Western Bay of Plenty PHO

Practice Manager’s Meeting Minutes

Network Services Updates- Donna

VRM Workforce Reporting

Thank you to those who have submitted already and those who are stilling working on filling out their Workforce Reporting Surveys while operating under capacity. We encourage you to update it weekly if there have been changes. Your previous answers pull over into the new survey so if there have not been changes, it can remain the same. Your survey results and data go to Te Whatu Ora and they actively use it and discuss it.

Funding Streams: Cervical Screening, Immunisations, POAC

Small project being run from Ministry of Health and some practices have been approached to participate in it. Purpose: strengthening the CVRA programme. The project is aimed at our high needs population- Māori and Pasifika. There are a core number of patients that go through the pilot so we can get a good snapshot of the data to ensure it works. There is an extra tab on Halycon with a care plan for clinicians to fill out if they want to participate. The clinician will look at the patient’s goals and the ways to reach those goals day-of and then the patient will take a print off of the sheet to take with them. After that appointment, a health coach will connect with that patient 4-6 weeks later to get feedback on how the appointment went, what worked, and what did not work. This session is funded when the full package of care is completed. The health coach session with the patient is funded. The health coach will also check in with the associated clinical to see how the session went from their end. This process will give us a good indication of if this is working for our clinicians and patients and eventually roll this out. For the immunisations and cervical screening, the priority is for women, and we have 3 practises who have already signed up for this campaign.

Immunisations: Referrals through the Hau Ora Immunisation Team

Spirometry Services in General Practice

Michelle Harding wants us to do a take of practises who are offering spirometry services. The last survey was sent out 2 years ago and received limited responses due to Covid-19, so we are trying to get a better assessment now. We want to understand who is offering spirometry, who are not and why they might not be, and what are the barriers to providing these services. We may be putting a survey out to capture this info and will help us get a better overview of this service across our network as we consider POAC and Winter Wellness funding allotments.

Practice Debt Recovery + Q&A with John Thompson

(Account Collecti ons - Strategic Debt Resolutions)

Account collections processes quite a bit of medical debt, they work with 35 medical centres, 150 dental practices, and 50 veterinary practices- all specialist medical spaces working with admin staff.

Three (3) Reasons for Medical Centre Debt:

1. Administrative: Can be an error by either the Medical Centre (eg. incorrect contact details) or the debtor (eg. both partners in a relationship understood the other partner was paying). Debtors are often unorganised and/or overwhelmed.

2. Psychological: The debtor either doesn’t like or doesn’t agree with the advice from the consultation and as a consequence believes that they do not owe.

3. Financial: The debtor has a lifestyle such that their usual periodic outgoings are greater than their income and so they prioritise their spending, but such prioritisation does not include paying the Medical Centre.