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==Needs assessment== This is a structured set of questions, undertaken by the WO Navigator with family members, aiming to identify which specific needs they have which can be serviced under a Tupaia pathway.<ref>In the pilot this was done via MS Forms, where responses were coded and used in reporting. This is obviously handled much better in Kotahi.</ref> Current version of the needs assessment implemented in Kotahi asks the following questions (note that question wording has been modified for brevity): {| class="wikitable" ! Item || Description || Example |- | Assessment date || Timestamp of completed assessment || |- | Client name || || |- | Current GP || Presume this can be from NHI FHIR lookup || |- | WO Case name || Manual entry from Penelope || |- | Immigration status || Needed to determine eligibility for public health services || Resident/non-resident |- | Long-term conditions || Pick list of specific conditions || Diabetes/asthma |- | Children's vaccination status || If tamariki are up to date or not || |- | Cervical screen status || For women 25-69 only || Overdue |- | Breast screen status || For women 45-69 only || Overdue |- | Bowel screen status || People 50-74 only || Overdue |- | Have you had eye check in last year? || || Y/N |- | Do you want a free eye check? || || Y/N |- | Have you had dental check in last year? || || Y/N |- | Do you want a free dental check? || || Y/N |- | Are you waiting for any surgery? || || Y/N |- | Do you need any help with transportation? || || Y/N |- | Have you experienced anything challenging recently? || || Y/N |- | Do you want a free MH appointment? || || Y/N |} At the end of this stage, we will have collected core information on the family in Kotahi (personal details, demographics, whanau relationships, NHI), as well as a summary of their needs. If any need requires follow-up then the individual is assigned (referred) to one or more of the Tupaia pathways. The following sections provide detail on each of the pathways.
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