Health improvement practitioner (HIP) trainer nominations

Name of person nominating HIP

Email of person nominating HIP

Nominee first name

Nominee last name

Nominee email

Nominee contact number

Nominee's Organisation

Nominee's organisation's email address

Employer's first name

Employer's last name

Employer's phone

Employer's email

Nominee's FTE

If full-time, put 1.0. If less than full time, please put their FTE.

Demographics of enrolled patients

Please provide a breakdown of demographics for the primary care clinic. For example, ethnicity and youth percentage.

Registration status

Fully registered under the Health Practitioner Competence Assurance (HPCA) Act 2003 with a scope of practice that is appropriate to working as a mental health and addiction clinician for example: nurse, psychologist, psychotherapist, occupational therapist

Fully registered alcohol and drug and/or gambling practitioner member of the Drug and Alcohol Addiction Practitioners’ Association Aotearoa - New Zealand (dapaanz)

Fully registered Social Worker

Full member of the New Zealand Association of Counsellors (NZAC) who has received from NZAC a Te Whatu Ora Accreditation certificate authorising them to work within Health-funded mental health and addictions services

Trainer nomination criteria

Fully endorsed HIP and currently practising in the role of HIP, for a minimum period of six months, in at least a 0.5 FTE capacity

Nomination recommended and supported by the HIP’s employer

Evidence of six months data metrics

Data reflections

Selection criteria

Nominee submits evidence of facilitation and teaching experience

Submission includes data metrics for the past 6 months of practice

Surveys are fully completed, analysed, and submitted to Te Pou

Information received is assessed by a Master trainer and, if deemed appropriate, a practice observation is scheduled with the nominee

At the end of observation day, Master trainer will provide feedback and confirm whether nominee is accepted as a trainer candidate

Data that indicates model fidelity include:

Average number of consults per 8-hour day

Initial and follow-ups ratiocond Choice

Reasons for referral

Percentage of “same day” consults per day

Feedback from clinical team

Spread of utilization by clinical team – are all GPs/RNs referring?

Percentage of sessions between 16-30 minutes

Utilization of outcome measures

Average number of visits by patient for same presenting issue

Engagement in population health initiatives: groups or pathways

You will note this data requirement is no different from HIP trainees’, although the standards are somewhat different.

Upload data metrics and include a narrative for the context of your data metrics

Attachment

Include context for your data metrics here

Download and complete "Barriers to using same-day services"

Please download the Barriers to using same-day services form, complete it, and then upload the completed form below.

Attachment 1

"Upload Barriers to using same-day services" here

Download and complete "Barriers to using BHC"

Please download Barriers to using BHC, complete it, then upload it below.

Attachment 2

Upload "Barries to using BHC" here

Download and complete the HIP satisfaction survey

Please download HIP satisfaction survey, complete it, then upload it below.

Attachment 3

Upload "HIP satisfaction survey" here

Download and complete the integration tool survey

Please download the HIP integration tool survey, complete it, then upload it below.

Attachment 4

Upload "HIP integration tool survey" here

Submit nomination

Click the button below to submit your nomination. If your submission is successful, you will be taken to a confirmation page and receive a confirmation email. If you don't receive a confirmation email, your submission was not successful.