Who are we?

With the amalgamation of primary health organisation’s the shareholders of Northland Primary Health Organisations (NPHOS) are Te Tai Tokerau and Manaia PHOs.  The two PHOs work very closely together with cooperation in many shared district wide projects (lead PHO model).

Strategies we have implemented collectively to help ‘turn the curve’:

The Northland IT Governance Group guides the development and implementation of a shared IT strategy
Funding contribution to the “Healthy Housing” initiative  has seen the retrofitting of over 4000 houses
NPHOs have implemented a leading primary mental health initiative for mild to moderate mental issues
B4 School checks have been provided to 80% of eligible Northland children project led by Manaia PHO)
“Primary Options” is working to support general practice reduce unnecessary hospitalisations
ABC Smoking Cessation Project has provided a process that has offered brief advice and cessation support to smokers in our enrolled population
Improving Diabetes identification and management:

Implementing a standard process for the collection and payment of Diabetes Care Improvement Programme which includes decision support
Providing feedback to practices, PHOs, the Local Diabetes Team  and DHB on progress against clinical targets and volumes
Practice tools to identify patients with clinical factors that need attention both from an audit process and on presentation
Mentoring project
Workforce strategies

The key principles of NPHOS are:
Support and collaboration
Sharing of resources (cost efficiency – improved effectiveness)
Commitment to Northland; restrict to Northland PHOs only
Consensus (acting with integrity towards each other)
Concept of lead PHO (limit business activity of NPHOS)
Retain [preserve, but also maximise] collective intellectual property of its members
Preserve autonomy of each PHO, freedom for any PHO to opt out of any shared services

PHO Capitation & Registration Management
For NPHOs, this service is carried out by Manaia Health PHO.  Key aspects of this service include:
Manage calculations for capitation payments and FFS breakdowns each month of each quarter
Support services to PHO Accountants and Accounts personnel
Support technical issues with the Diabetes Get Checked programme
Technical support and roll out of Counties Manukau DHBs CarePlus software, (commonly referred to as TIM)
Capitation and FFS enquiries from member medical practices for each of Northland’s PHOs
Providing technical support and training for General Practice personnel
Providing data for meeting mandatory requirements relating to data management for each PHO to the Ministry of Health and its agencies, such as Service Utilisation Reports
Providing technical support for PHO projects and some rudimentary support for various PMS vendors and data transport agencies such as HealthLink where it directly relates to PHO business
Assisting Northland DHB with patient practice affiliation information for the likes of NIR support
Meeting Northland DHB contractual requirements for provision of up to date Practice and Provider lists and Practice Fee’s schedules
Compiling trend analysis and other data type reports for PHOs
This service has two staff members and has a discreet cost centre within the Manaia Health PHO financial system, which is reported on in the annual financial accounts.

A number of regional projects have been undertaken with a lead PHO acting on behalf of all members.