'4. VIP Practices'!J15","v":0},0.11,0]
[null,null,"5. Cultural responsiveness",{"$f":"'5. Cultural Responsiveness'!J29","v":0},0.109,0]
[null,null,"6. Quality improvement",{"$f":"'6. Quality Improvement'!J21","v":0},0.108,0]
[null,null,"7. Policies and procedures",{"$f":"'7. Policies and procedures '!J14","v":0},0.106,0]
[null,null,"8. Collaboration",{"$f":"' 8. Collaboration'!J32","v":0},0.105,0]
[null,null,"9. Documentation",{"$f":"'9. Documentation'!J14","v":0},8.7999999999999995E-2,0]
[]
[null,null,"Overall VIP evaluation score out of 100",{"$f":"SUM(F7:F15)*100","v":{"$error":"#DIV/0!"}},null,{"$f":"SUM(F7:F15)","v":{"$error":"#DIV/0!"}}]
[]
[null,null,"Form completed by:"]
[null,null,"Te Whatu Ora"]
[null,null,"Date (dd/mm/yy):"]

{"sheet":"1. Organisational Leadership","index":3,"n_rows":39,"n_cols":11,"rows_kept":39,"cut":false,"hidden":false,"merged":[[38,2,38,6],[29,3,29,5],[6,2,6,3],[17,3,17,5],[8,3,8,5],[24,3,24,5]]}
[]
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[]
[null,null,"Item",null,"Response","Please provide evidence ","Points","Out of:","Item points  ","Your points","Links to resources"]
[null,null,1,"There is a governance group with clearly defined roles and responsibilities for strategic leadership of the Violence Intervention Programme (VIP).",null,null,{"$f":"IF(E8=\"Yes\",1,0)","v":0},1,11,{"$f":"I8*(G8/H8)","v":0}]
[null,null,2,"The following people with family violence understanding  are active participants in the VIP governance group:   "]
[null,null,2.1,"At least one member of Te Whatu Ora Executive Leadership Team (the most senior tier of Te Whatu Ora managers who report to the CEO or COO).",null,null,{"$f":"IF(E10=\"Yes\",1,0)","v":0},1,2,{"$f":"I10*(G10/H10)","v":0}]
[null,null,2.2000000000000002," At least one professional leader of the core disciplines (e.g. Director of Nursing, Director of Midwifery, Chief Medical Officer, Director of Allied Health).",null,null,0,1,2,0]
[null,null,2.2999999999999998,"At least one directorate leader (or equivalent) from corporate services (e.g. Quality and Risk,  Funding & Planning).",null,null,0,1,2,0]
[null,null,2.4," A Māori leader within Te Whatu Ora or community.",null,null,0,1,2,0]
[null,null,2.5,"Senior manager(s) responsible for services implementing VIP.",null,null,0,1,2,0]
[null,null,2.6,"VIP team member (sponsor, manager or coordinator).",null,null,0,1,2,0]
[null,null,3,"There is a two-way communication pathway between the governance group and the VIP team (includes VIP sponsor, VIP manager(s) and family violence intervention programme coordinator (FVIPC)).",null,null,0,1,14,0]
[null,null,4,"Consistent with interagency Memorandum of Understanding (MOU), there are at least biannual meetings at the senior leadership level on family violence between Te Whatu Ora with Police and  Oranga Tamariki.",null,null,{"$f":"IF(E17=\"Both\",2,IF(E17=\"Oranga Tamariki\",1,IF(E17=\"Police\",1,0)))","v":0},2,11,0]
[null,null,5,"Executive leadership of VIP demonstrated by:"]
[null,null,5.0999999999999996,"District Annual Plan/Strategic Plan specifies VIP. ",null,null,{"$f":"IF(E19=\"Yes\",1,0)","v":0},1,2,{"$f":"I19*(G19/H19)","v":0}]
[null,null,5.2,"VIP status reporting to Te Whatu Ora Board at least annually.",null,null,0,1,2,0]
[null,null,5.3,"Quarterly agenda item for Te Whatu Ora Board or a designated Advisory Committee to the Board regarding VIP contract deliverables and KPIs.",null,null,0,1,2,0]
[null,null,5.4,"Current, endorsed Te Whatu Ora policy that includes compulsory 8 hour VIP core training for all clinical staff in designated services.",null,null,0,1,2,0]
[null,null,5.5,"Implementing and monitoring the key performance indicators (KPIs) reporting by services.",null,null,0,1,2,0]
[null,null,5.6,"Evidence of acting on non-attained KPI(s), noting recommendations for improvement, necessary resourcing and follow up.  ",null,null,0,1,2,0]
[null,null,6," Senior clinical leaders communicate the expected VIP standard of clinical practice to their professional group(s) "]
[null,null,6.1,"Clinical Director (Chief Medical Officer)",null,null,{"$f":"IF(E26=\"Yes\",1,0)","v":0},1,1.5,{"$f":"I26*(G26/H26)","v":0}]
[null,null,6.2,"Director of Nursing",null,null,{"$f":"IF(E27=\"Yes\",1,0)","v":0},1,1.5,{"$f":"I27*(G27/H27)","v":0}]
[null,null,6.3,"Director of Midwifery",null,null,{"$f":"IF(E28=\"Yes\",1,0)","v":0},1,1.5,{"$f":"I28*(G28/H28)","v":0}]
[null,null,6.4,"Director of Allied Health",null,null,{"$f":"IF(E29=\"Yes\",1,0)","v":0},1,1.5,{"$f":"I29*(G29/H29)","v":0}]
[null,null,7,"Service Leaders report on the following key performance indicators (KPIs) to their senior managers at least quarterly.",null,null,null,null,null,null,"District VIP Managers Drop Box: Generic Service Spec documents"]
[null,null,"7a"," Please indicate how many of the six designated services Te Whatu Ora provides.",null,null,{"$f":"E31","v":0}]
[null,null,7.1,"How many of the services report  on the proportion of staff trained in VIP? ",null,null,{"$f":"E32","v":0},{"$f":"G31","v":0},3,{"$f":"I32*(G32/H32)","v":{"$error":"#DIV/0!"}}]
[null,null,7.2,"How many of the services report  on the number  of VIP clinical champions?      ",null,null,{"$f":"E33","v":0},{"$f":"G31","v":0},3,{"$error":"#DIV/0!"}]
[null,null,7.3,"How many of the services report  on assessment and intervention compliance with  policy?",null,null,0,{"$f":"G31","v":0},3,{"$error":"#DIV/0!"}]
[null,null,7.4,"How many of the services report  on actions taken to address any non-compliance? ",null,null,0,{"$f":"+G31","v":0},3,{"$error":"#DIV/0!"}]
[null,null,8,"The implications of Te Whatu Ora initiatives on VIP service delivery where relevent are considered  (e.g, design, documentation forms, alert systems).",null,null,{"$f":"IF(E36=\"Yes\",1,0)","v":0},1,11,0]
