Foundation Elements

Building Blocks

Core components and standards that underpin effective primary care delivery and team-based approaches.

The Building Blocks represent the essential components of Health Care Home that practices need to deliver effective, sustainable primary care. Each block can be developed incrementally, allowing practices to strengthen their foundations while working towards broader transformation.

These elements align with the Pou Ora | Pillars of Health framework and Enhanced Model of Care, providing practical guidance for implementation at practice level.

The Framework

Six Building Blocks

Team-Based Care

Optimising roles within the practice team so everyone works to the top of their scope.

  • Role clarity and delegation frameworks
  • Extended care paramedic integration
  • Health coach and HIP utilisation
  • Nurse-led clinics and services

Access & Triage

Ensuring patients can access the right care at the right time.

  • Same-day acute access models
  • Triage protocols and templates
  • Digital and phone triage
  • Appointment type optimisation

Proactive Care

Moving from reactive to preventive approaches for better outcomes.

  • Population health stratification
  • Recall and reminder systems
  • Long-term condition management
  • Screening programme delivery

Quality & Safety

Embedding continuous improvement and safety culture.

  • Foundation Standards alignment
  • Clinical governance frameworks
  • Incident reporting and learning
  • Audit and feedback cycles

Digital Enablement

Leveraging technology to enhance care delivery.

  • Telehealth and virtual care
  • Patient portal utilisation
  • AI tools and decision support
  • PMS optimisation

Business Sustainability

Building practices that are financially and operationally sustainable.

  • Revenue optimisation
  • Workforce planning
  • Operational efficiency
  • Growth and succession

Need Help Getting Started?

Our consultancy team can assess your current state and help prioritise your building blocks.

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Building Blocks - Collaborative Aotearoa