John Macaskill-Smith

John has 20 years leading change in primary care. John took Pinnacle from a small team of 16 people in 2001 to the broader group of companies and innovations that it's so well known for. Passionate about bridging the gap between technology and outcome, he loves the challenge of improving outcomes by blending the best of what we do with what we could do. 

John has introduced a range of new programs and technologies to the NZ health sector that are now having an impact nationally and in some cases internationally. These include the Health Care Home in 2010 and now via the Pinnacle network and the national Health Care Home Collaborative this has grown to a national program. Patient portals were launched in Pinnacle as part of the Health Care Home development and this has now been adopted nationally and is being adopted around the country. Xcrania has established a primary care secure cloud and has seen a growing number of primary care providers shifting from local services to fully supported cloud system. Indici has also sent shockwave through the primary IT space, with Midlands, Compass, Central and Hutt Valley now endorsing Indici as their preferred system and forcing existing systems to pull their socks up and attempt to catch up with the sector's needs.

John now leads Ventures for the Pinnacle group which is managing the what's next and what's after what's next thinking for Pinnacle. Ventures manages all the ownership and management of the practices owned within the Pinnacle group which is a growing business.  Ventures is also establishing new partnership with industries outside the health sector to explore and develop new models and approaches for primary care and importantly to better meet changing consumer and patient needs.

Health Care Home - retaining the rural values, extended care teams and staying connected

Rural primary care has always been well connected and part of the community.  It's also been highly resilient and creative at just making thing happen for its patients and communities.

The HCH in the Pinnacle network has brought more support and resources to a number of rural sites that have contributed to the outstanding outcomes for all parts of the population.

Maori, high need, older persons in particular have really benefited from the HCH sites creating new ways of connecting and reorganized days with 20-32% less need to visit hospitals over non HCH sites.

Extended and integrated care teams have reinforced the best of rural approaches seeing much broader teams working as a single team.  Mental health, lifestyle, nutrition, community workers, social workers, nurse practitioners, specialist nurses,  clinical pharmacists, Drs and others - one team.

Super charging this has been the shift to a single information system - one care plan, a single timeline and shared clinical records - one messaging system have all enabled a new partnership  between professionals and patients and their Whanau.


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