[null,null,9,"At least 80% of senior executives/leadership team members (including the VIP sponsor) and senior service level managers have received training in VIP in the past two years. ",null,null,{"$f":"IF(E37=\"Yes\",1,0)","v":0},1,11,0]
[]
[null,null,"Domain Score (out of 100)",null,null,null,null,null,{"$f":"SUM(I8:I37)","v":100},{"$f":"SUM(J8:J37)","v":{"$error":"#DIV/0!"}}]

{"sheet":"2.Training and Support","index":4,"n_rows":18,"n_cols":11,"rows_kept":18,"cut":false,"hidden":false,"merged":[[7,2,7,3],[17,2,17,6]]}
[]
[]
[]
[]
[]
[]
[]
[null,null,"Item",null,"Response","Please provide evidence ","Points","Out of: ","Item points","Your points","Links to resources"]
[null,null,1," Te Whatu Ora VIP core training package and any updates have been signed off by the national training provider.",null,null,{"$f":"IF(E9=\"Yes\",1,0)","v":0},1,11,{"$f":"I9*(G9/H9)","v":0},"National guidelines for VIP training"]
[null,null,2,"Te Whatu Ora training programme has been observed by the national training provider in the past two years with a report sent back with feedback and recommendations.",null,null,{"$f":"IF(E10=\"Yes\",1,0)","v":0},1,11,{"$f":"I10*(G10/H10)","v":0}]
[null,null,3,"There are positive reinforcement practices in place (e.g. inclusion in staff review process) to encourage staff in designated services to conduct routine enquiry for family violence.",null,null,0,1,13,0]
[null,null,4,"Follow-up support occurs within one week of training. ",null,null,0,1,13,0]
[null,null,5,"Information about the VIP (including Te Whatu Ora policy) is provided at the orientation for service staff appointed to Te Whatu Ora. ",null,null,0,1,13,0]
[null,null,6,"The family violence training programme inludes dealing with difference, i.e. bicultural (as informed by Māori Health Unit), multicultural, disability,  gender identity and sexual orientation.  ",null,null,0,1,13,0]
[null,null,7,"Staff are evaluated/surveyed on their knowledge and attitude to family violence and its impact on Māori.",null,null,0,1,13,0,"staff attitude surveys (IPV & CAN)"]
[null,null,8,"There are support services available for Te Whatu Ora staff who have experienced/are experiencing family violence (including perpetrator and victim)",null,null,0,1,13,0]
[]
[null,null,"Domain Score (out of 100)",null,null,null,null,{"$f":"SUM(H9:H16)","v":8},100,{"$f":"SUM(J9:J16)","v":0}]

{"sheet":"3. Resource Funding","index":5,"n_rows":14,"n_cols":11,"rows_kept":14,"cut":false,"hidden":false,"merged":[[6,2,6,3],[13,2,13,6]]}
[]
[]
[]
[]
[]
[]
[null,null,"Item",null,"Response","Please provide evidence ","Points","Out of:","Item points","Your points","Links to resources"]
[null,null,1,"Te Whatu Ora funding and any extra funding for VIP is spent on the programme and not diverted elsewhere.",null,null,{"$f":"IF(E8=\"Yes\",1,0)","v":0},1,22,{"$f":"I8*(G8/H8)","v":0}]
[null,null,1.1000000000000001,"There is extra funding provided for people and resources specifically to reduce the impact of family violence on Māori.",null,null,{"$f":"IF(E9=\"Yes\",1,0)","v":0},1,22,0]
[null,null,1.2,"There is allocated administrative resources and support for the VIP. ",null,null,{"$f":"IF(E10=\"Yes\",1,0)","v":0},1,12,0]
[null,null,2,"The family violence intervention programme coordinator (FVIPC) roles for IPV and CAN  are currently filled. ",null,null,{"$f":"IF(E11=\"BOTH\",2,IF(E11=\"CAN\",1,IF(E11=\"IPV\",1,0)))","v":0},2,22,0]
[null,null,2.1,"How many months in the past 12 months has the coordinator role been filled? Please enter a number between 0 and 12.",null,null,{"$f":"(E12/12)","v":0},1,22,0]
[]
[null,null,"Domain Score (out of 100)",null,null,null,null,{"$f":"SUM(H8:H12)","v":6},{"$f":"SUM(I8:I12)","v":100},{"$f":"SUM(J8:J12)","v":0}]

{"sheet":"4. VIP Practices","index":6,"n_rows":15,"n_cols":11,"rows_kept":15,"cut":false,"hidden":false,"merged":[[5,2,5,3],[14,2,14,6]]}
[]
[]
[]
[]
[]
[null,null,"Item",null,"Response","Please provide evidence ","Points","Out of: ","Item points  ","Your points","Link to resources"]
[null,null,1,"At least 80% of women receive routine inquiry for IPV in each designated service. ",null,null,{"$f":"IF(E7=\"Yes\",1,0)","v":0},1,14.286,{"$f":"I7*(G7/H7)","v":0},"Clinical audit toolkit"]
[null,null,2,"At least 5% of women who receive a routine inquiry disclose IPV in each desingated service",null,null,{"$f":"IF(E8=\"Yes\",1,0)","v":0},1,14.286,0,"Or VIP Snapshot website"]
[null,null,3,"All women who disclose IPV are offered a  referral to a specialised service or agency.",null,null,{"$f":"IF(E9=\"Yes\",1,0)","v":0},1,14.286,0]
[null,null,4,"A Child Protection Checklist is completed for at least 95% children under the age of two presenting in an Emergency Department.",null,null,0,1,14.286,0]
[null,null,5,"There is evidence of consultation with someone who has child protection specialist knowledge for all cases when child protection concerns are identified. ",null,null,0,1,14.286,0]
[null,null,6,"For all Reports of Concern (ROC) made to Oranga Tamariki, child protection concerns are identified and safety plans are documented.",null,null,0,1,14.286,0,"Reports of concern template"]
[null,null,7,"Assessments of the safety of children in the care of all persons disclosing IPV occurs, evident in the most recent quarterly chart audit or electronic record report.",null,null,0,1,14.286,0]
[]
[null,null,"Domain Score (out of 100)",null,null,null,null,{"$f":"SUM(H7:H13)","v":7},{"$f":"SUM(I7:I13)","v":100.002},{"$f":"SUM(J7:J13)","v":0}]

{"sheet":"5. Cultural Responsiveness","index":7,"n_rows":29,"n_cols":11,"rows_kept":29,"cut":false,"hidden":false,"merged":[[13,10,17,10],[28,2,28,6],[8,3,8,5],[13,3,13,4],[7,2,7,3]]}
[]
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[]
[]
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[]
[null,null,"Item",null,"Response","Please provide evidence ","Points","Out of: ","Item points  ","Your points","Links to resources"]
