Better, sooner, more convenient health care in Midlands

4The Integrated Family Health CentreA local focus on taking control of the dayThe Integrated Family Health Centre analyses its enrolled population extensively.Focusing on three areas of population• Engaged population.• High Risk populations.• Non-engaged populations.That have three levels of self-management• Self-managing (online/ tele support available).• Self-managing (support required).• Not self-managing (support required).Across two service delivery methods• Pick up: The patient receives their care from the in-situ Health Team located at the Centre. Thepatient travels to their health team to receive their service.• Delivery: The patient has chosen for personal reasons (access, geographic distance, culturalappropriateness, language barriers, physical mobility, whanau/family support) to receive their carein a community or household setting. The health team travels to the patient to deliver their care.Integrated Family Health CentreDeliveryReturn to engagedPickup• Mobile Nurse Team• Health Coach• Kaiawhina/Patient LiaisonNon-engagedPATIENT ADVOCATEMEDICAL PAFlow Team• GP• Nurse Team• Pharmacists• MidwiferyThe Healthcare Team is a wrap around health service for the individual. Time is spent introducing theteam to a person’s family and/or caregivers. According to patient expectations the GP will continueto be the lead clinical provider for the individual patient but unlike traditional arrangements, theentire team will carry the Duty of Care for the patient with everyone sharing information, resourcesand key tasks.The Healthcare Team itself is made up of three core elements:A core primary health team located in-situ at the Integrated FamilyHealth Centre:Who they are:• General Practitioner• Nurse Team (Enrolled Nurse, Registered Nurse, Tamariki Ora / Well Child Nurse, Disease StateManagement Nurses and Nurse Practitioners)41