Making and measuring positive change...

Health and social systems are complex and do not always respond well to linear or hierarchical approaches when planning and creating change.

Haggerty & Associates are a group of skilled and experienced professionals who are working to assist government agencies, District Health Boards, local authorities, Primary Healthcare Organisations, health and social service providers, and communities to develop and implement solutions that improve health and social outcomes for New Zealanders.

We have developed a set of tools and methods that organise evidence, knowledge and performance measurement against outcomes for the people served. Our tools improve decision making, support better service design and measure outcomes.

About Us

Haggerty & Associates are a team with a wealth of knowledge, deep experience, and a wide network. We work with government agencies, District Health Boards, local authorities, Primary Healthcare Organisations, NGOs and communities to develop solutions.

Our work ensures that health and social services are more effectively and sustainably designed, planned, and implemented which enables them to create the positive changes in outcomes we are all striving for.

We have developed a set of tools and methods that create social system architecture that serves communities and delivers results for government:

Haggerty & Associates was founded as a private incorporated company by Rachel Haggerty in 2008.

Our Goal

To improve health and social outcomes for New Zealanders by supporting agencies and organisations to create innovative, sustainable solutions.

Our approach to creating change

We use proven methods and systems thinking to organise knowledge, and engage workforces and communities to create shared understanding and agreed responses to complex issues that support new opportunities and innovation.

We have a strong focus on population based approaches: Understanding who the communities are, not only their demographic profile, but their social structures, means better development of solutions that strengthen and support those communities.

We are experienced in implementing and sustaining an outcomes focus: A measurable approach to delivering results for families / whānau keeps everyone focused on who they serve, and makes the best use of scarce resources.

Our approach uses proven methodologies and draws on complex adaptive system theory, collective impact, outcomes measurement and results-based accountability.

We value community involvement

Communities and whānau hold valuable knowledge and skills that contribute to sustainable solutions to complex social problems. They often know what may be effective and what is already effective. They provide the natural and unplanned supports that strengthen communities and build social cohesion.

The approach we take creates an environment in which innovation is encouraged while ensuring other social activities are still able to contribute to the results. Notably, our approach also creates space for natural supports within communities – this is a key factor in creating a sustainable system.

We are experienced in the use of collective impact methodologies and reflecting the strengths and aspirations of communities in our approaches. Workshop processes that are well planned and use proven organising methods are a critical element of our frameworks’ development.

Kaupapa Māori methodologies are frequently drawn on, taking an approach similar to whaikorero on the pae pae, with the intention of allowing robust and critical discussion to occur as a framework develops.

Outcome Frameworks

Outcome Frameworks set out the vision for a project or service as well as clear indicators of success or failure of a system. This allows those implementing the service to see what is working and to make sure resources are being well-used.

Our approach uses proven methodology that we have developed and applied in communities across New Zealand. The methodology starts with the people, the communities served, and the desired outcome then builds a framework around this foundation.

Haggerty & Associates Outcome Frameworks can be used to:

A summary of Haggerty and Associates Outcomes Frameworks.

NZ Role Delineation Model

The NZRDM was developed for the Ministry of Health to differentiate complexity between services and facilities both within, and across District Health Board providers.

It creates a classification that describes the level of complexity of specialty services provided in a facility, a locality, across a District Health Board and/or region based on the sub specialty capability and their access to support services.

The NZRDM classifies 48 sub specialties under nine categories including patient support (e.g. ICU) and clinical support services (e.g. radiology). Stratifying these services across six levels of complexity creates a detailed and consistent framework for planning future services.

The planning of future service capability and their location is a major challenge for all DHBs and regions. These decisions are driven by service and capital investment requirements, risk management, and clinical vulnerability assessments. The NZRDM allows decision-makers to clearly identify the use a sub-specialty service, how it is distributed, and how it is accessed in a transparent and a regionally-consistent way. This information enables better decision-making.

Resources:

Portfolio

Our team have worked with a wide variety of clients and have established a deep network in the health and social services sector, as well as among Māori and Pasifika leaders. Some recent examples of our work are highlighted below.

  • Health System Planning - Service Integration Development Unit (3DHB)
    • We are currently commissioned to implement a system approach to planning the health system of 2030 for the three DHBs of Capital & Coast, Hutt Valley and Wairarapa. Using a GIS approach, developed with WaioraPacific Ltd, we are implementing an approach to identify where facilities, workforce and technologies are deployed to create the healthcare system of 2030.

