HealthCERT Bulletin

August 2024 (Issue 35)

HealthCERT Bulletin – Issue 35: August 2024

In this issue:

clarify the requirements for certified providers’ legal entities
provide the independent review of the implementation of Ngā paerewa Health and disability services standard NZS 8134:2021 (Ngā Paerewa)
provide advice about the new centralised resource for Ngā Paerewa implementation
introduce our new e-learning resource for navigating the Ngā Paerewa restraint and seclusion requirements
provide information on the recent changes to reporting harm (adverse events) in aged residential care, which came into effect on 1 July 2024
include a follow-on article from WorkSafe New Zealand on incident notifications
remind readers about the availability of Ngā Paerewa Te Tiriti elearning modules
include a good-news story that showcases Idea Services’ innovative continuous quality improvement project for residential disability clients’ living arrangement compatibility.

February 2024 (Issue 34)

HealthCERT Bulletin – Issue 34: February 2024 (Word, 330 KB)
HealthCERT Bulletin – Issue 34: February 2024 (PDF, 238 KB)

In this issue:

Operating matters
- Knowing the HealthCERT Team
- Provisional and partial provisional audits
- Review of public hospital audit framework
- Results of Ngā paerewa sector feedback survey September -October 2023
- Te Tiriti eLearning modules
Sector matters
- Update from the assisted dying service
- Infection Prevention and Control update from the National Public Health Service
- Success story from Sheaff’s Rest Home

September 2023 (Issue 33)

HealthCERT Bulletin – Issue 33: September 2023 (Word, 330 KB)
HealthCERT Bulletin – Issue 33: September 2023 (PDF, 238 KB)

In this issue:

Operating matters
- Knowing the HealthCERT Team
- Young people with disabilities and long-term conditions in aged residential care certification requirements
- Clarification of couples’ rooms in ARC facilities
- Review of the public hospital audit framework
- Te Tiriti eLearning module reminder
Sector matters
- Update from the Assisted Dying Service
- The Health and Safety at Work Act – New Zealand’s ‘umbrella’ law
- Invitation to submit success stories

June 2023 (Issue 32)

HealthCERT Bulletin – Issue 32: June 2023 (Word, 417 KB)
HealthCERT Bulletin – Issue 32: June 2023 (PDF, 302 KB)

In this issue:

Operating matters
- Knowing the HealthCERT Team
NZS8134:2021 Ngā paerewa Health and disability services standard implementation update
- Survey results: Healthcare providers feedback on Ngā paerewa
- Home and Community Support Services Transition to Ngā paerewa
- Te Tiriti eLearning module update
Sector matters
- Update from the Aged Care Commissioner
- Updated seclusion and restraint guidelines from the Mental Health and Addictions team
- ACC Infection Prevention and Control Resource
- Invitation to submit success stories

March 2023 (Issue 31)

HealthCERT Bulletin – Issue 31: March 2023 (Word, 2.7 MB)
HealthCERT Bulletin – Issue 31: March 2023 (PDF, 328 KB)

In this issue:

Operating matters
- End of the Ngā Paerewa grace period
- Knowing our HealthCERT Team
- Changes to reporting registered nursing shortages
NZS 8134:2021 Ngā Paerewa Health and Disability Services Standard implementation update
- Standards Mapping update
- Sector guidance update
- Te Tiriti eLearning module update
Sector matters
- Te Whatu Ora Healthy Ageing Team - National Dementia Mate Wareware initiative
- Health Quality & Safety Commission : National adverse event reporting
- Update from the Assisted Dying Service
- Continuous improvement rating
Success Story
- Invitation to submit success stories

December 2022 (Issue 30)

HealthCert Bulletin – Issue 30: December 2022 (Word, 437 KB)
HealthCert Bulletin – Issue 30: December 2022 (PDF, 453 KB)

In this issue:

Operating matters
- Christmas close down period
- The end of the Ngā paerewa grace period: 1 March 2023
- Knowing your HealthCERT team
- Reporting registered nurse shortage in aged residential care facilities
NZS8134:2021 Ngā paerewa Health and disability services standard implementation update
- Mapping Analysis
- Sector Guidance
- Sector specific presentations and the Te Tiriti eLearning module
- Feedback from the Ngā paerewa post implementation survey
Sector matters
- Update from the Assisted Dying Service – one year on
- Update from the Te Whatu Ora Healthy Ageing Team
Success Story
- Higher Ground Drug Rehabilitation Trust
- Invitation to submit success stories

