Better Sooner More Convenient Primary Care - New Zealand Doctor

8 Effect on inequalities
The increased use of telemedicine will benefit those who have difficulties with the expense of
traveling from rural areas to Greymouth.
9 Evidence for this initiative
This plan follows the Better, Sooner, More Convenient Primary Health Care Business Case
Development Process Information Pack principles:
• Prioritisation and access to services (shared scheduling of primary care,
community nursing and allied health appointments)
• Information sharing (shared electronic clinical record, sharing electonricni
information with pharmacy and between primary and secondary care)
• Quality and performance (HealthPathways, patient access to web support, i.e.
Health Navigator)
The changes proposed will result in a more patent/whanau centred approach since with all
primary and community health providers using the same electronic medical record there will be
less need to repeat their same story to multiple providers and for unnecessary repeated
assessments.
10 Risk analysis
Risk Probability Impact Contingency plan
Increased risk of privacy
breaches with move to more
providers using the same
electronic health record
Low High Ensure patients understand how
their information is stored and
shared. Ensure all health providers
understand privacy requirements
Provide training in how to hide
sensitive consultation notes.
New users find MedTech32
difficult
Moderate Moderate Provide adequate training.
Use enthusiastic peers to support
and motivate.
Larger numbers of providers
using the same electronic
medical record making it
difficult for different types
of providers to follow the
flow of their consultations
Moderate Moderate Review how other places have
dealt with this situation, such as
coding consultations according to
types of provider
Business case appendices V12 AC 25Feb2010 Page 137