[null,null,1,"Knowledge of family violence dynamics that address personal and whānau needs for specific groups are embedded in the VIP policy:"]
[null,null,1.1000000000000001,"Māori",null,null,{"$f":"IF(E10=\"Yes\",1,0)","v":0},1,3.5750000000000002,{"$f":"I10*(G10/H10)","v":0}]
[null,null,1.2,"Other cultures",null,null,{"$f":"IF(E11=\"Yes\",1,0)","v":0},1,3.5750000000000002,{"$f":"I11*(G11/H11)","v":0}]
[null,null,1.3,"Disabled ",null,null,{"$f":"IF(E12=\"Yes\",1,0)","v":0},1,3.5750000000000002,{"$f":"I12*(G12/H12)","v":0}]
[null,null,1.4,"Gender identity",null,null,{"$f":"IF(E13=\"Yes\",1,0)","v":0},1,3.5750000000000002,{"$f":"I13*(G13/H13)","v":0}]
[null,null,2,"Te Whatu Ora ensures delivery of a culturally competent VIP service, and cultural competency of its staff, particularly for Māori. Please list some ways that this is evident.",null,null,null,null,null,null,"Principles for action to support Māori (Guidelines pp 19-26)"]
[null,null,2.1,"Cultural competency of the service  is evident in VIP policy. ",null,null,{"$f":"IF(E15=\"Yes\",1,0)","v":0},1,3,{"$f":"I15*(G15/H15)","v":0}]
[null,null,2.2000000000000002,"Cultural competency is included in VIP training. ",null,null,{"$f":"IF(E16=\"Yes\",1,0)","v":0},1,3,{"$f":"I16*(G16/H16)","v":0}]
[null,null,2.2999999999999998,"Cultural competency of staff is assessed through staff surveys of attitudes and understanding or family voilence and its impact for Māori.",null,null,{"$f":"IF(E17=\"Yes\",1,0)","v":0},1,3,{"$f":"I17*(G17/H17)","v":0}]
[null,null,2.4,"Feedback is sought from Māori who interact with the VIP service that specifically addresses the cultural responsiveness of the service.  ",null,null,{"$f":"IF(E18=\"Yes\",1,0)","v":0},1,5.3,{"$f":"I18*(G18/H18)","v":0}]
[null,null,3,"A whānau-centred response is followed when working with victims of family violence.  “Māori and their whānau remain the central focus of health professionals’ activities, involving them in planning and decision-making activities and when deciding which services are needed to achieve their goals. Identifies both the collective and individual whānau members.” (Wepa, 2015, p.242) ",null,null,{"$f":"IF(E19=\"Yes\",1,0)","v":0},1,14.3,{"$f":"I19*(G19/H19)","v":0},"Māori health Action Plan-Whakamaua"]
[null,null,null,"Please provide examples to support rating:  "]
[null,null,4,"There are culturally inclusive family violence pathways and services available in the community. ",null,null,{"$f":"IF(E21=\"Yes\",1,0)","v":0},1,14.3,{"$f":"I21*(G21/H21)","v":0}]
[null,null,null,"Provide examples:"]
[null,null,5,"The delivery of the service for Māori is evaluated by Māori in a way that is culturally appropriate and safe.  ",null,null,{"$f":"IF(E23=\"Yes Māori led\",2,IF(E23=\"Yes\",1,0))","v":0},2,14.3,{"$f":"I23*(G23/H23)","v":0}]
[null,null,6,"Trained and approved health care interpreters with family violence training are available for translating for  individuals and family if English is not their first language. ",null,null,{"$f":"IF(E24=\"Yes\",1,0)","v":0},1,14.2,{"$f":"I24*(G24/H24)","v":0}]
[null,null,7," Information is available, relevant, and on display in Te Reo.",null,null,{"$f":"IF(E25=\"Yes\",1,0)","v":0},1,7.15,{"$f":"I25*(G25/H25)","v":0}]
[null,null,7.1,"Information is available or on display in other languages (not including English) that reflects Te Whatu Ora catchment demographic if needed.  List the languages that should be available (i.e. reflect demographic): ",null,null,{"$f":"IF(E26=\"Yes\",1,0)","v":0},1,7.15,{"$f":"I26*(G26/H26)","v":0}]
[null,null,null,"List languages: "]
[]
[null,null,"Domain Score (out of 100)",null,null,null,null,null,{"$f":"SUM(I10:I27)","v":100.00000000000001},{"$f":"SUM(J10:J26)","v":0}]

{"sheet":"6. Quality Improvement","index":8,"n_rows":21,"n_cols":11,"rows_kept":21,"cut":false,"hidden":false,"merged":[[20,2,20,6],[6,2,6,3]]}
[]
[]
[]
[]
[]
[]
[null,null,"Item",null,"Response","Please provide evidence ","Points","Out of: ","Item points  ","Your points","Links to resources"]
[null,null,1,"VIP is included in Te Whatu Ora quality and risk strategic plan.",null,null,{"$f":"IF(E8=\"Yes\",1,0)","v":0},1,10,{"$f":"I8*(G8/H8)","v":0}]
[null,null,2,"There is a formal VIP quality improvement plan.",null,null,{"$f":"IF(E9=\"Yes\",1,0)","v":0},1,10,{"$f":"I9*(G9/H9)","v":0},"VIP Quality Improvement Plan"]
[null,null,3,"Responsibility for acting on quality improvement findings is clearly outlined in VIP policy and formal strategic (family violence and child protection) quality improvement process plan.",null,null,{"$f":"IF(E10=\"Yes\",1,0)","v":0},1,10,{"$f":"I10*(G10/H10)","v":0}]
[null,null,4,"There is a regular formal process whereby the VIP evaluation and quality improvement findings are discussed, reviewed and acted on with respective services.",null,null,{"$f":"IF(E11=\"Yes\",1,0)","v":0},1,10,{"$f":"I11*(G11/H11)","v":0}]
[null,null,5,"Evaluation includes health care providers receiving feedback relevant to their involvement with the VIP.",null,null,0,1,10,0]
[null,null,6,"Patient/client or community agency feedback regarding VIP service delivery is gathered and analysed on a regular basis (at least annually). ",null,null,0,1,10,{"$f":"I13*(G13/H13)","v":0},"Community Agency Feedback"]
[null,null,7,"Staff in designated services where VIP is implemented are asked to provide feedback including ideas for programme enhancement in their services every two years.",null,null,0,1,10,0]
[null,null,8,"A Māori quality framework (such as Whānau Ora) is used by Te Whatu Ora leadership to evaluate whether services are effective for Māori.",null,null,0,1,10,{"$f":"I15*(G15/H15)","v":0},"Whānau Ora Health Impact Assessment"]
[null,null,8.1,"This process includes Māori Health Unit review of feedback and  recommendations for improving the VIP effectiveness for Māori.",null,null,0,1,10,0]
[null,null,8.1999999999999993,"Please provide examples of how the service’s effectiveness for Māori is evaluated?"]
