Better, sooner, more convenient health care in Midlands

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4 The Integrated Family Health CentreA local focus on taking control of the dayOnline/Mobile Phone functionality for the patient and the Health TeamBefore the visit After the Visit AnytimePre-populated question templatesVisit preparationOnline booking systemsOnline booking options (my doctor orany doctor, appointment duration etc)Request and cancel non-urgentappointmentsPatient selects amount of time they feelthe appointment will takeTXT appointment remindersTXT 2 Remind functionalityIntegrated Family Health Centre canview online lab resultsNotes from visit available online postvisitFollow up care plans available againstpatient fileTXT Message prescription follow upPatient appropriate follow up after everyvisit (TXT,email, phone, visit)Interactivesdrtom.com (sexual health website)Help 4 USecure email correspondenceConversations with General Practitioner(on phone)Communication around healthmilestonesDialogue around being wellEffective communication when a majorhealth event occursThe Patient Online Health ProfileEvery Integrated Family Health Centre patient will have their own online health profile. The coremeasurement for engagement will be patients who have had contact with the practice in the last12 months. Flow Teams will constantly work with all enrolled patients to have them complete theirbaseline health screen.What is it? How is it used? To do what?A patient controlled and centred onlineenvironment that has as its’ centralelement a baseline health screen.The screen forms a core part of selfmanagementfor the patient.Online base health screen updated bythe patient on an annual basisContains patient widgetsContains online question builderIs interactiveContains secure email connection withHealth TeamUpdated pre-visit and post-visitIs monitored and reviewed by staffIs used to measure engagementManagement of patient engagementaround pre-set health milestonesBirthday contactBy the patient in their own time at theirown convenienceAssist the patient in the active selfmanagementof their healthKeep the Health Team up to date with apatient’s current health needs.Anticipate any things that need followup pre visitFuture proof the Integrated FamilyHealth Centre against patientexpectations around managing theirhealth in an online environmentPatient will be able to see and choosethe duration of their appointmentTargeted communication with identified populations around core health and well-being issues.Online profiles can also be used as an effective method of communication with the population in theevent of a major health emergency (swine flu).Online baseline screens are not the solution for all but as patient expectation for onlinemanagement of personal information increases primary care must work to increase connectivitybetween patient and health team. Those who are not able to access an online environment will beassisted with completing their baseline health screening by the Flow Team.Patients are given patient instructions after a visit - for follow up care, lifestyle adjustment, actionplans, or advice, future screening dates etc. It is easy to understand and comprehend. The patientcan refer back to it via the self-management support service at any time.49
The Integrated Family Health CentreA local focus on taking control of the day4Integrated Family Health Centres:Where will they be located?Within the first 12 months there will be nine Integrated Family Health Centres establishedthroughout the Midlands Family Health Network. The proposed sites have been chosen based on arange of factors that include:• interest in and willingness to try new models;• where there is an urgent need to develop new facilities;• fragility of existing services;• high needs populations;• willingness to be flexible with the existing business model or to try alternatives.The sites below share a high level of readiness for change. It is assumed there are a number of othersites within the Midlands Network that will want to shift status as the model evolves.WhitiangaMercury Bay Medical CentreHamiltonNew Plymouth(2x IFHC)1. Carefirst2. Maru Wehi IntergratedWhanau Ora SiteTurangiPihanga HealthGisborne (2x IFHC)HaweraPateaWhile not everyone will be able to move to an Integrated Family Health Centre at once, theIntegrated Family Health Network will provide all practices and providers with access to a greaterflexibility of funding.The health burden maps that follow have been developed using demographic information withinmesh blocks, and disease prevalence ratios, checked against available disease coding data,to project concentrations. Incorporating other patient characteristics of engagement and theircapability for health management against the health burden provides the ability to determine thenature of service delivery to the population within the Integrated Family Health Centre and otherallied primary and secondary health providers. The determination of the health service burden withina particular area allows for far better planning of the health service resources required to support it.50
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Better, sooner, more convenient health care in Midlands

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