Routine and Planned Care

Population Health

The Health Care Home model enables a practice to systemise its approach to delivering national and local health targets and preventative care. Their team in the Patient Access Centre manage recalls and reminders such as childhood immunisation, influenza vaccination, cervical screening, smoking cessation, cardiovascular risk assessment and management, and long-term conditions reviews. The morning huddle enables a practice team to monitor and their progress preventing the traditional last-minute rush at the end of the year.

Planned phone and video consultations

These are phone consultations that are booked in at scheduled times of the day. It’s an alternative way for a GP to provide advice and care that doesn’t require face-to-face visits or physical examination and provides a consultation choice for patients. Typically used for follow-up care and pre-consult diagnostics can be arranged prior to the planned consultation. Phone consultations are usually charged at half the rate of a face-to-face consultation.

Shared Medical Appointments and Group Consultations

A Shared Medical Appointment (SMA) enables select groups of patients to receive individual consultations in a group setting. SMAs can provide a variety of benefits to patients and your practice supporting better self-management, peer support and enabling a clinician to work with a group of patients more effectively and efficiently rather than multiple 1:1 consultations.

We have developed a comprehensive online resource guide for Pinnacle practices and members of the Health Care Home Collaborative who are wanting to establish SMAs in their practice. Please contact your Health Care Home lead for access and log-in details.


Putting patients in control – the Patient Portal

Our patient portal allows patients to access their core medical information and lab results, send queries, request repeat prescriptions and track their healthcare goals — all online. For patients, this enables them to take a more active role in their own care as they feel more involved and connected. With their information readily accessible, it also enables continuity of care wherever they are — even on holiday.

The goal is to move health IT systems away from being simply a tool to deliver health services and more towards a collaborative model that places the patient, their whanau, and their broader life at the centre of their health journey. Additionally, many patients are now recording their own health data on devices and apps that can add value to their outcome monitoring if uploaded to their medical record. The system also allows nurses to spend less time on the phone following up patients’ blood results and booking appointments, as this can all be done online at a time that is convenient to the patient.

The patient portal enables patients to interact with their GP or nurse via email if they wish to, at a time that suits them. This makes it more convenient for them and reduces the need for face to face consultations or phone calls. Time to manage emails is built into GP daily templates to ensure it doesn’t become an additional burden for staff. Email consultations are an efficient and effective way of managing patient demand more efficiently and supporting a calmer and varied working day for the GP.

See here for more information abut our new Patient Information System, Indici supporting the Health Care Home.

Primary Care - Population Health
Phone and Video Consultations - Health Care Home
Patient Primary Health Care