[null,null,9,"There is evidence that changes have been made to the VIP on the basis of staff, community or user feedback, or audit findings, in the past 12 months.  ",null,null,0,1,10,{"$f":"I18*(G18/H18)","v":0},"Plan-Do-Study-Act Resource Pack"]
[null,null,9.1,"If no changes please explain why (e.g. feedback positive, no budget). If changes, please summarise what the feedback was, how it was sourced and what the changes were."]
[]
[null,null,"Domain Score (out of 100)",null,null,null,null,{"$f":"SUM(H8:H19)","v":10},{"$f":"SUM(I8:I19)","v":100},{"$f":"SUM(J8:J19)","v":0}]

{"sheet":"7. Policies and procedures ","index":9,"n_rows":14,"n_cols":11,"rows_kept":14,"cut":false,"hidden":false,"merged":[[6,2,6,3],[13,2,13,6]]}
[]
[]
[]
[]
[]
[]
[null,null,"Item",null,"Response","Please provide evidence ","Points","Out of: ","Item points  ","Your points","Links to resources"]
[null,null,1,"Te Whatu Ora has documented policies and procedures on intimate partner  violence and child protection that are current and align with the Ministry of Health guideline",null,null,{"$f":"IF(E8=\"Yes\",1,0)","v":0},1,20,{"$f":"I8*(G8/H8)","v":0},"VIP policies linked to Family Violence Intervention Guidelines"]
[null,null,2,"Te Whatu Ora family violence policies and procedures are aligned with current legislation and relevant national policy initiatives (e.g. MOUs)",null,null,{"$f":"IF(E9=\"Yes\",1,0)","v":0},1,20,{"$f":"I9*(G9/H9)","v":0},"https://tepunaaonui.govt.nz/resource"]
[null,null,3,"The policies and procedures are readily available to staff on the intranet (within 3 clicks). ",null,null,0,1,20,{"$f":"I10*(G10/H10)","v":0}]
[null,null,4,"The Māori Health Unit participate in policy review and endorse all Te Whatu Ora family violence policy and procedure.",null,null,0,1,20,0]
[null,null,5,"Additional safety and security measures are specified for suspected cases of child abuse and neglect with perceived immediate risk, and for adults who are identified as high risk or in imminent threat.",null,null,0,1,20,0]
[]
[null,null,"Domain Score (out of 100)",null,null,null,null,{"$f":"SUM(H8:H12)","v":5},{"$f":"SUM(I8:I12)","v":100},{"$f":"SUM(J8:J12)","v":0}]

{"sheet":" 8. Collaboration","index":10,"n_rows":32,"n_cols":11,"rows_kept":32,"cut":false,"hidden":false,"merged":[[6,2,6,3],[31,2,31,6],[7,3,7,5],[13,3,13,5],[17,3,17,5],[20,3,20,5],[25,3,25,5]]}
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[]
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[]
[null,null,"Item",null,"Response","Please provide evidence ","Points","Out of: ","Item points  ","Your points","Link to resources"]
[null,null,1,"There is clear evidence that a Memorandum of Understanding (MOU) between Te Whatu Ora and  Oranga Tamariki and Police for family violence reponses has been  operationalised by: ",null,null,null,null,null,null,"MOU examples and information"]
[null,null,1.1000000000000001,"Signing of MOU","Neither",null,{"$f":"IF(E9=\"Both\",2,IF(E9=\"Oranga Tamariki\",1,IF(E9=\"Police\",1,0)))","v":0},2,4.1675000000000004,{"$f":"I9*(G9/H9)","v":0}]
[null,null,1.2,"Regular meetings at service level with actions and accountability (at least biannual)",null,null,{"$f":"IF(E10=\"Both\",2,IF(E10=\"Oranga Tamariki\",1,IF(E10=\"Police\",1,0)))","v":0},2,4.1675000000000004,{"$f":"I10*(G10/H10)","v":0}]
[null,null,1.3,"Interagency review of cases",null,null,{"$f":"IF(E11=\"Both\",2,IF(E11=\"Oranga Tamariki\",1,IF(E11=\"Police\",1,0)))","v":0},2,4.1675000000000004,{"$f":"I11*(G11/H11)","v":0}]
[null,null,1.4,"Participation in or initiation of interagency training",null,null,{"$f":"IF(E12=\"Both\",2,IF(E12=\"Oranga Tamariki\",1,IF(E12=\"Police\",1,0)))","v":0},2,4.1675000000000004,{"$f":"I12*(G12/H12)","v":0}]
[null,null,2,"There is  evidence of Service Level Agreements  (SLA) between Te Whatu Ora and family violence services with regards to referrals and how on-site services will be provided. ",null,null,{"$f":"IF(E13=\"Yes\",1,0)","v":0},1,16.670000000000002,{"$f":"I13*(G13/H13)","v":0}]
[null,null,3,"Ongoing partnership between Te Whatu Ora and Māori service agencies or health providers, and/or local Iwi or Urban Māori Authority evidenced by:"]
[null,null,3.1,"Participation in, or initiation, of training (e.g. involvement in the VIP training at Te Whatu Ora)",null,null,{"$f":"IF(E15=\"1 Agency\",1,IF(E15=\"2+ Agencies\",2,0))","v":0},2,{"$f":"16.67/3","v":5.5566666666666675},{"$f":"I15*(G15/H15)","v":0}]
[null,null,3.2,"Policy review ",null,null,{"$f":"IF(E16=\"1 Agency\",1,IF(E16=\"2+ Agencies\",2,0))","v":0},2,{"$f":"16.67/3","v":5.5566666666666675},{"$f":"I16*(G16/H16)","v":0}]
[null,null,3.3,"Representation on the VIP governance group",null,null,{"$f":"IF(E17=\"1 Agency\",1,IF(E17=\"2+ Agencies\",2,0))","v":0},2,{"$f":"16.67/3","v":5.5566666666666675},{"$f":"I17*(G17/H17)","v":0}]
[null,null,4,"There is evidence of engagement and collaboration with external family violence services agencies at a senior management and operational VIP level "]
[null,null,4.0999999999999996,"Senior management level (provide examples)",null,null,{"$f":"IF(E19=\"Yes\",1,0)","v":0},1,{"$f":"16.67/2","v":8.3350000000000009},{"$f":"I19*(G19/H19)","v":0}]
[null,null,4.2,"Operational VIP level (provide examples)",null,null,{"$f":"IF(E20=\"Yes\",1,0)","v":0},1,{"$f":"16.67/2","v":8.3350000000000009},{"$f":"I20*(G20/H20)","v":0}]
