Implementation
Implementation runs as a structured 16-week programme — understand your pathway, configure the rules, prove it safely alongside your existing process, then go live, with clinical sign-off at every gate. We bring options, not a fixed prescription; the final shape is set with your team.
Roles
We carry the work: we map your pathway with you, encode your criteria as your team states them, run the proving period alongside your existing process, and do the building, the checking and the evaluation end to end.
Your team brings what only your team has: the pathway as it actually runs, the clinical sign-off at every gate, and your IT team's confirmation of how information flows in and out. Clinical time is asked for at the gates, not spread through the weeks.
Evaluation design
Every pilot is baselined before it starts, measured while it runs, and written up when it ends — and the write-up is made to be published, not filed. The measures are operational: how complete referrals arrive, how long decisions take, how often referrals bounce and come back, and whether the people waiting can see where they stand. We make no clinical-outcome claims — we measure the operations of the pathway, because that is what we change.
The three-options note
Three ways to begin. Each one is shaped with your service, and each one earns the next step.
Pilot
A defined piece of work, shaped together. We start by looking closely at how things move through your service today — referrals, reviews, and the waiting in between — then agree what better looks like and implement toward exactly that. No two services start from the same place, so no two pilots look the same. The point is evidence your team can stand behind before any wider commitment.
Phased rollout
Start where the pressure is greatest. We take the highest-friction part of your pathway first, prove the change there, and extend step by step at a pace your team sets — each phase standing on the evidence of the one before it.
Full deployment
All pathways, all sites. Training for your people and governance set-up are part of the work, not extras, so what we hand over is something your service runs, understands, and owns.
Whichever fits, it starts with a conversation about where your service is now.
- Prove it
- The pilot is the proof mechanism — baselined, measured, published
- No budget headroom
- One bounded pathway, three options, measured before it asks for more
Clinician-governed · Built with clinicians, for clinicians · Built and tested in real New Zealand clinics.
Erik Gulliksen
Levi Penno
Roy Tikao
Dr Gill Penno
Dr Michelle Todd