Appsion

What is it?

Appsion is designed to mobilise a Whānau Ora Navigator in assisting Whānau who have committed to a Whānau Ora intervention. APPSION gives navigators access to the comprehensive needs assessment and turns hours of discussion into a 10-minute assessment that quickly identifies priority goals, identifies needs and whānau strengths. These Needs and Strengths are visualized by a symbolic design of hope and achievement, the Poutama – The Poutama. This visual gives the worker a clearer picture of how they can assist whānau in their journey.

Go mobile

Te Kōhao provides a range of carious services and programs to the families of the Waikato region. These services relate to Health, Social, Education and Justice environments.

Benefits of Appsion

Setting up great-looking reports that demonstrate quickly what your key people want to see is easy. A report for yourself, the whanau you support, your manager, a funder or anyone interested. Here’s how it works: just upload your data, select the report you want and then we’ll do the rest.

Saves Time

Communication with whanau is faster and less expensive. Time spent filing, organizing, and searching for paper documents is time that could be spent on more productive tasks. Assessments and reports are stored in Appsion, which is basically a well-organized digital filing cabinet where all of your assessments and reports live. Appsion gives you the ability to find assessments at the click of a button, much more quickly than the manual process of searching for a specific file in a buried folder. Use the extra time on other projects.

Saves Space

Paper takes up a lot of space – as do filing cabinets and space to store those filing cabinets. What’s worse, paper keeps piling up, quicker than it can be sorted and organized. Appsion stores all your digitalised assessments and generated reports.

Saves Money

Appsion improves process efficiency, saving you money. Appsion eliminates the need of wasting money on paper, printers, ink, office space and time to manage paperwork. The savings on time become especially valuable in regards to regulatory audits and repetitive, high-volume tasks like expense reimbursements.

Eases Transfer of Information

Appsion is a simple process for assessing, and storing these assessments and reports. These assessments and reports are easily saved and retrieved on the go, giving you peace of mind.

Boosts Security

Physical documents are hard to track – reams of paper can get lost, misfiled or destroyed without anyone noticing. It can also be difficult to monitor the access, printing and copying of sensitive files. Appsion allows you to have data security.

Assessment of Need and Level of Care

A Whānau Ora Navigator will use APSSION to carry out an initial comprehensive assessment of needs for the whānau preferably within 7 working days of receiving a referral.

The standardised Comprehensive Needs Assessment will quickly assess a set of standard and specialised requirements.

  • The standard requirements relate to all whānau irrespective of their unique need (e.g. all women aged 20-69 yrs screened for a cervical smear every 3 yrs, all children fully immunised, all men aged 35 yrs or more with a CVD risk assessment once every 5 yrs, all 4 yr olds with a B4S check, smoke-free environment).

  • The specialised requirements relate to the unique needs of whānau (e.g. mental health issues, drug and alcohol abuse support, family violence, education).

The Comprehensive Assessment of need will inform but not determine the goals and actions for the Whānau Action Plan.
Systematic step by step approach towards completing an effective Needs Assessment
1
Whakawhānaungatanga
Establish a relationship of trust and mutual respect
2
Kohikohi nga whakaaro, whiriwhiri korero, whakarongo, ata titiro
Collate information on needs through korero, observation and shared listening
3
Aromatawai
Analyse and assess risk to the safety and well-being of the whanau and their tamariki
4
Arotake
Evaluate results of the assessment
5
Whakarapopoto
Document the conclusions
6
Te Mahere
Plan the partnership for action

Level of Care

Impact on Service Delivery

High

Intensive case management required, necessitating very frequent contact (e.g. daily or weekly)

Medium

Less intensive case management requiring regular contact (e.g. fortnightly)

Low

Least intensive case management (e.g. monthly)

Determining Level of Care
A key outcome of the comprehensive assessment is to assign a Level of Care to the whānau. The Level of Care will determine the intensity of intervention and frequency of contact with the whānau as well as enable the Whānau Ora Coordinator to determine the appropriate Whānau Ora Navigator to be assigned for developing the Whānau Action Plan and carrying out the navigation support.

