New Quality framework

The College has completed its restructure of the Foundation and Cornerstone programmes, subject to some minor tweaks.  The programme will go live on 1 April 2020.

Find out more about the new framework below. 

Click here to watch our recent webinar about the new framework and read the related FAQs.

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Hear from our Chief Executive

Questions and answers

What's different about the new programme?

Firstly, the College is separating out the two quality programmes – Foundation and Cornerstone.

Foundation will remain the base level of legislative, regulatory and clinical requirements that all practices must comply with as a minimum standard of quality.

Cornerstone becomes a modular programme where practices can choose what level, and what areas they may wish to focus their quality improvement programme on, by tailoring it to their practice’s needs. 

We’re introducing different tiers to our Cornerstone programme: bronze, silver and gold. This means practices are rewarded for their continuous improvement journey with new and interesting modules to work towards.

The Cornerstone assessment process will no longer be run by the College. We will train and moderate assessors, and practices and PHOs will manage the assessor visits themselves.

Why have you changed the programme?

Cornerstone has remained largely unchanged since its inception. Practices and PHOs told us the programme needed a refresh, and the findings of our pilot programme helped us synthesise what works best for our customers.

Will the new programme still be launched on 1 April?

Yes. On 1 April 2020 we’ll have the new structure in place including Foundation and three Cornerstone quality modules (Continuous Quality Improvement, Equity and Teaching). Our aim is to introduce more new modules regularly from April 2020 onwards. 

What have you done to simplify the new programme?

All of the standards and associated criteria have been reviewed for the Foundation Programme, and the Cornerstone Programme modules. We’ve removed repetition and simplified the language. The Cornerstone modular system allows practices to complete quality improvement activities relevant for their patient population, allowing them to focus on what is important to them.

Why are all annual and onsite Cornerstone assessments stopping on 10 December 2019?

Although practices will continue to maintain their existing quality standards through to the end of March 2020, the College will be shifting its focus away from organising assessments to getting new systems and processes in place.

How does the assessment process work?

Practices will be assessed against the Foundation Standard and the modules to achieve accreditation. Practices will engage directly with assessors who will set their own fees.

What support will we we get while we transition to the new programme?

There will be extensive support and advice provided to practices through FAQs, webinars, our website and via our Quality team.    

What are the core modules for Cornerstone?

The core modules for Cornerstone are Continuous Quality Improvement and Equity

Why are there core (mandatory) modules in Cornerstone?

The Core modules must be completed first before embarking on other elective modules. 

Continuous Quality Improvement importantly sets the base learning for a quality programme.

Health equity is a strategic priority for entire health sector. To illustrate the Colleges commitment to equity, we have developed a mandatory Equity module. This module focuses on equity as a tangible way of improving cultural awareness and patient safety within New Zealand’s general practices. 

Where will practices upload evidence?

QA2QI will be replaced by a new I.T solution. The practice data will be available to practices for reviewing, amending and uploading into the new system.

How do I transition to the the new programme?

All practices, both Foundation and Cornerstone, will transition across to the new programmes from 1 April 2020. 

A transition plan will be provided to each practice to show requirements, timeframes and costs.

How will the fee structure work?

The College will contract directly with practices

There will be an annual license fee for Foundation Standard and a fee for each Cornerstone module.

How many Cornerstone modules do I need to complete?

This will be entirely up to each practice.

For Cornerstone Bronze tier it will be necessary to complete the two core modules.

For Cornerstone Silver, and/or Gold tiers, a combination of elective modules of your choosing can be undertaken.

We are a teaching practice - what modules do we have to do and by when?

Current teaching practices will be automatically transitioned to the new Cornerstone programme on 1 April 2020.

An individual practice transition pathway will be established on how to achieve the new module to maintain your teaching status by mid-2021, for future registrar placements.

Do I have to do Foundation and/or Cornerstone quality programmes?

As Foundation will continue to be a requirement in the PSAAP agreement, achieving Foundation is necessary.

The new Cornerstone programme provides quality improvement opportunities that will add ongoing value to practices..

Why is the College stepping away from the assessor process?

Assessments will still be required, but the College will no longer undertake or manage the assessment process. Instead, from 1 April 2020, when our two new quality programmes are launched, practices and PHOs will book their assessments directly with assessors, rather than coming through the College’s Quality team.

How long do I have to complete the two new compulsory Cornerstone modules? 

Each practice is different depending on where they are on their current quality cycle. Each individual practice will have a transition pathway established to achieve Cornerstone Bronze and beyond, after the initial automatic transfer into the new Cornerstone. 

How long will Foundation and Cornerstone accreditation last?  

Foundation will have a three-year life once achieved.

Each Cornerstone module will have a three-year life from achievement. At the end of the third year, the practice will complete a ‘refresher’ to maintain achievement of the applicable module.

We’ll send practices a new Cornerstone certificate annually to reflect their current status and the modules that have been achieved and/or maintained in the year.