Appendix 1: Guide to Models of Care Level 1 / Low:
Level 2 / Medium:
Asymptomatic or mild symptoms
Moderate symptoms / At risk of complications
Key Components
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
Providers •
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
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).
•
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): •
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
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
Training / Guidance
Decision-making framework:
COVID-19 Community HealthPathways, clinical webinars, 0800 COVID-19 Positive Line for cases, Clinician to Clinician helpline
Triage and escalation pathway, testing and results for contacts
IT
COVID-19 Positive Line for cases, Clinician to Clinician helpline
Integration with shared care record between NCTS, public health, primary care (PMS), telehealth and secondary care providers
IT:
Equipment
Equipment:
Patient access to cell phone with data or landline (video capability if available), testing kits, PPE
Pulse Oximeters, thermometers, cell phone with data or landline (video capability if available), testing kits, PPE, 02 (in exceptional circumstances
Escalation
Escalation:
Via telehealth or 111 if symptoms deteriorate Version One. 25 November 2021.
Via telehealth or 111 if symptoms deteriorate
Training / Guidance: COVID-19 Community HealthPathways, clinical webinars, 0800
Integration with shared care record between NCTS, public health, primary care (PMS), telehealth and secondary care providers
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