[null,null,5,"There is an MOU or SLA with the following agencies regarding the service delivery for victims of sexual assault (adults, adolescents and children) . ",null,null,null,null,null,null,"Medical Sexual Assault Clinicians Aotearoa"]
[null,null,5.0999999999999996,"Police",null,null,{"$f":"IF(E22=\"Yes\",1,0)","v":0},1,4.1675000000000004,{"$f":"I22*(G22/H22)","v":0}]
[null,null,5.2,"ACC",null,null,{"$f":"IF(E23=\"Yes\",1,0)","v":0},1,4.1675000000000004,{"$f":"I23*(G23/H23)","v":0}]
[null,null,5.3,"Oranga Tamariki",null,null,{"$f":"IF(E24=\"Yes\",1,0)","v":0},1,4.1675000000000004,0]
[null,null,5.4,"Te Whatu Ora policies specify the pathway for service delivery including acute response and referral for sexual assault or suspected/alleged sexual abuse of a child.",null,null,{"$f":"IF(E25=\"Yes\",1,0)","v":0},1,4.1675000000000004,0]
[null,null,6,"At least two multiagency case reviews (one for IPV and one for CAN) have been undertaken in the last 12 months that evaluate health actions within family violence response. "]
[null,null,6.1,"At least 1 review for IPV?",null,null,{"$f":"IF(E27=\"Yes\",1,0)","v":0},1,{"$f":"16.67/2","v":8.3350000000000009},0]
[null,null,6.2,"At least 1 review for CAN?",null,null,{"$f":"IF(E28=\"Yes\",1,0)","v":0},1,{"$f":"16.67/2","v":8.3350000000000009},0]
[null,null,6.3,"How have findings been shared with Te Whatu Ora services? "]
[null,null,6.4,"How have recommendations been actioned?"]
[]
[null,null,"Domain Score (out of 100)",null,null,null,null,{"$f":"SUM(H8:H25)","v":21},{"$f":"SUM(I8:I30)","v":100.02000000000004},{"$f":"SUM(J8:J30)","v":0}]

{"sheet":"9. Documentation","index":11,"n_rows":14,"n_cols":11,"rows_kept":14,"cut":false,"hidden":false,"merged":[[7,2,7,3],[13,2,13,6]]}
[]
[]
[]
[]
[]
[]
[]
[null,null,"Item",null,"Response","Please provide evidence","Points","Out of: ","Item points  ","Your points","Link to resources"]
[null,null,1,"Standardised documentation instruments (or templates) that are aligned with the Ministry of Health FVAIG are used to record known or suspected cases of family violence.",null,null,{"$f":"IF(E9=\"Yes\",1,0)","v":0},1,10,{"$f":"I9*(G9/H9)","v":0},"Ministry of Health Family Violence Assessment and Intervention Guideline"]
[null,null,1.1000000000000001,"All IPV routine enquiry, disclosures and referrals are documented on the standardised templates (e.g. Intimate Partner Violence (IPV) Assessment and Intervention Documentation)",null,null,{"$f":"IF(E10=\"Yes\",1,0)","v":0},1,23.33,{"$f":"I10*(G10/H10)","v":0},"IPV Assessment and Intervention Documentation form (aligned with the FVAIG)"]
[null,null,2,"The national form (Report of Concern) is used for referral to Oranga Tamariki",null,null,{"$f":"IF(E11=\"Yes\",1,0)","v":0},1,33.299999999999997,{"$f":"I11*(G11/H11)","v":0}]
[null,null,3,"Patients with injuries caused by family violence are routinely offered a medical photography option, either in Te Whatu Ora or by the police. ",null,null,{"$f":"IF(E12=\"Yes\",1,0)","v":0},1,33.299999999999997,{"$f":"I12*(G12/H12)","v":0}]
[]
[null,null,"Domain Score (out of 100)",null,null,null,null,{"$f":"SUM(H9:H12)","v":4},{"$f":"SUM(I9:I12)","v":99.929999999999993},{"$f":"SUM(J9:J12)","v":0}]

{"sheet":"Measurement Notes Summary Page","index":12,"n_rows":72,"n_cols":4,"rows_kept":72,"cut":false,"hidden":false,"merged":[[68,0,71,0],[59,0,67,0],[54,0,58,0],[16,0,23,0],[1,0,15,0],[0,1,0,2],[24,0,28,0],[29,0,35,0],[36,0,43,0],[44,0,53,0]]}
["Domain ","Item",null,"Measurement Note"]
["1.Organisational Leadership",1,"There is a governance group with clearly defined roles and responsibilities for strategic leadership of the Violence Intervention Programme (VIP).","The governance group (or steering committee/group) must focus on family violence at a programme strategy level, with accountability and vision. This must be evidenced in written documentation (e.g. Terms of Reference, agenda and meeting minutes). An operational group may also exist, but groups that focus solely on operational issues or case reviews do not qualify as a governance group. "]
[null,2,"The following people with family violence understanding  are active participants in the VIP governance group:   ","Evidence provided by the governance group member list and meeting minutes. To score a 'yes' the member needs to attend ≥50% of meetings in the past year or since joining the group as evidenced in meeting minutes, dicussion and action points.  One person may be counted in more than one sub-item (e.g. the Director of Nursing may also sit on the Te Whatu Ora Executive Leadership Team)."]
[null,3,"There is a two-way communication pathway between the governance group and the VIP team (includes VIP sponsor, VIP manager(s) and family violence intervention programme coordinator (FVIPC)).","Communication is two-way, including VIP input into the governance group and feeding back of strategy and decisions to the VIP team. Evidence from the past year that illustrates two-way communication which might include quartely reports from the FVIC to the governance group,  emails from the governance group to the FVIC,  meeting minutes, tabling of reports and programme updates and recommendations."]
