Information for Health Providers
What are the Best Start Kōwae?
Best Start Kōwae(modules) are a suite of innovative assessment modules designed to improve quality care throughout the pregnancy journey.
Best Start Kōwae are pregnancy assessment tools that facilitate best practice assessment for pregnant women and their babies throughout the pregnancy journey. The tools are embedded into most practice management systems and available online via secure webform. Best Start Kōwae is designed to support consistent, comprehensive and quality care by promoting enquiry, management and referral to support services.
Installing Best Start Kōwae
We have created some helpful guides and resources to assist health providers with accessing the Best Start Kōwae.
Best Start PMS Installation guides
Important: If you are a primary care provider, please check that your Primary Health Organisation (PHO) has signed up to the Gen2040 platform prior to installing the Best Start Tools. If your PHO has not signed onto the Gen2040 platform, we will not be able to make any incentive payments to you.
How to use Best Start Tools
We have created some helpful resources below to show health providers how to use the Best Start Tools.
Best Start - Pregnancy Tool User Guide
Best Start - 2nd Trimester Check coming soon...
6W Pēpī coming soon...
6W Māmā coming soon...
What does Best Start Kōwae mean for Health Providers?
Continuity of Care
Best Start Kōwae have three touch-points across the pregnancy journey:
Best Start - Pregnancy Tool
A comprehensive early pregnancy assessment carried out at the confirmation of pregnancy consultation. Meets the requirements for Section 88 Non-LMC first trimester claim.
Best Start - 2nd Trimester Check
Recall assessment at 16 weeks to have flu and pertussis vaccinations. Also provides an opportunity to check in on māmā and her engagement with any support service referrals identified during Best Start Pregnancy consult.
Best Start - 6 Week Check Pēpī (6W Pēpī)
Enhanced Well-Child check 6 weeks postpartum.
Best Start - 6 Week Check Māmā (6W Māmā)
General wellbeing check-in with Māmā and follow up care.
Pro-equity approach to ensure nobody falls through the cracks
Improving equity for Māori hapū māmā and pēpī Māori is part of the core-design of the Best Start Kōwae. The Generation 2040 project will provide a small incentive payment to providers who use the tools with Māori hapū māmā and pēpī Māori. For more information about the Generation 2040 project, click here.
Built-in decision support
Each of the Best Start modules have built-in decision support, enabling identification of issues and early intervention.
Up-to-date, evidence-based advice
Best Start Kōwae is evidence-based, informed by:
Up-to-date national and international evidence-based guidelines;
Ministry of Health;
Royal Australian and New Zealand College of Obstetricians and Gynaecologists;
Section 88 non-LMC first trimester care requirements;
Recommendations of the Perinatal Morbidity and Mortality Review Group; and
Subject matter expert opinion- where there is no guideline or consensus statement
The tools are available for use in Primary Care and Maternity Care Providers (LMC's). Information is stored in a secure centralised cloud-based database for all providers and carers to access, meaning less duplication and better visibility.
The tools have the ability to integrate with hospital information system portals (i.e., Concerto). This function is dependent on whether the corresponding District Health Board has signed on to connect the tool. For more information, please contact us.
Phase 2 of implementation will include the ability to refer to some health and social support services directly from the tools. Providers will also be able to view the status of the hapū māmā’s engagement with services from the tools.
Smart data capture
All data into the Best Start Pregnancy Tool is coded consistent with the HISO 10050.2:2020 Maternity Care Summary Standard, January 2020.
Better outcomes for māmā and pēpī
Using the Best Start kōwae will better support hapū māmā and pēpī, improving access to quality care and long-term clinical outcomes.
Frequently asked questions
How do I get access to use the Best Start Kōwae?
Primary Care Providers who use Medtech32, Medtech Evolution and MyPractice can easily download the tools using the guides above. It is important to check with your PHO before downloading, as we may not have our payment system setup with your PHO (which means we cannot provide you with Gen2040 incentive payments when completing the tool with Māori hapū māmā).
Who developed the Best Start Kōwae?
The Best Start Kōwae are being rolled out by the National Hauora Coalition, as part of a pro-equity project called ‘Generation2040’. Each of the tools have been developed by the Gen2040 team, using up-to-date national and international evidence-based guidelines and guidance from:
- Ministry of Health;
- Midwifery Sector;
- Royal Australian and New Zealand College of Obstetricians and Gynaecologists;
- Section 88 non-LMC first trimester care requirements;
- Recommendations of the Perinatal Morbidity and Mortality Review Group; and
- Subject matter expert opinion- where there is no guideline or consensus statement.
How much does it cost to use the tools?
There is no cost for using the Best Start Tools. Health providers can freely access and use the Best Start Tools.
Can anyone use the Best Start tools?
Nurses, General Practitioners and LMC’s can freely access and the Best Start Tool. A valid and current Health Provider Index (HPI) number is required for use of the Best Start Tools. All providers accessing the Best Start Online version will undergo a vetting process prior to being granted access.
Can the tools be used with all pregnant women?
Yes, the tools can be used on all pregnant women. The Best Start tools are intended to be used on all pregnant women. However, there are an additional incentive payments available to all health providers who complete the tools with pregnant Māori women and/or Māori babies.
What are Gen2040 incentive payments?
The Gen2040 project is providing and incentive payment for all health providers completing the tools with pregnant Māori women and/or Māori babies (determined during assessment).
This means that health providers can receive multiple incentive payments if they use all of the tools with Māori hapū māmā and pēpī Māori. The National Hauora Coalition will provide incentive payments to providers using the tools via Buyer Created Tax Invoice (BCTI) process.
If you are a primary care provider, we will do this via your PHO. For more information, please contact us.
If you are a maternity care provider, we will provide incentive payments directly with you via our Sign up process.
What are Buyer Created Tax Invoices (BCTI’s)?
BCTI is a payment method that allows seamless payment to providers without the need of a provider generated invoice. Instead, the Gen2040 will have access to de-identified data that will tell us how many incentive payments are to be paid out to each provider on a month-by-month basis. We will provide an invoice on behalf of health providers, detailing all of the incentive payment claim details (including health provider name, assessment type, date of assessment, HPI, NHI, completeness).
For primary care providers, incentive payments will be paid out on a monthly basis via their PHO’s (Gen2040 are in the process of engaging with PHOs to have this set up). If you are new to Best Start, you should check with your PHO to see if the PHO has signed up to the Gen2040 platform.
For maternity care providers, incentive payments are paid out directly, on a monthly basis.
How often will health providers be paid?
Gen2040 will provide bulk incentive payments to providers on a monthly basis. It is our aim to have all incentive payments paid to providers by the 20th day of the following month (for assessments completed the month prior).
How does Gen2040 handle privacy?
We take patient privacy very seriously. We have implemented comprehensive security measures to ensure that we protect patients according to best practice. Secure measures includes:
- Vetting process for any health providers who apply to use the Best Start Online Tool
- Secure online login process (2-factor authentication)
- Gen2040 will not hold or obtain any identifiable patient information.
We have published a Privacy Impact Assessment, which has been reviewed by the Office of the Privacy Commissioner. To view our PIA, please visit our Resources page.
We have a Website Privacy Statement viewable here.
What is the difference between Best Start Online and Best Start PMS?
Best Start PMS is accessed in health providers who have a compatible Practice Management System (Medtech32, Medtech Evolution, MyPractice).
Best Start Online is accessed via secure online webform, where health providers are assigned a unique login.