September 2022 (Issue 29)

HealthCert Bulletin – Issue 29: September 2022 (Word, 509 KB)
HealthCert Bulletin – Issue 29: September 2022 (PDF, 543 KB)

In this issue:

Operating matters
- Knowing our HealthCERT Team
- Reporting registered nursing shortages in aged residential care
NZS 8134:2021 Ngā Paerewa Health and Disability Services Standard implementation update
- Post-implementation survey
- Te Tiriti eLearning module update
- Restraints and enablers
Sector matters
- Pressure injuries and ACC
- Update from the Assisted Dying Service
Success Story
- Laura Fergusson Trust Wellington Inc
- Invitation to submit success stories

June 2022 (Issue 28)

HealthCert Bulletin – Issue 28: June 2022 (Word, 1.7 MB)
HealthCert Bulletin – Issue 28:June 2022 (PDF, 446 KB)

In this issue

NZS 8134:2021 Ngā Paerewa Health and Disability Services Standard implementation update
- Post-implementation survey
- Ngā Paerewa pilot audit results
- Ngā Paerewa training and support
- Reminder: Supportive approach during transition period
- Te Tiriti eLearning modules
Operating matters
- Reconfiguration requests
- Introducing a new member of the HealthCERT team
- Deferring audits due to COVID-19
- Reporting registered nurse shortages in ARC facilities
Sector matters
- Principals for safe visiting and activities in ARC
- Retirement of the ARC screening tool
- Assisted Dying Service
Invitation to submit success stories

April 2022 (Issue 27)

HealthCert Bulletin – Issue 27: April 2022 (Word, 1.7 MB)
HealthCert Bulletin – Issue 27: April 2022 (PDF, 446 KB)

In this issue:

NZS 8134:2021 Ngā Paerewa Health and Disability Services Standard implementation update
- Supportive approach during transition period
- Te Tiriti eLearning modules
- Designated Auditing Agency Handbook update
- Restraints and enablers
Operating matters
- Introducing the new members of the HealthCERT team
- Audit deferrals due to COVID-19
- Reporting on registered nurse shortage for ARC facilities
Sector matters
- ARC COVID-19 Response Toolkit
- Update on interRAI governance ecosystem
Success story

o Publication of the Older Māori and Aged Residential Care in Aotearoa report

o Invitation to submit success stories

December 2021 (Issue 26)

HealthCert Bulletin – Issue 26: December 2021 (Word, 810 KB)
HealthCert Bulletin – Issue 26: December 2021 (PDF, 362 KB)

In this issue:

Ngā Paerewa Health and Disability Services Standard NZS 8134:2021 implementation update
Operating matters
- Registered nurse shortage risk assessment tool for aged residential care providers
Sector matters
- Review of the law relating to adult decision-making capacity
- Mandatory COVID-19 vaccination of health and disability workforce
- Disease awareness: Listeriosis
Success story
- Qestral: Putting Ngā Paerewa at the centre of technology advancement
- Invitation to submit success stories
Websites of interest
- HealthEd
- Te Aka Matua o te Ture | Law Commission
- Standards New Zealand

October 2021 (Issue 25)

HealthCert Bulletin – Issue 25: December 2021, (Word, 797 KB)
HealthCert Bulletin – Issue 25: December 2021, (PDF, 256 KB)

In this issue:

NZS 8134: 2021 Ngā paerewa Health and disability services standard
- Training sessions
- Mapping analysis
- Transition to Ngā paerewa
- Pilot audits update.
Operating matters
- COVID-19 guidance update
Sector matters
- COVID-19 Outbreak Response Toolkit for Aged Residential Care
- A new governance ecosystem for interRAI needs assessment services
- Invitation to submit success stories.