Whanau as Partners

A key outcome of the comprehensive assessment is to assign a Level of Care to the whānau. The Level of Care will determine the intensity of intervention and frequency of contact with the whānau as well as enable the Whānau Ora Coordinator to determine the appropriate Whānau Ora Navigator to be assigned for developing the Whānau Action Plan and carrying out the navigation support.

Formally allocating a to Whānau Ora Navigator the Whānau
Depending on the results of the comprehensive need assessment and the level of care required, the Whānau Ora Coordinator, in consultation with the team, will determine the suitability of the Whānau Ora Navigator who will be the main support for the whānau. This person may be different to the Whānau Ora Navigator who carried out the assessment.

The assigned Whanau Ora Navigator will be primarily responsible for:
1
Supporting the whānau in developing the Whānau Action Plan;
2
Supporting and mentoring the whānau;
3
Coordinating various services;
4
Periodically re-assessing the need and amending the Action Plan as required;
5
Formally ‘exiting’ the whānau from the programme when it has been completed.

Whānau Ora
Navigation

Developing the Management and Action Plan
The Whānau Ora Navigator will support the development of a Whānau Action Plan tailored for the whānau. The Action Plan will clearly outline the client identified and mutually agreed SMART (Specific, Measurable, Attainable, Realistic and Timely) short term and long term goals.

The key guidelines for the case manager in terms of case management include:
1
Ensure that the set goals are SMART
2
Emphasise and encourage the whānau to determine their own capacity and set their own goals and not unduly influence the goal-setting process
3
Carefully study the outcomes of the Comprehensive Needs Assessment keep them in mind during the development of MAP
4
Support the whānau to determine and plan the steps that need to be taken to achieve set goals
5
Ensure the cultural and literacy needs of the whānau are accommodated in this process whilst upholding
the Mana of whānau
6
Ensure the tamariki manaaki is prioritised at all times
7
Ensure that the whānau fully agrees with the MAP and signs it as evidence of this agreement
Support, Monitor and Assess Progress
The Whānau Ora Navigator primary responsibility once the plan is developed is to support, guide, encourage and mentor the whānau to achieve the set goals. The frequency of contact will depend on the level of care previously determined.

The Whānau Ora Navigator must continuously assess and monitor whānau progress including:
  • Maintaining awareness of the programme and progress made;

  • Identifying barriers and enablers to progress;

  • Building up whānau strengths;

  • Risk managing issues and situations that may arise; and

  • Responding to changing needs.

Periodic Reassessment of MAP
and Level of Care

The Whānau Ora Navigator will do a quarterly review of the Action Plan and amend the plan as required. The whānau circumstances are likely to change over time and it is important to periodically assess the situation and adjust goals and action steps if necessary to facilitate successful outcomes.

If the amendments to the originally agreed Action Plan are significant, the Whānau Ora Navigator will discuss these with the Whānau Ora Coordinator, particularly if they were not identified as a result of the comprehensive needs assessment that was completed.

One of the objectives of the programme is to decrease the level of care that is required for each whānau enrolled into the programme and transition them from a higher level of care to a lower level of care and support. This transition is a sign of success for both, the whānau as well as the programme. The Whānau Ora Navigator will reassess the level of care to determine whether the level of care has decreased.

On the other hand, in some cases, the Case Manager may determine that the level of care has increased requiring the whānau to transition to a higher level of care then what was originally determined.

In both cases, change in the level of care has to be approved by the Whānau Ora Coordinator.

Exit from Programme

There can be two possible types of exits from the programme:

Unplanned Exit

In some cases the whānau may need to be discharged from the programme due to one of the following reasons:

1
Whānau has deceased
2
Whānau has not been contactable
3
Whānau has chosen to exit the programme

This type of exit will be termed as an ‘Unplanned Exit’. Where possible, especially in cases where the whānau has chosen to exit the programme, an ‘Exit Assessment’ will be completed. After approval from the Team Leader, the Whānau Ora Navigator will formally discharge the whānau from the programme stating the reason for the exit.

