About
My career to date has involved working with primary health, Māori and technology…
Articles by Jonathan
Activity
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I am thrilled to announce that I have joined Starship Children’s Health, where I will be dedicating my efforts to enhancing the health and wellbeing…
I am thrilled to announce that I have joined Starship Children’s Health, where I will be dedicating my efforts to enhancing the health and wellbeing…
Liked by Jonathan Murray
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As a #leader, how do you create the conditions for your TEAM to work in TOWARD STATE rather than Away State? Neuroscience shows that emotions…
As a #leader, how do you create the conditions for your TEAM to work in TOWARD STATE rather than Away State? Neuroscience shows that emotions…
Liked by Jonathan Murray
Experience
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National Hauora Coalition
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Education
Licenses & Certifications
Publications
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The Sustainability of Very High Needs Primary Care Practices in a Capitated Environment
National Hauora Coalition
A report recently commissioned by the National Hauora Coalition (NHC) examining the sustainability of general practices with ‘very high-needs’ populations in a capitated environment points to the higher costs and challenges of providing care to predominantly ‘high-needs’ groups.
The report compared data from 26 General Practices and found that very ‘high-needs’ practices have higher than average patient turnover, higher than average fee-for-service deductions, and a much smaller…A report recently commissioned by the National Hauora Coalition (NHC) examining the sustainability of general practices with ‘very high-needs’ populations in a capitated environment points to the higher costs and challenges of providing care to predominantly ‘high-needs’ groups.
The report compared data from 26 General Practices and found that very ‘high-needs’ practices have higher than average patient turnover, higher than average fee-for-service deductions, and a much smaller percentage of revenue generated from patient co-payments. It is suggested that these factors result in persistent challenges to the sustainability of these very ‘high-needs’ practices.
The report concludes by suggesting that the answers to meeting the challenge of appropriately subsidising patient care for individual ‘high-needs’ patients as well as maintaining primary care practice sustainability lies in considering the total funding environment rather than individual funding streams, such as VLCA, in isolation from other parts of the funding system.Other authorsSee publication -
General Practitioners' Information System Acceptance in a New Zealand Primary Healthcare Organisation
Bradford University School of Management (Dissertation)
Understanding user acceptance of electronic information systems used in front line general practice for service claiming and health care management.
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Cardiovascular risk management at a Maori-led Primary Health Organisation – findings from a cross-sectional audit.
The New Zealand Medical Journal
Courses
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Certified Medical Practice Manager – MedTech Global Limited
2007
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Information Systems and Business Strategies – The University of Auckland Short Courses
2009
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Knowledge Management – The University of Auckland Short Courses
2009
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MedTech-32 Certified Engineer – MedTech Global Limited
2006
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Portfolio & Programme Management – The University of Auckland Short Courses
2007
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Lean Thinking – The University of Auckland Short Courses
2010
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Project Task Management – Microsoft New Zealand
2010
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Results Based Accountability – The Fiscal Policy Studies Institute
2011
Projects
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Mohio Information Platform
- Present
Mohio is the information platform used by NHC. It was developed to integrate general practice information with primary care organisations.
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ImmsNet
- Present
Designed and rolled out a new web based interface to enable National Immunisation Registry overdue
reports to be managed online (replacing a paper based system). System is in use throughout Waitemata and Auckland District Health Board areas. -
Rarangi Hauora Data Warehouse
A complete data warehouse for primary health (and related) data. Modeled on Kimball principals of data warehouse design. The data warehouse includes over 230 commonly used data points required for primary health care reporting that are updated in near real time into a clean dimensional format for ease of reporting. .
Rarangi Hauora stores data from our wider Mohio system including national enrollment sets, General Practice data (from RocketM), District Health Board imports (inpatient…A complete data warehouse for primary health (and related) data. Modeled on Kimball principals of data warehouse design. The data warehouse includes over 230 commonly used data points required for primary health care reporting that are updated in near real time into a clean dimensional format for ease of reporting. .
Rarangi Hauora stores data from our wider Mohio system including national enrollment sets, General Practice data (from RocketM), District Health Board imports (inpatient, emergency department, ASH rates etc), afterhours care provider utilisation data, National Immunisation Registry and National Screening Unit clinical data. -
MohioExpress
A standalone General Practice prompting system for MedTech-32, MedTech Evolution and MyPractice. MohioExpress replaces built in Dashboard tools with a separate (but data integrated) application that is instantly fast and simple to use.
General Practice use this tool during patient consultations to identify programmes, achieve national health targets and ensure best clinical practice. Overwhelmingly positive feedback from clinicians around its practicability, integration with their…A standalone General Practice prompting system for MedTech-32, MedTech Evolution and MyPractice. MohioExpress replaces built in Dashboard tools with a separate (but data integrated) application that is instantly fast and simple to use.
General Practice use this tool during patient consultations to identify programmes, achieve national health targets and ensure best clinical practice. Overwhelmingly positive feedback from clinicians around its practicability, integration with their existing tools and speed of use. -
RocketM
Real time data extraction and transformation engine with integration into the Mohio data warehouse. Extracts and transforms clinical data from New Zealand general practice managements systems (MedTech-32, MedTech Evolution and MyPractice).
Supports the generation of real time reports facilitating improvement in General Practice and patient care outcomes. -
MohioForms
Online real time forms engine integrated into existing General Practice Management Systems (MedTech-32, MedTech Evolution and MyPractice).
Including features such as demand management (live budgets), eligibility checks, invoicing, clinical note generation, clinical guidelines adherence and reporting. Key feature was a rules engine with flexibility to delivery again 50+ DHB contracts as well as support the rollout of the NHC's Flexible Funding Pool.
Organizations
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Health Informatics New Zealand (HiNZ)
Member
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Healthcare Information and Management Systems Society (HIMSS)
Member
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The Institute of Directors in New Zealand (IoD)
Member
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