Information for Health Care Providers

On this page you can find information and resources for Health Care Providers

What are the Best Start Kōwae?

Best Start Kōwae(modules) are a suite of innovative assessment modules designed to improve the 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 health care professionals with 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 care 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 Assessment Tool 

  • Best Start - 2nd Trimester Check 

  • 6 Week Pēpī - Postnatal check 

  • 6 Week Māmā - coming soon . . .

​What does Best Start Kōwae mean for Health Care 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 as well as ensuring connection with an LMC.

  • 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 clinical 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;

  • Midwifery College;

  • 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


Cross-sector collaboration

  • 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.