Planned Exit

The whānau/whānau will be formally discharged from the programme in a ‘Planned Exit’ in case one of the following:

1
Both Whānau Ora Navigator and whānau agree that the set goals and outcomes have been met
2
Both Whānau Ora Navigator and whānau agree that the set goals and outcomes can be more effectively met elsewhere
3
Whānau has moved/left the district or changed provider
4
The Whānau Ora Navigator reaches the conclusion that the whānau is not committed to the Kaupapa of the programme

The planned exit of the whānau due to any of the above stated reasons must be approved by the Team Leader. After approval, the Whānau Ora Navigator will formally discharge the whānau from the programme stating the reason for the exit. The process of formally discharging the whānau from the programme in case of a planned exit includes the following:

  • Completing a ‘Exit Assessment Form’ in conjunction with the whānau

  • Providing the whānau with a ‘Service Evaluation Form’ to complete

Whānau Ora Worker Framework

Scope of Practice

Scope of practice relates to the limit of skill and competency of the Whānau Ora Navigator in compliance within law and/or specific education and experience. This will answer the question “What tasks are you allowed to do?”

Competency and Specialty Competency of Practice

Competency relates to the key knowledge, judgment and skills of the Whānau Ora Navigator in order to function effectively and efficiently in their role.
Specialty Competency relates to competencies required for specialised service which provide a range of certification or proven knowledge of the area of specialty. E.g. Diabetes Education.Specialty Competency also relates to competencies required for specialised service which provide a range of professional areas of specialty with formal qualifications. E.g. Registered Nurse, Social Worker.

Level of scope of practice

Level 1
Scope of practice relates to the limit of skill and competency of the Whānau Ora Navigator in compliance within law and/or specific education and experience. This will answer the question “What tasks are you allowed to do?”
Level 2
The Whānau Ora Navigator with or without a specialty area, but has attended an accredited training course and has been approved by team leader to carry out the task.
Level 3
Whānau Ora Navigator is formally educated e.g. Registered Nurse, Social worker etc. and is competent in the specialised area of work. Holds a current Annual Practicing certificate.

Compliance with cultural, regulatory and statutory requirements

Every Whānau Ora Navigator will comply with the following:

  • The 12 Kaupapa Māori principles in this document, and Te Tiriti O Waitangi Principles

  • Health & Disability Commissioner (HDC) Code of Rights 1996

  • Health Information Privacy act 1994

  • Health Practitioners Competence Assurance Act 2003

  • Health and Safety in Employment Act 1992

Live database metrics

Users

34 000

+ 1200 this month

Reports

7 988

+ 198 this month

Forms

67

+ 12 this month

Minimising Potential Risk

To ensure the safety of the client, the Whānau Ora Navigator and Te Kohao Health, the Whānau Ora Navigator must not operate outside their designated scope of practice. If the worker finds themselves in a situation that does not ‘fit’ their scope of practice, they must seek approval from the team leader or manager. E.g. Making clinical diagnosis on Whānau’s health conditions if not qualified to, or offering personal opinion is prohibited.

The Whānau Ora Navigator will refer the client or whānau on to an appropriate/qualified provider or a specialist in the particular area of expertise rather than attempt to provide the service. If uncertain, notify team leader, supervisor or manager.

Policy and procedure

All mahi will be carried out in accordance with polices, protocols, procedures and guidelines to ensure compliance with legislation, internal and external standards, and kaupapa Māori perspectives.

Ensure efficient and effective operational management.

Supervision

All Whānau Ora Navigators will have a supervisor or team leader assigned to them.

The degree of effectiveness is directly related to the Whānau Ora Navigator feeling ‘safe’ in sharing their lack of skill in front of their peers, or to their supervisor.

Policy and procedure

All Whānau Ora Navigators will have access to regular peer group meetings. The main function of the peer group meetings are:

Managerial
- Having a structure to the group e.g. time, rules (not a gossip session), commitment to the kaupapa
- Issuing each worker with the required skills to advise 
- Confidentiality

Educational
- Identify any training needs
- Development of professional skills and competence

Supportive
- Feedback
- Evaluation
- Self-directed learning
- Reciprocal learning through sharing experiences
- Work together for mutual benefit
- Watch for signs of burnout

Te Kōhao Health Ltd

Kirikiriroa Marae, 951 Wairere Dr
PO Box 7107, Kirikiriroa

Call: 07 856 5479 or 0800 483 564  
Fax: 07 856 5938
admin@tekohaohealth.co.nz

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Appsion by Te Kōhao Health

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