Homestead Road Community of Practice

Goals:

Collaboration in Practice:Changing traditional boundaries

to improve the patient experiencewithin the health system.

Background

• GP initiated at Kerikeri Medical Centre in May 2014• Stakeholders: KKMC, NDHB Kerikeri District Nursing

and TTT PHO.• Systems: funding, technology(Medtech)

confidentiality.• Relationship: building relationships, increased

understanding of roles, better information sharing time management.

• Patients: patient centred, responsive to patients, increased efficiency – reduce duplication

Pre HRCOP

• KKMC often unaware KKDN were seeing patient • Poor understanding of DN role/work in community

> ? timely DN referral• Limited access to patient information/Medtech• Liaison with KKMC staff - time consuming, an

interruption• Difficult to access GP via phone • Joint consultations with KKMC were “ad hoc”• Not patient “friendly”

Post HRCOP

• Improved relationships between stakeholders• KKMC notified DN is home visiting patient • Earlier referrals > quicker resolution for

patients• Documentation - Medtech / DN notes• Easier GP access• Improved patient centred care within team

Future

• Case management reviews of complex patients

• DN to access patients that GP unable to contact

• Extend closer relationships to other health providers

• Patient involvement/reflection