[null,4,"Consistent with interagency Memorandum of Understanding (MOU), there are at least biannual meetings at the senior leadership level on family violence between Te Whatu Ora, with Police and  Oranga Tamariki.","This cannot be met by participation at the VIP governance group meetings but must be specific meetings to discuss family violence and/or the MOU.  Senior leadership refers to at least Te Whatu Ora general management level. Meeting notes, emails or calendar appointments could be used as evidence. "]
[null,5.0999999999999996,"District Annual Plan/Strategic Plan specifies VIP. ","Mention of  VIP in Te Whatu Ora annual district or strategic plan.  For example, the contribution of the VIP in delivering the Children’s Action Plan strategy\n"]
[null,5.2,"VIP status reporting to Te Whatu Ora Board at least annually.","In Te Whatu Ora DHB Board agenda documents"]
[null,5.3,"Quarterly agenda item for Te Whatu ora Board or a designated Advisory Committee to the Board regarding VIP contract deliverables and KPIs.","In Te Whatu ora Board agenda or minutes, that include reporting on VIP contract deliverables and KPIs (may be exception reporting)"]
[null,5.4,"Current, endorsed Te Whatu Ora policy that includes compulsory 8 hour VIP core training for all clinical staff in designated services.","In Te Whatu Ora VIP policy document\n"]
[null,5.5,"Implementing and monitoring the key performance indicators (KPIs) reporting by services.","This is the reporting on KPIs: proportion of staff trained, rates of IPV routine inquiry and referral, and rates of CAN assessment and identification of child protection needs and specialist consultation."]
[null,5.6,"Evidence of acting on non-attained KPI(s), noting recommendations for improvement, necessary resourcing and follow up.  ","In report, emails and meeting minutes showing actions against at least one non-attained KPI.  If all KPIs are attained then select 'yes'."]
[null,6," Senior clinical leaders communicate the expected VIP standard of clinical practice to their professional group(s) ","Within the last year, evidence that the clinical leader has clearly communicated expectations for attendance at training and implementation of policy.  Evidence may be located in meeting minutes, newsletters, KPIs or other.  This is the list of clinical leaders that is scored but the list is not exhaustive, all clinical leaders would be expected to support VIP practice standards. "]
[null,7,"Service Leaders report on the following key performance indicators (KPIs) to their senior managers at least quarterly.","These might be formal KPIs or simply included in the report. If reported on then it can be scored as 'yes'.   Evidence in last quarterly report, email updates, or agenda items. In this item, we are assessing if the KPI is reported on, not whether the KPI is met. "]
[null,7.1," Please indicate how many of the six designated services Te Whatu Ora provides.","For smaller Te Whatu Ora that do not have the 6 services (e.g. Wairarapa) please enter the number of designated services that Te Whatu Ora does provide.  Designated services are: Child Health, ED, Mental Health, Alcohol & Other Drug, Sexual Health, Maternity.  For each item (7.1 to 7.4) enter the number of services in your Te Whatu Ora that report on the KPI.\n"]
[null,8,"The implications of DHB initiatives on VIP service delivery where relevent are considered  (e.g, design, documentation forms, alert systems).","Provide an example (in the evidence column) from within the past year.  Consider what communication has occurred between the project team(s) and the FVIPC or governance group members (meeting notes, agenda items) and follow up.  For example, including VIP training for new health interpreters."]
[null,9,"At least 80% of senior executives/leadership team members (including the VIP sponsor) and senior service level managers have received training in VIP in the past two years. ","Training must be every two years and could include attendance at the full day core training or a tailored training.  Review training records or meeting notes.  Assess number of  executives and senior service level managers in the DHB and calculate approximate percentage attended.   "]
["2.Training  & Support",1," Te Whatu Ora VIP core training package and any updates have been signed off by the national training provider.","Evidenced by an email confirmation of sign-off by the national training provider. "]
[null,2,"Te Whatu ora training programme has been observed by the national training provider in the past two years with a report sent back with feedback and recommendations.","Evidenced by feedback to Te Whatu Ora following observation in the past two years."]
[null,3,"There are positive reinforcement practices in place (e.g. inclusion in staff review process) to encourage staff in designated services to conduct routine enquiry for family violence.","Evidence to support a 'yes' may include performance review documents (e.g. appraisal forms with KPIs on routine enquiry and VIP training attendance), recognition by management (e.g. email), or VIP champion awards in newsletter or reports."]
[null,4,"Follow-up support occurs within one week of training. ","For 'yes', evidence of face-to-face or email contact (post-training support) from VIP champions or coordinators.  For example, a form that is signed-off and given to the VIP coordinator or the manager, a follow-up email to all attendees, or a training book of 'takeaway tasks' to complete. "]
[null,5,"Information about the VIP (including Te Whatu Ora policy) is provided at the orientation for service staff appointed to Te Whatu Ora. ","To qualify for a 'yes', evidence must show it is included (specified) in the orientation programme agenda or material (e.g. mentioned  within a presentation on quality improvement)."]
[null,6,"The family violence training programme inludes dealing with difference, i.e. bicultural (as informed by Māori Health Unit), multicultural, disability,  gender identity and sexual orientation.  ","Evidenced in a review of training materials and discussion with national training provider.  Must specify Māori, other cultures, disability and gender identity.  This ensures that conversations are happening with the Māori Health Unit and  local Iwis . May be evidenced by a meeting with the Māori health directors. "]
[null,7,"Staff are evaluated/surveyed on their knowledge and attitude to family violence and its impact on Māori.","Requires documentation of written assessment (e.g. survey or questionnaire) that has occured in the past three years. This should assess staff knowledge about  family violence and impact on Māori.  This could be included in a post training evaluation survey. "]
[null,8,"There are support services available for Te Whatu Ora staff who have experienced/are experiencing family violence (including perpetrator and victim)","To qualify for a 'yes' there is evidence of a free and confidential specialised service for staff that provides counselling or expertise in the area of family violence. This may be evident in an MOU or letter of agreement between the DHB and service provider. .Information about the service needs to be  accessible to staff. Please specify the service/s and evidence. "]
["3. Resource Funding",1,"Te Whatu Ora funding and any extra funding for VIP is spent on the programme and not diverted elsewhere.","For these items, discuss with, and source a report from the VIP Portfolio Manager in DHB Funding and Planning. A 'yes' would mean that the full allocation of VIP funding has been spent on the programme over the last financial year."]
[null,1.1000000000000001,"There is extra funding provided for people and resources specifically to reduce the impact of family violence on Māori.","This could be funding for cultural support services, or resources specifically for Māori and or in Te Reo with regards to family violence."]
[null,1.2,"There is allocated administrative resources and support for the VIP. ","For a 'yes' there must be administrative support available with dedicated time to the VIP."]
[null,2,"The family violence intervention programme coordinator (FVIPC) roles for IPV and CAN  are currently filled. ","Please select for role/s currently filled (CAN, IPV or BOTH).  Some DHBs may have only one combined IPV/CAN role.  If filled, select 'BOTH' and if not select 'NONE'."]
