INTRODUCTION: Clinical reminders have been shown to help general practice achieve an increase in some preventive care items, especially if they identify a patient’s eligibility for the target item, prompt clinicians at the right time, provide a fast link to management tools and facilitate clinical recording. WRPHO has introduced the Patient Dashboard clinical reminder and monitored its impact on health targets. Aim: This paper reports the impact of a computerised colour-coded clinical reminder on achieving agreed health targets in Whanganui regional practices. METHODS: Patient Dashboard was developed from previous versions in Auckland and Northland and provided to Whanganui regional practices with Primary Health Organisation (PHO) support. The Dashboard was linked with existing and new clinical management tools which automatically updated clinical records. Data from practices was pooled by Whanganui Regional Primary Health Organisation and target achievement rates reported over 15 months. RESULTS: Over the initial 15 months of Patient Dashboard use, recording of smoking status increased from 74% to 82% and of alcohol use from 15% to 47%. Screening for diabetes increased from 62% to 74%, cardiovascular risk assessment from 20% to 43%, cervical screening from 71% to 79%, and breast screening from 60% to 80%. DISCUSSION: Patient Dashboard was associated with increased performance indicators both for those targets which were part of a PHO programme and for targets without additional support. KEYWORDS: Reminder systems; quality indicators, health care; preventive health services; mass screening

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This article describes the background behind the development of a novel evaluation approach of an Aotearoa New Zealand rural health service using an equity-focused, strengths-based approach to complement the traditional audit process. This approach avoids a deficit-based, gap-analysis of service shortcomings in favour of a strengths-based model through which services can draw on identified assets in planning future service initiatives. The approach discussed aims to identify and mobilise assets and strengths of people and services that promote quality outcomes, with a particular focus on those that address the deeply embedded health inequities for Māori (the indigenous people of Aotearoa). The asset model will be used to evaluate a rural service that is uniquely co-located with other health-related hospital services. This article aims to provide a commentary on the benefits of an asset-based approach to rural general practice evaluation.