June 2021 (Issue 24)

HealthCert Bulletin – Issue 24: June 2021 (Word, 806 KB)
HealthCert Bulletin – Issue 24: June 2021 (PDF, 273 KB)

In this issue:

NZS 8134: 2021 Ngā Paerewa Health and Disability Services Standard Governance Group
- Meet the 2021 standard
- Implementation engagement opportunities for the sector lunch sessions
- Mapping Analysis
Operating matters
- Update on notifications under section 31 of the Act – registered nurse availability in aged residential care and pressure injuries
- Change in process: Dispensation to Notification of One Hospital-level Resident in a Rest home service Area
- Update on revision of the Designated Auditing Agency Handbook
- Introducing the new HealthCERT team members
Sector matters
- InterRAI service design
Websites of interest

September 2019 (Issue 23)

HealthCert Bulletin – Issue 23: September 2019 (Word, 379 KB)
HealthCert Bulletin – Issue 23: September 2019 (PDF, 268 KB)

In this issue:

The standards review
- Governance Group
- Operative Alliance
- Scoping workshops
- Working groups
Operating matters
- HealthCERT’s new manager
- Medication Guidelines for the Home and Community Support Services Sector
- Registered nurse workforce availability in aged residential care
Sector matters
- Complaints resources
- Carbapenemase Resistant Enterobacteriaceae (CPE)
- Influenza season
- Worksafe’s residential and in-home care policy clarification
- Medical gas pipeline systems
Websites of interest

March 2019 (Issue 22)

HealthCert Bulletin – Issue 22: March 2019 (Word, 645 KB)
HealthCert Bulletin – Issue 22: March 2019 (PDF, 342 KB)

In this issue:

HealthCERT reviews relevant standards
Operating matters
- HealthCERT new team members
- Medication Guidelines for the Home and Community Support Services Sector
- HealthCERT invoicing
- Disability Support Services complaints 2016/17
- Emergency water storage recommendations
- Continuous improvement at audit
Sector matters
- Heat health plans
- Enhanced residential care pharmacy services (Auckland metro)
- Emergency planning: recommendations for water requirements
- Stop the choke: standardising dysphagia diets across New Zealand by 2019
Websites of interest
Good news story
- Laura Fergusson Trust Wellington
- Catheter management
- Improving independence at breakfast time

March 2018 (Issue 21)

HealthCert Bulletin – Issue 21: March 2018 (Word, 1.6 MB)
HealthCert Bulletin – Issue 21: March 2018 (PDF, 585 KB)

In this issue:

HealthCERT Pressure Injury Prevention and Management (PIPM): the final chapter
- A joint agency approach to reducing pressure injuries
- Measuring the prevalence of pressure injuries at the Health Quality & Safety Commission
- Accident Compensation Corporation
Operating matters
- Health and Disability Services Standards review
- Medication Guidelines for the Home and Community Support Services Sector
- HealthCERT complaints 2017
- Disability Support Services complaints 2016/17
- HealthCERT forms updated
- HealthCERT staff comings and goings
Sector matters
- Health Quality & Safety Commission – quality improvement in aged residential care
- Continuous improvement at audit
- Emergency planning: recommendations for water requirements
- interRAI reporting
- interRAI Data Visualisation launched
- Commission for Financial Capability video
- Fire Safety Design Guide for Residential Community Housing
Websites of interest
Good news story
- Ultimate Care Group – reducing depression

November 2017 (Issue 20)

HealthCert Bulletin – Issue 20: November 2017 (Word, 474 KB)
HealthCert Bulletin – Issue 20: November 2017 (PDF, 704 KB)

In this issue:

HealthCERT Work Programme 2016 and beyond: Pressure Injury Prevention and Management (PIPM)
- Stop Pressure Injury Day
- Presbyterian Support Southland Enliven – Vickery Court
- Accident Compensation Corporation
- Who can I talk to?
- HealthCERT our story so far
- Research of interest: PIPM
Operating matters
- Health and Disability Services Standards review
- Exemplars of dementia design
- Home and community support sector services
- Residential disability services
- HealthCERT forms and website information
Sector matters
- Ministry of Primary Industries: The Food Act
- Nurse Practitioner Intern
- Te Hokinga ā Wairua – End of Life Service
- HQSC – Let’s talk: our communities, our health
Websites of interest
Good news stories
- PACT Group

May 2017 (Issue 19)

HealthCert Bulletin – Issue 19: May 2017 (Word, 1.31 MB)
HealthCert Bulletin – Issue 19: May 2017 (PDF, 440.3 KB)

In this issue:

HealthCERT Work Programme 2016 and beyond: Pressure Injury Prevention and Management (PIPM)
- Office of the Chief Nursing Officer
- Accident Compensation Corporation leads development of guide
- Health Quality & Safety Commission: supporting PIPM
- Lonsdale Care Centres – good under pressure!
- Who can I talk to?
- Research of interest: PIPM
Operating matters
- HealthCERT new appointment
- Health and Disability Services Standards review
- Partial provisional audits of new buildings
- Building regulations when reconfiguring ORA units
- Home and community support sector Standard
- Certification of residential disability services
Sector matters
- Influenza vaccine storage
- Reducing harm in New Zealand workplaces
Websites of interest
Good news stories
- Bupa NZ: Dementia Commitment
- Higher Ground: recovery success

February 2017 (Issue 18)

HealthCert Bulletin – Issue 18: February 2017 (Word, 1.4 KB)
HealthCert Bulletin – Issue 18: February 2017 (PDF, 602 KB)

In this issue:

HealthCERT Work Programme 2016 and beyond: Pressure Injury Prevention and Management (PIPM)
- PIPM Work Programme: s31 reporting form
- Who can I talk to?
- Update on pressure injuries measure work led by the Health Quality & Safety Commission
- Research of interest: PIPM
Operating matters
- Section 31 incident notification
- Bulk supply medication dual services
- Home and community support sector
- Electrical testing: certified residential disability providers
Sector matters
- Medical Care Guidance: A new ‘end-of-life’ wishes idea for Canterbury
- LiLACS New Zealand: Life and living in advanced age
- Requirement to measure the food temperature
Websites of interest
Good news stories
- Tamahere Eventide Home Trust: Education Unit
- Heritage Lifecare Limited – Puriri Court link nurse
- Te Kete Marie – the peaceful basket: inpatient hospital care for people with dementia, delirium and related cognitive impairment at the Mary Potter Hospice Foundation

November 2016 (Issue 17)

HealthCert Bulletin – Issue 17: November 2016 (Word, 504 KB)
HealthCert Bulletin – Issue 17: November 2016 (PDF, 607 KB)

In this issue:

HealthCERT Work Programme 2016: Pressure Injury Prevention and Management (PIPM)
- Office of the Chief Nursing Officer: Update on national pressure injury activities
- PIPM Work Programme: s31 data
- Who can I talk to?
- National Survey Care Indicator Programme
- Accident Compensation Corporation lead work
- National Survey Care Indicators New Zealand
- Research of interest: PIPM
Operating matters
- Section 31 incident notification
- Change of manager or clinical manager notification
- Home and community support sector
- Dispensation to provide hospital-level care for one named resident
Sector matters
- The enrolled nurse’s role in assessment and care planning
- Health Quality & Safety Commission New Zealand
- Reporting notifiable event under the Health and Safety at Work Act 2015
Websites of interest
Good news stories
- Paul’s story: Residential disability service
- Hohepa Hawkes Bay
- Oceania Healthcare: Focus on falls
- Whanganui District Health Board medical ward: Focus on falls

June 2016 (Issue 16)

In this issue

Inside: HealthCERT Work Programme 2016: Pressure Injury Prevention and Management (PIPM)
Office of the Chief Nurse: What reduces pressure injuries in aged residential care?
PIPM Work Programme: audit report data
Clinician’s Corner
Research of interest: PIPM
Designated Auditing Agency Handbook (NZS 8134: 2008)
Before you purchase a health service - provisional audit
Home and community support sector standard
interRAI assessments and audit outcomes
Section 31 incident notification
interRAI update
The Nationwide Health and Disability Advocacy Service
Awanui Rest Home achieves the Silver Rainbow Seal
Kapiti Retirement Trust: cytotoxic medication management in the aged care sector

April 2016 (Issue 15)

In this issue:

Inside: Office of the Chief Nurse: Continuous quality improvement
PIPM Work Programme: Enhancements
Clinician’s Corner
Research of interest: PIPM
Designated Auditing Agency Handbook (NZS 8134: 2008)
Health of Older People Strategy
Secure Dementia Unit Design Guide
New food law for health care providers
Notes on Injectable Drugs

November 2015 (Issue 14)

In this issue:

HealthCERT Work Programme: A two-pronged approach
Clinician’s Corner
Section 31 reporting: Stage 3 +
Research of interest: Pressure Injury Prevention & Management
New Senior Advisor: HealthCERT
Hospital – medical (non-acute) certification
Continuous improvement ratings
Home and Community Support Sector Standard (NZS 8158:2012)
Design guidelines for residential secure dementia units
Guidance on electrical equipment safety in aged care and similar facilities
Reporting fractured neck of femur injuries
Guidelines for Verifying Death
interRAI