[null,2.1,"How many months in the past 12 months has the coordinator role been filled? Please enter a number between 0 and 12.","We are looking for any unfilled vacancies in the VIP coordinator roles. If your DHB has multiple VIP and CAN coordinator roles, pick the one that was unfilled for the longest in the past year, and write in how many months it was filled for.  If all coordinator positions have been filled for the 12 months, write 12 and if one role was empty all year, write 0. "]
["4. VIP Practices",1,"At least 80% of women receive routine inquiry for IPV in each designated service. ","Review data in most recent chart audit or conduct a specific one (sample of 25+ charts retrieved and reviewed for females who have visited a service  where VIP is implemented). If ≥ 80% in each designated service then it is a 'yes'. "]
[null,2,"At least 5% of women who receive a routine inquiry disclose IPV in each desingated service","Review data in most recent chart audit or conduct a specific one. If disclosure rates for women receiving a routine inquiry in each designated service ≥ 5% then it is a 'yes'."]
[null,3,"All women who disclose IPV are offered a  referral to a specialised service or agency.","All women disclosing abuse will be offered a referral to a specialised service (e.g. DHB community social worker) or agency (e.g. Shine).  Evidence that a referral is offered on chart audits or in Snapshot audit data. "]
[null,4,"A Child Protection Checklist is completed for at least 95% children under the age of two presenting in an Emergency Department.","Review data in most recent chart audit or conduct one (sample of 25+ charts retrieved and reviewed) for children aged 0-24 months who have visited ED. Although the goal is 100% select 'yes' if ≥ 95%. "]
[null,5,"There is evidence of consultation with someone who has child protection specialist knowledge for all cases when child protection concerns are identified. ","Review data in most recent chart audit or sample of charts to provide evidence that consultation occurred. "]
[null,6,"For all Reports of Concern (ROC) made to Oranga Tamariki, child protection concerns are identified and safety plans are documented.","Review charts of childen for whom Reports of Concern (ROC) were made to Oranga Tamariki for evidence that concerns were identified and safety plans documented."]
[null,7,"Assessments of the safety of children in the care of all persons disclosing IPV occurs, evident in the most recent quarterly chart audit or electronic record report.","Review data in most recent chart audit or sample of charts of women disclosing IPV for evidence that safety planning, and/or referral for support have been offered and discussed. "]
["5. Cultural Responsiveness",1,"Knowledge of family violence dynamics that address personal and whānau needs for specific groups are embedded in the VIP policy:","Evidenced through reference to the different groups in the written policies, procedures and training programmes so that the VIP approaches each situation with an awareness of personal or whānau needs based on ability, ethnicity, culture, gender identity and sexual orientation. "]
[null,2,"The DHB ensures delivery of a culturally competent VIP service, and cultural competency of its staff, particularly for Māori. Please list some ways that this is evident.","Evidence of intent for culturally competent service if VIP policy refers specifically to responsiveness to Māori, Māori models of health are included in VIP training, and staff attend induction training. Invite the Māori Health Unit to review the documents, noting that Māori world views, historical and contemporary, are included.  Cultural competency of staff through staff survey on their understanding and attitudes towards family violence and its impact for Māori, and feedback from Māori, (as per item 8 and 8.1 in Quality Improvement domain). "]
[null,2.4,"Feedback is sought from Māori who interact with the VIP service that specifically addresses the cultural responsiveness of the service.  ","This must be done in a cultural safe and appropriate way.  For example, a Māori health provider checking in with whānau or women coming into contact with the service."]
[null,3,"A whānau-centred response is followed when working with victims of family violence.  “Māori and their whānau remain the central focus of health professionals’ activities, involving them in planning and decision-making activities and when deciding which services are needed to achieve their goals. Identifies both the collective and individual whānau members.” (Wepa, 2015, p.242) ","Review of policies, practices and training in the VIP responsiveness to Māori.  Māori Health Unit of the DHB to audit the procedures and approach. Patient survey data if available.  Clinical audit of files to evaluate whānau centred response to Māori who receive routine inquiry and or disclose family violence.   Note that the MoH FVAIG  (pp. 19-26) highlights  principles of action to effectively support Māori experiencing violence within their whānau."]
[null,4,"There are culturally inclusive family violence pathways and services available in the community. ","For a 'yes' there must be evidence of relationships, and contact information with different agency groups in the community. Can provide list of agencies that the programme has referred to, or that the FVIPC  has been in contact with in the past six months. \n"]
[null,5,"The delivery of the service for Māori is evaluated by Māori in a way that is culturally appropriate and safe.  ","To score a 'yes', there must be evidence that Māori have been asked for feedback on the VIP service in ways that are appropriate and safe for them.  For example, in collaboration with the Māori Health Unit or local Māori, Māori women might be invited to talk at the local marae,  interviewed individually or feedback may be captured through feedback from community agencies working with Māori. Research should ideally be led by Māori and an additional point is assigned if this is the case. \n"]
[null,6,"Trained and approved health care interpreters with family violence training are available for translating for  individuals and family if English is not their first language. ","To qualify for a 'yes' there must be evidence in the clinicial record, that an interpreter is used when the patient or caregiver’s primary language is not English.  Evidence should include a list of DHB approved interpreters, trained to interview children and be age and gender appropriate. Note that phone interpretation is accepted.  It is not a 'yes' if the interpreter is related to or a friend of the victim or caregiver.\n"]
[null,7," Information is available, relevant, and on display in Te Reo.","Direct observation in the services that have implemented VIP. There should be information (e.g. posters or brochures) that refer to family violence and provide information on where to seek help in Te Reo and other languages that reflect the DHB catchment population.\n"]
["6. Quality Improvement",1,"VIP is included in the DHB quality and risk strategic plan.","A review of the DHB quality and risk programme plan mentions the VIP. To qualify for 'yes' it must be seen as a specific programme."]
[null,2,"There is a formal VIP quality improvement plan.","There is a quality improvement plan in place for the VIP to gather, analyse, review and respond to VIP data on a regular basis.  Evidence of a planning document. "]
[null,3,"Responsibility for acting on quality improvement findings is clearly outlined in VIP policy and formal strategic (family violence and child protection) quality improvement process plan.","A review of the VIP policies or quality improvement plan provides evidence of who is responsible for programme improvement. "]
[null,4,"There is a regular formal process whereby the VIP evaluation and quality improvement findings are discussed, reviewed and acted on with respective services.","Evidence to show that the feedback is reviewed and acted upon on a regular basis as part of a quality improvement process (e.g. biannual or annual review). There must be evidence that outlines a process, the frequency, input included and who participates  (e.g. an annual meeting of FVIPC and clinical sponsors to review feedback, chart audit and snap shot data with recommendations discussed and agreed, or discussed at advisory meetings)."]
