1. Homestead Road Community of Practice Goals: Collaboration in Practice: Changing traditional boundaries to improve the patient experience within the health system.

2. 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

3. 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”

4. 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

5. 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