September 2015 (Issue 13)

In this issue:

Aged residential care complaints at a glance
Provisional audit before a sale
First aid training
Good news story – Radius Fulton evacuation
Ministry of Health: Emergency Management Team
Southern DHB: Emergency Management Manager
Southern DHB: Nursing Director – Surgical Directorate, Reflections
Radius Fulton Care Centre
Verbal orders – Ministry of Health position statement
interRAI
Falls policies in aged care facilities
Legionella risks in hot water systems
Join in New Zealand ShakeOut – our national earthquake drill
Forum for DHB health of older people portfolio managers
Designated auditing agency workshop

May 2015 (Issue 12)

In this issue:

New leader at HealthCERT
Auditing district health boards
Designated Auditing Agency Handbook (revised 2015)
Publication of full audit reports
Continuous Improvement rating
Enduring Power of Attorney
Medi-Map
interRAI Project on track to deliver results ahead of schedule
Electrical testing and fire regulations – residential disability providers
Call for sector stories

April 2014 (Issue 11)

In this issue:

Hospital-level care in Occupational Right Agreement units
Building regulations when reconfiguring ORA units
Tracer methodology revisited
Your questions answered
Observed audits
New leader at HealthCERT
DAA Handbook
Trial publication of full audit reports

May 2013 (Issue 9)

HealthCert Bulletin – Issue 9: May 2013 (PDF, 116.21 KB)

In this issue:

Streamlined audit process
Comprehensive Care Assessment (interRAI) tool
Tracer methodology
Summaries for publication
Audit versus inspection
Food and nutrition guidelines for healthy older people

December 2012 (Issue 8)

HealthCert Bulletin – Issue 8: December 2012 (PDF, 61.65 KB)

In this issue:

Evaluation of Highly Relevant Criteria trial
Auditor-General’s follow-up report on rest home monitoring
Sampling formula for residential disability audits
New clause in ARRC services agreement

September 2012 (issue 7)

HealthCert Bulletin – Issue 7: September 2012 (PDF, 412 KB)

In this issue:

Changes to auditing of residential disability services
Tracer methodology revisited
Updated Standing Order Guidelines
Other matters

April 2012 (issue 6)

HealthCert Bulletin – Issue 6: April 2012 (PDF, 54 KB)

In this issue:

Auditing mental health services
Tracer methodology
Charging subsidised residents for additional services
Getting the provider name right

December 2011 (issue 5)

HealthCert Bulletin – Issue 5: December 2011 (PDF, 246 KB)

In this issue:

InterRAI in residential care
Environmental restraint guidelines
First aid training
Not for Resuscitation Orders revisited
Bulk supply of medications in rest homes
Infection Control auditing for residential disability providers
Summary of recurring issues
Publications of interest

June 2011 (issue 4)

HealthCert Bulletin – Issue 4: June 2011 (PDF, 246 KB)

In this issue:

Making the linkages – the essential elements of health care auditing
Evaluation of the DAA workshops and the HealthCERT Bulletin
Consent for use of enablers
Applying for designation
Updated audit templates
Updated list of certified provider premises
Medicines Care Guides for Residential Aged Care

April 2011 (issue 3)

HealthCert Bulletin – Issue 3: April 2011 (PDF, 50 KB)

In this issue:

Meeting the Standard for Nutrition, Safe Food, and Fluid Management (criteria 1.3.13.1 and 1.3.13.2): Further guidance
First steps in a residential disability project
The why and how of writing summaries for publication
What are the requirements for electrical testing?
Appointing welfare guardians and other approaches to issues of informed consent
Clarifying Not for Resuscitation orders
Certification of joint service facilities
Recent research and publications

November 2010 (issue 2)

HealthCert Bulletin – Issue 2: November 2010 (PDF, 94KB)

In this issue:

Tracer methodology
Understanding informed consent, advanced directives, welfare guardian
Team leaders/lead auditors
Recent research and publications

July 2010 (issue 1)

HealthCERT Bulletin – Issue 1: July 2010 (PDF, 65 KB)

In this issue:

Updating progress notes
Roles, responsibilities and best practice in medication management
Provisional audit: the interview with the prospective provider
Dementia services: a summary of auditing requirements
Emergency management: is an alternative water source available?
Recent research and publications