Appendix 1: Guide to Models of Care

Appendix 1: Guide to Models of Care

Level 1 / Low:

Asymptomatic or mild symptoms Level 2 / Medium:

Moderate symptoms / At risk of complications

Key Components

Self-monitor symptoms Telehealth health check monitoring every other day Referral for other health and social supports

Providers

General practice, telehealth services, Māori and Pasifika clinical providers, community pharmacy

Workforce (may include)

Clinical workforce for monitoring and management: Nurses, nurse practitioners, GPs, telehealth services clinical team, clinical support through Māori and Pasifika providers, community pharmacists, physiotherapists, counsellors Non-clinical workforce for support: HIPS & Health Coaches, Māori and Pacific providers, translation services, community support workers, kaiāwhina, cultural support workers, service navigators

Decision-making framework

Triage and escalation pathway, testing and results for consults

Training / Guidance

COVID-19 Community HealthPathways, clinical webinars, 0800 COVID-19 Positive Line for cases, Clinician to Clinician helpline

IT

Integration with shared care record between NCTS, public health, primary care (PMS), telehealth and secondary care providers

Equipment

Patient access to cell phone with data or landline (video capability if available), testing kits, PPE

Escalation

Via telehealth or 111 if symptoms deteriorate

Version One. 25 November 2021.

Key Components

• Self-monitor with twice daily pulse oximetry readings communicated to primary care team • Daily Telehealth health check monitoring and consultation • Supported by multi disciplinary clinical team with shared care approach. (In person care may be required for noncovid urgent care needs).

Providers

• Whānau at the center of a general practice virtual multidisciplinary team providing shared care approach for daily virtual/telehealth monitoring and supportive management of COVID, co-morbidities and chronic care. • Virtual team ‘hub model’ for the coordination of health services to be regionally determined across primary, community and secondary care

Workforce (may include):

• Clinical workforce for monitoring and managing care: GPs and Urgent Care doctors, nurse practitioners, nurses, clinical support through Māori and Pasifika providers, community pharmacists, secondary care clinicians and nursing, telehealth services clinical team, paramedics, physiotherapists, counsellors • Non-clinical workforce for support: HIPS & Health Coaches, Māori and Pasifika providers, translation services, community support workers, kaiāwhina support, cultural support workers, service navigators

Decision-making framework:

Triage and escalation pathway, testing and results for contacts

Training / Guidance:

COVID-19 Community HealthPathways, clinical webinars, 0800 COVID-19 Positive Line for cases, Clinician to Clinician helpline

IT:

Integration with shared care record between NCTS, public health, primary care (PMS), telehealth and secondary care providers

Equipment:

Pulse Oximeters, thermometers, cell phone with data or landline (video capability if available), testing kits, PPE, 02 (in exceptional circumstances

Escalation:

Via telehealth or 111 if symptoms deteriorate 25