Best Start Pregnancy Kōwae (modules)

As part of the National Gen2040 program, Pinnacle is implementing the Best Start Pregnancy Kōwae (modules). 

Best Start Kōwae are a suite of best practice based assessment modules designed to improve quality care throughout the pregnancy and early postpartum journey. They've been created to support consistent, comprehensive, and quality care by promoting enquiry, management, and referral to support services. The modules are designed with a pro-equity approach for Māori hapū māmā and pēpī Māori.

The point of difference for Best Start Pregnancy is the built-in decision support, enabling identification of issues and early intervention, which has been developed using up-to-date national and international evidence-based guidelines and guidance. 

The pregnancy and early postpartum journey

There are three touch-points over the completion of four assessments.

1. Best Start pregnancy: A comprehensive early pregnancy assessment carried out at the confirmation of pregnancy consultation. Meets the requirements for Section 88 non-LMC first trimester claim.​ 
2. 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 the Best Start Pregnancy consult.
3. Best Start 6-week check pēpī:
   Enhanced Well Child check 6-weeks postpartum.
4. Best Start 6-week check māmā (in development): General wellbeing check-in with māmā and follow up care. When the 6-week check for māmā is implemented it will be undertaken at the same time as the 6-week check for pēpī”

Best start pregnancy has been constructed by considering what constitutes best practice in New Zealand pregnancy care and consolidates this in one tool (PDF).  

• There is no cost to using any of the assessment modules.
• The assessment can be used on all pregnant and early postpartum women and their babies.
• Incentive payments are included for use of any assessments with Māori hapū māmā and pēpī Māori. View details of the payment schedule (PDF).
• Payments will be made monthly to your practice via Pinnacle.
• Pinnacle recommends your practice sets up Best Start Pregnancy as a 'company' to enable reconciliation against payments received from National Hauora Coalition via Pinnacle. If you have questions about how to do this or require further clarification please contact Kellie Rodgers, implementation lead, National Hauora Coalition. 

indici installation information

Installation has occurred for indici practices.

indici PMS users will notice a new rocket icon appear on the indici PMS which launches the assessment form.

1. You will be prompted to enter an authorisation key (install$7412). You will need to enter this authorisation key only once. 
2. You will also need to select your PHO as your ‘reporting group’ for your practice.
3. You may be required to log off and log on again.

You can also access the indici specific full end user guide (PDF). 

Medtech32/Medtech Evolution installation information

Information is coming for Medtech32 / Medtech Evolution practices on how to install the advanced form to use Best Start. This will be shared via a Pinnacle practice update newsletter in June. If you want to get a head start, see the installation information available on the National Hauora Coalition Gen2040 webpage. This page has user guides, install videos and how to check you have the Procon licence installed.