Integrated contract
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Background[edit | edit source]
The 'Pacific Integrated Contract' (PIC) is a new commissioning/measurement vehicle from Te Whatu Ora.
K'aute were part of a pilot initiative with other providers during the second half of 2023, and it has been going through consultation and development since then.
Objectives[edit | edit source]
The original aims of the PIC were to:
- Reduce reporting burden by collapsing Performance Monitoring Reports (PMRs) into a single framework, and
- Align reporting to a more meaningful outcomes framework.
This was attractive to K'aute because of the large administrative burden of reporting separately on different frequencies against different contracts. Unfortunately at this time the PIC does not include all Te Whatu Ora contracts.
Scope[edit | edit source]
PIC is build around 4 modules, which group together different service level contracts as shown below.
MHO Mental health & wellbeing[edit | edit source]
- Child, Youth and Mental Health (MH144C).[1]
OPO Older People[edit | edit source]
- Community day programme
LTC Long term conditions[edit | edit source]
- #329978 Whanau ora mobile chronic disease management programme
- #352824 Rapid response sore throat primary and community services
- #334738 Pacific services coordination service
- #373060 Pacific Stop Smoking Services[2]
- Sexual Health Promotion
CYO Children & youth[edit | edit source]
- Well child
Out of scope[edit | edit source]
The following contracts/services are all excluded from the PIC:
- Access & Choice (CYMH)
- Pacific Kaiawhina
- Pacific Outreach
- HOP 241/HOP243/PRIMHD
- all PPDF Contracts.
Outcome framework[edit | edit source]
Work during 2025 has shifted in favour of a simpler set of metrics which are more consistent across providers.
Metrics[edit | edit source]
As at March 2025 the agreed metrics are shown below. Note that all metrics are disaggregated by ethnicity only in the following way:
- Pacific
- Maori
- Other.
Table key:
Note that inverted text indicates reporting not yet required for that metric/module combination.
| Metric ID | Metric | Denominator | Numerator | Module |
|---|---|---|---|---|
| 1.1.1 | Average number of days to complete screening, triage, and initial contact for referrals OK ish |
Total number of referrals received within the reporting period. | Total number of days taken to complete screening, triage, and initial contact for all referrals within the reporting period. | CYO LTC OPO MHO |
| 1.1.2 | Proportion of family-based referrals received not a thing |
Total number of referrals received within the reporting period. | Total number of family-based referrals received within the reporting period. | CYO LTC OPO MHO |
| 2.1.1 | Average number of days to complete a holistic needs assessment following referral. OK for now in Aiga Indici - ?? |
Total number of holistic needs assessments completed following referral within the reporting period. | Total number of days taken to complete holistic needs assessments following referral within the reporting period. | CYO LTC OPO MHO |
| 3.1.1 | Average number of days to develop individual care plans following referral. OK for now in Aiga Indici - ?? |
Total number of service users who received care plans following referral within the reporting period. | Total number of days taken to develop care plans following referral within the reporting period. | CYO LTC OPO MHO |
| 3.1.2 | Number of individual care plans developed with family involvement In Kotahi only |
Total number of individual care plans developed with family involvement within the reporting period. | CYO LTC OPO MHO | |
| 3.1.3 |
|
|
LTC MHO | |
| 4.1.1 | Average number of contacts Yes OK Aiga/Indici |
Total number of service users who had at least one documented contact within the reporting period. | Total number of documented contacts within the reporting period. | CYO LTC OPO MHO |
| 4.1.2 | Average contact time Only in Kotahi |
Total number of service users who had at least one documented contact within the reporting period. | Total documented contact time (in minutes) spent within the reporting period. | CYO LTC OPO MHO |
| 4.1.3 | Average non-contact time spent Only in Kotahi |
Total number of service users who had at least one documented contact within the reporting period. | Total non-contact time (in minutes) spent within the reporting period. | CYO LTC OPO MHO |
| 4.1.4 | Total number of face-to-face interactions Aiga (? data quality) / Kotahi |
Total number of face-to-face interactions conducted within the reporting period. | CYO LTC OPO MHO | |
| 4.1.5 | Proportion of service user engagements conducted in safe and culturally appropriate settings (e.g., home, church, workplace, or other trusted environments). Contact location - Kotahi, partially in Aiga (home visit) |
Total number of documented service user engagements across all settings within the reporting period. | Total number of documented service user engagements conducted in safe and culturally appropriate settings within the reporting period. | CYO LTC OPO MHO |
| 4.2.1 | Proportion of scheduled appointments attended Not in Aiga / Kotahi does (data coming) |
Total number of scheduled appointments within the reporting period. | Total number of scheduled appointments attended within the reporting period. | CYO LTC OPO MHO |
| 4.2.2 | Number of service users provided with transportation assistance to attend appointments and programmes. NOPE |
Total number of service users provided transportation assistance to attend appointments and programmes within the reporting period. | CYO LTC OPO MHO | |
| 4.2.3 | Number of individual objectives that have been met. Only in Kotahi |
Total number of individual objectives that have been achieved within the reporting period. | CYO LTC OPO MHO | |
| 4.2.4 |
Indici (imms good, screening ?, sore throat ?) |
|
|
CYO LTC OPO |
| 4.2.5 |
|
|
CYO OPO | |
| 4.2.6 |
|
|
|
CYO OPO |
| 5.1.1 | Number of service users who have achieved all objectives within their individual care plan. Only Kotahi/ ?Aiga (exited reason) |
Total number of service users who have achieved all objectives within their individual care plan during the reporting period. | CYO LTC OPO MHO | |
| 5.1.2 |
|
|
|
OPO MHO |
| 5.1.3 | Number of service users who have completed a general health check. N/A ? Could link to Indici |
Total number of service users who have completed a general health check within the reporting period. | OPO | |
| 5.2.1 | Number of service users who have onward referrals or transfers completed. Aiga - exit reasons / Kotahi |
Total number of service users who have had an onward referral (internal or external) or a transfer completed within the reporting period. | CYO LTC MHO | |
| 5.2.2 | Number of families provided with service navigation support. ? Definition |
Total number of families provided with service navigation support within the reporting period. | CYO LTC MHO |
Key data points[edit | edit source]
The below graph shows key 'client/family journey' points that are needed to populate the above PIC metrics:
flowchart TB
subgraph RR[Referral]
R1[Date]
R2[Service]
R3[Is family-based?]
end
subgraph SS[Referral management]
S1[Screening/triage]
S2[Initial contact]
end
subgraph AS[Assessment]
A1[Holistic needs assessment]
subgraph A2[Individual care plan]
direction TB
A21[Family involvement]
end
A3[Advanced care plan]
end
subgraph CM[Case management]
subgraph CON[Contacts]
CN1[Date]
CN2[Type]
CN3[Duration]
CN4[Face to face?]
CN5[Location]
CN6[Group/Family/Individual]
end
subgraph AP[Appointments]
AP1[Scheduled]
AP2[Date]
AP3[Transport assistance]
end
subgraph AX[Activities]
direction LR
AX1[Sore throat treatment]
AX2[Cervical screening]
AX3[Imms]
AX4[Wellchild check]
AX5[Smokefree TQD/status]
AX6[Medication review]
AX7[General health check]
end
CM2[Contact duration]
CM3[Non-contact duration]
CM4[Service navigation support]
end
subgraph GP[Goal planning]
GP1[Individual objective met]
GP2[All objectives met]
end
subgraph OR[Onward referral/transfer]
OR1[Date]
OR2[Referred to]
OR3[Internal/external]
end
RR-.->SS-.->AS-.->CM-.->GP-.->OR