Better Sooner More Convenient Primary Care - New Zealand Doctor

Identify patients that would benefit from medication use reviews.
Establish a test order mechanism (both at a GP level and within the Hospital) that will
allow recommended repeat intervals to be applied to each type of test. (This would alert
a requestor that a test has been performed and result available within the stated
repeat interval).
Improvement of diagnostic service quality, through reviews and improvements in
administration, GP and nurse referral processes, and data management.
Year two - July 2011 to June 2012
Establish mechanisms that will better alignment of clinical and financial decision making
processes for pharmaceuticals, laboratory services and radiology:
Identify opportunities for delegated funding mechanism for some or all referred
services.
Audit and evaluate effectiveness of improved administration, GP and nurse referral
processes.
Improve the systems that lead to clinical decision making as other aspects of the
integrated family health system come into play, such as greater delegation of clinical
decision making to nurses.
Year three - July 2012 to June 2013
Potential delegation of funding and decision making in agreed areas of referred services:
Conclude evaluation and monitoring of improvement in processes(s).
Establishment of devolved funding and decisions making mechanism (refer alliance
contracting model.
7 Capability and capacity
There are no changes in the staffing against current number overall but it is anticipated that
role and function will change to incorporate combined decision making processes, the
undertaking of medicine use reviews (MUR) and allow for the introduction of the “pharmacist
advisor” function.
The data analysis phase will require the identification of skilled resource who can be contracted
to provide this support.
Business case appendices V12 AC 25Feb2010 Page 83