Telehealth Experiences and Learnings in Primary Care
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Telehealth Experiences and Learnings
in Primary Care
www.healthcarehome.org.nz
Telehealth Experiences in Primary Care
Te Hiku Hauora GP Clinic Experience
- What did we do?
- How did we do it?
- Risks and challenges
- Where to from here….
Integration with Secondary Care Kaikoura Health Services Experience - Reviews with specialist teams - Advice and support in emergency situations - Palliative care specialist teams involved with care of patient from a distance - Enables whanau to be involved without having to take a whole day off work
Patient / Whān
Online Clinical Conversations - Canterbury Initiative
GP sees patient and
GP documents GP informs
requires an urgent/ semi-
normal consult patient of the
urgent / routine discussion
notes in PMS plan and sends
with specialist (any requests
invite as
from other sources e.g.
GP receives required
GP Team
schools to be diverted back
appointment
to GP for referral) Required Information: and details from
GP team selects a Patient Name booking system
GP Sends
session / books NHI ERMS
(GP team may
Checks Health send link to
Pathways for
online (delegates DOB Referral if
patient and
criteria / and/ or or completes additional
other members
additional either during or GP Practice information
of the
information following appt) is required
GP Name healthcare team
Mobile Number / as appropriate)
GP Practice Email
Subject
Brief Reason for Discussion*
Booking system schedules
Booking System
(Limited to 250 characters)
the appointment and
Department ERMS Referral: Yes / No
emails both hospital Virtual advice
availability is (this will not be captured in patients
clinician and GP PMS with session
set up in notes)
confirmation email to between GP
agreed
confirm booking time and Team /
system
link to virtual session Department
If request is not deemed
Department has suitable for a Virtual FSA, CAF
Secondary care define suitable cohort Department to contact GP to decline and
receives
designated time request ERMS referral
(which also needs to be documented in CHP) appointment to review prior
CAF
and availability schedule (Times / and details from bookings and
frequency / duration / gaps) booking system potential Booking added to SAP and
(Note: For the pilot – these patients will be reprioritisation. Internal Referral ID created.
new and NOT on an existing waiting list) (Unless ERMS Referral is also
being sent – in which case this
Virtual Consultation and ERMS
need to be linked))
CAF FSA Virtual Discussion
Patient / Whānau
GP contacts
Patient may patient to
join the agree
discussion treatment
as required plan
GP may wish to If patient needs to GP required
capture notes in Note drops into be seen / further to inform
GP Team
the patient’s GP Inbox investigations– patient of
notes in their send brief ERMS outcome and
PMS referral as per treatment
GP claims
usual process plan
funding for
Summary appointment
finalised in SAP slot (tba)
and
automatically
transferred
electronically to
Booking System
Virtual advice the GP Inbox
session
between GP
Team /
Department
Department
documents the
brief summary
advice in Case
Manager during or
immediately after
the discussion
CAF
https://www.kinesisag.co.uk/case-study-balham-park-surgery-wandsworth/
Patient Resources
Health Navigator New Zealand
Telehealth | Health Navigator NZ
www.healthnavigator.org.nz/health-a-z/t/telehealth/
Suite of Provider Resources: www.healthcarehome.org.nz/telehealth For Support Contact: jess.white@hch.org.nz
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