  • Suicide Prevention Outcome Framework - Ministry of Health
    • We were commissioned to develop an outcome framework for suicide prevention in New Zealand. The framework was developed by working with community representatives, providers, experts in suicide, District Health Boards and government agencies. This outcome framework is being implemented by the Ministry of Health to develop the 2016 Suicide Prevention strategy. This document is due to be published in mid-2015.

  • New Zealand Role delineation Model - Central TAS and Ministry of Health
    • Haggerty & Associates developed the NZ Role Delineation Model for the Ministry of Health in 2009. It was applied nationally and used to revise the tertiary adjustor. In 2015 it was applied to the Central Region hospitals as a contributor to the health service plan. Comparisons between 2009 and 2015 informed opportunities to consider an approach to clinical care arrangements across the six regions hospitals.

  • Centralised hub to improve health and social outcomes Hawkes Bay Intersectoral Forum
    • We were commissioned to develop a midlevel system for organising, prioritising and concentrating service effort to improve outcomes for families/whānau with complex needs. The system is called the Centralised Hub. It provides a structured approach to the integration of service delivery and leverages the existing services of government agencies, DHBs and NGOs to better support these families/whānau. The system achieves results by organising effort and knowledge around the families who are served, and linking this back to the results achieved for organisations and governments.

  • Building the collective impact approach - Takitimu Whānau Ora Collective
    • Haggerty & Associates, with Clear Line of Sight, were commissioned to support the Takitimu Ora Collective in the Hawkes Bay to develop their collective approach to improving outcomes for rangatahi in the Hawkes Bay. Through a series of workshops, using a range of tools we have developed, we are supporting Takitimu to adopt an information driven approach to working collectively. This project is partnered with Clear Line of Sight Ltd This has formed the basis of their business strategy for 2015/2016.

The Team

Rachel Haggerty, the director
Rachel Haggerty, Director
BA (Social geography), MBA

Rachel has over 26 years in the health and social sector with a wide breadth of experience in senior executive positions, in DHBs, NGOs and PHOs as well as a consultant working for the Ministry of Health.

Rachel has significant expertise, in the implementation of systems, planning processes and frameworks that support greater health and social sector performance for individuals, families and communities ultimately delivering better results for government. The focus is to create changes in health and social outcomes that are sustainable, transferable and scalable.

Working in the complexity of health and social systems Rachel continues to develop and utilise organising systems that assist organisations to create new solutions and innovations.

Rachel is recognised for her ability to critically evaluate information from multiple sources to inform high quality decision making, identifying unique opportunities and ensuring competitive positioning of existing and innovative services. She has extensive senior executive experience as a general manager and chief operating officer. She now holds company directorships with private healthcare providers seeking to make a difference in the communities they serve.

Contact: Rachel@haggerty.net.nz | m. 021 339 412
Rawinia Herewini-Mariner
Bachelor of Social Practice (Community Development), MBA

Ko Tainui te waka

Ko Kapua i te Rangi te maunga

Ko Wainui te awa

Ko Torere te marae

Ko Ngaitai te iwi

Rawinia has over 26 years’ experience in the public sector, including nine years in Housing New Zealand and 17 years in the health sector. Within health she has held front line practitioner roles through to senior management, specifically in mental health, AOD, primary care and Māori Health, both within District Health Boards and the NGO sector.

A commitment to reduce inequalities experienced by whānau, hapu, iwi and other high need groups have been a key driver in her work.

Gloria Hosken
Gloria Hosken
BA (Social geography), MBA

Gloria supports Haggerty & Associates to deliver complex projects on time to make a meaningful difference. This ensures we can meet your needs efficiently and with the best answer in the timeframe and with the resources available. Gloria is of Nga Puhi and has a background in administration in the health planning, hospitality, and fitness industries.

Contact: admin@haggerty.net.nz | m. 027 545 6742
Luke Rowe
BA (Hons) Psych, MSc Psych, Dip Clin Psych

Luke is a clinical psychologist of Ngati Tuwharetoa, Raukawa and Kahungungu descent, and a Te Reo speaker. Luke leads Māori mental health services, and is a clinical psychologist for Te Taiwhenua o Heretaunga in the Hawkes Bay region with a proven record in improving outcomes for Māori communities.

