Wairarapa Community PHO EOI - New Zealand Doctor

3.0 The Proposed Initiative / Package of Services
3.1 Description
Better, Sooner and More Convenient Primary Health Care will be provided
to the population of Wairarapa through the development of the Wairarapa
Integrated Family Health Model of care.
What will be better for patients, families and communities?
Safe, efficient, and accessible health services are provided to patients,
families and communities through robust clinical governance and
leadership, quality assurance and improvement activities, clinical risk
management, and evidence based policy and procedure development.
There will be flexibility in service delivery based on individual needs and
choice. Patients will have more options in accessing the health system,
depending on their needs and preferences including phone, skype and
email consultations, more accessible diagnostic services and an increasing
range of services provided by GPs and Practice Nurses at Medical Centres or
through outreach clinics or visits. Home monitoring of high risk patients will
also be piloted.
Patients will have better health outcomes in accordance with a patientcentred
Whānau Ora model of care.
Patients will have better health outcomes supported by a holistic approach
in which physical health, mental health and social needs are addressed
concurrently.
Patients will be supported to manage their own care and to access timely,
appropriate services through a coordinated, collaborative approach.
Strengthened patient education programmes will focus on empowering
patients to be experts in managing their own health.
The Guided Care Model will provide better coordination of health and other
services and more appropriate clinical pathways for patients who live with
long term conditions. A strengthened coordination role and more care
delivered locally in the patient’s health centre of enrolment will mean less
travel and less “disjointed” health care delivery.
Open and standardised care pathways, proactive communication, and a
shared electronic health record will reduce the risks of an inappropriate
response across the spectrum of care providers and over time. Higher
satisfaction will be reported and fewer complaints will be received by the
Health and Disability Commissioner.
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