[null,5,"Evaluation includes health care providers receiving feedback relevant to their involvement with the VIP.","There is evidence of the regular provision of feedback by the FVIPC or service manager to health care providers, practitioners or service.  This may include feedback on routine inquiry, chart documentation, and outcomes associated with recent VIP cases, peer-to-peer case reviews and acknoweldgement of positive practice and policy compliance. "]
[null,6,"Patient/client or community agency feedback regarding VIP service delivery is gathered and analysed on a regular basis (at least annually). ","Evidence that feedback is received from community agencies.  The feedback could be gathered through interviews or review meetings as evidenced in email, meeting agendas or minutes. For example, an agency may present feedback at a Governance Group meeting. This item can also be met if formal feedback is received on the VIP from clients/patients through questions on a VIP survery or DHB-wide patient satisfaction interviews."]
[null,7,"Staff in designated services where VIP is implemented are asked to provide feedback including ideas for programme enhancement in their services every two years.","Evidence that staff have been asked for feedback on the VIP in the past 2 years (e.g. through an online survey, focus group or workshop). "]
[null,8,"A Māori quality framework (such as Whānau Ora) is used by DHB leadership to evaluate whether services are effective for Māori.","Could be evidenced through an audit by the Māori Health Unit, interviews/focus groups with Māori patients.  To be completed in consultation with Māori Health Unit and VIP Sponsor. "]
[null,8.1,"This process includes Māori Health Unit review of feedback and  recommendations for improving the VIP effectiveness for Māori.","Evidence (e.g.reports, meeting agendas, emails) that feedback or recommendations on VIP delivery is reviewed by the Māori Health Unit to ensure appropriateness of the programme for Māori "]
[null,9,"There is evidence that changes have been made to the VIP on the basis of staff, community or user feedback, or audit findings, in the past 12 months.  ","Some evidence that in the past 12 months, enhancements to the VIP have been made in reponse to feedback on the programme. This can include a PDSA initiative. Examples would be updating a training book based on staff feedback, or introduction of paediatrician peer reviews. "]
["7. Policies and procedures ",1,"The DHB has documented policies and procedures on intimate partner  violence and child protection that are current and align with the Ministry of Health guideline","Evidence from a review of the written hospital wide policy against the current Ministry of Health guidelines. "]
[null,2,"Te Whatu Ora family violence policies and procedures are aligned with current legislation and relevant national policy initiatives (e.g. MOUs)","Evidence from a review of the policies and procedure documentation against the legislation (see Appendix I: MoH FVAIG).  For example,  does the policy refer to legal obligations on reporting family violence to authorities. "]
[null,3,"The policies and procedures are readily available to staff on the intranet (within 3 clicks). ","Review/trial of Te Whatu Ora intranet "]
[null,4,"The Māori Health Unit participate in policy review and endorse all Te Whatu Ora family violence policy and procedure.","Documented evidence of meetings or emails between Te Whatu Ora Advisory group or FVIPC and Māori Health Unit on policy and procedure.  Please consult with the Māori Health Unit and VIP Sponsor to complete this item."]
[null,5,"Additional safety and security measures are specified for suspected cases of child abuse and neglect with perceived immediate risk, and for adults who are identified as high risk or in imminent threat.","A review of the policies and procedures that should specify protocol for children at perceived risk (e.g. alert system, other children in the home, discharge planning). "]
[" 8. Collaboration",1,"There is clear evidence that a Memorandum of Understanding (MOU) between Te Whatu Ora and  Oranga Tamariki and Police for family violence reponses has been  operationalised by: ","For each agency (Oranga Tamariki and Police) to qualify for a 'yes' requires a review of; the MOU document, meeting calendar appointments, notes/minutes or agendas at service level, notes from case review meetings, training documentation, and example of actions taken as a result of the MOU."]
[null,2,"There is evidence of Service Level Agreements  (SLA) between Te Whatu Ora and family violence services with regards to referrals and how on-site services will be provided. ","There must be evidence (e.g. letter or email) of a Service Level Agreement with a local family violence service (e.g. Shine, Womens' Refuge), and it should specify how on-site services will be provided.  This item may need to be answered by, or in consultation with, a senior manager involved with VIP such as the VIP sponsor."]
[null,3,"Ongoing partnership between Te Whatu Ora and Māori service agencies or health providers, and/or local Iwi or Urban Māori Authority evidenced by:","For each agency or authority, to qualify for a 'yes' documented evidence must be available. For example, governance group email list, policy review notes/emails, training information or documentation."]
[null,4,"There is evidence of engagement and collaboration with external family violence services agencies at a senior management and operational VIP level ","This is to ensure that there is collaboration at different levels of  Te Whatu Ora (e.g. at the governance group and at referrals). To qualify for a 'yes' there must be evidence such as meeting notes, calendar entries, emails, or case review at senior management level and at an operational level. This can include information presented in the item above such as meeting plans, emails etc."]
[null,4.0999999999999996,"Senior management level (provide examples)","This item may need to be answered in consultation with the a Senior Manager involved with VIP"]
[null,4.2,"Operational VIP level (provide examples)","An example could be evidence of contact between the  coordinator and a local agency (e.g. email with Womens' Refuge, meeting notes) "]
[null,5,"There is an MOU or SLA with the following agencies regarding the service delivery for victims of sexual assault (adults, adolescents and children) . ","Evidence in each agency of a MOU or SLA for sexual assault victims. "]
[null,5.4,"Te Whatu Ora policies specify the pathway for service delivery including acute response and referral for sexual assault or suspected/alleged sexual abuse of a child.","Response and referral pathway is evident in review of Te Whatu Ora policies."]
[null,6,"At least two multiagency case reviews (one for IPV and one for CAN) have been undertaken in the last 12 months that evaluate health actions within family violence response. ","To qualify for a counted review there must be documented evidence of the case review (e.g. output recommendations, meeting notes) for both an IPV and a CAN case in the past 12 months. "]
["9. Documentation",1," Standardised documentation instruments (or templates) that are aligned with the Ministry of Health FVAIG are used to record known or suspected cases of family violence.","Evidenced by an examination of the standardised templates and forms for the VIP and a review of the Ministry of Health guideline.  To address both IPV and CAN."]
[null,1.1000000000000001,"All IPV routine enquiry, disclosures and referrals are documented on the standardised templates (e.g. Intimate Partner Violence (IPV) Assessment and Intervention Documentation)","This is evidenced by a spot chart audit of persons receiving routine enquiry and/or disclosing IPV"]
[null,2," The national form (Report of Concern) is used for referral to Oranga Tamariki","A review of referrals to Oranga Tamariki, made during the audit period, used the national form."]
[null,3,"Patients with injuries caused by family violence are routinely offered a medical photography option, either in Te Whatu Ora or by the police. ","Best practice for women to have the option of injury photographs as part of their medical record (for future reference) without having to file a police report.  Evidence should be in policy, procedure and documentation template that injured patients are routinely offered the service. \n"]

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