He is recognised for the development and implementation of models of practice that integrate best practice into community and culturally appropriate models that have proven effective in Māori communities. A strong user of evidence and research, he is an Executive Committee Member of the NZ College of Clinical Psychologists, lectures in psychology, and is part of the Te Rau Matatini Workforce Development Programme.

Network Associates

Haggerty & Associates is not the only organisation looking to create positive change. There are several key organisations and individuals that we frequently work with and which use, have used, or have contributed to our outcome frameworks.

Dr Jane Allison, Senior Consultant

PhD, MBA, BSc Psychology, Dip College Radiographers

Jane holds a BSc in Psychology, an MBA with a mini-thesis in skill mix for clinical costing and a PhD that researched the systemic effects of workforce and regulatory policies on service improvement initiatives including the introduction of new models of care, multidisciplinary teamwork, service design and integration of clinical IT.

Jane has 24 years experience in health services including roles at the clinical front line, in general management including mental health services, as a health Chief Information Officer, policy adviser, health research, and in consultancy assignments involving health information technology, human resource management and supply.

Having observed 30 years of policy efforts to improve and transform health services, Jane completed a PhD that identifies key drivers and barriers to change in healthcare and brings these together to form a multi-level framework to enable service improvement and innovation.

This framework incorporates two theories: the first identifying nine inter-professional levers that inform current service models, and the second setting out eight elements that describe directions for redesign of services. These levers and elements interact through six sector levels including policy, leadership and capability, service design, service co-ordination, roles and practices, and consumer self-care.

Jane has also created frameworks that map changing social conditions to directions for change in health service design and a multi-dimensional approach to understanding the design and effects of health practitioner regulation to enable more sophisticated policy analysis.

Jane's current focus is on applying her expertise in health systems analysis and social-technical design issues in healthcare to enabling more consumer self-care, realising more cost-effective and integrated services, and improving health outcomes. She has particular interest in interventions that improve outcomes and cost-effectiveness in areas of increased demand and client vulnerability, including mental health care, aged care, musculo-skeletal services and diseases associated with social deprivation.

Dr Julia Carr, Public Health Physician, Senior Lecturer, Primary Health Care, Griffith University

Dip Crim MB ChB DRCOG FAFPHM FRNZCGP

As a Public Health Physician, Julia brings both quantitative and qualitative analytical skills to the team, as well as a health systems and population health approach to support innovation and improved outcomes.

Julia has worked extensively in New Zealand both in frontline clinical medicine and public health. As a general practitioner she has worked in both urban and rural settings in New Zealand, in areas requiring a high level of skill in assisting patients with mental illness and addictions. For four years she was a Responsible Clinician (Mental Health) on the East Coast.

Julia has extensive experience working with Māori, with iwi leadership, with providers and at whānau and community level. As Advisor to Associate Minister of Health, Hon Tariana Turia, and through policy work with the National Health Committee and in Te Puni Kokiri, she has had the opportunity to contribute to policy development, evaluation and innovation in the mental health and addictions area. Julia has a particular interest in the interface between the health, social and justice sectors and in innovation for hard to reach and marginalised populations.

In addition Julia has experience in service planning and funding, sector engagement and consultation. While at C&CDHB, Julia worked collaboratively with providers and community groups to develop and evaluate outcomes at a system level for primary care. At Te Puni Kokiri she led the development of a framework to address the drivers of crime for Māori, and supported innovation in this cross-sectoral strategy.

Associated Organisations

Clear Line of Sight

The CLS Group is about developing a 'Clear Line of Sight' in the new outcomes environment. They do this by working with clients (government, funders and providers) to rethink, reorganise and redesign services and systems so they can understand and see their impact on the communities they serve.

Wairoa Pacific Limited

WPL is a geospatial content company providing web-based management tools for the storage, visualisation and analysis of environmental and business performance data that can be linked to a location.

Ruth Whitehead, The Health Planner

For the past 13 years Ruth has worked as a Health Planner and clinical consultant and has been integral to the development of a large number of public and private healthcare facilities. Projects range from new designs, to complete refurbishments and simple alterations. Clients include District Health Boards (DHBs), private providers, construction companies, architects and project managers.

General enquiries
e. admin@haggerty.net.nz
m. 0275456742
Rachel Haggerty, Director
e. Rachel@haggerty.net.nz
m. 021 339 412
Physical Address
c/o Haggerty & Associates 145 Simpson Road Henderson Valley Waitakere City, 0614